NCT02089087

Brief Summary

This is a first-in-human study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single intravenous and subcutaneous doses of CFZ533 in healthy subjects and intravenous doses in rheumatoid arthritis patients.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P75+ for phase_1 rheumatoid-arthritis

Timeline
Completed

Started Jan 2013

Longer than P75 for phase_1 rheumatoid-arthritis

Geographic Reach
2 countries

6 active sites

Status
completed

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 7, 2013

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

March 13, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 17, 2014

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 3, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 3, 2017

Completed
Last Updated

December 11, 2020

Status Verified

March 1, 2019

Enrollment Period

4.1 years

First QC Date

March 13, 2014

Last Update Submit

December 9, 2020

Conditions

Keywords

Rheumatoid arthritis, RA, first-in-human, single ascending dose, safety, tolerability

Outcome Measures

Primary Outcomes (1)

  • Number of patients with adverse events as a measure of safety and tolerability

    7 months

Secondary Outcomes (5)

  • Plasma Pharmacokinetics (PK) of CFZ533: Area Under the Plasma Concentration-time Curve (AUC)

    6 months

  • Plasma Pharmacokinetics (PK) of CFZ533: Observed Maximum Plasma Concentration Following Drug Administration (Cmax)

    6 months

  • Plasma Pharmacokinetics (PK) of CFZ533: Systemic Clearance from Plasma (CL)

    6 months

  • Plasma Pharmacokinetics (PK) of CFZ533: Apparent Volume of Distribution (Vss)

    6 months

  • CFZ533 immunogenicity

    6 months

Study Arms (3)

CFZ533 in healthy volunteers

EXPERIMENTAL

CFZ533 single dose in healthy volunteers

Biological: CFZ533

CFZ533 in rheumatoid arthritis patients

EXPERIMENTAL

CFZ533 single dose in rheumatoid arthritis patients

Biological: CFZ533

Placebo

PLACEBO COMPARATOR

Placebo single dose

Drug: Placebo

Interventions

CFZ533BIOLOGICAL

Single dose at varying dosage levels depending on treatment assignment

CFZ533 in healthy volunteersCFZ533 in rheumatoid arthritis patients
Placebo

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy male and surgically sterilized or post-menopausal female subjects 18 to 55 years of age (for Cohort 9 only, subjects must be of Chinese descent)
  • Vital signs (systolic and diastolic blood pressure and pulse rate) should be within normal limits
  • Weight 50-150 kg and a body mass index (BMI) 18-32 kg/m2
  • Healthy male and surgically sterilized or post-menopausal female subjects 18 to 55 years of age
  • Fulfilled 2010 ACR/EULAR classification criteria for RA per Investigator
  • Treatment with a stable oral RA treatment regimen for ≥ 4 weeks before randomization
  • Systemic corticosteroids allowed if on a stable dose (≤ 10 mg/day of prednisone or equivalent) ≥ 4 weeks prior to randomization
  • Subjects taking NSAIDs (COX-1 or COX-2 inhibitors) as part of their RA therapy must be on a stable dose for at least 4 weeks before randomization

You may not qualify if:

  • History of hypersensitivity to vaccines, the study drug, or to drugs of similar chemical classes (i.e., biologic agents)
  • Abnormal hematology, coagulation or inflammatory lab results
  • History or evidence of tuberculosis.
  • Use of anti-TNF or other biologics in previous 3 months
  • Any intra-articular injection therapy (e.g., corticosteroid, hyaluronan) required for treatment of acute RA flare within 4 weeks before randomization
  • Previous treatment with a B cell-depleting biologic agent or any other immunomodulatory biologic agent within 5 half-lives (experimental or approved)
  • Current treatment with cyclophosphamide
  • Autoimmune disease other than RA
  • Adult juvenile rheumatoid arthritis
  • RA functional status class IV according to the ACR 1991 revised criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Novartis Investigative Site

Anniston, Alabama, 36207-5710, United States

Location

Novartis Investigative Site

Miami, Florida, 33136, United States

Location

Novartis Investigative Site

South Miami, Florida, 33143, United States

Location

Novartis Investigative Site

Lincoln, Nebraska, 68502, United States

Location

Novartis Investigative Site

Duncansville, Pennsylvania, 16635, United States

Location

Novartis Investigative Site

Taipei, 110, Taiwan

Location

Related Publications (1)

  • Espie P, He Y, Koo P, Sickert D, Dupuy C, Chokote E, Schuler R, Mergentaler H, Ristov J, Milojevic J, Verles A, Groenewegen A, Auger A, Avrameas A, Rotte M, Colin L, Tomek CS, Hernandez-Illas M, Rush JS, Gergely P. First-in-human clinical trial to assess pharmacokinetics, pharmacodynamics, safety, and tolerability of iscalimab, an anti-CD40 monoclonal antibody. Am J Transplant. 2020 Feb;20(2):463-473. doi: 10.1111/ajt.15661. Epub 2019 Dec 6.

Related Links

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

iscalimab

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 13, 2014

First Posted

March 17, 2014

Study Start

January 7, 2013

Primary Completion

February 3, 2017

Study Completion

February 3, 2017

Last Updated

December 11, 2020

Record last verified: 2019-03

Locations