Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
CFZ533 · 8 trials · 8 indications
Number of participants with treatment emergent AEs (any AE regardless of seriousness), AEs led to study treatment discontinuation, and SAEs. On-treatment period is defined as from date of first administration of study treatment to 98 days after date of last administration of study treatment (including start and stop date).
The mixed meal tolerance test (MMTT) has appropriate sensitivity to detect residual insulin secretion and beta cell function. In the MMTT, following an 8-10 hour overnight fast, a weight-based liquid meal provided as 6 mL/kg (maximum 360 mL) of mixed meal, ingested over 5 min with timed blood samples for glucose and C peptide determination obtained 10 min prior to ingestion (t = -10), at baseline (t = 0), and at 15, 30, 60, 90, and 120 min after consumption of the liquid meal. The time collections for post load samples are based on the start time of the mixed meal. Stimulated C-peptide AUC by the standard MMTT, normalized by the duration of measurements, was analyzed with a mixed model repeated measures analysis.
ESSDAI is a validated disease outcome measure for SjS that contains 12 organ-specific domains contributing to disease activity. For each domain, features of disease activity are scored in 3 or 4 levels according to their severity. These scores are then summed across the 12 domains in a weighted manner to provide the total score. The domains (weights) are as follows: constitutional (3), lymphadenopathy (4), glandular (2), articular (2), cutaneous (3), pulmonary (5), renal (5), muscular (6), peripheral nervous system (PNS) (5), central nervous system (CNS) (5), hematological (2) and biological (1). The total score may vary between 0-123. It is considered low activity an ESSDAI \< 5; moderate activity 5-13, and high activity if ESSDAI is \>= 14.
The ESSPRI is a self-evaluation index for measuring symptoms including pain, fatigue and dryness. Each symptom was measured with a single 0 (no symptoms) to 10 (severe symptoms) numerical scale and the final ESSPRI score is calculated by averaging these domains with a maximum severity score of 10.
sHiSCR was defined as at least a 50 percent (%) reduction in abscess and inflammatory nodule (AN) counts, and no increase in draining fistula count related to baseline. The primary variable was modeled with the binomial distribution. A neutral non-informative Beta (1/3, 1/3) distribution was used as the prior for the response rate for all treatment groups. Based on the priors and the observed primary outcome, posterior distributions for the response rate for the investigational treatment and pooled placebo groups were computed respectively. At the time of the statistical comparison for cohorts A, B, and C, the placebo data for cohorts D and E were incomplete and therefore excluded. Similarly, during the comparison for cohort D, the placebo data for cohort E was still pending and was not included.
Number of participants with treatment emergent AEs (any AE regardless of seriousness), AEs led to study treatment discontinuation, SAEs and SAEs led to study treatment discontinuation.
A urine protein creatinine ratio (UPCR) test is a urine test. It measures the levels of protein and creatinine in urine. UPCR was assessed using the first morning void if available at a visit otherwise using the clinic spot sample, and was expressed as protein/creatinine (mg/mmol). High UPCR values can be a sign of kidney disease. An UPCR ratio to baseline \<1 indicates improvement from baseline.
Normalization of TSH is defined as TSH level greater than 0.35 mU/L after 12 week treatment (Day 85)
Percentage of participants whose total triiodothyronine (total T3) levels decrease after 12 week treatment. A decrease is when total T3 level is below Upper limit of normal (ULN) ≤ 2.79 nmol/L
Percentage of participants whose free thyroxine (free T4) levels decrease after 12 weeks of treatment (DAY85). A decrease is when free T4 level is below Upper limit of normal (ULN) ≤ 22.7 pmol/L)
QMG score is an established validated measure of disease severity used in MG trials (Jaretzki et al 2000). The scoring system is based on quantitative testing of sentinel muscle groups by means of a 4 point scale ranging from 0 (no symptoms) to 3 (severe symptoms). The scale measures ocular, bulbar, respiratory, and limb function, grading each finding, and the total score ranges from 0 (no myasthenic findings) to 39 (maximal myasthenic deficits) (Sharshar et al 2000, Bedlack et al 2005).
Pharmacokinetics as defined by the systemic concentrations and Cmax of certain immunosuppressant medications used in Part I
Quantify pharmacokinetics of CFZ533 in combination with MMF, CS, and tacrolimus in de novo renal transplant patients during the treatment and follow-up periods.
Quantify pharmacokinetics of CFZ533 in combination with MMF, CS, and tacrolimus in de novo renal transplant patients during the treatment and follow-up periods.
To assess the activity of the investigational arm as compared to the standard of care control arm in de novo renal transplant patients as measured by the frequency and severity of tBPAR as measured on the Banff classification scale. An adjudication was performed on all on cause renal biopsies by an independent expert committee blinded to therapy.
| Arm | Type | Description |
|---|---|---|
| CFZ533 | ACTIVE_COMPARATOR | Randomized in a 2:1 ratio: 2 Active / 1 Placebo |
| Placebo | PLACEBO_COMPARATOR | Similar in appearance to active study drug |
| Cohort 1 / Arm A | EXPERIMENTAL | 3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Weeks 0, 1 and 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 600 mg. To maintain blinding in Period 2, placebo was administered at Week 25. |
| Cohort 1 / Arm B | EXPERIMENTAL | 3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, and 300 mg on Week 1 and Week 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 300 mg. To maintain blinding in Period 2, placebo was administered at Week 25. |
| Cohort 1 / Arm C | EXPERIMENTAL | 3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, and 150 mg on Week 1 and Week 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 150 mg. To maintain blinding in Period 2, placebo was administered at Week 25. |
| Cohort 1 / Arm D (Period 1) | PLACEBO_COMPARATOR | Placebo treatment is administered subcutaneous (s.c.) weekly for the first 3 doses, then bi-weekly from Week 2 to Week 22 in Period 1. |
| Cohort 1 / Arm D1 (Period 2) | EXPERIMENTAL | Period 2: 3 weekly subcutaneous (s.c.) loading doses of 600 mg iscalimab on Week 24, 25 and 26. After Week 26 and up to Week 46 (last dose), iscalimab was administered bi-weekly at 600 mg. |
| Cohort 2 / Arm E | EXPERIMENTAL | 3 weekly subcutaneous (s.c.) loading doses of iscalimab were 600 mg on Week 0, 1 and 2. From Week 2 and up to Week 46 (last dose), iscalimab was administered s.c. bi-weekly at 600 mg. To maintain blinding in Period 2, placebo was administered at Week 25. |
| Cohort 2 / Arm F (Period 1) | PLACEBO_COMPARATOR | Placebo treatment was administered subcutaneous (s.c.) weekly for the first 3 doses, then bi-weekly from Week 2 to Week 22 in Period 1. |
| Cohort 2 / Arm F1 (Period 2) | EXPERIMENTAL | Period 2: 3 weekly subcutaneous (s.c.) loading doses of iscalimab: 600 mg on Week 24, and 300 mg on Week 25 and Week 26. After Week 26, iscalimab was administered s.c. bi-weekly at 300 mg. |
| Cohort A - CFZ533 600 mg | EXPERIMENTAL | CFZ533 600 mg administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15. |
| Cohort B - LYS006 20 mg | EXPERIMENTAL | LYS006 20 mg administered orally twice per day until Week 16. |
| Cohort A - Placebo to CFZ533 | PLACEBO_COMPARATOR | Placebo administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15. |
| Cohort B - Placebo to LYS006 | PLACEBO_COMPARATOR | Placebo administered orally twice per day until Week 16. |
| Cohort C - MAS825 300 mg | EXPERIMENTAL | MAS825 300 mg administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13. |
| Cohort C - Placebo to MAS825 | PLACEBO_COMPARATOR | Placebo administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13. |
| Cohort D - LOU064 25mg | EXPERIMENTAL | LOU064 25 mg administered orally twice per day until Week 16. |
| Cohort D - LOU064 100mg | EXPERIMENTAL | LOU064 100 mg administered orally twice per day until Week 16. |
| Cohort D - Placebo to LOU064 | PLACEBO_COMPARATOR | Placebo administered orally twice per day until Week 16. |
| Cohort E - VAY736 300 mg | EXPERIMENTAL | VAY736 300 mg administered s.c every 4 weeks until Week 13. |
| Cohort E - Placebo to VAY736 | PLACEBO_COMPARATOR | Placebo administered s.c every 4 weeks until Week 13. |
| CFZ533 10mg/kg | EXPERIMENTAL | CFZ533 intravenously over approximately one hour |
| Regimen A | EXPERIMENTAL | CFZ533 administered with the contemporary standard of care (SoC) consists of concentration-controlled tacrolimus (Tac), combined with mycophenolate mofetil (MMF) and corticosteroids (CS). |
| Regimen B | EXPERIMENTAL | CFZ533 administered with mycophenolate mofetil (MMF) and corticosteroids (CS) with anti-IL2 induction |
| Regimen C | ACTIVE_COMPARATOR | Standard of care (SoC) \[concentration-controlled tacrolimus (Tac) combined with mycophenolate mofetil (MMF) and corticosteroids (CS) with anti-IL2 induction\] |
| CFZ533 in healthy volunteers | EXPERIMENTAL | CFZ533 single dose in healthy volunteers |
| CFZ533 in rheumatoid arthritis patients | EXPERIMENTAL | CFZ533 single dose in rheumatoid arthritis patients |
| Name | Type | Description |
|---|---|---|
| CFZ533 | DRUG | First dose is administered via intravenous infusion, subsequent doses are administered subcutaneously. |
| Placebo | OTHER | Placebo for active drug |
| Placebo to CFZ533 | DRUG | Placebo administered subcutaneous (s.c) weekly for 4 weeks, followed by bi-weekly until Week 15. |
| LYS006 | DRUG | LYS006 20 mg administered orally twice per day until Week 16. |
| Placebo to LYS006 | DRUG | Placebo administered orally twice per day until Week 16. |
| MAS825 | DRUG | MAS825 300 mg administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13. |
| Placebo to MAS825 | DRUG | Placebo administered s.c. bi-weekly for 4 weeks, followed by monthly until Week 13. |
| LOU064 25mg | DRUG | LOU064 25 mg administered orally twice per day until Week 16. |
| LOU064 100mg | DRUG | LOU064 100 mg administered orally twice per day until Week 16. |
| Placebo to LOU064 | DRUG | Placebo administered orally twice per day until Week 16. |
| VAY736 | DRUG | VAY736 300 mg administered s.c every 4 weeks until Week 13. |
| Placebo to VAY736 | DRUG | Placebo administered s.c every 4 weeks until Week 13. |
| Tacrolimus (Tac) | DRUG | - |
| Mycophenolate mofetil (MMF) | DRUG | - |
| Corticosteroids (CS) | DRUG | - |
| anti-IL2 Induction | BIOLOGICAL | - |
Inclusion Criteria: 1. Written informed consent, and if needed assent from the child on the trial, must be obtained before any assessment is performed. 2. Males and females aged between 12 and 21 years (inclusive, and enrolled in stages) at screening. 3. Body weight range from 30 to 125 kg (inclusi...
CFZ533 is an investigational small molecule being developed by Novartis for multiple indications including hidradenitis suppurativa, type 1 diabetes mellitus, Graves' disease, rheumatoid arthritis, kidney transplantation, and generalized myasthenia gravis. It is currently in Phase 2 clinical development for these conditions.
CFZ533 targets CD40, a costimulatory molecule on immune cells. By modulating CD40 signaling, it aims to regulate immune responses involved in autoimmune and inflammatory diseases. This mechanism is being studied across several indications, including rheumatoid arthritis and kidney transplantation.
CFZ533 is developed by Novartis AG, a global pharmaceutical company listed on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of CFZ533 across multiple therapeutic areas.
CFZ533 is in Phase 2 clinical development. It has completed Phase 1 and Phase 2 trials in conditions such as rheumatoid arthritis, kidney transplantation, and myasthenia gravis, and is currently in an active Phase 2 trial for hidradenitis suppurativa.
CFZ533 has been studied in several clinical trials. Completed trials include NCT02089087 in rheumatoid arthritis, NCT02217410 in kidney transplantation, and NCT02565576 in myasthenia gravis. An active Phase 2 trial, NCT03827798, is evaluating CFZ533 in hidradenitis suppurativa.
CFZ533 is not FDA approved. It is an investigational drug currently in Phase 2 clinical trials. Novartis is evaluating its safety and efficacy for multiple indications, but it has not yet received regulatory approval for any use.