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Efficacy and Safety of Ofatumumab in Treatment of Pemphigus Vulgaris | Clinical Trials | Clareo Health

TERMINATEDPHASE3

Efficacy and Safety of Ofatumumab in Treatment of Pemphigus Vulgaris

OPV116910: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Investigate the Efficacy and Safety of Ofatumumab Injection for Subcutaneous Use in Subjects With Pemphigus Vulgaris

NCT01920477•Novartis Pharmaceuticals

View on ClinicalTrials.gov

Summary

Pemphigus vulgaris (PV) is a rare, chronic, debilitating, and potentially life-threatening autoimmune disorder that is characterized by mucocutaneous blisters. Ofatumumab is a novel monoclonal antibody (mAb) that specifically binds to the human CD20 antigen, which is expressed only in B lymphocytes. The purpose of this study was to evaluate the efficacy, tolerability, and safety of ofatumumab injection for subcutaneous use (ofatumumab SC) 20 milligrams (mg) administered once in every 4 weeks, (with an additional 20 mg loading dose \[i.e. 40 mg total\] at both Week 0 and Week 4) in subjects with PV. It was anticipated that with sustained B-cell depletion in the presence of ofatumumab SC, and the resultant reduction of pathogenic anti Dsg (desmoglein) autoantibodies in PV, that clinical remission of the disease would result.

Detailed Description

Novartis terminated the development of the PV program and this study was terminated for non-safety reasons

Eligibility

Age

18 - 70 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•Adults (18 through 70 years of age) with clinically-documented diagnosis of PV for \>2 months and \<10 years.
•History of biopsy consistent with PV (Hematoxylin and Eosin staining and direct immunofluorescence). If no history, a biopsy may be performed during the Screening Period.
•At least 1 previous episode of a failed steroid taper (ie, disease flare/relapse) at a prednisone/prednisolone dose \>10 mg/day. The following criteria must have been met as evidence of disease severity at the time of the failed steroid taper: a) A Pemphigus Severity of Clinical Disease score of moderate (2) or severe (3) (may be historical/retrospective assessment). b) Required a treatment change at the time of the failed steroid taper of at least one of the following: i) A steroid increase to \>=20 mg/day OR ii) The addition of immunosuppressive/immunomodulatory agent/treatment OR iii) A dose increase of immunosuppressive/immunomodulatory agent/treatment
•Screening anti-Dsg antibodies consistent with a diagnosis of PV (ie, elevated antiDsg3 antibodies).
•Has initiated and received a stable dose of prednisone/prednisolone from a minimum of 20 mg/day (example: 0.25 mg/kg/day for an 80 kg person) up to a maximum of 120 mg/day or 1.5 mg/kg/day (whichever is higher) for \>=2 weeks prior to randomization.
•Has exhibited PV disease control, defined as no new lesions for \>=2 weeks.
•A female subject is eligible to enter the study if she: Is of non-child bearing potential, who is either surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or post-hysterectomy) or is postmenopausal without menses for \>2 years. Women who are \<2 years postmenopausal are required to have menopausal status confirmed by follicle-stimulating hormone (FSH) and estradiol levels at the screening evaluation. If FSH and estradiol levels do not provide confirmation of menopause, subject will be considered to be of childbearing potential.

Exclusion Criteria

•Diagnosis of pemphigus foliaceus, paraneoplastic pemphigus, or other autoimmune blistering disease (other than pemphigus vulgaris).
•Past or current history of hypersensitivity to components of the investigational product or medically significant adverse effects (including allergic reactions) from cetirizine (or antihistamine equivalent) or paracetamol/acetaminophen.
•Prior treatment with rituximab without achieving disease control within 6 months of initiating rituximab dosing.
•Prior treatment with immunosuppressant or immunomodulation agents within the protocol specified periods
•Evidence or history of clinically significant infections
•For Japan: Evidence or history of clinically significant infection or medical condition including: Pneumocystis pneumonia or interstitial pneumonia
•Past or current malignancy, except for cervical carcinoma Stage 1B or less, noninvasive basal cell and squamous cell skin carcinoma and cancer diagnoses with a duration of complete response (remission) \>5 years
•Significant concurrent, uncontrolled medical condition that could affect the subject's safety, impair the subject's reliable participation in the study, impair the evaluation of endpoints, or necessitate the use of medication not allowed by the protocol. This includes subjects who require any systemic steroid treatment for a concurrent medical condition (other than pemphigus vulgaris).
•Use of an investigational drug or other experimental therapy within 4 weeks, 5 pharmacokinetic half-lives, or the duration of biological effect (whichever is longer) prior to Screening.
•Electrocardiogram (ECG) showing a clinically significant abnormality or showing a QTc interval ≥450 msec (≥480 msec for subjects with a bundle branch block)
+1 more criteria

Locations (16)

Novartis Investigational Site

Los Angeles, California, United States

Novartis Investigational Site

Atlanta, Georgia, United States

Novartis Investigational Site

Ann Arbor, Michigan, United States

Novartis Investigational Site

Buffalo, New York, United States

Novartis Investigational Site

Durham, North Carolina, United States

Novartis Investigational Site

Pittsburgh, Pennsylvania, United States

Novartis Investigational Site

Salt Lake City, Utah, United States

Novartis Investigational Site

East Melbourne, Victoria, Australia

Novartis Investigational Site

Melbourne, Victoria, Australia

Novartis Investigational Site

Thessaloniki, Greece

Key Dates

Start Date

August 13, 2013

Primary Completion Date

April 13, 2016

Completion Date

January 11, 2018

Last Updated

June 6, 2019

Enrollment

ACTUAL participants

Conditions

Pemphigus Vulgaris

Interventions

Ofatumumab

BIOLOGICAL

Placebo

BIOLOGICAL

Autoimmune Blistering Diseases Study

NCT02753777

Pemphigus VulgarisPemphigus Foliaceus+1 more

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TERMINATEDPHASE1/PHASE2

A Safety and Dose-Finding Study of SYNT001 in Subjects With Pemphigus (Vulgaris or Foliaceus)

NCT03075904

PemphigusPemphigus Vulgaris+1 more

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: June 6, 2019Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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Efficacy and Safety of Ofatumumab in Treatment of Pemphigus Vulgaris

Inclusion Criteria

Exclusion Criteria

Autoimmune Blistering Diseases Study

A Safety and Dose-Finding Study of SYNT001 in Subjects With Pemphigus (Vulgaris or Foliaceus)

Efficacy of Dapsone as a Steroid Sparing Agent in Pemphigus Vulgaris