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Completed

NCT Number: NCT03972280

Safety and Pharmacokinetics of Repeat Doses of CSL324 in Subjects With Hidradenitis Suppurativa and Palmoplantar Pustulosis

Study CSL324_1002 will investigate the safety and pharmacokinetics of repeat doses of CSL324 in subjects with hidradenitis suppurativa and palmoplantar pustulosis. CSL324 is a novel, recombinant therapy that may treat diseases caused by increased numbers of neutrophils at sites of inflammation.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Holdsworth House Medical Practice, Darlinghurst, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subjects between 18 and 75 years of age, inclusive
  • Confirmed clinical diagnosis of moderate to severe HS as per International Hidradenitis Suppurativa Severity Score System (IHS4) guidelines (ie, IHS4 ≥ 4)
  • PPP differentiated from other forms of pustulosis
  • Psoriasis with a Palmoplantar Pustulosis Psoriasis Area and Severity Index (ppPASI) score of ≥ 12.
  • Subjects with HS only: inadequate response to at least a 3-month (90 days) trial of oral antibiotics for treatment of HS
  • Subjects with PPP only: confirmed clinical diagnosis of PPP at least 6 months before Screening and inadequate response to topical therapy, phototherapy, and / or previous systemic therapy for the treatment of PPP

Exclusion criteria

  • Treatment with any medications and therapies not permitted during the study.
  • History of myeloproliferative disease.
  • Malignancy within 5 years at Screening with the exception of nonmelanoma skin cancer, carcinoma in situ, or prostate cancer not requiring treatment.
  • Current, or a recent clinically significant history of, uncontrolled renal, hepatic(including currently active hepatitis B virus and / or hepatitis C virus), hematologic, endocrine, pulmonary, psychiatric, or cardiac disease, assessed as potentially having an effect on study outcomes as determined by the Investigator and / or Sponsor.
  • Congenital or acquired immunosuppressive condition(s), including human immunodeficiency virus infection.
  • Clinical signs of active infection and / or fever > 38°C during the 7 days before Day 1.
  • Clinically significant abnormalities on physical examination, ECG, or laboratory assessments, or neutropenia (defined as absolute neutrophil count < 2.0 × 109/L) at Screening.
  • Subjects with PPP only: concurrent psoriasis vulgaris (not including scaly scalp and / or ears).
  • Subjects with HS only: > 20 draining fistulas."

Treatment and study plan

Recombinant anti-granulocyte colony-stimulating factor (G-CSF) receptor monoclonal antibody

Biological

Recombinant anti-G-CSF receptor monoclonal antibody is a preservative-free, sterile liquid formulation that is suitable for intravenous infusion

Other names: CSL324

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: Up to 24 weeks

  2. TEAEs by severity

    Time frame: Up to 24 weeks

  3. TEAEs by casuality

    Time frame: Up to 24 weeks

  4. Incidence of adverse events of special interest (AESIs): Grade 3 and 4 neutropenia

    Time frame: Up to 24 weeks

  5. AESIs: Grade 3 and 4 neutropenia by causality

    Time frame: Up to 24 weeks

  6. Incidence of AESIs: Grade 3 and 4 infection

    Time frame: Up to 24 weeks

  7. AESIs: Grade 3 and 4 infection by causality

    Time frame: Up to 24 weeks

Secondary outcomes

  1. Maximum concentration (Cmax) of CSL324 in serum for the first dose administered

    Time frame: Up to 22 days after dose

  2. Time to maximum concentration (Tmax) of CSL324 in serum for the first dose administered

    Time frame: Up to 22 days after dose

  3. Area under the concentration-time curve during a dosing interval (AUCtau) of CSL324 in serum for the first dose administered

    Time frame: Up to 22 days after dose

  4. Cmax of CSL324 in serum for the last dose administered

    Time frame: Up to 22 days after dose

  5. Tmax of CSL324 in serum for the last dose administered

    Time frame: Up to 84 days after dose

  6. AUCtau of CSL324 in serum for the last dose administered

    Time frame: Up to 22 days after dose

  7. Half life (t½) of CSL324 in serum for the last dose administered

    Time frame: Up to 84 days after dose

  8. Total systemic clearance (CLtot) after intravenous dosing of CSL324 in serum for the last dose administered

    Time frame: Up to 22 days after dose

  9. Volume of distribution after intravenous dosing during the terminal elimination phase ( Vz) of CSL324 in serum for the last dose administered

    Time frame: Up to 22 days after dose

  10. Ctrough of CSL324 for each dose of CSL324 administered

    Time frame: Up to 22 days after each dose

  11. Accumulation ratio for AUCtau (ratio between AUCtau of the last dose and of the first dose) and accumulation ratio for Cmax (ratio between Cmax of the last dose and of the first dose)

    Time frame: Up to 22 days after each dose

  12. Presence of anti-CSL324 antibodies in serum

    Time frame: Up to 168 days

Sponsors and collaborators

Lead sponsor

CSL Behring

Industry

Registry information

Official study title

A Multicenter, Open-label, 2-regimen, Repeat-dose Study to Assess the Safety and Pharmacokinetics of Intravenous CSL324 in Subjects With Hidradenitis Suppurativa and Palmoplantar Pustulosis

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Jun 3, 2019
Registry last updated
May 26, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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