Extension Study of Brentuximab Vedotin Treatment for Adults with Active Diffuse Cutaneous Systemic Sclerosis Relapsed After Initial Therapy
Led by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · Updated on 2024-11-18
11
Participants Needed
1
Research Sites
19 weeks
Total Duration
AI-Summary
What this Trial Is About
Diffuse cutaneous systemic sclerosis dcSSc is a serious autoimmune disease causing widespread damage to blood vessels and progressive thickening and scarring of the skin and internal organs. This trial evaluates the safety and effects of Brentuximab vedotin, a targeted antibody-drug therapy, in patients with active dcSSc who experienced a relapse after stopping previous treatment with this drug. The study builds on positive early findings from a Phase II trial that showed short-term safety and some benefit in treating this condition.
Participants will receive Brentuximab vedotin intravenously at a dose of 0.6 mg per kilogram every three weeks for up to 48 weeks. This open-label extension study allows patients who improved but then relapsed after the initial treatment to continue receiving the drug alongside standard care medications like cyclophosphamide, methotrexate, azathioprine, or mycophenolate mofetil. The trial monitors changes in skin thickness and disease activity, using measures like the modified Rodnan Skin Score and patient and physician assessments at various time points.
Throughout the study, participants will undergo regular evaluations including skin thickness measurements, pulmonary function tests, blood tests for inflammatory markers, and questionnaires about health status and disability. Researchers will also assess changes in skin biopsy samples. These assessments will occur at intervals up to 48 weeks to track the drugs impact and safety. The study aims to provide detailed information on the long-term effects of Brentuximab vedotin treatment for dcSSc patients who relapse after initial therapy.
CONDITIONS
Brief Title
Open Label Extension Study of Brentuximab Vedotin in Early dcSSc
Research Team
J
Janet E Pope, PhD
A
Amanda Philip
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London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Lead Sponsor
Seattle Genetics (now a wholly owned subsidiary of Pfizer)
Collaborating Sponsor
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Patients must have diffuse cutaneous systemic sclerosis and have been enrolled in the Phase II Adcetris study (BV201708) at St. Joseph's Health Centre
Patients must be 18 years of age or older
Patients must have experienced worsening skin thickness with an increase of 4 or more points in the modified Rodnan Skin Score compared to their score at week 48 of the initial study
Patients must be able to provide informed consent
You will not qualify if you...
Poor lung function with forced vital capacity (FVC) below 40% or diffusing capacity (DLCO) below 30%
Pregnancy, breastfeeding, or childbearing potential without use of highly effective contraception (and partners of male participants)
Chronic or active infections needing systemic treatment
HIV positive status
Active tuberculosis infection
Active hepatitis B or C viral infection with viral replication
Significant uncontrolled medical conditions including kidney, liver, pancreas, blood, gastrointestinal, endocrine, lung, neurological, brain, psychiatric disease, or cancer
Peripheral neuropathy Grade 2 or higher at screening
Known or suspected allergy to study treatment components
Inability to comply with the study protocol due to issues like alcoholism, drug dependency, or psychological disorder
Low blood counts or liver enzyme abnormalities at screening
Participation in another clinical trial within six weeks before randomization except continuation from the initial BV201708 study
Use of rituximab within the last 4 months
Vaccination with live or attenuated vaccine less than 4 weeks prior to baseline
Current or history of progressive multifocal leukoencephalopathy (PML)
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 48 weeks
Participants receive Brentuximab vedotin by intravenous infusion every 3 weeks for up to 48 weeks in addition to standard of care medications for systemic sclerosis.
Up to 16 visits every 3 weeks (in-person)
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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