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Eosinophilic FasciitisPhase 1NCT04305678

Mepolizumab for Eosinophilic Fasciitis

A Phase 1 study testing Mepolizumab in people with Eosinophilic Fasciitis, run by Mayo Clinic.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a proof of concept pilot study to investigate the efficacy of mepolizumab in the treatment of eosinophilic fasciitis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Eosinophilic Fasciitis
What is being tested?
Mepolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Feb 2023to 15 Feb 2023
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients 18 years or older.
  • History and physical examination consistent with EF
  • Full thickness skin biopsy characteristic of eosinophilic fascitis and/or MRI radiographic findings characteristic of EF
  • Documented peripheral eosinophilia (≥500 microliter)
  • Patients who are willing and capable of cooperating to the extent and degree required by the protocol; and
  • Patients who read and sign an approved informed consent for this study

Who cannot join

  • Eosinophilic fascitis disease duration > 5 years
  • Known history of adverse reaction to mepolizumab (Nucala)
  • Pregnant females
  • Females actively trying to conceive
  • Vulnerable study population
  • Asthma requiring inhaled cortiosteroids

About this study

Official title: Mepolizumab for the Treatment of Eosinophilic Fasciitis; An Open-Label, Single-Arm, Exploration Study

This is a proof of concept pilot study to investigate the efficacy of mepolizumab in the treatment of eosinophilic fasciitis.

Read the detailed description

This is an exploratory study designed to generate preliminary data in evaluating the efficacy of mepolizumab (Nucala) in the treatment of EF using mean change in the Rodnan Skin score (mRSS) before and after treatment. The study is powered at 90% to detect a 4 point change in the mRSS at a 5% significant level with a minimum target accrual of 6 patients.

Being tested
Mepolizumab
Keywords
Mepolizumab
Medical subject headings
Eosinophilic Fasciitis

What participants receive

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

  • MepolizumabDrug

    Also called Nucala

    Mepolizumab (Nucala) 400 mg SC every 4 weeks x 24 weeks

Study groups in NCT04305678
Study groupRoleWhat they receive
Single ArmExperimentalPatients with a biopsy proven diagnosis of eosinophilic fasciitis
Receives: Drug: Mepolizumab

What is being measured

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

  1. Modified Rodnan Skin Score (mRSS)

    Mean change before and after treatment. The mRSS is a standardized scored assessment of tissue sclerosis as assessed by palpitation.

    Measured: 24 weeks

Secondary outcomes (7)
  1. Localized Scleroderma Skin Severity Index (mLoSSI) score

    Mean change before and after treatment. mLoSSI score quantifies disease activity.

    Measured: 24 weeks

  2. Localized Scleroderma Damage Index (LoSDI) score.

    Mean change before and after treatment. LoSDI score quantifies disease damage.

    Measured: 24 weeks

  3. Localized Scleroderma Cutaneous Assessment Tool (LoSCAT)

    Mean change before and after treatment. LoSCAT is a composite score of disease activity (mLoSSI) and disease damage (LoSDI).

    Measured: 24 weeks

  4. Physician's Global Assessment of Disease Activity (PhysGA-A)

    Mean change before and after treatment. PhysGA-A is a 100-mm analog scale anchored by "inactive" at 0 and "markedly active" at 100.

    Measured: 24 weeks

  5. Physician's Global Assessment of Disease Damage (PhysGA-D)

    Mean change before and after treatment. PhysGA-D is a 100-mm analog scale anchored by "no damage" at 0 and "markedly damaged" at 100.

    Measured: 24 weeks.

  6. Dermatology Quality of Life Index (DLQI)

    Mean change before and after treatment. DLQI is a skin-specific health questionnaire with higher scores reflecting decreased quality of life

    Measured: 24 weeks.

  7. Patient Global Assessment of Disease Severity (PtGA-S)

    Mean change before and after treatment.PhysGA-A is a 100-mm analog scale anchored by "not severe" at 0 and "very severe" at 100.

    Measured: 24 weeks.

Timeline

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

  1. First posted12 Mar 2020
  2. Study startFeb 2023 (estimated)
  3. Primary completion15 Feb 2023
  4. Study completion15 Feb 2023

Why it stopped: Funding lost from Sponsor.

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Mepolizumab for the treatment of eosinophilic faciitis.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04305678
Sponsor's protocol ID
19-011851
Status last verified
Nov 2024
First submitted
10 Mar 2020
Last updated
20 Nov 2024
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 Mepolizumab in people with Eosinophilic Fasciitis, run by Mayo Clinic.

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 6 inclusion and 6 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: withdrawn, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

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 was withdrawn before enrolling participants, so there are no results.

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?

Modified Rodnan Skin Score (mRSS) (time frame: 24 weeks). 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 20 Nov 2024.

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