Single-dose study of canakinumab in patients with active SJIA
Research type
Research Study
Full title
A randomised, double-blind, placebo controlled, single-dose study to assess the initial efficacy of canakinumab (ACZ885) with respect to the adapted ACR Paediatric 30 criteria in patients with Systemic Juvenile Idiopathic Arthritis (SJIA) and active systemic manifestations
IRAS ID
37810
Contact name
Patricia Woo
Sponsor organisation
Novartis Pharma Services AG
Eudract number
2008-005476-27
Clinicaltrials.gov Identifier
Research summary
Systemic juvenile idiopathic arthritis (SJIA) is the most common form of persistent arthritis in children. Affected children may develoflulike symptoms including an intermittent fever, a faint rash, lethargy, reduced physical activity, and poor appetite. Ultimately, all patients will develop swelling and pain of some joints (arthritis). The disease symptoms often flare, meaning they come and go. Late effects can include stiff or bent joints and joint damage. In addition, internal organs may be involved and that can lead to inflammation of the organ and or its surrounding membrane (serositis). Possible treatments for SJIA include non-steroidal anti-inflammatory drugs (NSAID), corticosteroids, and methotrexate. Canakinumab is an antibody that works by binding to and neutralising human IL-1 ǟÂ÷, a specialised protein (cytokine) recognized as a main factor involved in a variety of inflammatory conditions, including SJIA. It was shown to be an effective treatment in such patients in an earlier small study. This study is a short 4-week study to look at the initial efficacy of canakinumab in patients with SJIA. Improvement in patients SJIA symptoms will be defined as an adapted ACR Paediatric Response 30 and above (the ACR Paediatric Response is a standardised scoring system developed by the American College of Rheumatology and is used to assess patients disease severity).
REC name
London - Bloomsbury Research Ethics Committee
REC reference
09/H0713/72
Date of REC Opinion
8 Mar 2010
REC opinion
Further Information Favourable Opinion