Phase II Study to Analyze Sarilumab in Non-Infectious Uveitis



Status:Active, not recruiting
Conditions:Cervical Cancer, Ocular
Therapuetic Areas:Oncology, Ophthalmology
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:October 2013
End Date:April 2016

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A Randomized, Double-Masked and Placebo-Controlled Study to Evaluate the Efficacy and Safety of Sarilumab Administered Subcutaneously Every 2 Weeks in Patients With Non-Infectious, Intermediate, Posterior or Pan-Uveitis (NIU)

Primary Objective:

To evaluate the efficacy of sarilumab at week 16 in patients with non-infectious uveitis
(NIU).

Secondary Objectives:

To evaluate the change in best corrected visual acuity (BCVA). To evaluate the safety of
subcutaneous sarilumab in patients with NIU. To evaluate the change in macular edema. To
evaluate the change in other signs of ocular inflammation. To evaluate the effect on retinal
vessel leakage. To evaluate the effect of sarilumab on reducing concomitant
immunosuppressant therapy.

To evaluate the change in ocular inflammation in the anterior chamber. To evaluate the
pharmacokinetics of sarilumab in NIU patients. To evaluate the immunogenicity with anti-drug
antibodies (ADA).

The total duration per patient is up to 58 weeks, which includes a 2 week screening period,
16 weeks principal treatment period, 34 weeks extension treatment period (or open label
treatment period), and 6 weeks after last treatment administration.

Non-responder patients, observed within the first 16 weeks, will be offered to be treated by
open-label sarilumab. Patients will be treated for 34 extra weeks (up to 18 extra
injections).

Inclusion criteria:

≥18 years of age. Non-infectious intermediate-, posterior-, or pan-uveitis in the study
eye. Active disease at screening or evidence of activity within the 3 months prior to
screening visit. Following the approval of Amendment 2, only patients with "active
disease" as defined above will be enrolled in the study.

Starting oral prednisone dose must be greater than or equal to 15 mg/day and less than 80
mg/day.

At screening, patients must be receiving oral prednisone (≥15 mg and < 80 mg/day [or
equivalent oral corticosteroid]) as single immunosuppressive therapy or in combination
with Methotrexate (MTX) (≤ 25 mg/week) orally or intravenously or intra muscular or
subcutaneous). Patients can be receiving one or several of the following therapies:
Azathioprine (≤2.5 mg/kg/day), Mycophenolate mofetil (≤2g daily, orally), Cyclosporine (≤4
mg/kg daily, orally), Tacrolimus (≤4 mg daily, orally).

The doses may not have been increased for at least 4 weeks prior to the randomization
visit.

At randomization, patients have been receiving oral prednisone (≥15 mg and < 80 mg/day [or
equivalent oral corticosteroid]) as single immunosuppressive therapy or in combination
with methotrexate (MTX) (≤ 25 mg/week) orally or intravenously or intra muscular or
subcutaneous).

Azathioprine, mycophenolate mofetil, cyclosporine and tacrolimus have to be permanently
discontinued at least 48 hours prior to the first study treatment injection, or longer as
per Investigator's judgment. These immunomodulatory therapy (IMTs) are not permitted
anytime during the treatment period.

Signed written informed consent.

Exclusion criteria:

Patient with best-corrected visual acuity worse than 20 ETDRS letters in at least one eye.

Patient with confirmed or suspected uveitis of infectious etiology or uveitis of traumatic
etiology.

Patient with primary diagnosis of anterior uveitis. Prior treatment with anti-IL-6 or
IL-6R antagonist therapies, including tocilizumab and sarilumab.

The above information is not intended to contain all considerations relevant to a
patient's potential participation in a clinical trial.
We found this trial at
6
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Omaha, NE
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Arlington, TX
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Cleveland, OH
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Worcester, MA
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