ADCC Mediated B-Cell dEpletion and BAFF-R Blockade (AMBER)

Novartis

Status and phase: Active, not recruiting; Phase 3; Phase 2

Conditions: Autoimmune Hepatitis

Treatments: Other: Placebo; Biological: VAY736

Study type: Interventional

Funder types: Industry

Identifiers

NCT03217422

CVAY736B2201

2023-508859-39-00 (Registry Identifier)

Details and patient eligibility

About

VAY736 dose testing; VAY736 efficacy and safety testing.

Full description

This is a randomized, placebo-controlled, double-blind dose range study in autoimmune hepatitis. The study population consists of female and male adult autoimmune hepatitis patients with incomplete response or intolerant to standard treatment of care. The diagnosis of autoimmune hepatitis has to fulfill the IAIHG criteria and must be confirmed by liver histology.

Patients will be randomly assigned to different doses of VAY736 or placebo. The primary analysis is planned at 24 weeks. A subsequent study part will then test the efficacy and safety of VAY736 in a parallel group design. For this part of the trial a new group of autoimmune hepatitis patients will be enrolled.

Enrollment: 68 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

1. AIH diagnosed per International Autoimmune Hepatitis Group
2. Liver biopsy with Ishak modified HAI indicating active AIH
3. Incomplete response to OR intolerance of standard therapy (per AASLD)

Key Exclusion Criteria

1. Prior use of any B-cell depleting therapy (e.g., rituximab or other anti-CD20 mAb, anti-CD22 mAb or anti-CD52 mAb) within 1 year prior to Screening or as long as B-cell count <50 cells/µL
2. Required regular use of medications with known hepatotoxicity
3. Decompensated cirrhosis
4. Diagnosis of overlap syndrome with AIH (e.g., AIH+PBC, AIH+PSC).
5. Drug related AIH at screening or a history of drug related AIH.
6. History of drug abuse or unhealthy alcohol use
7. History of malignancy of any organ system
8. Pregnant or nursing (lactating) women

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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68 participants in 4 patient groups, including a placebo group

Arm 1

Experimental group

Description:

VAY736 Dose 1

Treatment:

Biological: VAY736

Arm 2

Experimental group

Description:

VAY736 Dose 2

Treatment:

Biological: VAY736

Arm 3

Experimental group

Description:

VAY736 Dose 3

Treatment:

Biological: VAY736

Arm 4

Placebo Comparator group

Description:

Placebo

Treatment:

Other: Placebo