Estudio de búsqueda de dosis repetidas, secuenciales y ascendentes de etiqueta abierta de sarilumab, administrado mediante inyección subcutánea (SC), en niños y adolescentes de 1 a 17 años con artritis idiopática juvenil sistémica (sJIA), seguido de una fase de extensión

ReclutandoFase 2ClinicalTrials.gov

ID: NCT02991469Tipo: INTERVENTIONALInicio: 9 de ago de 2018Fin estimado: 19 de feb de 2029

Resumen

Objetivo primario: Describir el perfil farmacocinético (FC) de sarilumab en pacientes de 1 a 17 años con artritis idiopática juvenil sistémica (sJIA) a fin de identificar la dosis y el régimen para el tratamiento adecuado de esta población. Objetivo secundario: Describir el perfil farmacodinámico (FD), la eficacia y la seguridad a largo plazo de sarilumab en pacientes con sJIA.

Descripción detallada

La duración total del estudio por paciente será de 166 semanas, que consistirán en 4 semanas de selección, una fase de tratamiento central de 12 semanas, una fase de extensión de 144 semanas y un seguimiento postratamiento de 6 semanas.

Elegibilidad

Edad mínima: 1 YearEdad máxima: 17 YearsSexo: ALL

Criterios de inclusión

Male and female patients aged ≥1 and ≤17 years (or country specified age requirement, ≥6 to ≤17 years for Russia) at the time of the screening visit.
Diagnosis of systemic JIA subtype according to the International Associations against Rheumatism (ILAR) 2001 Juvenile Idiopathic Arthritis (JIA) Classification Criteria OR According to 2024 EULAR/PReS recommendation at Screening.
Patient with an inadequate response to current treatment and considered as a candidate for a biologic disease modifying anti rheumatic drug (DMARD) as per investigator's judgment.

Criterios de exclusión

Body weight \<10 kg or \>60 kg for patients enrolled in the ascending dose cohorts, then body weight \<10 kg for patients subsequently enrolled at the selected dose.
Uncontrolled severe systemic symptoms and/or Macrophage Activation Syndrome (MAS) within 6 months prior to screening.
History of or ongoing interstitial lung disease, pulmonary hypertension, pulmonary alveolar proteinosis.
If nonsteroidal anti-inflammatory drugs (NSAIDs) (including cyclo oxygenase-2 inhibitors \[COX-2\]) taken, dose stable for less than 2 weeks prior to the baseline visit and/or dosing prescribed outside of approved label.
If non-biologic DMARD taken, dose stable for less than 6 weeks prior to the baseline visit or at a dose exceeding the recommended dose as per local labeling.
If oral glucocorticoid taken, dose exceeding equivalent prednisone dose 1 mg/kg/day (or 60 mg/day) within 3 days prior to baseline.
Use of parenteral or intra-articular glucocorticoid injection within 4 weeks prior to baseline.
Prior treatment with anti-interleukin 6 (IL-6) or IL-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab.
Treatment with any biologic treatment for sJIA within 5 half-lives prior to the first dose of sarilumab (the required off treatment periods and procedures may vary according to local requirements).
Treatment with a Janus kinase inhibitor within 4 weeks prior to the first dose of sarilumab; and treatment with growth hormone within 4 weeks prior to the first dose of sarilumab (the required off treatment periods and procedures may vary according to local requirements).
Treatment with any investigational biologic or non-biologic product within 8 weeks or 5 half-lives prior to baseline, whichever is longer.
Exclusion related to tuberculosis.
Any live, attenuated vaccine within 4 weeks prior to the baseline visit, such as varicella-zoster, oral polio, rubella vaccines. Killed or inactive vaccine may be permitted based on the Investigator's judgment.
Exclusion related to history of a systemic hypersensitivity reaction to any biologic drug and known hypersensitivity to any constituent of the product.
Laboratory abnormalities at the screening visit (identified by the central laboratory).
Severe cardiac disease due to sJIA.
Pregnant or breast-feeding female adolescent patients.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Intervenciones

drug

Sarilumab SAR153191 (REGN88)

Pharmaceutical form: Solution Route of administration: Subcutaneous

Ubicaciones

Investigational Site Number : 0320004

San Miguel de Tucumán, Tucumán Province, Argentina

RECRUITING

Patrocinadores

PrincipalSanofi

ColaboradorRegeneron Pharmaceuticals

Contactos

Trial Transparency email recommended (Toll free for US & Canada)

CONTACT

Contact-Us@sanofi.com 800-633-1610

Aviso: La información de este ensayo proviene de fuentes públicas y tiene carácter exclusivamente informativo. No constituye asesoramiento médico, regulatorio ni de ningún otro tipo. Las traducciones son automatizadas y no poseen validez oficial. Consultá siempre con un profesional de la salud. Ver Términos de Uso.

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