Phase 2
N=8
1 Year of Treatment With Canakinumab in Behçet's Disease Patients With Neurologic or Vascular Involvement
Behcet Disease
Bottom Line
View on ClinicalTrials.gov: NCT02756650 ↗Enrolled (actual)
8
Serious AEs
0.0%
Results posted
Jun 2020
Primary outcome: Primary: Number of Participants With Attacks — 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Canakinumab (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Jan 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Attacks |
— | — |
| PRIMARY Modified Expanded Disability Status Scale (EDSS) |
1.16 | — |
| PRIMARY Neuro-Behçet's Disability Score (NBDS) |
0.66 | — |
| PRIMARY Modified Ranking Score (mRS) |
0.66 | — |
| PRIMARY Ataxia |
1 | — |
| PRIMARY Physical Examination Scores Indicating Change in Muscle Strength |
5.0; 5.0; 4.7; 5.0 | — |
| PRIMARY C-reactive Protein (CRP) Values |
14.58 | — |
| PRIMARY Erythrocyte Sedimentation Rate (ESR) |
17.5 | — |
| PRIMARY SAA (Serum Amyloid A) |
78.66 | — |
| PRIMARY Hemoptysis |
1 | — |
| PRIMARY Visual Analogue Scores (VAS) for Headache |
0.27; 0.2 | — |
| PRIMARY Visual Analogue Scores (VAS) for Stomachache |
0.27; 0.18 | — |
| PRIMARY Visual Analogue Scores (VAS) for Extremity Assessments |
1.07; 0.87 | — |
| PRIMARY Visual Analogue Scores (VAS) for Patients' General Assessments |
1.72 | — |
| PRIMARY Physician's Global Assessment |
3.75 | — |
| PRIMARY Steroid Dose Regimen |
9.5 | — |
| PRIMARY BDCAF (Behçet's Disease Current Activity Form) |
1.62 | — |
| PRIMARY Extremity (Localized) Pain Assessment (VAS) |
1.28 | — |
Summary
Primary objective of the study was to evaluate the safety and efficacy of canakinumab on the clinical and inflammatory findings of Behced Disease patients with neurologic and vascular involvement.
Eligibility Criteria
Inclusion Criteria
Patients aged over 18-60 Behced Disease fulfilling the International Study Group (ISG) criteria, who have a recent exacerbation of large-vessel vascular disease and/or parenchymal neurologic disease For Neurologic Involvement
- Patients experiencing an acute exacerbation of parenchymal neurologic disease involving brainstem and/or diencephalic region.
- Exacerbation is defined based on the presence of both of the following:
- An acute/subacute neurological syndrome including any of hemiparesis, ataxia, dysarthria,headache within the first month of onset of neurologic manifestations (without any prior high dose steroid treatment)
- Compatible cranial MRI lesion involving brainstem and/or diencephalic region
For Vascular Disease :
Patients experiencing an acute exacerbation of vascular disease within the last month, involving
- Large arteries (abdominal aorta, pulmonary arteries, extremity arteries)
- Large veins (deep vein thrombosis of extremities, caval vein thrombosis, dural sinus thrombosis)
- Compatible radiological findings (spiral CT, MR, or Doppler ultrasonography)
Exclusion Criteria
For Neurologic Involvement :
- Presence of severe neurological sequelae from any previous attacks rendering the patient dependent on others physically or mentally
- Any other neurological cause underlying the picture including ischemic central nervous system lesion on MRI
- Any previous treatment with biological agents other than interferon-alpha or any previous treatment with cyclophosphamide
- No interferon in the last 6 months, no Intra Venous Metilprednizolon in the past month
For Vascular disease and general :
- Presence of severe vascular sequelae from any previous attacks rendering the patient dependent on others
- Any other vascular disease complication the evaluation of exacerbation
- Any previous treatment with biological agents other than interferon alpha, or any previous treatment with cyclophosphamide
- No interferon alpha in the last 6 months, no IVMP in the past month
- History of Squamo Cell Carcinoma OR Basal Cell Carcinoma in previous 5 years. General
- Presence or history of any other inflammatory rheumatic disease
- Positive Purified Protein Derivative test (according to local guidance) where an active Tuberculosis infection cannot be excluded via Quantiferon (T-Spot or radiographic imaging if needed) Pregnancy or lactation
- Presence of any active or chronic infection or any major episode of infection requiring hospitalization or treatment with i.v. antibiotics within 30 days or oral antibiotics within 14 days prior to screening
- History or a malignancy within the last 5 years, except for successfully excised squamous or basal cell carcinoma of the skin
- Women of childbearing potential not using the contraception method(s) specified in this study, as well as women who are breastfeeding
- With known sensitivity to canakinumab
- Use of any other investigational agent in the last 30 days
Data sourced from ClinicalTrials.gov (NCT02756650). 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.