Multiple Ascending Dose Study of MHS552 in Adults Participants With Systemic Lupus Erythematosus (SLE)

Study Overview
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Brief Summary
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The purpose of this two-part multiple ascending dose study is to evaluate the safety and tolerability of multiple doses of MHS552 in adults with mild to moderately active Systemic Lupus Erythematosus (SLE). Participants will be treated for 4 or 12 weeks followed by an 8-week follow-up period.

Detailed Description
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This was a Phase 1b, randomized, placebo-controlled, participant- and investigator- blinded, two-part non-confirmatory multiple ascending dose (MAD) study in adult patients aged 18-65 (inclusive) with active SLE disease (mild-moderate).This MAD study was planned to be conducted in two parts, Part A and Part B sequentially, but the study was terminated before Part B was initiated. In Part A, after a screening period of up to 6 weeks, participants were randomized (in a 3:1 ratio) to MHS552 or placebo administered subcutaneously (s.c.) weekly for four weeks of treatment. Part A was planned to consist of up to 3 cohorts (low, medium, high dose). Due to termination of the trial, Part A consisted of 2 cohorts (low and medium doses). Participants were followed-up during 8 weeks post last dose. The total duration of study participation of Part A was approximately 120 Days. In Part B (not started due to termination of the trial), it was planned that after a screening period of up to 28 days, approximately 12 participants to be randomized (in a 2:1 ratio) to MHS552 or placebo administered s.c. weekly for 12 weeks of treatment (dose to be confirmed).

Official Title
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A Two-part, Randomized, Investigator- and Participant- Blinded, Placebo-controlled, Multiple Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MHS552 in Adult Participants With Systemic Lupus Erythematosus (SLE)

Conditions
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Lupus Erythematosus, Systemic

Intervention / Treatment
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* Drug: MHS552
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Fulfills the 2019 EULAR/American College of Rheumatology (ACR) classification criteria for SLE at least 3 months prior to and at screening. Patients with mild or moderately active SLE (SLEDAI-2K between 3 and 10, inclusive) at screening. Patients with cutaneous lupus are eligible as long as they satisfy the criteria for systemic lupus. Patients must be on stable dose(s) of at least one of the following medications, unless the medication has been discontinued due to intolerance, inadequate response, or patient/physician decision: steroid at a dose ≥ 5mg but <30 mg of prednisone (or equivalent) per day, antimalarial (hydroxychloroquine/chloroquine/quinacrine) or thalidomide, disease modifying anti-rheumatic drugs (DMARDs): methotrexate (MTX), azathioprine (AZA), mizoribine, mycophenolate derivates. Steroid dose must be stable for at least 4 weeks prior to the first dosing. The dose of the other medications above must be stable for at least 12 weeks prior to the first dosing. If the patient is not on any medications listed above, they must have been off these medications for at least 12 weeks prior to dosing. Exclusion Criteria: History of hypersensitivity to drugs of similar biological class, IL-2 protein analogues, or hypersensitivity to any components of the study drug, or history of severe hypersensitivity reaction or anaphylaxis to biological agents, e.g. human monoclonal antibody. Patients with central nervous system (CNS) lupus, active Lupus Nephritis, any type of lupus flare requiring pulse steroid or immunosuppressive therapy with cyclophosphamide, rituximab, calcineurin inhibitors, or others except those permitted in the inclusion criteria. Systemic autoimmune disease other than lupus, which would interfere with participation in the study according to the Investigator's judgement. Treated, stable Hashimoto's thyroiditis is not exclusionary. Any of the following abnormal laboratory values at Screening or pre-dose Day 1 assessment: Hemoglobin levels below 8.0 g/dL at screening Eosinophil count >700 mm3 or >2 X Upper Limit of Normal (ULN), whichever is lower. - History of capillary leak syndrome (CLS). Other protocol-defined inclusion/exclusion criteria may apply

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Part A: Cohort 1 - MHS552 low dose<br>Participants will receive MHS552 low dose once weekly subcutaneously for 4 weeks | Drug: MHS552<br>* MHS552 will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|
| Placebo Comparator: Part A: Cohort 1, 2, 3 - Placebo<br>Participants will receive placebo once weekly subcutaneously for 4 weeks | Drug: Placebo<br>* Placebo will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|
| Experimental: Part A: Cohort 2 - MHS552 medium dose<br>Participants will receive MHS552 medium dose once weekly subcutaneously for 4 weeks | Drug: MHS552<br>* MHS552 will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|
| Experimental: Part A: Cohort 3 - MHS552 high dose<br>Participants will receive MHS552 high dose once weekly subcutaneously for 4 weeks | Drug: MHS552<br>* MHS552 will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|
| Experimental: Part B: MHS552<br>Participants will receive MHS552 (dose to be determined) once weekly subcutaneously for 12 weeks | Drug: MHS552<br>* MHS552 will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|
| Placebo Comparator: Part B: Placebo<br>Participants will receive placebo once weekly subcutaneously for 12 weeks | Drug: Placebo<br>* Placebo will be administered once weekly as subcutaneous injection for 4 weeks (Part A) or 12 weeks (Part B)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with Adverse events (AEs) and Serious Adverse events (SAEs) | Numbers of participants with AEs and SAEs, and other safety data such as vital signs, electrocardiograms (ECG) and laboratory results | Part A: up to 12 weeks; Part B: up to 20 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area Under Plasma Concentration-time Curve calculated to the end of a dosing interval (AUCtau) for MHS552 | Characterize the AUCtau profile following multiple doses of MHS552 | Part A: up to Day 78; Part B: up to Day 134 | 
| Maximum Observed Blood Concentrations (Cmax) for MHS552 | Characterize the Cmax profile following multiple doses of MHS552 | Part A: up to Day 78; Part B: up to Day 134 | 
| Time to Reach Maximum Blood Concentrations (Tmax) of MHS552 | Characterize the Tmax profile profile following multiple doses of MHS552 | Part A: up to Day 78; Part B: up to Day 134 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Systemic Lupus Erythematosus, Lupus, autoimmune disease, inflammatory disease, inflammation