A Phase 2 Study to Evaluate the Safety and Efficacy of KZR-616 in Patients With AIHA and ITP

Brief Summary
This is a Phase 2 randomized, dose-blind, multicenter study designed to evaluate the safety, tolerability, efficacy, Pharmacokinetics (PK), and Pharmacodynamics (PD) of treatment with KZR-616 in patients with active Autoimmune Hemolytic Anemia or Immune Thrombocytopenia.
Brief Title
A Phase 2 Study to Evaluate the Safety and Efficacy of KZR-616 in Patients With AIHA and ITP
Completion Date
Completion Date Type
Actual
Conditions
Autoimmune Hemolytic Anemia
Immune Thrombocytopenia
Eligibility Criteria
Inclusion Criteria:

1. Adult patients must be at least 18 years of age at the time of signing informed consent at Screening
2. Body Mass Index (BMI) equal to or greater than 18 kg/m2
3. Have a documented diagnosis of primary or secondary AIHA, ITP, or primary Evans syndrome
4. AIHA or ITP disease activity as follows::

1. ITP: Per central or local laboratory assessments on 2 separate occasions ≥7 days apart during Screening, a mean Platelet (PLT) ≤30×109/L with no individual PLT \>35×109/L; or for those patients receiving a constant dose of permitted treatments for ITP: a mean PLT \<50×109/L, with no count \>55×109/L
2. AIHA: Hgb ≤10 g/dL and presence of any 2 of the following:

i. Haptoglobin \<lower limit of normal (LLN) ii. Corrected reticulocyte count \>upper limit of normal (ULN) iii. LDH \>ULN iv. Indirect bilirubin \>ULN.
5. Documented inadequate response on intolerance to ≥1 standard treatment approach for AIHA or ≥2 standard treatment approaches for ITP

Exclusion Criteria:

1. Systemic Lupus Erythematosus (SLE) with confirmed anti-phospholipid antibody syndrome, the presence of positive lupus anti-coagulant test, moderate-high titer anti-cardiolipin IgG or IgM or moderate-high titer anti-beta2-globuilin IgG or IgM or severe central nervous system involvement
2. History of clinically significant coagulopathy, hereditary thrombocytopenia, anemia, or family history of thrombocytopenia
3. History of primary immunodeficiency
4. Use of nonpermitted medications within the specified washout periods prior to screening
5. Recent serious or ongoing infection, or risk for serious infection
6. Any of the following laboratory values at Screening:

1. Estimated glomerular filtration rate (eGFR) \<45 ml/min
2. Absolute neutrophil count (ANC) \<1.5×109/L (1500/mm3)
3. Serum aspartate transaminase (AST), serum alanine transaminase (ALT) or serum alkaline phosphatase \>2.5×ULN
4. Thyroid stimulating hormone if outside of the central laboratory normal range and considered clinically significant
5. International normalized ratio (INR) or activated partial thromboplastin time (aPTT) \>1.5×ULN
6. Immunoglobulin G (IgG) \<500 mg/dL
7. For ITP patients only: total bilirubin \>1.5×ULN (3×ULN for patients with documented Gilbert's syndrome).
7. Presence of New York Heart Association Class III or IV heart failure, or uncontrolled blood pressure, or prolonged QT interval
8. Major surgery within 12 weeks before Screening or planned during the study period
9. History of any thrombotic or embolic event within 12 months prior to Screening
10. Clinical evidence of significant unstable or uncontrolled diseases
11. Any active or suspected malignancy or history of documented malignancy within the last 5 years before Screening, except appropriately excised and cured cervical carcinoma in situ or basal or squamous cell carcinoma of the skin, or non-muscle invasive bladder cancer
Inclusion Criteria
Inclusion Criteria:

1. Adult patients must be at least 18 years of age at the time of signing informed consent at Screening
2. Body Mass Index (BMI) equal to or greater than 18 kg/m2
3. Have a documented diagnosis of primary or secondary AIHA, ITP, or primary Evans syndrome
4. AIHA or ITP disease activity as follows::

1. ITP: Per central or local laboratory assessments on 2 separate occasions ≥7 days apart during Screening, a mean Platelet (PLT) ≤30×109/L with no individual PLT \>35×109/L; or for those patients receiving a constant dose of permitted treatments for ITP: a mean PLT \<50×109/L, with no count \>55×109/L
2. AIHA: Hgb ≤10 g/dL and presence of any 2 of the following:

i. Haptoglobin \<lower limit of normal (LLN) ii. Corrected reticulocyte count \>upper limit of normal (ULN) iii. LDH \>ULN iv. Indirect bilirubin \>ULN.
5. Documented inadequate response on intolerance to ≥1 standard treatment approach for AIHA or ≥2 standard treatment approaches for ITP

Gender
All
Gender Based
false
Keywords
Autoimmune
Hemolytic
Anemia
Autoimmune Hemolytic Anemia
AIHA
Immune
Thrombocytopenia
Immune Thrombocytopenia
ITP
Blood disorders
Hematology
Healthy Volunteers
No
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT04039477
Org Class
Industry
Org Full Name
Kezar Life Sciences, Inc.
Org Study Id
KZR-616-005
Overall Status
Withdrawn
Phases
Phase 2
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
A Phase 2 Randomized, Dose-blind, Multicenter Study to Evaluate the Safety and Efficacy of KZR-616 in the Treatment of Patients With Autoimmune Hemolytic Anemia (AIHA) and Immune Thrombocytopenia (ITP)
Primary Outcomes
Outcome Measure
Mean change from Baseline to Week 13 in hematologic parameters of interest in evaluable patients (Hgb for AIHA; Platelets [PLT] for ITP)
Outcome Time Frame
13 weeks
Secondary Outcomes
Outcome Time Frame
13 weeks
Outcome Measure
Mean change from Baseline to Week 13 in hematologic parameters of interest (Hgb for AIHA; PLT for ITP) in the intent to treat (ITT) population
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Mean change from Baseline over time in hematologic parameters of interest (Hgb for AIHA; PLT for ITP)
Outcome Time Frame
13 weeks
Outcome Measure
Proportion of patients with a response at Week 13
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Proportion of patients over time with a response
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Time to response
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Proportion of patients over time with loss of response
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Proportion of patients over time with sustained response
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Mean change from Baseline over time in Hct
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Mean change from Baseline over time in Lactate Dehydrogenase (LDH)
Outcome Description
The PtGA is a visual analog scale (VAS) ranging from 0 to 100. Patients will provide a global rating of their disease, for the day of the visit, in response to the statement "Considering all the ways that your disease affects you, please rate how you are feeling today by clicking or tapping on the line:" using a 100-point VAS where 0 is "very good, no symptoms" and 100 is "very poor, very severe symptoms."
Outcome Time Frame
Baseline and every 4 weeks for 25 weeks
Outcome Measure
Change from Baseline over time in Patient Global Assessment scores
Outcome Time Frame
13 weeks
Outcome Measure
For AIHA: Proportion of patients with an Hgb >12 g/dL or 2 g/dL higher than Baseline at W13
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
For AIHA: Number of blood transfusions and units of blood administered over time
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
For ITP: Number of platelet transfusions and units of platelets administered over time
Outcome Time Frame
Through study completion, up to 25 weeks
Outcome Measure
Safety and tolerability of KZR-616 in patients with AIHA or ITP as assessed by monitoring incidence and severity of adverse events (AEs)
Outcome Time Frame
Day 1
Outcome Measure
Peak Plasma Concentration (Cmax) following KZR-616 injection
Outcome Time Frame
Day 29
Outcome Measure
Peak Plasma Concentration (Cmax) following KZR-616 injection
Outcome Time Frame
Day 1
Outcome Measure
Time to peak plasma concentration (Tmax) following KZR-616 injection
Outcome Time Frame
Day 29
Outcome Measure
Time to peak plasma concentration (Tmax) following KZR-616 injection
Outcome Time Frame
Day 1
Outcome Measure
Area under the plasma concentration versus time curve (AUC) following KZR-616 injection
Outcome Time Frame
Day 29
Outcome Measure
Area under the plasma concentration versus time curve (AUC) following KZR-616 injection
Outcome Time Frame
Day 1
Outcome Measure
Half-life (T1/2) following KZR-616 injection
Outcome Time Frame
Day 29
Outcome Measure
Half-life (T1/2) following KZR-616 injection
Start Date
Start Date Type
Estimated
Status Verified Date
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Irina Murakhovskaya
Investigator Email
imurakho@montefiore.org
Investigator Phone
IMURAKHO