Phase 2
N=70
KPL-301 for Subjects With Giant Cell Arteritis
Giant Cell Arteritis
Bottom Line
View on ClinicalTrials.gov: NCT03827018 ↗Enrolled (actual)
70
Serious AEs
7.1%
Results posted
Oct 2023
Primary outcome: Primary: Time to Flare by Week 26 — NA; 25.1 weeks — p=0.0263
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- mavrilimumab (Combination_product); placebo (Combination_product); prednisone (Drug)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- All
- Sponsor
- Kiniksa Pharmaceuticals, Ltd.
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time to Flare by Week 26 |
NA; 25.1 | 0.0263 sig |
| SECONDARY Sustained Remission Rate at Week 26 |
83.2; 49.9 | 0.0038 sig |
| SECONDARY Time to Elevated Erythrocyte Sedimentation Rate (ESR) by Week 26 |
26.1; 12.1 | 0.0277 sig |
| SECONDARY Time to Elevated C-Reactive Protein (CRP) by Week 26 |
NA; 12.3 | 0.0378 sig |
| SECONDARY Time to Signs/Symptoms of Giant Cell Arteritis (GCA) or New or Worsening Vasculitis on Imaging by Week 26 |
NA; 25.1 | 0.0651 |
| SECONDARY Cumulative Corticosteroid Dose at Week 26 |
2074.15; 2402.98 | 0.0667 |
| SECONDARY Percentage of Participants Who Completed the 26-Week Corticosteroid Taper and Who Had a Normal ESR |
45.2; 14.3 | 0.0201 sig |
| SECONDARY Percentage of Participants Who Completed the 26-Week Corticosteroid Taper and Who Had a Normal CRP Level |
23.8; 14.3 | 0.5533 |
| SECONDARY Percentage of Participants Who Completed the 26-week Corticosteroid Taper and Who Had No Signs or Symptoms of GCA Nor New or Worsening Vasculitis by Imaging by Week 26 |
71.4; 32.1 | 0.0031 sig |
| SECONDARY Cumulative Corticosteroid Dose at the End of the Washout Safety Follow-up Period |
2464.93; 2845.45 | 0.1629 |
Summary
The primary objective of the study is to evaluate the efficacy of mavrilimumab (KPL-301) versus placebo, co-administered with a 26-week corticosteroid taper, for maintaining sustained remission for 26 weeks in subjects with new onset or relapsing/refractory giant cell arteritis (GCA).
Eligibility Criteria
Selected Inclusion Criteria:
- Subjects with new-onset or relapsing/refractory GCA.
- Westergren erythrocyte sedimentation rate > 30 mm/hour or c-reactive protein ≥ 1 mg/ dL.
- Remission of GCA at or before Day 0.
- Female subjects must be postmenopausal or permanently sterile following documented hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or tubal ligation or having a male partner with vasectomy as affirmed by the subject, or nonpregnant, nonlactating, and if sexually active having agreed to use a highly effective method of contraception.
- Male subjects must have documented vasectomy or if sexually active must agree to use a highly effective method of contraception with their partners of childbearing potential.
Selected Exclusion Criteria:
- Transplanted organs (except corneal transplant performed more than 3 months prior to randomization).
- Concurrent enrollment in another interventional clinical study.
- Treatment with non-biologic investigational drug therapy within 4 weeks or 5 half-lives of the study agent, whichever was longer, prior to screening.
- Cell-depleting biological therapies within 12 months prior to Day 0, or noncell-depleting biological therapies within 8 weeks (or 5 half-lives, whichever is longer) prior to screening.
- Treatment with alkylating agents within 12 weeks prior to screening.
- Intramuscular, Intra-articular or IV corticosteroids within 4 weeks prior to screening.
- Receipt of live (attenuated) vaccine within the 4 weeks before Day 0.
- Treatment with hydroxychloroquine, cyclosporine A, azathioprine, cyclophosphamide, or mycophenolate mofetil (MMF) within 4 weeks of screening.
- Female subjects who are pregnant, intending to become pregnant, or are breastfeeding.
- Known history of allergy or reaction to any component of the mavrilimumab or placebo formulation or to any other biologic therapy or prednisone or any of its excipients.
- Positive (or 2 indeterminate) QuantiFERON test results.
- Clinically significant active infection or infection requiring hospitalization or IV antibiotics within 12 weeks before screening or opportunistic infection within 6 months before screening.
- Chronic active hepatitis B infection.
- Subjects at a high risk of infection, a history of an infected joint prosthesis still in situ, leg ulcers, indwelling urinary catheter, or persistent or recurrent chest infections.
- History of cancer within the last 10 years, except for basal and squamous cell carcinoma of the skin or in situ carcinoma of the cervix treated and considered cured.
- Evidence of clinically-uncontrolled respiratory disease.
- History of chronic respiratory tract infections.
Data sourced from ClinicalTrials.gov (NCT03827018). 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.