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Study of efficacy and safety of CDZ173 in patients with APDS/ PASLI

  • Research type

    Research Study

  • Full title

    An open-label, non-randomized, within-patient dose-finding study followed by a randomized, subject, investigator and sponsor-blinded placebo controlled study to assess the efficacy and safety of CDZ173 in patients with APDS/PASLI (Activated phosphoinositide 3-kinase delta syndrome/ p110δ-activating mutation causing senescent T cells, lymphadenopathy and immunodeficiency)

  • IRAS ID

    205698

  • Contact name

    Siobhan Burns

  • Contact email

    siobhan.burns2@nhs.net

  • Sponsor organisation

    Novartis Pharma AG

  • Eudract number

    2014-003876-22

  • Clinicaltrials.gov Identifier

    NCT02435173

  • Duration of Study in the UK

    0 years, 11 months, 16 days

  • Research summary

    Research Summary

    This study is designed to explore CDZ173, a selective enzyme inhibitor, in patients with a genetically activated enzyme, i.e., patients with APDS (Activated PI3K Delta Syndrome)/PASLI (p110 delta activating mutation causing senescent T cells, lymphadenopathy, and immunodeficiency). The study consists of two parts. Part I was the open label part designed to establish the safety and pharmacokinetics of CDZ173 in the target population, as well as to select the optimal dose to be tested in Part II. Part II is designed to assess efficacy and safety of CDZ173 in this population. The UK will only be taking part in Part II of the study.
    The study will assess the change from baseline in the reduction of tissue damage (lesions)in the lymph nodes using MRI or CT imaging.
    The study will also measure the change from baseline in percentage of naïve B cells out of total B cells.
    Patients will be randomly allocated to one of the two treatment
    groups in a 2:1 ratio
    to receive either 70mg of the study drug or a matching placebo for a twelve week period.

    Summary of Results

    https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fu2790089.ct.sendgrid.net%2Fls%2Fclick%3Fupn%3DXv3JSvJ-2B3M71ppf7N9agbdYVDsSZox2o7q1uVmguIbCR4vwJECcHHlZe8zWd9-2FJOT-2BCBa4ZpiGPl7sTcrNZOBQ5VWm5nsipRSaoObaDFqugJKRhxyiWgi5h-2F5awnZ1ezP_NR_E1aO2-2BZlVOSJJV-2FajQqskegTd6IRomHYTi-2Fbt8SH3YJetu-2BBKEV0A7zBK73b67tF5buQyRVbRbkDcrQDrrFiMZFqJP-2FUYw1MAah77gUnBmUAyJuQHzKCylUOyd55CI8fURLbAA8BTOYlSJ4zbRJ1dP9nu5-2BxJVVSGpMAQsLClEiHZjtzAh0d25kkxV3dOBnUEzqUVtJ429qny-2BsjhbONnth10kHyOpnzdmKHw0yBR5o-3D&data=05%7C01%7Capprovals%40hra.nhs.uk%7C7b6fb78ca3084e16554a08da7edba9c5%7C8e1f0acad87d4f20939e36243d574267%7C0%7C0%7C637961779153590606%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=Bmo8VFnPyxeMxCbUZmh6r%2FXFf%2BRGGcVlqWCriadK480%3D&reserved=0

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    18/EE/0034

  • Date of REC Opinion

    13 Mar 2018

  • REC opinion

    Further Information Favourable Opinion