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Systemic Lupus ErythematosusPhase 1NCT03556007

A Study of NKTR-358 (LY3471851) in Participants With Systemic Lupus Erythematosus (SLE)

A Phase 1 study testing LY3471851 in people with Systemic Lupus Erythematosus, run by Nektar Therapeutics at 14 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The main purpose of this study is to evaluate the safety and tolerability of a study drug known as LY3471851 in participants with SLE. The study will last about 79 days for each participant. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Systemic Lupus Erythematosus
What is being tested?
LY3471851
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
14 sitesUnited States
Study dates
18 Apr 2018to 29 Aug 2019
Phase
Phase 1
Are there results?
None posted in the registry

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Willing and able to give written informed consent and comply with study procedures and requirements.
  • Body mass index (BMI) between 18.0 and 32.0 kilograms per square meter (kg/m²).
  • Systolic blood pressure between 90 to 140 millimeters of mercury (mm Hg), diastolic blood pressure between 50 to 90 mm Hg, and resting heart rate between 40 to 100 beats per minute.
  • Diagnosis of adult SLE according to the 1997 ACR classification criteria for at least 6 months prior to signing the informed consent form (ICF).
  • Minimal to moderate SLE disease activity (active SLE clinical disease is not required for enrollment into the study and participants with severe SLE clinical disease activity, based on the evaluation of the investigator, should be excluded).
  • If a participant is taking oral prednisone (or prednisone equivalent) for their SLE, the dose must be less than or equal to (≤) 10 milligrams per day (mg/day) for a minimum of 8 weeks prior to screening. In addition, the dose of oral prednisone or prednisone equivalent the participant is taking must be stable for a minimum of 2 weeks prior to screening.
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  • If a participant is taking any of the medications below for their SLE, the medication must have been administered for a minimum of 12 weeks prior to signing the ICF, and at a stable dose for a minimum of 8 weeks prior to signing the ICF:
  • Azathioprine ≤ 200 mg/day
  • Antimalarial (e.g., chloroquine, hydroxychloroquine, quinacrine)
  • Mycophenolate mofetil ≤ 2 grams per day (g/day) or mycophenolic acid ≤ 1.44 g/day
  • Oral, SC, or intramuscular methotrexate ≤ 15 milligrams per week (mg/week).
  • Willing and able to participate in the study for a duration of up to 4 months.
  • Willing and able to abstain from participating in another clinical study for a duration of up to 4 months.
  • Female participants will be non-pregnant, non-lactating, and either postmenopausal for at least 2 years, or surgically sterile for at least 3 months, or will agree to use double barrier contraception from period prior to study enrollment until 5 months following the last dose received; women of child-bearing potential must have a negative serum beta-human chorionic gonadotropin (β-hCG) test at screening and randomization prior to administration of investigational product.
  • Male participants with female partners of childbearing potential must agree to use double barrier contraception during the study (until 5 months following the last dose received). Sperm donation is also restricted during the time-frame that males must be using double barrier contraception. This criterion may be waived for male participants who have had a vasectomy greater than (>) 6 months prior to enrollment.

Who cannot join

  • Medical Conditions:
  • Current active bacterial, viral, or fungal infection.
  • Evidence of significant hematologic dysfunction.
  • Evidence of significant liver or kidney dysfunction.
  • History of, or current diagnosis of, a clinically significant non SLE-related vasculitis syndrome.
  • Active severe or unstable neuropsychiatric SLE.
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  • Active severe SLE-driven renal disease or history of severe active lupus nephritis with persisting proteinuria levels greater than 0.5 grams/24 hours.
  • Diagnosis (within 1 year of signing the ICF) of mixed connective tissue disease or any history of overlap syndromes of SLE.
  • History of, or current, inflammatory joint or skin disease other than SLE.
  • History of any non-SLE disease that has required treatment with oral or parenteral corticosteroids for more than 2 weeks within the last 24 weeks prior to signing the ICF.
  • Active tuberculosis (TB) on the basis of positive medical history or chest radiograph (OR) evidence of latent TB or by positive (or persistently indeterminate) Quantiferon-TB Gold or T-Spot test.
  • Known history of a primary immunodeficiency, splenectomy, or any underlying condition that predisposes the participant to infection.
  • Confirmed positive serology for hepatitis B, hepatitis C (Viral Hepatitis C Antibody Screen [anti-HCV]), or a positive result for human immunodeficiency virus (HIV) antibody screen.
  • Any severe herpes infection at any time prior to screening per judgement of the investigator.
  • History of opportunistic infection requiring hospitalization or intravenous antimicrobial treatment within 3 years prior to randomization.
  • History of major surgery within 12 weeks of screening or will require major surgery during the study.
  • Clinically significant electrocardiographic abnormalities.
  • History of any significant cardiovascular disease (e.g., myocardial infarction, congestive heart failure, uncontrolled hypertension, cerebrovascular accident), thrombotic episode, or any severe non-SLE medical illness within the previous 1 year.
  • History of cancer, apart from:
  • Squamous or basal cell carcinoma of the skin that has been successfully treated.
  • Cervical cancer in situ that has been successfully treated.
  • Medications:
  • Receipt of any investigational product (small molecule or biologic agent) within 4 weeks or 5 half-lives prior to signing of the ICF, whichever is greater.
  • Receipt of belimumab in 6 months prior to screening.
  • History of treatment with rituximab or ocrelizumab (or other B cell depleting agent) within 6 months prior to screening. For participants who received their last treatment with rituximab or ocrelizumab more than 6 months earlier, evidence of significant and persisting low B cell levels in blood.
  • History of cytotoxic medications (e.g., cyclophosphamide) within preceding 12 months.
  • Receipt of any intra-articular, intramuscular, or intravenous (IV) glucocorticoids within 6 weeks prior to screening.
  • Receipt of blood products within 6 months prior to screening.
  • General:
  • Receipt of blood products within 6 months prior to screening and donation of blood or plasma to a blood bank or for a clinical study (except for screening of this study) within 28 days prior to screening.
  • Participants who have a history of organ or bone marrow transplant.

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Investigator Site - Anniston

    Anniston, Alabama, 36207

  • Investigator Site - Austin

    Austin, Texas, 78745

  • Investigator Site - Clearwater

    Clearwater, Florida, 33765

  • Investigator Site - Dallas

    Dallas, Texas, 75231

  • Investigator Site - Duncansville

    Duncansville, Pennsylvania, 16635

  • Investigator Site - Great Neck

    Great Neck, New York, 11021

  • Investigator Site - Jackson

    Jackson, Tennessee, 38305

  • Investigator Site - La Jolla

    La Jolla, California, 92037

  • Investigator Site - Memphis

    Memphis, Tennessee, 38119

  • Investigator Site - Mesquite

    Mesquite, Texas, 75150

  • Investigator Site - Middleburg Heights

    Middleburg Heights, Ohio, 44130

  • Investigator Site - Orlando

    Orlando, Florida, 32806

  • Investigator Site-Tampa

    Tampa, Florida, 33603

  • Investigator Site- Wilmington

    Wilmington, North Carolina, 28401

Other trials in United States

About this study

Official title: A Phase 1, Double-blind, Randomized, Placebo-controlled, Ascending Multiple-dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Subcutaneous NKTR-358 in Patients With Systemic Lupus Erythematosus

The main purpose of this study is to evaluate the safety and tolerability of a study drug known as LY3471851 in participants with SLE. The study will last about 79 days for each participant.

Read the detailed description

LY3471851 is a potential first-in-class therapeutic that may address an underlying immune system imbalance in people with many autoimmune conditions. It targets the interleukin (IL-2) receptor complex in the body in order to stimulate proliferation of inhibitory immune cells known as regulatory T cells. By activating these cells, LY3471851 may act to bring the immune system back into balance.

This study will evaluate the safety, tolerability, pharmacokinetics (PK), and immunologic effects of multiple doses of LY3471851 in participants with minimal to moderate SLE. The effects on SLE disease activity will also be evaluated. SLE participants will be randomized to receive multiple subcutaneous (SC) doses of LY3471851 or receive placebo. After receiving the last dose of LY3471851 or placebo, participants will be followed for an additional 50 days to evaluate safety, PK, pharmacodynamics (PD), and preliminary efficacy.

Being tested
LY3471851, Placebo
Keywords
T regulatory cells
Medical subject headings
Lupus Erythematosus, Systemic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LY3471851Drug

    Also called NKTR-358

    LY3471851 drug product is a sterile liquid for subcutaneous injection that will be diluted with sterile 0.9% sodium chloride solution for injection (USP) prior to administration.

  • PlaceboDrug

    The placebo dosing solution is 0.9% sodium chloride for injection (USP).

Study groups in NCT03556007
Study groupRoleWhat they receive
Cohort 1 - 3 μg/kg LY3471851ExperimentalParticipants received 3 microgram per kilogram (μg/kg) of LY3471851 or placebo on days 1, 15 and 29 by subcutaneous (SC) injection.
Receives: Drug: LY3471851; Drug: Placebo
Cohort 1 - 6 μg/kg LY3471851ExperimentalParticipants received 6 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.
Receives: Drug: LY3471851; Drug: Placebo
Cohort 1 - 12 μg/kg LY3471851ExperimentalParticipants received 12 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.
Receives: Drug: LY3471851; Drug: Placebo
Cohort 1 - 24 μg/kg LY3471851ExperimentalParticipants received 24 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.
Receives: Drug: LY3471851; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and Tolerability of LY3471851 - Number of Participants Experiencing Adverse Events

    Safety and tolerability of LY3471851 as assessed through collection of adverse events, serious adverse events, change in vital signs (body temperature, blood pressure, heart rate, rate of breathing and oxygen in blood); electrocardiograms (ECG); laboratory evaluations (hematology, chemistry, liver function and urine analysis).

    Measured: Informed consent until last study visit (approximately 79 days after first dose of study drug)

Secondary outcomes (20)
  1. Pharmacokinetics (PK): Area Under the Drug Concentration - Time Curve from Zero to the End of Dosing Interval (i.e, 14 days past each dose) (AUC[0-Day 14]) of LY3471851

    PK measurement of AUC 0-Day 14

    Measured: Baseline until 14 days after last dose (approximately 43 days after first dose of study drug)

  2. PK: Maximum Observed Drug Concentration (Cmax) of LY3471851 After First and Last Dose

    PK: Measurement of Cmax

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  3. PK: Time to Maximum Plasma Concentration (Tmax) of LY3471851

    PK: Measurement of Tmax

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  4. PK: Time to Decrease in Concentration of LY3471851 by Half (T1/2) Due to Elimination

    PK: Measurement of T1/2

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  5. Pharmacodynamics (PD): Measurement of Change in Number of Regulatory T Cells (Tregs) and Subsets of Tregs in Blood

    PD: Measurement of Change in Number of Regulatory T Cells (Tregs) and Subsets of Tregs in Blood

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  6. PD: Measurement Activity of Tregs

    PD: Measurement Activity of Tregs

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  7. PD: Measurement of Change in Number of Subsets of Conventional T Cells (Tcons) in Blood

    PD: Measurement of Change in Number of Subsets of Conventional T Cells

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  8. PD: Measurement of Change in Number of Natural Killer Cells (NK Cells) in Blood

    PD: Measurement of Change in Number of Natural Killer Cells (NK Cells) in Blood

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  9. PD: Measurement of Cytokines in Blood

    PD: Measurement of Cytokines in Blood

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  10. Change in Disease Activity (SLEDAI): Urine; Measurement of Hematuria, Pyuria, Urinary Casts, Creatinine, Protein

    Change in Disease Activity (SLEDAI): Urine; Measurement of Hematuria, Pyuria, Urinary Casts, Creatinine, Protein

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  11. Change in Disease Activity (SLEDAI): Blood: Measurement of Anti-dsDNA, Complement, White Blood Cells and Platelets

    Change in Disease Activity (SLEDAI): Blood: Measurement of Anti-dsDNA, Complement, White Blood Cells and Platelets

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  12. Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Physical Examination

    Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Physical Examination

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  13. Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Urine Analysis

    Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Urine Analysis

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  14. Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Blood Analysis

    Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Blood Analysis

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  15. Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Skin on the Body

    Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Skin on the Body

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  16. Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Mucous Membrane

    Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Mucous Membrane

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  17. Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Scalp

    Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Scalp

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  18. Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Hair Loss

    Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Hair Loss

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  19. Change in Disease Activity (Joint score): Evaluation of Tender Joints in the Body

    Change in Disease Activity (Joint score): Evaluation of Tender Joints in the Body

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

  20. Change in Disease Activity (Joint Score): Evaluation of Swollen Joints in the Body

    Change in Disease Activity (Joint Score): Evaluation of Swollen Joints in the Body

    Measured: Baseline until last study visit (approximately 79 days after first dose of study drug)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2018
  2. Study start18 Apr 2018
  3. Primary completion29 Aug 2019
  4. Study completion29 Aug 2019

Resources

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 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03556007
Sponsor's protocol ID
17238
Other IDs
J1P-MC-KFAB, 17-358-02
Status last verified
Nov 2023
First submitted
7 May 2018
Last updated
18 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LY3471851 in people with Systemic Lupus Erythematosus, run by Nektar Therapeutics at 14 sites in United States.

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 15 inclusion and 31 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 18 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Safety and Tolerability of LY3471851 - Number of Participants Experiencing Adverse Events (time frame: Informed consent until last study visit (approximately 79 days after first dose of study drug)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Nov 2023.

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