Last Update: May 03, 2024
A Phase 2 Study to Evaluate the Efficacy and Safety of Ianalumab (VAY736) in Patients With Primary Immune Thrombocytopenia (ITP) Previously Treated With at Least a Corticosteroid and a Thrombopoietin Receptor Agonist (TPO-RA)
ClinicalTrials.gov Identifier:
Novartis Reference Number:CVAY736Q12201
All compounds are either investigational or being studied for (a) new use(s). Efficacy and safety have not been established. There is no guarantee that they will become commercially available for the use(s) under investigation.

Study Description

The purpose of this study is to evaluate the therapeutic efficacy, safety and tolerability of ianalumab in adult patients with primary ITP previously treated with at least one corticosteroid and one TPO-RA.

This is a phase 2, open-label, single-arm study to evaluate the efficacy, safety and tolerability of ianalumab in participants with primary ITP (platelet count <30 G/L at screening) previously treated with at least a corticosteroid and a TPO-RA.

The study consists of the screening period, the primary endpoint assessment period, the follow-up period. The screening period will last for up to 14 days prior to the first dose of ianalumab. All eligible participants will be treated with the same dose of ianalumab and will complete the primary endpoint assessment period. After completion of the primary endpoint assessment period, all participants will continue in safety monitoring and those with a platelet count ≥30 G/L in absence of a new line of ITP therapy and rescue therapy will also continue in efficacy monitoring. The trial includes an option to offer a second course of ianalumab treatment to participants who achieved confirmed response during the initial course of ianalumab and later lost response to explore the benefit of the second course of treatment. The study will end once all participants have completed 24 months of safety follow-up since their last dose of ianalumab (including the optional second course of ianalumab treatment),or discontinued the study earlier.

Primary Immune Thrombocytopenia (ITP)
Phase 2
Recruiting
40
Aug 16, 2023
Mar 19, 2029
All
18 Years - (Adult, Older Adult)

Interventions

Biological

Ianalumab

Intravenous infusion, prepared from concentrate solution

Eligibility Criteria

Inclusion Criteria:

Signed informed consent obtained prior to participation in the study.
Male or female participants aged 18 years and older on the day of signing informed consent.

Confirmed diagnosis of primary ITP.

Prior treatment with at least a corticosteroid (±IVIG) and a TPO-RA:
Prior additional therapies are allowed; the corticosteroid or the TPO-RA do not need to be the last treatment.
Prior response to IVIG/anti-D or a corticosteroid (platelet count ≥50 G/L) that was not maintained.
At last ITP treatment, loss of response, insufficient response, no response or intolerance.
Platelet count <30 G/L and assessed as needing treatment (per physician's discretion) at screening. If concomitant ITP medication is clinically indicated, the platelet assessment showing a value <30 G/L must be performed after at least 14 days on a stable dose of a corticosteroid or/and a TPO-RA (less than 10% variation from current dose) and continue stable thereafter.

Key exclusion criteria:

Diagnosis of secondary thrombocytopenia.
Platelet or whole blood transfusion, plasmapheresis, or use of any other rescue medications within 14 days before first ianalumab infusion.

Participants with the following conditions at screening:

Neutrophils <1000/mm3.
Immunoglobulin G (IgG) <5 g/L
Treatment with a B-cell depleting therapy (e.g., rituximab) or anti-B-cell Activating Factor of the TNF Family (BAFF) (e.g., belimumab) within 12 weeks prior to the first administration of ianalumab.
Immunosuppressant drugs other than corticosteroids within 5 times the elimination half-life of the drug or 14 days before first ianalumab infusion, whichever is longer.
Prior splenectomy.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Location

Novartis Investigative Site

Recruiting

Caba,Buenos Aires,C1181ACH,Argentina

Novartis Investigative Site

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Canberra,Australian Capital Territory,2605,Australia

Novartis Investigative Site

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Prahran,Victoria,3181,Australia

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Beijing,100730,China

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Jinan,250012,China

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Brno Bohunice,Czech Republic,625 00,Czech Republic

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Toulouse,31059,France

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Dijon,21034,France

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Dresden,01307,Germany

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Jena,07740,Germany

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Giessen,35392,Germany

Novartis Investigative Site

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Torino,TO,10126,Italy

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Firenze,FI,50134,Italy

Novartis Investigative Site

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Trieste,TS,34129,Italy

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Seoul,Seocho Gu,06591,Korea, Republic of

Novartis Investigative Site

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Seoul,06351,Korea, Republic of

Novartis Investigative Site

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Kuching,Sarawak,93586,Malaysia

Novartis Investigative Site

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Johor Bahru,80100,Malaysia

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Kota Kinabalu,Sabah,88586,Malaysia

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Krakow,30-688,Poland

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Katowice,40-519,Poland

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Madrid,28009,Spain

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Cordoba,Andalucia,14004,Spain

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Barcelona,Catalunya,08003,Spain

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Izmir,35040,Turkey

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Edirne,22030,Turkey

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Kocaeli,41380,Turkey

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Aydin,09100,Turkey

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Istanbul,TUR,34098,Turkey

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London,W12 0HS,United Kingdom

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Recruiting

Glasgow,G31 2ER,United Kingdom

Beth Israel Deaconess Medical Cente

Recruiting

Boston,Alexander Cermak (617-667-7000) email: [email protected] -- Rushad Patell,02215 - Massachusetts,United States

Georgetown University Lombardi Cancer Center Dept. of Pharmacy Research 4

Recruiting

Washington,Stefan Jenss (202-444-3771) email: [email protected] -- Catherine Broome,20007 2197 - District of Columbia,United States

Massachusetts General Hospital .

Recruiting

Boston,Colin Edward Welch email: [email protected] -- David Kuter,02114 - Massachusetts,United States

University of Pennsylvania IDS Central

Recruiting

Philadelphia,Mary Kelty email: [email protected] -- Adam Cuker,19104 - Pennsylvania,United States

New York Oncology Hematology Saratoga NYOH

Recruiting

Albany,Edward Hagopian email: [email protected] -- Mihir Pradipkumar Raval,12208 - New York,United States

Virginia Oncology Associates .

Recruiting

Norfolk,Xanthia Lewis (757-466-8683) email: [email protected] -- Celeste Bremer,23502 - Virginia,United States

Worldwide Contacts

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Novartis Pharmaceuticals

Novartis Pharmaceuticals