Clinical trial

An Open-Label Multicenter Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Inebilizumab in Pediatric Subjects With Neuromyelitis Optica Spectrum Disorder

Name
VIB0551.P2.S2.NMO
Description
A Phase 2, open-label, multicenter study to evaluate the pharmacokinetics (PK), pharmacodynamics (PD), and safety of inebilizumab in eligible pediatric participants 2 to \< 18 years of age with recently active neuromyelitis optica spectrum disorder (NMOSD) who are seropositive for autoantibodies against aquaporin-4 (AQP4-immunoglobulin \[Ig\]G).
Trial arms
Trial start
2022-08-25
Estimated PCD
2027-04-13
Trial end
2027-04-13
Status
Recruiting
Phase
Early phase I
Treatment
Inebilizumab
Inebilizumab administered intravenously (IV) over a total of 28 weeks.
Arms:
Inebilizumab
Size
15
Primary endpoint
Maximum Observed Concentration (Cmax) of inebilizumab
Day 1 to Week 28
Area Under the Concentration Versus Time Curve of inebilizumab from Time 0 to 14 days post-dose (AUC0-14d)
Day 1 to pre-dose on Day 15
Area Under the Concentration Versus Time Curve of inebilizumab from Time 0 extrapolated to infinity (AUC0-Inf)
Day 1 to Week 80
Systemic Clearance (CL) of inebilizumab
Day 1 to Week 80
Terminal Elimination Half-life (t½) of inebilizumab
Day 1 to Week 80
Volume of Distribution at Steady State (VSS) of inebilizumab
Day 1 to Week 80
Change from Baseline in Peripheral Cluster of Differentiation (CD)20-positive B-cell counts
Baseline, Week 1, Week 2, Week 28, Week 80
Number of subjects with of treatment-emergent events (adverse events (TEAEs), serious adverse events (TESAEs), and adverse events of special interest (AESIs)).
Day 1 to Week 80
Change from Baseline in Serum Chemistry
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Hematology
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Serum Immunoglobulins
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Systolic Blood Pressure
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Diastolic Blood Pressure
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Pulse Rate
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Respiratory Rate
Baseline, Week 1, Week 2, Week 28, Week 80
Change from Baseline in Body Temperature
Baseline, Week 1, Week 2, Week 28, Week 80
Eligibility criteria
Inclusion Criteria: * Male or female subjects age 2 to \< 18 years at the time of screening. * Positive serum anti-AQP4-IgG result at screening and diagnosed with NMOSD according to the criteria of Wingerchuk et al, 2015. * Documented history of one or more NMOSD acute relapses within the last year, or 2 or more NMOSD acute relapses within 2 years prior to screening. Exclusion Criteria: * Any condition that, in the opinion of the Investigator, would interfere with the evaluation or administration of the Investigational Product or interpretation of subject safety or study results * Concurrent/previous enrollment in another clinical study involving an investigational treatment within 4 weeks or 5 published half-lives of the investigational treatment, whichever is the longer, prior to Day 1 * Evidence of significant hepatic, renal, or metabolic dysfunction or significant hematological abnormality (one repeat test may be conducted to confirm results within the same screening period): * B-cell counts \< one-half of the lower limit of normal (LLN) for age according to the central laboratory * Receipt of the following at any time prior to Day 1: 1. Alemtuzumab 2. Total lymphoid irradiation 3. Bone marrow transplant 4. T-cell vaccination therapy * Receipt of rituximab or any experimental B-cell depleting agent within 6 months prior to screening unless B-cell counts have returned to ≥ one-half the LLN * Receipt of intravenous immunoglobulin (IVIG) within one month prior to Day 1 * Receipt of any of the following within 2 months prior to Day 1: 1. Cyclosporine 2. Methotrexate 3. Mitoxantrone 4. Cyclophosphamide 5. Tocilizumab 6. Satralizumab 7. Eculizumab * Receipt of natalizumab (Tysabri®) within 6 months prior to Day 1 * Severe drug allergic history or anaphylaxis to 2 or more food products or medicine (including known sensitivity to acetaminophen/paracetamol, diphenhydramine or equivalent antihistamine, and methylprednisolone or equivalent glucocorticoid) * Diagnosed with a concurrent autoimmune disease that is uncontrolled (unless approved by the medical monitor) * Recent receipt of live/attenuated vaccine or blood transfusion
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 15, 'type': 'ESTIMATED'}}
Updated at
2024-05-01

1 organization

1 product

1 indication

Organization
Amgen