Fresolimumab In Systemic Sclerosis
OPEN LABEL TRIAL OF ANTI-TGF-BETA MAB, FRESOLIMUMAB, IN SYSTEMIC SCLEROSIS - A PHASE ONE BIOMARKER TRIAL
1 other identifier
interventional
18
1 country
1
Brief Summary
The purpose of this study is to determine if fresolimumab is safe in treating people with systemic sclerosis (scleroderma) and to investigate the effect of fresolimumab in the skin of these individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Jan 2011
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2011
CompletedFirst Submitted
Initial submission to the registry
January 25, 2011
CompletedFirst Posted
Study publicly available on registry
January 27, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedJuly 16, 2014
July 1, 2014
2.4 years
January 25, 2011
July 15, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
To evaluate safety of fresolimumab in patients with scleroderma
24 weeks
To investigate the effect of fresolimumab on TGF-beta responsive gene expression in skin after treatment with fresolimumab compared to pre-treatment TGF-beta responsive gene expression.
TGF-beta regulated skin gene expression
7 weeks
Study Arms (1)
Fresolimumab
EXPERIMENTALInterventions
intravenous fresolimumab 1mg/kg, first 8 patients; 5 mg/kg following 8 patients
Eligibility Criteria
You may qualify if:
- Meet ACR criteria for diffuse systemic sclerosis
- \< 24 months since onset of first SSc manifestation other than Raynaud's phenomenon
- Modified Rodnan Skin Score ≥ 15
- Male or female adult ( ≥ 18 years of age)
- Able and willing to give written informed consent and comply with study protocol
You may not qualify if:
- Moderate or severe pulmonary disease w/ FVC \< 80% or DLCO \< 70% or ground glass and fibrosis \> 20% of lung fields by HRCT
- Treatment with investigational drug within 4 weeks of screening
- Ongoing use of high dose steroids (\> 10mg/day) or unstable steroid dose in past 4 weeks
- Treatment with immunosuppressive, cytotoxic, or antifibrotic drug within 4 weeks of screening
- Positive for HIV, HBV, and/or HCV
- Known active infection (bacterial, viral, fungal, mycobacterial, or other); not including fungal infection of nail beds or any major infection requiring hospitalization or treatment with IV antibiotics within 4 weeks of screening
- Patients w/ history of malignancy or premalignant lesion
- History of keratoacanthoma or squamous cell carcinoma
- Moderate to severe hepatic impairment
- SSc renal crisis within 6 months or creatinine \> 2.0
- Lack of IV access for medication administration
- Moderate or severe cardiac disease with significant arrhythmia, heart failure, or unstable angina
- Anemia (Hb \< 8.5 gm/dL)
- Thrombocytopenia or blood clotting disorder
- Patients with organ transplant (including allogeneic bone marrow transplant)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Boston University School of Medicine; Rheumatology/Arthritis Center
Boston, Massachusetts, 02118, United States
Related Publications (1)
Rice LM, Padilla CM, McLaughlin SR, Mathes A, Ziemek J, Goummih S, Nakerakanti S, York M, Farina G, Whitfield ML, Spiera RF, Christmann RB, Gordon JK, Weinberg J, Simms RW, Lafyatis R. Fresolimumab treatment decreases biomarkers and improves clinical symptoms in systemic sclerosis patients. J Clin Invest. 2015 Jul 1;125(7):2795-807. doi: 10.1172/JCI77958. Epub 2015 Jun 22.
PMID: 26098215DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Lafyatis, MD
Boston University
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
January 25, 2011
First Posted
January 27, 2011
Study Start
January 1, 2011
Primary Completion
June 1, 2013
Study Completion
March 1, 2014
Last Updated
July 16, 2014
Record last verified: 2014-07