VasculitisPhase 3BREVASNCT01663623
Belimumab in Remission of VASculitis
A Phase 3 study testing Belimumab 10 mg/kg and Azathioprine in people with Vasculitis, run by Human Genome Sciences Inc., a GSK Company at 89 sites in 20 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of belimumab, in combination with azathioprine, for the maintenance of remission following a standard induction regimen in patients with Wegener's granulomatosis or microscopic polyangiitis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Vasculitis
- What is being tested?
- Belimumab 10 mg/kg and Azathioprine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 106 participants
- Where
- 89 sitesin 20 countries
- Study dates
- 20 Mar 2013to 6 Feb 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Clinical diagnosis Wegener's granulomatosis or microscopic polyangiitis by Chapel Hill criteria.
- Disease flare in the past 26 weeks requiring treatment with high dose corticosteroids and 1 of the following medications: rituximab, oral cyclophosphamide OR IV cyclophosphamide.
- Tested positive for anti-proteinase 3 (anti-PR3) or anti-myeloperoxidase (anti-MPO) antibodies at any time prior to enrollment.
- Achieve remission no more than 26 weeks after first dose of induction treatment. Remission is defined as a Birmingham Vasculitis Activity (BVAS) score of 0 and receiving less than 10 mg/day of oral prednisone (or equivalent) on 2 consecutive visits 21 to 35 days apart.
- Maintenance therapy on this study must start no more than 2 weeks after confirmation of remission.
Who cannot join
- Pregnant or nursing.
- Receipt of a B cell targeted therapy (other than rituximab) at anytime
- Receipt of an investigational biological agent within the past 60 days.
- Required management of acute or chronic infections within the past 60 days.
- Current drug or alcohol abuse or dependence.
- Current or past positive test for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
- History of severe allergic reaction to contrast agents or biological medicines.
Trial locations and contacts
89 sites in 20 countries.
89 sites in 20 countries
United States22 sites
GSK Investigational Site
Birmingham, Alabama, 35294
GSK Investigational Site
Boston, Massachusetts, 02118-2307
GSK Investigational Site
Camden, New Jersey, 08103-1438
GSK Investigational Site
Chicago, Illinois, 60612
GSK Investigational Site
Columbus, Ohio, 43203
GSK Investigational Site
Covina, California, 91723
GSK Investigational Site
Detroit, Michigan, 48202
GSK Investigational Site
Great Neck, New York, 11021
GSK Investigational Site
Kansas City, Kansas, 66160
GSK Investigational Site
Milwaukee, Wisconsin, 53226
GSK Investigational Site
Mobile, Alabama, 36693
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
New York, New York, 10021
GSK Investigational Site
Palo Alto, California, 94030
GSK Investigational Site
Philadelphia, Pennsylvania, 19104
GSK Investigational Site
Pittsburgh, Pennsylvania, 15261
GSK Investigational Site
Portland, Oregon, 97239
GSK Investigational Site
Rochester, Minnesota, 55905
GSK Investigational Site
San Leandro, California, 94578
GSK Investigational Site
Tucson, Arizona, 85724
GSK Investigational Site
West Springfield, Massachusetts, 1089
GSK Investigational Site
Wyomissing, Pennsylvania, 19610
Germany8 sites
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Jena, Thuringia, 07740
GSK Investigational Site
Kirchheim unter Teck, 73230
GSK Investigational Site
Leipzig, Saxony, 04103
GSK Investigational Site
München, 80336
GSK Investigational Site
Münster, North Rhine-Westphalia, 48149
GSK Investigational Site
Stuttgart, Baden-Wurttemberg, 70376
GSK Investigational Site
Tübingen, Baden-Wurttemberg, 72076
Peru7 sites
GSK Investigational Site
Callao, Callao 2
GSK Investigational Site
Lima, Lima 21
GSK Investigational Site
Lima, Lima 27
GSK Investigational Site
Lima, Lima 31
GSK Investigational Site
Lima, Lima 36
GSK Investigational Site
Lima, Lima 41
GSK Investigational Site
Lima, Lima14
Italy6 sites
GSK Investigational Site
Bari, 70124
GSK Investigational Site
Bologna, 40138
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Milan, 20153
GSK Investigational Site
Reggio Emilia, 42100
GSK Investigational Site
Torrette Di Ancona, The Marches, 60126
United Kingdom5 sites
GSK Investigational Site
Aberdeen, AB25 2ZD
GSK Investigational Site
Cambridge, CB2 0QQ
GSK Investigational Site
London, SE1 7EH
GSK Investigational Site
Oxford, OX3 7LD
GSK Investigational Site
Reading, Berkshire, RG1 5AN
Australia4 sites
GSK Investigational Site
Garran, Australian Capital Territory, 2605
GSK Investigational Site
Liverpool, 2107
GSK Investigational Site
Malvern, Victoria, 3144
GSK Investigational Site
New Lambton, New South Wales, 2305
Canada4 sites
GSK Investigational Site
Hamilton, Ontario, L8N 4A6
GSK Investigational Site
Montreal, Quebec, H1T 2M4
GSK Investigational Site
Montreal, Quebec, H3G 1A4
GSK Investigational Site
Toronto, Ontario, M5T 3L9
France4 sites
GSK Investigational Site
Lille, 59037
GSK Investigational Site
Paris, 75014
GSK Investigational Site
Pessac, 33604
GSK Investigational Site
Rennes, 35033
Poland4 sites
GSK Investigational Site
Gdansk, 80-952
GSK Investigational Site
Katowice, 40-635
GSK Investigational Site
Krakow, 31-066
GSK Investigational Site
Lublin, 20-954
Belgium3 sites
GSK Investigational Site
Brussels, 1020
GSK Investigational Site
Brussels, 1090
GSK Investigational Site
Leuven, 3000
Czechia3 sites
GSK Investigational Site
Prague, 12808
GSK Investigational Site
Prague, 12850
GSK Investigational Site
Prague, 14021
Russia3 sites
GSK Investigational Site
Moscow, 119992
GSK Investigational Site
Saint Petersburg, 190068
GSK Investigational Site
Stavropol
Spain3 sites
GSK Investigational Site
Barcelona, 08025
GSK Investigational Site
Barcelona, 8036
GSK Investigational Site
Madrid, 28034
Switzerland3 sites
GSK Investigational Site
Bern, 3010
GSK Investigational Site
Sankt Gallen, 9007
GSK Investigational Site
Zurich, 8006
Hungary2 sites
GSK Investigational Site
Budapest, 1023
GSK Investigational Site
Debrecen, 4032
Ireland2 sites
GSK Investigational Site
Dublin, 4
GSK Investigational Site
Dublin, 9
Norway2 sites
GSK Investigational Site
Kristiansand, 4604
GSK Investigational Site
Oslo, 0372
Romania2 sites
GSK Investigational Site
Bucharest, 020125
GSK Investigational Site
Cluj-Napoca, 400006
About this study
Official title: A Phase 3, Multi-Center, Multinational, Randomized, Double-Blind, Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006) in Combination With Azathioprine for the Maintenance of Remission in Wegener's Granulomatosis and Microscopic Polyangiitis
The purpose of this study is to evaluate the efficacy and safety of belimumab, in combination with azathioprine, for the maintenance of remission following a standard induction regimen in patients with Wegener's granulomatosis or microscopic polyangiitis. The random assignment in this study is "1 to 1" which means that participants have an equal chance of receiving belimumab or placebo.
- Conditions
- Vasculitis
- Being tested
- Placebo, Belimumab 10 mg/kg, Azathioprine
- Keywords
- Wegener's Granulomatosis, anti-MPO, WG, Belimumab, GPA, anti-proteinase 3, anti-neutrophil cytoplasmic antibody, anti-myeloperoxidase, Granulomatosis with polyangiitis, Vasculitis, Autoimmune Diseases, Microscopic Polyangiitis, anti-PR3, ANCA, MPA, Systemic Vasculitis
- Medical subject headings
- Vasculitis, Granulomatosis with Polyangiitis, Autoimmune Diseases, Microscopic Polyangiitis, Systemic Vasculitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboBiological
Placebo
Belimumab 10 mg/kgBiological
Also called BENLYSTA™
Belimumab 10 mg/kg
AzathioprineDrug
Azathioprine
| Study group | Role | What they receive |
|---|---|---|
| Placebo plus azathioprine | Placebo comparator | Placebo IV plus oral azathioprine 2 mg/kg/day; placebo administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to receive treatment with belimumab in a 6-month open-label extension phase. Placebo patients who opt to participate in the extension will receive belimumab 10 mg/kg IV every 28 days plus oral azathioprine 2 mg/kg/day for an additional 6 months. Receives: Biological: Placebo; Drug: Azathioprine |
| Belimumab 10 mg/kg plus azathioprine | Experimental | Belimumab 10 mg/kg IV plus oral azathioprine 2 mg/kg/day; belimumab administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to continue treatment with belimumab in a 6-month open-label extension phase. Patients who opt to participate in the extension will continue to receive belimumab 10 mg/kg IV every 28 plus oral azathioprine 2 mg/kg/day days for an additional 6 months. Receives: Biological: Belimumab 10 mg/kg; Drug: Azathioprine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Relapse
Time to relapse is defined as the number of days from Day 0 until the participant experienced a relapse (relapse date - treatment start date +1). Only post-baseline relapses were considered in these analyses. Only relapses occurring up to and including the last visit date in the double-blind treatment period were considered in these analyses. Intent-to-treat population comprised of all randomized participants who received at least one dose of study agent (belimumab or placebo). NA indicates that the data was not available as the Number of events is too low to estimate the value. Median and Inter-quartile range were presented and were based on Kaplan Meier estimates.
Measured: Approximately up to 4 years
Secondary outcomes (1)
Number of Participants With Major Relapse During the Double-blind Phase of the Study
Data for number of participants with major relapse [defined as experiencing at least 1 major Birmingham Vasculitis Activity Score (BVAS) item] during the double-bind phase of the study was reported. Analysis was performed using a Cox proportional hazard model.
Measured: Approximately up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Aug 2012 (estimated)
- Study start20 Mar 2013
- Primary completion6 Feb 2017
- Study completion6 Feb 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for VasculitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 106 participants (actual)
Sponsor and investigators
- Lead sponsor
- Human Genome Sciences Inc., a GSK Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01663623
- Sponsor's protocol ID
- 115466
- Acronym
- BREVAS
- Status last verified
- Mar 2018
- First submitted
- 9 Aug 2012
- Last updated
- 17 Apr 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Jayne D, Blockmans D, Luqmani R, Moiseev S, Ji B, Green Y, Hall L, Roth D, Henderson RB, Merkel PA; BREVAS Study Collaborators. Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study. Arthritis Rheumatol. 2019 Jun;71(6):952-963. doi: 10.1002/art.40802. Epub 2019 Apr 16.
PubMed 30666823
Study at a glance
From the registry record, last updated by the sponsor on 17 Apr 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multi-Center, Multinational, Randomized, Double-Blind, Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006) in Combination With Azathioprine for the Maintenance of Remission in Wegener's Granulomatosis and Microscopic Polyangiitis
- ClinicalTrials.gov ID
- NCT01663623
- Acronym / sponsor ID
- BREVAS / 115466
- Conditions
- Vasculitis
- Keywords
- Wegener's Granulomatosis, anti-MPO, WG, Belimumab, GPA, anti-proteinase 3, anti-neutrophil cytoplasmic antibody, anti-myeloperoxidase
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 106 participants (actual)
- Lead sponsor
- Human Genome Sciences Inc., a GSK CompanyIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 20 Mar 2013 (actual)
- Primary completion
- 6 Feb 2017 (actual)
- Study completion
- 6 Feb 2017 (actual)
- First posted
- 13 Aug 2012 (estimated)
- Results
- Posted 17 Apr 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of belimumab, in combination with azathioprine, for the maintenance of remission following a standard induction regimen in patients with Wegener's granulomatosis or microscopic polyangiitis. The random assignment in this study is "1 to 1" which means that participants have an equal chance of receiving belimumab or placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo plus azathioprine | Placebo comparator | Biological: Placebo, Drug: AzathioprinePlacebo IV plus oral azathioprine 2 mg/kg/day; placebo administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to receive treatment with belimumab in a 6-month open-label extension phase. Placebo patients who opt to participate in the extension will receive belimumab 10 mg/kg IV every 28 days plus oral azathioprine 2 mg/kg/day for an additional 6 months. |
| Belimumab 10 mg/kg plus azathioprine | Experimental | Biological: Belimumab 10 mg/kg, Drug: AzathioprineBelimumab 10 mg/kg IV plus oral azathioprine 2 mg/kg/day; belimumab administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to continue treatment with belimumab in a 6-month open-label extension phase. Patients who opt to participate in the extension will continue to receive belimumab 10 mg/kg IV every 28 plus oral azathioprine 2 mg/kg/day days for an additional 6 months. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Clinical diagnosis Wegener's granulomatosis or microscopic polyangiitis by Chapel Hill criteria.
- Disease flare in the past 26 weeks requiring treatment with high dose corticosteroids and 1 of the following medications: rituximab, oral cyclophosphamide OR IV cyclophosphamide.
- Tested positive for anti-proteinase 3 (anti-PR3) or anti-myeloperoxidase (anti-MPO) antibodies at any time prior to enrollment.
- Achieve remission no more than 26 weeks after first dose of induction treatment. Remission is defined as a Birmingham Vasculitis Activity (BVAS) score of 0 and receiving less than 10 mg/day of oral prednisone (or equivalent) on 2 consecutive visits 21 to 35 days apart.
- Maintenance therapy on this study must start no more than 2 weeks after confirmation of remission.
Key exclusion criteria (7 listed)
- Pregnant or nursing.
- Receipt of a B cell targeted therapy (other than rituximab) at anytime
- Receipt of an investigational biological agent within the past 60 days.
- Required management of acute or chronic infections within the past 60 days.
- Current drug or alcohol abuse or dependence.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo | Biological | Placebo plus azathioprine |
| Belimumab 10 mg/kgAlso: BENLYSTA™Belimumab 10 mg/kg | Biological | Belimumab 10 mg/kg plus azathioprine |
| AzathioprineAzathioprine | Drug | Belimumab 10 mg/kg plus azathioprine, Placebo plus azathioprine |
Primary outcome
Time to First Relapse
Time frame: Approximately up to 4 years
Time to relapse is defined as the number of days from Day 0 until the participant experienced a relapse (relapse date - treatment start date +1). Only post-baseline relapses were considered in these analyses. Only relapses occurring up to and including the last visit date in the double-blind treatment period were considered in these analyses. Intent-to-treat population comprised of all randomized participants who received at least one dose of study agent (belimumab or placebo). NA indicates that the data was not available as the Number of events is too low to estimate the value. Median and Inter-quartile range were presented and were based on Kaplan Meier estimates.
1 secondary outcome
Number of Participants With Major Relapse During the Double-blind Phase of the Study
Time frame: Approximately up to 4 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Apr 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30666823Jayne D, Blockmans D, Luqmani R, Moiseev S, Ji B, Green Y, Hall L, Roth D, Henderson RB, Merkel PA; BREVAS Study Collaborators. Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study. Arthritis Rheumatol. 2019 Jun;71(6):952-963. doi: 10.1002/art.40802. Epub 2019 Apr 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
89 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Belimumab 10 mg/kg and Azathioprine in people with Vasculitis, run by Human Genome Sciences Inc., a GSK Company at 89 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 89 sites in United States, Germany, Peru, Italy, United Kingdom and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 Apr 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to First Relapse (time frame: Approximately up to 4 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01663623, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2018; AzTrials last refreshed its copy on 6 Nov 2026.