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CTRI Number  CTRI/2012/05/002688 [Registered on: 24/05/2012] Trial Registered Prospectively
Last Modified On: 28/05/2012
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Safety Extension Trial for Subjects with Systemic Lupus Erythematosus. 
Scientific Title of Study   An Open-label Long-term Safety Extension Trial for Subjects with Systemic Lupus Erythematosus Who Have Completed Protocol AN-SLE3321 (PEARL-SC) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
011,826  Other 
AN-SLE3322 Final 22 Feb 2011  Protocol Number 
NCT01305746  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sunil Garg 
Designation  Senior Manager- Clinical Operations 
Affiliation  Kendle India Pvt Ltd 
Address  Unit No-002, Ground Floor, Tower C, Cyber Park, Sector 39

Gurgaon
HARYANA
122001
India 
Phone  0124-4536300  
Fax    
Email  sgarg@incresearch.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mamta Singh 
Designation  Senior Manager- Regulatory Affairs 
Affiliation  Kendle India Pvt Ltd 
Address  Unit No-002, Ground Floor, Tower C, Cyber Park, Sector 39

Gurgaon
HARYANA
122001
India 
Phone  0124-4536300  
Fax    
Email  masingh@incresearch.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mamta Singh 
Designation  Senior Manager- Regulatory Affairs 
Affiliation   
Address  Kendle India Pvt Ltd, Unit No-002, Ground Floor, Tower C, Cyber Park, Sector 39


HARYANA
122001
India 
Phone  0124-4536300  
Fax    
Email  masingh@incresearch.com  
 
Source of Monetary or Material Support  
Anthera Pharmaceuticals, Inc. 
 
Primary Sponsor  
Name  Anthera Pharmaceuticals Inc 
Address  25801 Industrial Boulevard, Suite B Hayward, CA 94545 U.S.A. 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Kendle India Pvt ltd  Unit No-002, ground Floor, Tower C, Cyber Park, Sector 39, Gurgaon-122001 
 
Countries of Recruitment     Argentina
Brazil
Chile
Colombia
Hong Kong
India
Mexico
Peru
Philippines
Taiwan
United States of America  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mathew Thomas  Health and Research Centre  T.C. 1/907, 1st Floor, Devi Scans Building, Kumarapuram Medical College P.O., Trivandrum - 695011,, Kerala
Thiruvananthapuram
KERALA 
0471-2554911

healthtrials@gmail.com 
Dr Sarath C Veeravalli  Krishna Institute of Medical Sciences, Department of Rheumatology  1-8-31/1, Minister Road, Hyderabad - 500003, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
040-44885153

sarath10@hotmail.com 
Dr Vineeta Shobha  St. John Medical College Hospital  Department of Medicine, Sarjapura Road, Koramangala, Bangalore - 560034, Karnataka, India
Bangalore
KARNATAKA 
080-22065354

vineeta_shobha@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Independent Human Ethics Committee,Trivandrum,Dr.Mathew Thomas  Approved 
Institutional Ethical Review Board, St. Johns Medical College  Submittted/Under Review 
Institutional Ethics committee  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  SLE,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  A-623   -A-623 200 mg subcutaneous (SC) weekly - A-623 100 mg SC weekly - A-623 200 mg SC every 4 weeks Duration of Treatment:Until A-623 is approved for clinical use in SLE or the Sponsor discontinues the study. 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Completed the treatment period specified in study AN-SLE3321 
 
ExclusionCriteria 
Details  1. Developed a new medical disease or condition that has made the subject unsuitable for this study in the opinion of the Investigator, including interference with written informed consent, study evaluation, completion, and/or procedures.
a) This includes active significant infection, malignancy, and acutely life or organ-threatening manifestation of SLE (e.g., proliferative nephritis or unstable CNS lupus).
2. Females who are nursing, pregnant, or intending to become pregnant during the time of the study, or who have a positive pregnancy test at baseline (if the subject is a female of childbearing potential). Males who are intending to impregnate a female. All sexually-active subjects of reproductive potential are required to use a reliable method of birth control during the study and for 3 months following completion of therapy. A reliable method of birth control is defined as one of the following: oral or injectable contraceptives, intrauterine device, contraceptive implants, tubal ligation, hysterectomy, or a double-barrier method (diaphragm with spermicidal foam or jelly, or a condom) or vasectomy.
3. Received cyclophosphamide, cyclosporine, anti-TNF alpha therapies, transfusion, plasmapheresis or plasma exchange, IV immunoglobulin, or live vaccines according to listed wash-out periods
a) Cyclophosphamide or other alkylating agent – 3 months prior to screening
b) Cyclosporine – 2 months prior to screening
c) Anti-TNF alpha – 3 months prior to screening
d) Transfusion, IV immunoglobulin, plasmapheresis or plasma exchange – 3 months prior to screening
e) Live vaccines – 30 days prior to screening
4. Any prior administration of a B-cell modulating therapy (i.e., belimumab, TACI-Ig, epratuzumab, rituximab) other than A-623.
5. General
a) Subject has known sensitivity to any of the products to be administered during dosing.
b) Subject will not be available for follow-up assessment.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
-The primary objective of the study is to assess the safety of A-623 following long-term
administration. 
long-term treatment i.e 52 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
No secondary objective in the study  None 
 
Target Sample Size   Total Sample Size="600"
Sample Size from India="51" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   28/05/2012 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  05/05/2011 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This is a multi-center, open-label long-term extension study to assess the safety of A-623 in subjects with serologically active SLE who have completed studyAN-SLE3321. The study will be conducted in approximately 90 centers worldwide. Up to 600 subjects will be eligible to enroll into the study if they complete the AN-SLE3321 study. In order to preserve the blind on study AN-SLE3321 through its completion, subjects who received A-623 in the double-blind study AN-SLE3321 will continue treatment with the same dose of A-623 (200 mg subcutaneous [SC] weekly, 100 mg SC weekly, or 200 mg SC every 4 weeks). Subjects who received placebo will now receive A-623 at a dose corresponding to the treatment arm to which they were randomized in the doubleblind study AN-SLE3321. Subjects will receive study drug starting on Day 0 and then either weekly (100 mg and 200 mg dose groups) or every 4 weeks (200 mg dose group). Safety will be monitored throughout the study, with study visits at Week 4, 8, 16, and then every 12 weeks thereafter. Subjects who discontinue study drug or withdraw from the study will be followed for an additional 8 weeks for additional clinical and safety evaluations. This is a multi-center, open-label long-term extension study to assess the safety of A-623 in subjects with serologically active SLE who have completed study AN-SLE3321. The study will be conducted in approximately 90 centers worldwide. Up to 600 subjects will be eligible to enroll into the study if they complete the AN-SLE3321 study. In order to preserve the blind on study AN-SLE3321 through its completion, subjects who received A-623 in the double-blind study AN-SLE3321 will continue treatment with the same dose of A-623 (200 mg subcutaneous [SC] weekly, 100 mg SC weekly, or 200 mg SC every 4 weeks). Subjects who received placebo will now receive A-623 at a dose corresponding to the treatment arm to which they were randomized in the doubleblind study AN-SLE3321. Subjects will receive study drug starting on Day 0 and then either weekly (100 mg and 200 mg dose groups) or every 4 weeks (200 mg dose group). Safety will be monitored throughout the study, with study visits at Week 4, 8, 16, and then every 12 weeks thereafter. Subjects who discontinue study drug or withdraw from the study will be followed for an additional 8 weeks for additional clinical and safety evaluations.

 
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