Study to Evaluate the Efficacy, Safety and Tolerability of MAS825 in Patients With Monogenic IL-18 Driven Autoinflammatory Diseases, Including NLRC4-GOF, XIAP Deficiency, or CDC42 Mutations

Last updated: January 8, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

2

Condition

Lymphoproliferative Disorders

Crohn's Disease

Treatment

Placebo

MAS825

Clinical Study ID

NCT04641442
CMAS825D12201
  • Ages < 100
  • All Genders

Study Summary

This study is a Phase 2 trial designed to evaluate the clinical efficacy, safety, and tolerability of MAS825 in patients with NLRC4-GOF, XIAP deficiency, or CDC42 mutations.

Eligibility Criteria

Inclusion

Inclusion Criteria:

For all Patients:

  1. Male and female patients weighing at least 3 kg

  2. Written informed consent by parent(s)/legal guardian(s) for the pediatric patientsand assent by the pediatric patient (depending on local requirements) must beobtained before any study-specific assessment is performed. For adult patients,written informed consent by patients capable of giving consent, or when the patientis not capable of giving consent, by his/her legal/authorized representative (ifallowed according to local requirements). Cohort 1 specific inclusion criteria:

  3. Patients with a genetic diagnosis of either NLRC4-GOF, XIAP deficiency, or CDC42mutation

  4. Clinical history and investigations consistent with autoinflammation and infantileenterocolitis (AIFEC/NLRC4-GOF), XIAP or CDC42. XIAP patients must have persistentdisease or be resistant to escalating therapy.

  5. At first treatment, evidence of active disease as assessed by inflammatory markersand PGA Cohort 2 specific inclusion criteria:

  6. Patients with a genetic diagnosis of NLRC4-GOF, XIAP deficiency, or CDC42 mutationswho are being treated with MAS825 in a Novartis Managed Access Program (MAP).

Exclusion

Exclusion Criteria:

  1. History of hypersensitivity to any of the study drugs or to drugs of similarchemical classes or to any of the excipients.

  2. Signs and symptoms, in the judgment of the investigator, of clinically significantactive bacterial, fungal, parasitic or viral infections, excluding chronicEpstein-Barr Virus (EBV).

  • COVID-19 specific: If in line with health and governmental authority guidance,it is highly recommended that testing to exclude COVID-19 using PCR orcomparable approved methodology be completed within 1 week prior to firstdosing.
  1. Any conditions or significant medical problems, which in the opinion of theinvestigator places the patient at unacceptable risk for MAS825 therapy

  2. Previous treatment with anti-rejection and/or immunomodulatory drugs within the past 28 days or 5 half-lives (whichever is the longer) for immunomodulatory therapeuticantibodies (or as listed in the prohibited medications section) prior to MAS825treatment with the exceptions of glucocorticoids, cyclosporin and targeted bindingor blocking therapies.

  3. A positive HIV test result at Screening. Evidence of prior testing within 3 monthsis sufficient.

  4. A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result atScreening. Evidence of prior testing within 3 months is sufficient.

  5. Presence of tuberculosis infection as defined by a positive TB test at Screening.Evidence of prior testing within 3 months is sufficient.

  6. Live vaccinations within 1 month prior to MAS825 treatment, during the trial, and upto 3 months following the last dose.

  7. Pregnant or nursing (lactating) females.

  8. Female patients of child-bearing potential (or Tanner stage 2 or above) who are ormight become sexually active, agree to use highly effective contraceptive methods toprevent pregnancy while on MAS825 therapy

  9. Patients weighing >160 kg at Screening.

  10. For CDC42 mutation patients: Takenouchi-Kosaki syndrome - CDC42 mutations associatedwith a diverse syndrome characterized by variable development delays, cardiac, brainand hematological abnormalities.

Study Design

Total Participants: 17
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
December 18, 2020
Estimated Completion Date:
February 19, 2029

Study Description

This is a three-period study, with an open-label, single-arm active treatment in Period 1 followed by a randomized-withdrawal, double-blinded, placebo-controlled design in Period 2, and an open label, long-term safety follow-up in Period 3. The total study duration is approximately 3 - 4 years.

Patients who enter Period 2 will be randomized to MAS825 or matching placebo in a 1:1 ratio.

Cohort 1 patients will complete all periods of the study, which will take approximately 4 years.

Cohort 2: Patients who are receiving MAS825 in a Novartis Managed Access Program with a diagnosis of NLRC4-GOF, XIAP deficiency, or CDC42 mutation who meet criteria will be eligible to directly enter into Period 3 for open-label long-term safety follow-up. Cohort 2 patients will be in the study for approximately 3 years.

Connect with a study center

  • Novartis Investigative Site

    Toronto, Ontario M5G 1X8
    Canada

    Site Not Available

  • Novartis Investigative Site

    Montreal, Quebec H3T 1C5
    Canada

    Site Not Available

  • Centrum detske revmatologie a autoinflamatornich onemocneni

    Praha, CZ 121 00
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Praha, CZ 121 00
    Czechia

    Active - Recruiting

  • Novartis Investigative Site

    Prague 5, 150 00
    Czechia

    Active - Recruiting

  • Ustav Imunologie 2 LF UK a FN Motol

    Prague 5, 150 06
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Bordeaux Cedex, 33076
    France

    Site Not Available

  • Novartis Investigative Site

    Bron Cedex, 69677
    France

    Site Not Available

  • Novartis Investigative Site

    Nice, 06202
    France

    Site Not Available

  • Novartis Investigative Site

    Nice Cedex, 06202
    France

    Site Not Available

  • Novartis Investigative Site

    Paris, 75970
    France

    Site Not Available

  • Novartis Investigative Site

    Paris 15, 75015
    France

    Site Not Available

  • Novartis Investigative Site

    Paris cedex 15, 75015
    France

    Site Not Available

  • Bambino Gesu Hospital

    Roma, RM 00165
    Italy

    Site Not Available

  • Novartis Investigative Site

    Roma, RM 00165
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Obu, Aichi 474 8710
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chiba-city, Chiba 266-0007
    Japan

    Site Not Available

  • Novartis Investigative Site

    Bunkyo-ku, Tokyo 113-8519
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chiba, 266-0007
    Japan

    Site Not Available

  • Hospital Clinic Barcelona

    Barcelona, Catalunya 08036
    Spain

    Site Not Available

  • Novartis Investigative Site

    Barcelona, Catalunya 08036
    Spain

    Active - Recruiting

  • Hospital San Pedro de Alcantara

    Caceres, Extremadura 10003
    Spain

    Site Not Available

  • Novartis Investigative Site

    Caceres, Extremadura 10003
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Madrid, 28046
    Spain

    Site Not Available

  • Novartis Investigative Site

    Istanbul, TUR 34098
    Turkey

    Site Not Available

  • Novartis Investigative Site

    Ankara, 06230
    Turkey

    Site Not Available

  • Great Ormond Street Hospital

    London, WC1N 3JH
    United Kingdom

    Site Not Available

  • Novartis Investigative Site

    London, NW3 2QG
    United Kingdom

    Site Not Available

  • Cincinnati Children's Hospital

    Cincinnati, Ohio 45229
    United States

    Site Not Available

  • Novartis Investigative Site

    Cincinnati, Ohio 45229
    United States

    Active - Recruiting

  • Children´s Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Novartis Investigative Site

    Philadelphia, Pennsylvania 19104-4399
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Texas Children´s Hospital

    Houston, Texas 77030
    United States

    Site Not Available

  • Seattle Children´s Hospital

    Seattle, Washington 98105
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.