AMBER: VAY736 in Autoimmune Hepatitis

  • Research type

    Research Study

  • Full title

    A two-part randomized, double-blind, placebo-controlled multicenter dose ranging and confirmatory study to assess the safety and efficacy of VAY736 in autoimmune hepatitis patients with incomplete response to or intolerance of standard therapy(AMBER)

  • IRAS ID

    236707

  • Contact name

    Dania Calboli

  • Contact email

    dania.calboli@novartis.com

  • Sponsor organisation

    Novartis Pharma AG

  • Eudract number

    2017-001555-32

  • Clinicaltrials.gov Identifier

    NCT03217422

  • Duration of Study in the UK

    3 years, 11 months, 17 days

  • Research summary

    Autoimmune hepatitis (AIH) is a rare, long-term autoimmune disease, the causes of which are unknown. In AIH the immune system attacks and damages the liver causing inflammation (hepatitis). Although a rare condition, AIH can lead to poor health and lethal outcomes resulting from liver failure. Approximately 25% of AIH patients do not respond to conventional treatments which target suppression of liver inflammation. Better tolerated treatments are needed to control disease activity in AIH patients.

    VAY736 belongs to a class of drugs called monoclonal antibodies which are protein drugs that are able to recognize, target and stick to specific proteins on specific cells. VAY736 binds to a protein on B-cells, a group of white blood cells in the immune system, which play an important role in AIH. Approximately 101 patients have received VAY736 in clinical studies to date, but no AIH patients have yet received VAY736.

    The study design is a two-part, randomized, double-blind, placebo-controlled multi-centre trial to understand:
    •If VAY736 can help to treat patients with AIH who aren’t responding to or cannot tolerate standard therapy
    •If it is safe for AIH patients to take VAY736
    •Which dose of VAY736 works best
    •If using VAY736 in addition to standard treatment is better than standard treatment alone.

    Patients will participate in the study for a minimum of about 76 weeks (approximately 18 months, including the 4-week screening period, the 52 week treatment period and the minimum 20 week follow-up period). The maximum time patients will be participating is 3 years if additional monitoring of the patient’s B-cells is required. 80 AIH patients will be recruited worldwide for part 1 of the study and if this part of the study is successful another 280 patients will be recruited for part 2 of the study.

  • REC name

    West Midlands - Edgbaston Research Ethics Committee

  • REC reference

    17/WM/0445

  • Date of REC Opinion

    16 Jan 2018

  • REC opinion

    Further Information Favourable Opinion