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Induction of Regulatory t Cells by Low Dose il2 in Autoimmune and Inflammatory Diseases (TRANSREG)

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2016 by Assistance Publique - Hôpitaux de Paris
Iltoo Pharma
Information provided by (Responsible Party):
Assistance Publique - Hôpitaux de Paris Identifier:
First received: November 7, 2013
Last updated: December 12, 2016
Last verified: December 2016
TRANSREG will assess the safety and biological efficacy of low-dose IL2 as a Treg inducer in a set of 12 autoimmune and auto-inflammatory diseases, with the aim to select diseases in which further therapeutic development will be performed. Extensive biological- and immune-monitoring pre- and post-IL2 will contribute (i) to define the common or distinct processes responsible for the breakdown of immunological tolerance in these pathologies and (ii) to discover potential biomarkers of the IL2 response.

Condition Intervention Phase
Rheumatoid Arthritis
Ankylosing Spondylitis
Systemic Lupus Erythematosus
Behcet's Disease
Wegener's Granulomatosis
Takayasu's Disease
Crohn's Disease
Ulcerative Colitis
Autoimmune Hepatitis
Sclerosing Cholangitis
Drug: Interleukin 2
Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Induction of Regulatory t Cells by Low Dose IL2 in Autoimmune and Inflammatory Diseases: a Transnosographic Approach

Resource links provided by NLM:

Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:
  • Percentages of Tregs [ Time Frame: Day8 ]
    Change in Treg percentage (percentages of Tregs within the CD4+ lymphocytes) at Day-8 after administration of low-dose of IL2 compared to baseline (Day0)

Secondary Outcome Measures:
  • Percentages of Tregs [ Time Frame: Day 15, 29, 85, 183, 240, 360 and 540 ]
    Changes in Treg percentage at Day 15, 29, 85, 183, 240, 360 and 540 compared to baseline (Day0)

  • CRP, CRP ulta sensible, PCT, Albumin, LDH, anemia [ Time Frame: Day 0, 1, 8, 15, 29, 85, 183, 240, 360 and 540 ]
    Changes in levels of inflammation markers

  • Number of relapses [ Time Frame: up to Day540 ]
  • CGI-sev and CGI-eff scales [ Time Frame: Day 85, 183, 240, 360 and 540 ]
    Change in the clinical global impression severity and efficacy scale (CGI-sev and scale, CGI-eff scales) at Day 85, 183, 240, 360 and 540 compared to baseline (Day1)

  • EuroQL-5 scale [ Time Frame: Day 183 ]
    Change in the quality of life (EuroQL-5 scale)

  • Evolution of clinical, biological or radiological criteria specific to each disease [ Time Frame: up to Day 540 ]
    Changes in disease-specific score and/or evolution of clinical, biological or radiological criteria specific to each disease

  • Safety Assessment [ Time Frame: up to Day 540 ]
    Safety Assessment all along the observation period (Day-1 to Day-240): Safety assessment will include vital signs, adverse events and concomitant medications collection as well as biology during the 6 months of the treatment period; .In addition, the evolution of the disease will be followed 2,5 months after IL2- treatment stop.

Estimated Enrollment: 132
Study Start Date: January 2014
Estimated Study Completion Date: August 2018
Estimated Primary Completion Date: January 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Interleukin 2
Interleukin 2, 1MUI.= Proleukin®, RhIL-2
Drug: Interleukin 2
Induction period: repeated administration of low-dose IL-2 (1MUI/day, sc) during 5 consecutive days.Maintenance period: treatment with IL-2, 1MUI once every 15 days (except systemic lupus erythematosus's patients every 7 days) for 6 months

Detailed Description:
Protocol: TRANSREG is a multicentric, uncontrolled, open-label study, comparing biological and clinical responses to the administration of low doses IL2 across 12 selected pathologies: rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, psoriasis, Behcet's disease, Wegener's granulomatosis, Takayasu's disease, Crohn's disease, ulcerative colitis, autoimmune hepatitis, sclerosing cholangitis and Gougerot-sjögren. Methods: Each patient will receive 1MUI /day of IL2 from Day-1 to Day-5 (the induction period), and then every 2 weeks (except systemic lupus erythematosus's patients will received every week) from Day-15 to Day-180 (the maintenance period). Patients will thereafter be followed up for 12 months (Day-181-Day-540). For each pathology, 6 patients will be included at Pitié-Salpêtrière, Cochin, Saint Antoine and Paul Brousse hospitals in Paris. An interim analysis will be performed in each pathology group when the first six patients have received at least 3 months of treatment. In those pathology groups in which a Treg response will be documented, six additional patients will be included. In total, a minimum of 72 patients and up to 132 patients will be enrolled in this study. Primary efficacy endpoint is the Treg response at Day-8. Secondary endpoints are:- the Treg response during the maintenance period,- the changes in markers of inflammation - the clinical response, evaluated by means of global generic scales [Clinical Global Impression severity scale (CGI-sev) and Clinical Global Impression efficacy index (CGI-eff)] as well as specific clinical and biological evaluations for each disease, - the frequency of relapses, - the assessment of quality of life (scale EuroQL-5).Expected Results: TRANSREG will define which patients respond to IL2, whether per pathology or according to pre-treatment phenomics, allowing to guide further clinical development of low dose IL2 in autoimmune and auto-inflammatory diseases.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • age > 18 year
  • male or female
  • documented diagnosis of one AIID among the 12 diseases selected (following consensual specific criteria)
  • stable or moderately active disease under standard treatment (≥ 2 months) at the time of inclusion,
  • normal thyroid function (with or without treatment)
  • effective contraception for more than two weeks at inclusion and negative beta HCG test for women of childbearing potential,
  • affiliated to the social security system
  • written informed consent form.

Exclusion Criteria:

  • known intolerance for IL2 (see SPC),
  • administration of a non-authorized treatment and/or IV bolus of corticosteroids in the last 2 months,
  • vaccination with live attenuated virus in the months preceding the inclusion or planned during the study
  • other severe or progressive autoimmune/inflammatory pathology,
  • low white blood cell count<2000/mm3, lymphocytes <600/mm3, platelets <80 000/mm3,
  • heart failure (≥ grade III NYHA), renal insufficiency (Cockcroft< 60ml/mn except patients with lupus or Wegener's granulomatosis) or hepatic insufficiency (transaminases> 5N except for patients with autoimmune hepatitis), or lung failure,
  • significant abnormality in chest X-ray other than these linked to the diseases under investigation
  • cancer or history of cancer cured for less than five years (except in situ carcinoma of the cervix or basocellular carcinoma)
  • poor venous access not allowing repeated blood tests,
  • restrictive diet or parenteral nutrition,
  • surgery during the last 2 months or surgery planned during the study,
  • participation in other biomedical research in the last 3 months or planned during the study.
  • pregnant or lactating women,
  • concomitant psychiatric disease or any other chronic illness or drug-abuse that could interfere with the ability to comply with the protocol or to give informed consent,
  • positive HIV serology, active hepatitis B or EBV infection,
  • patients under a measure of legal protection
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01988506

Contact: David KLATZMANN, MD, PhD +33(0) 1 42 17 74 61
Contact: Roberta LORENZON, MD +33(0) 1 42 17 74 61

Service d' Hépato Gastro Entérologie - Hôpital SAINT-ANTOINE Recruiting
Paris, Ile de France, France, 75012
Contact: Olivier CHAZOUILLERES, MD, PhD    33   
Principal Investigator: Olivier CHAZOUILLERES, MD, PhD         
Service de Gastro Entérologie - Hôpital SAINT-ANTOINE Recruiting
Paris, Ile de France, France, 75012
Contact: Laurent Beaugerie, MD, PhD    33 1 .   
Principal Investigator: Laurent BEAUGERIE, MD, PhD         
Service de Rhumatologie - Hôpital SAINT-ANTOINE Recruiting
Paris, Ile de France, France, 75012
Contact: Francis Berenbaum, MD, PhD    33 1 .   
Principal Investigator: Francis. BERENBAUM, MD, PhD         
CIC - Hôpital PITIE SALPETRIERE Recruiting
Paris, Ile de France, France, 75013
Contact: Roberta LORENZON, MD    33 1 .   
Principal Investigator: Nathalie Nicolas, MD         
Service de Médecine Interne - Hôpital PITIE SALPETRIERE Recruiting
Paris, Ile de France, France, 75013
Contact: Patrice CACOUB, MD, PhD    33 1   
Principal Investigator: Patrice CACOUB, MD, PhD         
Service de Rhumatologie - Hôpital PITIE SALPETRIERE Recruiting
Paris, Ile de France, France, 75013
Contact: Bruno FAUTREL, MD, PhD    33 1 .   
Principal Investigator: Bruno FAUTREL, MD, PhD         
Service de Dermatologie - Hôpital COCHIN Recruiting
Paris, Ile de France, France, 75014
Contact: Salim Aractingi, MD, PhD    + 33 1 56 01 64 62   
Principal Investigator: ARACTINGI Selim, MD, PhD         
Centre Hépato-Biliaire - Hôpital Paul Brousse Not yet recruiting
Villejuif, Ile de France, France, 94800
Contact: Jean-Charles DUCLOS-VALLEE, MD, PhD    33 1 45 59 64 33   
Médecine interne - Hôpital Saint-Antoine Recruiting
Paris, France, 75012
Contact: Olivier FAIN, MD, PhD    33 1 49 28 21 04   
Principal Investigator: Olivier FAIN, MD, PhD         
Service de médecine vasculaire - HEGP Not yet recruiting
Paris, France, 75015
Contact: Emmanuel MESSAS, MD, PhD    33 1 56 09 22 89   
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
Iltoo Pharma
Principal Investigator: David KLATZMANN, MD, PhD Assistance Publique - Hôpitaux de Paris
  More Information

Responsible Party: Assistance Publique - Hôpitaux de Paris Identifier: NCT01988506     History of Changes
Other Study ID Numbers: P130101
2013-001232-22 ( EudraCT Number )
Study First Received: November 7, 2013
Last Updated: December 12, 2016
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by Assistance Publique - Hôpitaux de Paris:
Interleukin 2,
Proleukin®, RhIL-2
Auto-immune disease
Inflammatory disease
Regulatory T cells,
Immune tolerance

Additional relevant MeSH terms:
Granulomatosis with Polyangiitis
Arthritis, Rheumatoid
Crohn Disease
Colitis, Ulcerative
Lupus Erythematosus, Systemic
Spondylitis, Ankylosing
Hepatitis, Autoimmune
Behcet Syndrome
Cholangitis, Sclerosing
Takayasu Arteritis
Aortic Arch Syndromes
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Skin Diseases, Papulosquamous
Skin Diseases
Inflammatory Bowel Diseases
Gastrointestinal Diseases
Digestive System Diseases
Intestinal Diseases
Colonic Diseases processed this record on May 25, 2017