Evaluate Efficacy, Safety and Tolerability, PK and PD of Emapalumab in Children and Adults With M… (NCT05001737) | Clinical Trial Compass
CompletedPhase 3
Evaluate Efficacy, Safety and Tolerability, PK and PD of Emapalumab in Children and Adults With MAS in Still's or SLE
United States33 participantsStarted 2021-12-15
Plain-language summary
The purpose of this study is to assess the safety, tolerability and efficacy of emapalumab in children and adults with macrophage activation syndrome (sHLH/MAS) in Still's disease (including systemic juvenile idiopathic arthritis and adult onset Still's disease) or with sHLH/MAS in systemic lupus erythematous, resenting an inadequate response to high dose glucocorticoid treatment.
Who can participate
Age range6 Months – 80 Years
SexALL
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Inclusion criteria
✓. Informed consent provided by the subject or by the subject s' legally authorized representative(s) with the assent of subjects who are legally capable of providing it, as required by local law.
✓. Male and female subjects aged between 6 months and 80 years of age at the time of diagnosis of MAS.
✓. MAS defined as per the criteria defined below for each cohort and requiring treatment with GCs.
✓. Informed consent provided by the subject or by the subject's legally authorized representative(s) with the assent of subjects who are legally capable of providing it, as as required by local law.
✓. Male and female subjects aged between 6 months and 80 years of age at the time of diagnosis of active MAS.
✓. Subjects who have shown an inadequate response to high dose intravenous (i.v.) GCs administered for at least 3 days according to local standard clinical practice, including but not limited to pulses of 30 mg/kg PDN on 3 consecutive days. High i.v. GCs dose is recommended not to be lower than 2 mg/kg/ day PDN equivalent (or at least 60 mg/day in pediatric subjects of 30 kg or more, and at least 1g/day in adult MAS subjects). In case of rapid worsening of the subject's condition and/or laboratory parameters, as per Investigator judgment, inclusion may occur within less than 3 days from starting high dose GCs.
✓. Diagnosis of active MAS confirmed by the treating rheumatologist, having ascertained the followings:
✓. Female subjects of child-bearing potential willing to use highly effective methods of contraception from study drug initiation to 6 months after the last dose of study drug.
Exclusion criteria
What they're measuring
1
Proportion of Subjects With Complete Response (CR) at Week 8 After First Administration of Emapalumab
✕. Primary HLH documented by either the presence of a known causative genetic mutation or abnormal perforin expression and CD107a degranulation assay as described with primary hemophagocytic lymphohistiocytosis or by the presence of family history.
✕. Confirmed malignancy. Note: subjects with a suspected malignancy should have mononuclear cells typed by flow cytometry and/or tissue biopsy, as applicable, to rule out malignancy.
✕. Treatment with canakinumab, JAK inhibitors, TNF inhibitors and tocilizumab at the time of emapalumab initiation.
✕. Ongoing treatment with anakinra at a dose above 4 mg/kg at time of emapalumab initiation.
✕. Subjects treated with etoposide for MAS in the last 1 month.
✕. Clinically active mycobacteria (typical and atypical), Histoplasma Capsulatum, or Salmonella infections.