Multiple Ascending Dose Study of MHS552 in Adults Participants With Systemic Lupus Erythematosus (SLE)

Last updated: October 7, 2024
Sponsor: Novartis Pharmaceuticals
Overall Status: Terminated

Phase

1

Condition

Cutaneous Lupus Erythematosus

Lupus

Systemic Lupus Erythematosus

Treatment

Placebo

MHS552

Clinical Study ID

NCT05203419
CMHS552D12101
2021-003520-33
  • Ages 18-65
  • All Genders

Study Summary

The purpose of this two-part multiple ascending dose study is to evaluate the safety and tolerability of multiple doses of MHS552 in adults with mild to moderately active Systemic Lupus Erythematosus (SLE). Participants will be treated for 4 or 12 weeks followed by an 8-week follow-up period.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Fulfills the 2019 EULAR/American College of Rheumatology (ACR) classificationcriteria for SLE at least 3 months prior to and at screening.

  • Patients with mild or moderately active SLE (SLEDAI-2K between 3 and 10, inclusive)at screening. Patients with cutaneous lupus are eligible as long as they satisfy thecriteria for systemic lupus.

  • Patients must be on stable dose(s) of at least one of the following medications,unless the medication has been discontinued due to intolerance, inadequate response,or patient/physician decision:

  • steroid at a dose ≥ 5mg but <30 mg of prednisone (or equivalent) per day,

  • antimalarial (hydroxychloroquine/chloroquine/quinacrine) or thalidomide,

  • disease modifying anti-rheumatic drugs (DMARDs):

  • methotrexate (MTX),

  • azathioprine (AZA),

  • mizoribine,

  • mycophenolate derivates. Steroid dose must be stable for at least 4 weeks priorto the first dosing. The dose of the other medications above must be stable forat least 12 weeks prior to the first dosing. If the patient is not on anymedications listed above, they must have been off these medications for atleast 12 weeks prior to dosing.

Exclusion

Exclusion Criteria:

  • History of hypersensitivity to drugs of similar biological class, IL-2 proteinanalogues, or hypersensitivity to any components of the study drug, or history ofsevere hypersensitivity reaction or anaphylaxis to biological agents, e.g. humanmonoclonal antibody.

  • Patients with central nervous system (CNS) lupus, active Lupus Nephritis, any typeof lupus flare requiring pulse steroid or immunosuppressive therapy withcyclophosphamide, rituximab, calcineurin inhibitors, or others except thosepermitted in the inclusion criteria.

  • Systemic autoimmune disease other than lupus, which would interfere withparticipation in the study according to the Investigator's judgement. Treated,stable Hashimoto's thyroiditis is not exclusionary.

  • Any of the following abnormal laboratory values at Screening or pre-dose Day 1assessment:

Hemoglobin levels below 8.0 g/dL at screening Eosinophil count >700 mm3 or >2 X Upper Limit of Normal (ULN), whichever is lower.

  • History of capillary leak syndrome (CLS).

Other protocol-defined inclusion/exclusion criteria may apply

Study Design

Total Participants: 8
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 1
Study Start date:
March 15, 2022
Estimated Completion Date:
June 04, 2023

Study Description

This was a Phase 1b, randomized, placebo-controlled, participant- and investigator- blinded, two-part non-confirmatory multiple ascending dose (MAD) study in adult patients aged 18-65 (inclusive) with active SLE disease (mild-moderate).This MAD study was planned to be conducted in two parts, Part A and Part B sequentially, but the study was terminated before Part B was initiated.

In Part A, after a screening period of up to 6 weeks, participants were randomized (in a 3:1 ratio) to MHS552 or placebo administered subcutaneously (s.c.) weekly for four weeks of treatment. Part A was planned to consist of up to 3 cohorts (low, medium, high dose). Due to termination of the trial, Part A consisted of 2 cohorts (low and medium doses). Participants were followed-up during 8 weeks post last dose. The total duration of study participation of Part A was approximately 120 Days.

In Part B (not started due to termination of the trial), it was planned that after a screening period of up to 28 days, approximately 12 participants to be randomized (in a 2:1 ratio) to MHS552 or placebo administered s.c. weekly for 12 weeks of treatment (dose to be confirmed).

Connect with a study center

  • Novartis Investigative Site

    Berlin, 10117
    Germany

    Site Not Available

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