Phase 2
N=42
A Pilot Study of CC-220 to Treat Systemic Lupus Erythematosus.
Systemic Lupus Erythematosus
Bottom Line
View on ClinicalTrials.gov: NCT02185040 ↗Enrolled (actual)
42
Serious AEs
13.6%
Results posted
Mar 2020
Primary outcome: Primary: Number of Participants With Treatment Emergent Adverse Events (TEAEs) in Part 1 Treatment Phase — 5; 7; 7; 8 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- CC-220 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Celgene
- Primary completion
- Sep 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment Emergent Adverse Events (TEAEs) in Part 1 Treatment Phase |
5; 7; 7; 8; 8; 1 | — |
| PRIMARY Number of Participants With Treatment Emergent Adverse Events (TEAEs) in the Active Treatment Extension Phase |
9; 7; 2; 5; 0; 5 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Measurable Concentration (AUCt) of Iberdomide |
10.82; 11.29; 34.15; 38.73; 13.34; 15.55 | — |
| SECONDARY Maximum Observed Concentration (Cmax) Of Iberdomide |
0.90; 0.64; 2.92; 2.35; 1.02; 1.09 | — |
| SECONDARY Time to Reach Maximum Concentration (Tmax) of Iberdomide |
4.00; 6.00; 1.92; 4.01; 4.00; 2.00 | — |
| SECONDARY Terminal Phase Half-Life (T1/2) Of Iberdomide |
7.50; 10.25; 7.96; 9.55; 8.46; 11.85 | — |
| SECONDARY Percentage of Participants Who Achieved ≥4 Points Reduction From Baseline in Hybrid Safety of Estrogens in Systemic Lupus Erythematosus National Assessment SLE Disease Activity Index Score (SELENA SLEDAI) During the ATEP by Time Point |
0.0; 12.5; 0.0; 14.3; 66.7; 0.0 | — |
| SECONDARY Change From Baseline in the Hybrid Systemic Lupus Erythematosus Disease Activity Index (SELENA SLEDAI) During the ATEP by Time Point |
0.2; -1.0; 0.2; -1.7; -1.8; -0.9 | — |
| SECONDARY Change From Baseline in Swollen Joint Count During the ATEP by Time Point |
-1.2; -0.4; -1.8; -0.6; -2.6; -0.3 | — |
| SECONDARY Change From Baseline in Tender Joint Count During the ATEP by Time Point |
-0.9; -2.5; -0.9; -2.0; 0.5; -3.7 | — |
| SECONDARY Percent Change From Baseline in Cutaneous Lupus Area and Severity Index (CLASI) Activity Score During the ATEP by Time Point |
-21.40; -13.35; -32.13; -18.32; -18.42; -36.46 | — |
| SECONDARY Change From Baseline in the Physician's Global Assessment (PGA) Score During the ATEP by Time Point |
-0.08; -0.10; -0.26; -0.17; -0.15; -0.31 | — |
| SECONDARY Change From Baseline in the British Isles Lupus Assessment Group (BILAG) 2004 Global Score During the ATEP by Time Point |
-0.5; 3.3; 2.0; 0.7; -2.2; 2.0 | — |
| SECONDARY Change From Baseline in the Pericardial/Pleuritic Pain Scale During ATEP by Time Poimt |
-1.0; 0.8; -0.8; 0.9; -1.1; 1.3 | — |
| SECONDARY Change From Baseline in the Fatigue Visual Analog Scale (VAS) During the ATEP by Time Point |
-10.0; -4.0; -4.1; -3.7; -15.9; -8.0 | — |
| SECONDARY Change From Baseline in the Cutaneous Lupus Area and Severity Index (CLASI) Damage Score During the ATEP by Time Point |
-0.1; 0.0; 0.0; -1.0; -0.6; -0.9 | — |
| SECONDARY Change From Baseline in the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Systemic Lupus Erythematosus (SLICC/ACR SLE) Damage Index Score During the ATEP by Time Point |
-0.1; 0.0; -0.1; -0.1; -0.1; -0.1 | — |
Summary
The purpose of this study is to determine whether CC-220 is effective for the treatment of skin, joint and serological manifestations of systemic lupus erythematosus.
Eligibility Criteria
Inclusion Criteria
Part 1
- The subject has an established diagnosis of systemic lupus erythematosus (SLE) as defined by the 1997 Update of the 1982 ACR Revised Criteria for Classification of SLE at screening. The diagnosis is fulfilled provided that at least 4 criteria are met.
- Disease history of SLE ≥ 6 months at baseline
- Females of childbearing potential (FCBP) must:
- Have two negative pregnancy tests as verified by the study doctor prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the subject practices true abstinence from heterosexual contact.
- Either commit to true abstinence from heterosexual contact (which must be reviewed on a monthly basis) or agree to use, and be able to comply with, effective contraception without interruption, 28 days prior to starting IP, during the study therapy (including dose interruptions), and for 28 days after discontinuation of study therapy.
- Male subjects must:
- Must practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 28 days following IP discontinuation, even if he has undergone a successful vasectomy.
- If the subject is using oral corticosteroids, the daily dose must be less than or equal to 10 mg of prednisone or equivalent during the study; the dose must be stable over the 4 weeks preceding screening and throughout the study.
- All subjects taking hydroxychloroquine, chloroquine and/or quinacrine during the study must have documentation of a normal ophthalmologic examination performed within 1 year of the Baseline Visit.
- For subjects not taking corticosteroids, or antimalarials, the last dose (in case of previous use) must be at least 4 weeks prior to screening.
ATEP
- Male or female 18 years of age or older
- Understand and voluntarily sign an ICD prior to the initiation of any study related assessments/procedures
- Able to adhere to the study visit schedule and other protocol requirements. Pregnancy
- Females of childbearing potential (FCBP) must:
- Have two negative pregnancy tests as verified by the study doctor prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the subject practices true abstinence* from heterosexual contact.
- Either commit to true abstinence* from heterosexual contact (which must be reviewed on a monthly basis) or agree to use, and be able to comply with, effective contraception without interruption, 28 days prior to starting IP, during the study therapy (including dose interruptions), and for 28 days after discontinuation of study therapy.
- Male subjects must:
- Practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 28 days following IP discontinuation, even if he has undergone a successful vasectomy. True abstinence is acceptable when this is in line with the preferred and usual lifestyle of the subject. (Periodic abstinence [eg, calendar, ovulation, symptothermal, post-ovulation methods] and withdrawal are not acceptable methods of contraception.)
- Male subjects must agree not to donate semen or sperm during therapy and for at least 90 days following the discontinuation of IP.
- All subjects must:
- Understand that the IP could have potential teratogenic risk
- Agree to abstain from donating blood while taking IP and for 28 days following discontinuation of the IP
- Agree not to share IP with another person
- Other than the subject, FCBP and males able to father a child should not handle the IP or touch the capsules unless gloves are worn
- Be counseled about pregnancy precautions and risks of fetal exposure
Data sourced from ClinicalTrials.gov (NCT02185040). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.