AIMSPRO in Established Diffuse Cutaneous Systemic Sclerosis
A Double-Blind Placebo-Controlled Pilot Study of Safety and Tolerability of AIMSPRO in Established Diffuse Cutaneous Systemic Sclerosis
1 other identifier
interventional
20
1 country
1
Brief Summary
To study the safety and tolerability of a hyperimmune goat serum product (AIMSPRO) in the treatment of systemic sclerosis (SSc) through a period of 26 weeks of study participation. The secondary objective of the study is to assess the efficacy of AIMSPRO as a therapeutic agent for SSc using inter alia the SSc-HAQ questionnaire and the modified Rodnan skin score.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Dec 2008
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 7, 2008
CompletedFirst Posted
Study publicly available on registry
October 8, 2008
CompletedStudy Start
First participant enrolled
December 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedAugust 18, 2011
August 1, 2011
2.2 years
October 7, 2008
August 16, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Modified Rodnan Skin Score
Baseline, Week 6 and Week 26
Secondary Outcomes (5)
Scleroderma Health Assessment Questionnaire
Baseline, Week 6 and Week 26
Scleroderma UK Functional Score
Baseline, Week 6 and Week 26
Patient and Physician Global Assessment (VAS)
Baseline, Week 6 and Week 26
SF-36 (Short form 36)
Baseline, Week 6 and Week 26
MRC Sum Score
Week 0, Week 6 and Week 26
Study Arms (2)
AIMSPRO
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Subcutaneous injection of serum, 1ml twice weekly for 6 months
Subcutaneous injection of albumin, 1ml twice weekly for 6 months
Eligibility Criteria
You may qualify if:
- Must fulfill 1980 Preliminary Classification Criteria for systemic sclerosis of the American Rheumatism Association
- Diffuse cutaneous SSc, as evidenced by skin sclerosis proximal to the elbows or knees and absence of the anti-centromere autoantibody
- At least three years must have elapsed since the first non-Raynaud's manifestation
- Men and women of childbearing potential must use adequate birth control measures for the duration of the study and should continue such precautions for six months after receiving the last injection of AIMSPRO.
- Screening laboratory test results:
- Hemoglobin \> 8.5 g/dL WBC \> 3.5 x 10\^9/L Neutrophils \> 1.5 x 10\^9/L Platelets \> 100 x 10\^9/L SGOT (AST) and alkaline phosphatase levels must be within twice the upper limit of normal range for the laboratory conducting the test.
- Patient must be able to adhere to the study visit schedule and other protocol requirements
- Patient must be capable of giving informed consent and the consent must be obtained prior to any screening procedures
- No radiological evidence of malignancy, infection or (previous) tuberculosis in a chest radiograph performed within three months prior to the first injection of study drug
You may not qualify if:
- Women who are pregnant, nursing, or planning pregnancy within one and a half years after screening (i.e., approximately six months following last injection of study drug).
- Use of any investigational drug within one month prior to screening or within five half-lives of the investigational agent, whichever is longer.
- Use of a putative disease modifying drug (potential immunosuppressive drug) within one month of screening.
- Treatment with any therapeutic agent targeted at reducing TNF (e.g., infliximab, pentoxifylline, thalidomide, etanercept, etc.) within three months of screening.
- Previous administration of AIMSPRO.
- History of known allergy to animal proteins.
- Active hepatitis-B or hepatitis-C.
- Active tuberculosis.
- Patients with opportunistic infections, including but not limited to evidence of active cytomegalovirus, active Pneumocystis carinii, Aspergillosis, histoplasmosis or atypical mycobacterium infection, etc, within the previous six months.
- History of lymphoproliferative disease including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy of unusual size or location (such as nodes in the posterior triangle of the neck, infra-clavicular, epitrochlear, or periaortic areas), or splenomegaly.
- Known recent substance abuse (drug or alcohol).
- Poor tolerability of venepuncture or lack of adequate venous access for required blood sampling during the study period.
- Presence of a transplanted organ (with the exception of a corneal transplant \> three months prior to screening).
- Patients receiving immunosuppressive therapy within one month of screening.
- Patients with malignancy within the past five years.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre for Rheumatology and Connective Tissue Diseases, Lower Ground Floor, Royal Free Hospital NHS Trust, Hampstead
London, NW3 2QG, United Kingdom
Related Publications (2)
Quillinan N, Clark KE, Youl B, Vernes J, McIntosh D, Haq S, Denton CP. Multiplex serum protein analysis reveals potential mechanisms and markers of response to hyperimmune caprine serum in systemic sclerosis. Arthritis Res Ther. 2017 Mar 7;19(1):45. doi: 10.1186/s13075-017-1252-x.
PMID: 28270187DERIVEDQuillinan NP, McIntosh D, Vernes J, Haq S, Denton CP. Treatment of diffuse systemic sclerosis with hyperimmune caprine serum (AIMSPRO): a phase II double-blind placebo-controlled trial. Ann Rheum Dis. 2014 Jan;73(1):56-61. doi: 10.1136/annrheumdis-2013-203674. Epub 2013 Sep 25.
PMID: 24067785DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher P Denton, PhD FRCP
Royal Free Hospital NHS Trust
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
October 7, 2008
First Posted
October 8, 2008
Study Start
December 1, 2008
Primary Completion
February 1, 2011
Study Completion
September 1, 2011
Last Updated
August 18, 2011
Record last verified: 2011-08