A Phase 3 Study of Obexelimab in Patients with IgG4-Related Disease

Last updated: December 19, 2024
Sponsor: Zenas BioPharma (USA), LLC
Overall Status: Active - Not Recruiting

Phase

3

Condition

N/A

Treatment

Obexelimab

Placebo

Clinical Study ID

NCT05662241
ZB012-03-001
  • Ages > 18
  • All Genders

Study Summary

This study aims to examine the efficacy and safety of obexelimab for the prevention of flare of IgG4-related disease (IgG4-RD)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Males and females, ≥ 18 years of age

  2. Clinical diagnosis of IgG4-RD

  3. Patients must meet the 2019 ACR/EULAR Classification Criteria for IgG4-RD

  4. Patients must have active IgG4-RD signs/symptoms (i.e., flare) that require theinitiation of GC therapy or the increase in background long-term GC therapy

  5. Other inclusion criteria apply

Exclusion

Exclusion Criteria:

  1. Has disease in only 1 organ system whose primary manifestation is fibrosis

  2. Has received prednisone equivalent given orally at a dose greater than 60 mg/daywithin the 4 weeks prior to screening or during screening

  3. Has received a non-biologic, disease-modifying anti-rheumatological drug orimmunosuppressive agent other than GCs within the 4 weeks prior to screening

  4. Has received an investigational treatment or direct medical intervention on anotherclinical study within 12 weeks or < 5 half-lives of the investigational treatment,whichever is shorter, prior to screening

  5. Has received live vaccine or live therapeutic infectious agent within the 2 weeksprior to screening

  6. Active tuberculosis or high risk for tuberculosis; hepatitis C infection in absenceof curative treatment; evidence of hepatitis B infection

  7. Use of B cell depleting or targeting agents within 6 months of randomization

  8. Other exclusion criteria apply

Study Design

Total Participants: 194
Treatment Group(s): 2
Primary Treatment: Obexelimab
Phase: 3
Study Start date:
September 30, 2022
Estimated Completion Date:
December 31, 2027

Study Description

This study consists of a 1-year randomized control period (RCP), followed by an additional 2-year open label extension (OLE) period.

To enter the Screening Period (Day -28 to Day -1), patients must have active IgG4-RD signs/symptoms (i.e., flare) that require steroid therapy. On Day 1, patients will be randomized in a ratio of 1:1 to receive either obexelimab or placebo administered as subcutaneous (SC) injections. All patients will begin a steroid taper on Day 1 to discontinuation by Week 8.

Patients will be monitored for flares during scheduled in clinic visits and any unscheduled visits. The primary endpoint is time to first IgG4-RD flare that requires initiation of rescue therapy in the opinion of the investigator and the Adjudication Committee (AC).

Following the 52-week RCP, patients will have the opportunity to continue in an OLE period where all patients will receive obexelimab. Patients who do not wish to enroll into the OLE period will return for an in-clinic safety follow-up visit 8 weeks after the Week 52 visit (i.e., Week 60).

Including screening and follow-up, the maximum duration of participation in this study for an individual patient is 172 weeks (i.e., 28-day screening, 52-week RCP, 104-week OLE, and an 12-week follow-up).

Connect with a study center

  • Hospital Italiano de Buenos Aires

    Buenos Aires,
    Argentina

    Site Not Available

  • Consultora Integral de Salud Centro Médico Privado

    Córdoba,
    Argentina

    Site Not Available

  • Artus Health Centre

    Vancouver, British Columbia
    Canada

    Site Not Available

  • Center for Clinical Research (Nova Scotia Health)

    Halifax, Nova Scotia
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire de Sherbrooke CHUS

    Sherbrooke, Quebec
    Canada

    Site Not Available

  • Anhui Provincial Hospital

    Hefei, Anhui
    China

    Site Not Available

  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing
    China

    Site Not Available

  • Chinese PLA General Hospital

    Beijing, Beijing
    China

    Site Not Available

  • Peking Union Medical College Hospital

    Beijing, Beijing
    China

    Site Not Available

  • Peking University First Hospital

    Beijing, Beijing
    China

    Site Not Available

  • The Second Hospital of Hebei Medical University

    Shijia Zhuang, Hebei
    China

    Site Not Available

  • Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

    Wuhai, Hubei
    China

    Site Not Available

  • Zhuzhou Central Hospital

    Zhuzhou, Hunan
    China

    Site Not Available

  • Nanjing Drum Tower Hospital

    Nanjing, Jiangsu
    China

    Site Not Available

  • The First Hospital of Jilin University

    Chang chun, Jilin
    China

    Site Not Available

  • Yantai Yuhuangding Hospital

    Yantai, Shandong
    China

    Site Not Available

  • Renji Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai
    China

    Site Not Available

  • Zhongshan Hospital Fudan University

    Shanghai, Shanghai
    China

    Site Not Available

  • Second Hospital of Shanxi Medical University

    Taiyuan, Shanxi
    China

    Site Not Available

  • Shanxi Bethune Hospital

    Taiyuan, Shanxi
    China

    Site Not Available

  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, Shanxi
    China

    Site Not Available

  • West China Hospital of Sichuan University

    Chengdu, Sichuan
    China

    Site Not Available

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin
    China

    Site Not Available

  • The First Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang
    China

    Site Not Available

  • Haut-Lévèque Hospital Usn Building South Hospital Group

    Pessac, Bordeaux 33604
    France

    Site Not Available

  • Hôpitaux Universitaires de Marseille Timone

    Saint-Pierre, Marseille 13005
    France

    Site Not Available

  • Chu Dijon-Bourgogne

    Dijon,
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Nantes

    Nantes, 44093
    France

    Site Not Available

  • Hôpital Beaujon

    Paris,
    France

    Site Not Available

  • Hôpital de la Pitié Salpétrière

    Paris,
    France

    Site Not Available

  • Nouvel Hopital Civil

    Strasbourg,
    France

    Site Not Available

  • LMU Klinikum der Universität München

    München, Bayern
    Germany

    Site Not Available

  • Rheumazentrum Ruhrgebiet

    Herne, Nordrhein-Westfalen
    Germany

    Site Not Available

  • Dr. med. Andreas Schwittay

    Böhlen, Sachsen
    Germany

    Site Not Available

  • Charite - Universitatsmedizin Berlin Charitepatz 1

    Berlin,
    Germany

    Site Not Available

  • Universitätsklinikum Essen

    Essen,
    Germany

    Site Not Available

  • Universitätsklinikum Ulm

    Ulm,
    Germany

    Site Not Available

  • Hong Kong Sanatorium & Hospital

    Hong Kong,
    Hong Kong

    Site Not Available

  • Pécsi Tudományegyetem

    Pécs, Baranya 7632
    Hungary

    Site Not Available

  • Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont

    Szeged, Csongrad
    Hungary

    Site Not Available

  • Semmelweis Egyetem

    Budapest,
    Hungary

    Site Not Available

  • Policlinico San Matteo

    Pavia, Milan 27100
    Italy

    Site Not Available

  • Ospedale San Giovanni Bosco

    Torino, Piemonte 10128
    Italy

    Site Not Available

  • Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia

    Brescia, 25123
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Meyer Istituto di Ricovero e Cura a Carattere Scientifico

    Firenze,
    Italy

    Site Not Available

  • Ospedale San Raffaele S.r.l. - PPDS

    Milano,
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Pisana

    Pisa,
    Italy

    Site Not Available

  • University of Verona

    Verona, 37134
    Italy

    Site Not Available

  • Hospital of University of Occupational and Environmental Health

    Kitakyushu, Fukuoka 807-8555
    Japan

    Site Not Available

  • Kanazawa Medical University Hospital

    Kokura, Fukuoka
    Japan

    Site Not Available

  • Kanazawa University Hospital

    Kanazawa-Shi, Isikawa
    Japan

    Site Not Available

  • Kagawa University Hospital

    Miki, Kagawa
    Japan

    Site Not Available

  • Tohoku University Hospital

    Sendai, Miyagi
    Japan

    Site Not Available

  • Shinshu University Hospital

    Matsumoto, Nagano 390-8621
    Japan

    Site Not Available

  • Osaka Metropolitan University Hospital

    Osaka-city, Osaka
    Japan

    Site Not Available

  • Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

    Bunkyō-Ku, Tokyo
    Japan

    Site Not Available

  • The Institute of Medical Science, The University of Tokyo Hospital

    Minato-ku, Tokyo
    Japan

    Site Not Available

  • Keio University Hospital

    Shinjuku-Ku, Tokyo
    Japan

    Site Not Available

  • Toyama University Hospital

    Toyama shi, Toyama
    Japan

    Site Not Available

  • Kansai Medical University Hospital

    Hirakata,
    Japan

    Site Not Available

  • Hiroshima University Hospital

    Hiroshima,
    Japan

    Site Not Available

  • University of Tsukuba Hospital

    Ibaraki,
    Japan

    Site Not Available

  • St. Marianna University Hospital

    Kawasaki,
    Japan

    Site Not Available

  • Kobe University Hospital

    Kobe,
    Japan

    Site Not Available

  • Tokyo Medical Center Hospital

    Meguro,
    Japan

    Site Not Available

  • Nagaoka Red Cross Hospital

    Nagaoka,
    Japan

    Site Not Available

  • Nagasaki University Hospital

    Nagasaki,
    Japan

    Site Not Available

  • Kansai Medical University Kori Hospital

    Neyagawa,
    Japan

    Site Not Available

  • Niigata University Medical and Dental Hospital

    Niigata,
    Japan

    Site Not Available

  • Kita-Harima Medical Center

    Ono,
    Japan

    Site Not Available

  • National Hospital Organization Osaka Minami Medical Center

    Osaka,
    Japan

    Site Not Available

  • Tazuke Kofukai Medical Research Institute Kitano Hospital

    Osaka,
    Japan

    Site Not Available

  • Sapporo Medical University Hospital

    Sapporo,
    Japan

    Site Not Available

  • Fujita Health University Hospital

    Shinjuku-Ku,
    Japan

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Ajou University Hospital

    Suwon, 206
    Korea, Republic of

    Site Not Available

  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

    Mexico City,
    Mexico

    Site Not Available

  • Centro de Alta Especialidad En Reumatologia E Investigacion Del Potosi SC

    San Luis Potosí,
    Mexico

    Site Not Available

  • University Medical Center Groningen

    Groningen, 9713
    Netherlands

    Site Not Available

  • Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. Prof. Dr hab. Med. Eleonory Reicher

    Warszawa, Mazowieckie
    Poland

    Site Not Available

  • Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy

    Bydgoszcz,
    Poland

    Site Not Available

  • Centrum Medyczne Oporow

    Wrocław, 52-416
    Poland

    Site Not Available

  • Bellvitge University Hospital

    Barcelona, 08907
    Spain

    Site Not Available

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025
    Spain

    Site Not Available

  • Vall d'Hebron University Hospital

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario Virgen del Rocio

    Sevilla,
    Spain

    Site Not Available

  • Skånes universitetssjukhus Malmö

    Malmö, 21428
    Sweden

    Site Not Available

  • Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung,
    Taiwan

    Site Not Available

  • China Medical University Hospital

    Taichung City, 404327
    Taiwan

    Site Not Available

  • Taipei Medical University Hospital

    Taipei, 110
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Linkou Chang Gung Memorial Hospital

    Taoyuan, 333
    Taiwan

    Site Not Available

  • Hacettepe University Faculty of Medicine

    Altındağ, Ankara 06230
    Turkey

    Site Not Available

  • Marmara University Pendik Training and Research Hospital

    Pendik, Istanbul
    Turkey

    Site Not Available

  • Basaksehir Cam and Sakura City Hospital

    Istanbul,
    Turkey

    Site Not Available

  • Istanbul Universitesi - Cerrahpasa Tip Fakultesi Hastanesi (IUCTFH)

    Istanbul,
    Turkey

    Site Not Available

  • Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital

    London,
    United Kingdom

    Site Not Available

  • John Radcliffe Hospital

    Oxford,
    United Kingdom

    Site Not Available

  • Arizona Arthritis & Rheumatology Research

    Phoenix, Arizona 85032
    United States

    Site Not Available

  • Sierra Pacific Arthritis and Rheumatology Center

    Fresno, California 93291
    United States

    Site Not Available

  • Stanford Medicine

    Stanford, California 94305
    United States

    Site Not Available

  • Allergy & Asthma Clinical Research- Dedicated Research Facility

    Walnut Creek, California 94598
    United States

    Site Not Available

  • GI PROS Research - Dedicated Research Facility

    Naples, Florida 34102
    United States

    Site Not Available

  • Integral Rheumatology & Immunology Specialists

    Plantation, Florida 33324
    United States

    Site Not Available

  • Emory Univeristy

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Augusta University Medical Center

    Augusta, Georgia 30912
    United States

    Site Not Available

  • Rush University Medical Center

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Henry Ford Hospital

    Detroit, Michigan 48202
    United States

    Site Not Available

  • Montefiore Medical Center

    Bronx, New York 10461
    United States

    Site Not Available

  • Cleveland Clinic Hospital

    Cleveland, Ohio 44195
    United States

    Site Not Available

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