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NCT05430854: RECAST SLE OLE

Study of Daxdilimab (HZN-7734) for the Treatment of Systemic Lupus Erythematosus in an Open-label Extension Study

Terminated Phase 2 Results posted Last updated 19 September 2024
What this trial tests

Phase 2 trial testing Daxdilimab in Systemic Lupus Erythematosus in 155 participants. Terminated before completion.

Timeline
1 June 2022
Primary endpoint
31 October 2023
31 October 2023

Quick facts

Lead sponsorAmgen
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment155
Start date1 June 2022
Primary completion31 October 2023
Estimated completion31 October 2023
Sites52 locations across Greece, Serbia, Taiwan, Poland, Mexico, Argentina, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 18 to 72, any sex, with Systemic Lupus Erythematosus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs) Primary · Up to approximately 56 weeks

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an IP, whether or not considered related to the IP. A TEAE is defined as any AE with an onset date on or after the first dose date in the OLE study.

GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W25
Daxdilimab 200 mg Q4W in Parent Study31
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W31
Number of Participants Who Experienced Serious Adverse Events (SAEs) Primary · Up to approximately 56 weeks

An AE is considered "serious" if, in the view of either the Investigator or Sponsor, it results in any of the following outcomes: * Death * A life-threatening AE * Inpatient hospitalization or prolongation of existing hospitalization * Persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions * A congenital abnormality/birth defect * Important medical events judged to jeopardize the participant(s).

GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W3
Daxdilimab 200 mg Q4W in Parent Study5
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W5
Number of Participants Who Experienced AEs of Special Interest (AESI) Primary · Up to approximately 56 weeks

An AESI is an AE of scientific and medical interest specific to understanding of the IP and may require close monitoring and collection of additional information by the Investigator. In this study, AESIs were: * Hypersensitivity reaction, including anaphylaxis * Severe (Grade 3 or higher) viral infections/reactivations * Opportunistic infections * Malignancy (except non-melanoma skin cancer).

GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W1
Daxdilimab 200 mg Q4W in Parent Study2
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W1
Serum Concentration of Daxdilimab Secondary · Week 0 (Week 0 = Day 1), Week 12, Week 24, Week 36, Week 48, Week 56

Serum concentration of daxdilimab refers to the amount of daxdilimab present in the blood serum at a given time. Blood samples were collected via venipuncture at the specified time frames. Week 0 corresponds to the last day of the treatment period in the parent study and Day 1 of the treatment period in the OLE study.

Week 0
GroupValue95% CI
Daxdilimab 200 mg Q4W in Parent Study5.527± 4.412
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0.458± 0.614
Week 12
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0.291± 0.390
Daxdilimab 200 mg Q4W in Parent Study0.502± 0.740
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0.400± 0.520
Week 24
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0.414± 0.575
Daxdilimab 200 mg Q4W in Parent Study0.398± 0.531
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0.437± 0.437
Week 36
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0.508± 0.616
Daxdilimab 200 mg Q4W in Parent Study0.464± 0.467
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W1.002± 1.404
Week 48
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0.813± 1.044
Daxdilimab 200 mg Q4W in Parent Study0.380± 0.395
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0.815± 0.759
Week 56
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0.399± 0.251
Daxdilimab 200 mg Q4W in Parent Study0.146± 0.009
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0.997± 0.898
Change From Baseline in Plasmacytoid Dendritic Cell (pDCs) Count Secondary · Week 0 (Week 0 = Day 1), Week 12, Week 24, Week 36, Week 48, Week 56

PDCs count refers to the number of pDCs present in a blood sample. Blood samples were collected via venipuncture at the specified time frames. Week 0 corresponds to the last day of the treatment period in the parent study and Day 1 of the treatment period in the OLE study.

Week 0
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W70.59± 225.39
Daxdilimab 200 mg Q4W in Parent Study-58.37± 36.19
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W-30.40± 50.67
Week 12
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W1.33± 142.08
Daxdilimab 200 mg Q4W in Parent Study13.57± 158.14
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W-21.25± 66.97
Week 24
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W-14.39± 164.63
Daxdilimab 200 mg Q4W in Parent Study-24.98± 79.85
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W-19.86± 77.23
Week 36
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W13.64± 255.67
Daxdilimab 200 mg Q4W in Parent Study-41.36± 41.29
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W-51.11± 35.28
Week 48
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W-49.47± 34.54
Daxdilimab 200 mg Q4W in Parent Study-58.65± 43.33
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W-4.44± 74.93
Week 56
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W-75.22± 14.11
Daxdilimab 200 mg Q4W in Parent Study-43.13± 49.49
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W4.15± 96.43
Number of Participants Expressing Anti-drug Antibodies (ADA) Secondary · Up to approximately 56 weeks

ADA incidence is the number of the participants with ADA positive post-Baseline only or boosted their preexisting ADA during the trial. Persistent positive was defined as ADA positive at ≥ 2 post-Baseline assessments (with ≥ 16 weeks between first and last positive) or positive at last post-Baseline assessment. Transient positive was defined as ADA post-Baseline positive but did not fulfill the criteria of persistent positive.

ADA not detected
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W34
Daxdilimab 200 mg Q4W in Parent Study48
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W44
ADA Incidence
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W7
Daxdilimab 200 mg Q4W in Parent Study6
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W4
Only Baseline positive
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W0
Daxdilimab 200 mg Q4W in Parent Study3
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W0
Only post-Baseline positive
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W6
Daxdilimab 200 mg Q4W in Parent Study3
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W3
Both Baseline and post-Baseline positive
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W7
Daxdilimab 200 mg Q4W in Parent Study3
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W2
Persistent positive
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W4
Daxdilimab 200 mg Q4W in Parent Study3
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W2
Transient positive
GroupValue95% CI
Placebo/Daxdilimab 200 mg Q12W9
Daxdilimab 200 mg Q4W in Parent Study3
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W3

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to approximately 56 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo/Daxdilimab 200 mg Q12W
Serious: 3/47 (6%)
Deaths: 0/47
Daxdilimab 200 mg Q4W in Parent Study
Serious: 5/57 (9%)
Deaths: 0/57
Daxdilimab 200 mg Q12W/Daxdilimab 200 mg Q12W
Serious: 5/51 (10%)
Deaths: 0/51

Serious adverse events (14 terms)

ReactionSystemPlacebo/Daxdilimab 200 mg …Daxdilimab 200 mg Q4W in P…Daxdilimab 200 mg Q12W/Dax…
Iron deficiency anaemiaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Myocardial ischaemiaCardiac disorders
CholelithiasisHepatobiliary disorders
AppendicitisInfections and infestations
Cytomegalovirus nephritisInfections and infestations
Dengue feverInfections and infestations
Device related sepsisInfections and infestations
MeningitisInfections and infestations
Intervertebral disc disorderMusculoskeletal and connective tissue disorders
Colorectal adenocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Transient ischaemic attackNervous system disorders
Glomerulonephritis minimal lesionRenal and urinary disorders
Other adverse events (12 terms — click to expand)

ReactionSystemPlacebo/Daxdilimab 200 mg …Daxdilimab 200 mg Q4W in P…Daxdilimab 200 mg Q12W/Dax…
Urinary tract infectionInfections and infestations
COVID-19Infections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DepressionPsychiatric disorders
InsomniaPsychiatric disorders

Most-reported serious reactions: Iron deficiency anaemia, Pancytopenia, Myocardial ischaemia, Cholelithiasis, Appendicitis, Cytomegalovirus nephritis, Dengue fever, Device related sepsis.

Data from ClinicalTrials.gov NCT05430854 adverse events section.

Sponsor's own description

A Phase 2, Open-Label Extension study to evaluate the long-term safety and tolerability of daxdilimab in participants with Systemic Lupus Erythematosus completing the treatment period of the RECAST SLE clinical study.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Molecular Mechanisms Behind the Role of Plasmacytoid Dendritic Cells in Systemic Sclerosis.
    Silva IS, Ferreira BH, Almeida CR. · · 2023 · cited 17× · PMID 36829561 · DOI 10.3390/biology12020285

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05430854.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing