Targeting CD38 with Daratumumab in Primary Antiphospholipid Syndrome: A Phase 1b Dose Escalation Safety Trial
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Primary Antiphospholipid Syndrome
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Age: Between 18 Year(s) - 56 Year(s)
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Gender: Male or Female
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Other Inclusion Criteria:
- The completion of the following vaccinations at least 14 days prior to Visit 0:
- COVID-19 primary vaccination series according to FDA authorization and the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP), and defined as either:
- Two doses of a Pfizer-BioNTech or Moderna mRNA COVID-19 vaccine, or
- One dose of the Janssen COVID-19 vaccine, or
- A primary vaccination series with any other FDA approved or authorized COVID-19 vaccine, and
- COVID-19 booster immunization(s), according to the CDC ACIP, and
- At least one dose of the herpes zoster vaccination series, and
- Current seasonal influenza vaccine, if available.
- COVID-19 primary vaccination series according to FDA authorization and the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP), and defined as either:
- History of APS
- The completion of the following vaccinations at least 14 days prior to Visit 0:
You may not be eligible for this study if the following are true:
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- Inability or unwillingness to give written informed consent.
- Inability or unwillingness to comply with study protocol.
- Systemic autoimmune diseases other than APS.
- Catastrophic APS classification within the prior 90 days.
- Acute arterial or venous thrombosis within the prior 30 days.
- Unwilling or unable to undergo anticoagulation with warfarin or low molecular weight heparin (LMWH), if there is a history of arterial or venous thrombosis.
- Plasma exchange within the prior 90 days.
- Hemodialysis within the prior 90 days.
- Major surgical procedure within the prior 60 days.
- Known allergy, hypersensitivity, or intolerance to boron, malitol, sorbitol, corticosteroids, monoclonal antibodies including daratumumab, human proteins, or their excipients.
- Allergy, intolerance, or contraindication to acyclovir, valacyclovir, and famciclovir.
- History of primary immunodeficiency.
- History of solid organ or hematopoietic stem cell transplantation.
- Comorbidities requiring systemic corticosteroid therapy, including those which have required three or more courses of systemic corticosteroids within the 12 months prior to Visit 0.
- Pulmonary hypertension.
- Poorly controlled diabetes.
- Concomitant malignancy or history of malignancy, except adequately treated or excised nonmetastatic squamous cell carcinoma, basal cell skin carcinoma, or cervical carcinoma in situ.
- Clinically significant cardiac disease.
- Severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, pulmonary, cardiac, or neurological disease.
- Pregnancy, or planning a pregnancy during the 48 week study duration.
- Breast-feeding.
- Unwillingness to use medically acceptable non-prothrombotic contraception if of reproductive potential and engaging in sexual activity that could lead to pregnancy.
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