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A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis

Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis on Background of Cyclophosphamide or Rituximab Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01363388
Enrollment
67
Registered
2011-06-01
Start date
2011-09-30
Completion date
2016-01-31
Last updated
2025-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Vasculitis

Brief summary

The aim of this trial is to optimize the treatment to induce remission for patients with non-life-threatening anti-neutrophil cytoplasmic antibody vasculitis (AAV). The intent is to reduce the toxicity of induction therapy by reducing the overall exposure to or eliminating entirely the use of systemic corticosteroids during the induction period with an inhibitor of the complement C5a receptor plus cyclophosphamide or rituximab.

Detailed description

The primary safety objective of this study is to evaluate the safety and tolerability of CCX168 in subjects with AAV on background cyclophosphamide or rituximab treatment. The primary efficacy objective is to evaluate the efficacy of CCX168 based on the Birmingham Vasculitis Activity Score (BVAS) version 3. The secondary objectives of this study include assessment of the feasibility of reducing or eliminating the use of corticosteroids in the treatment of subjects with ANCA-associated vasculitis without the need for rescue corticosteroid measures and the effect of CCX168 on several disease parameters. Study acquired by Amgen and all disclosures were done by previous sponsor ChemoCentryx.

Interventions

DRUGPlacebo

BID for 84 days

DRUGCCX168

BID for 84 days

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Clinical diagnosis of granulomatosis with polyangiitis (Wegener's), microscopic polyangiitis or renal limited vasculitis * Male and postmenopausal or surgically sterile female subjects aged at least 18 years with new or relapsed AAV where treatment with cyclophosphamide or rituximab would be required * Positive indirect immunofluorescence (IIF) test for P-ANCA or C-ANCA, or positive ELISA test for anti-proteinase-3 (PR3) or anti-myeloperoxidase (MPO) at screening * Estimated glomerular filtration rate (eGFR) ≥ 20mL/min * Have at least one major item, or at least 3 non-major items, or at least 2 renal items on the BVAS version 3 Key

Exclusion criteria

* Severe disease as determined by rapidly progressive glomerulonephritis, alveolar hemorrhage, hemoptysis, rapid-onset mononeuritis multiplex or central nervous system involvement * Any other multi-system autoimmune disease * Medical history of coagulopathy or bleeding disorder * Received cyclophosphamide within 12 weeks of screening; if on azathioprine, mycophenolate mofetil or methotrexate at the time of screening, these drugs must be withdrawn prior to receiving the cyclophosphamide or rituximab dose on Day 1 * Received high-dose intravenous corticosteroids within 4 weeks of screening * On an oral dose of a corticosteroid of more than 10mg prednisone-equivalent at the time of screening * Received rituximab or other B-cell antibody within 52 weeks of screening or 26 weeks provided B cell reconstitution has occurred; received anti-TNF treatment, abatacept, alemtuzumab, IVIg or plasma exchange within 12 weeks of screening

Design outcomes

Primary

MeasureTime frameDescription
Proportion of Subjects Achieving Disease Response at Day 85Baseline to Day 85Disease response is defined as BVAS percentage reduction from baseline of at least 50% plus no worsening in any body system component.

Secondary

MeasureTime frameDescription
Proportion of Subjects Achieving Urinary RBC Count <=5/Hpf at Any Time During the 84-day Treatment PeriodBaseline to Day 85In subjects with baseline hematuria \>5 RBCs/hpf (Red Blood Cell/High Power Field)
Proportion of Patients Achieving Renal Response at Day 85Baseline to Day 85Renal response, assessed in patients with hematuria and albuminuria at baseline, and defined as an improvement in renal parameters, i.e., an increase from baseline to Day 85 in eGFR (Estimated glomerular filtration rate), MDRD (Modification of Diet in Renal Disease), serum creatinine equation, a decrease from baseline to Day 85 in haematuria (central laboratory microscopic count of urinary red blood cells) , decrease from baseline to Day 85 in albuminuria count (first morning UACR (urinary albumin:creatinine ratio).
Proportion of Subjects Achieving Disease Remission at Day 85Day 85Disease remission is defined as BVAS (Birmingham Vasculitis Activity Score) of 0 or 1 plus no worsening in eGFR (Estimated glomerular filtration rate) and urinary RBC (Red Blood cell) count \<10/high power field (hpf)
Percent Change From Baseline to Day 85 in BVASBaseline to Day 85Percent change in Burmingham Vasculitis Index Score (BVAS) at week 12, higher percentage change indicates worse outcome BVAS = Birmingham Vasculitis Activity Score The BVAS form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health). A negative percentage change indicated improvement in health.
Change From Baseline to Day 85 in eGFRBaseline to Day 85eGFR (Estimated glomerular filtration rate) based on the MDRD (Modification of Diet in Renal Disease) formula using serum creatinine
Time to First Achieving Urinary RBC Count <=5/Hpf at Any Point During the 84-day Treatment PeriodBaseline to Day 85In subjects with baseline hematuria \<=5 RBCs/hpf (Red Blood Cell/High Power Field)
Proportion of Subjects Achieving Urinary RBC Count <30/Hpf at Any Time During the 84-day Treatment PeriodBaseline to Day 85In subjects with baseline hematuria \>=30 RBCs/hpf,(Red Blood Cell/High Power Field)
Percent Change From Baseline to Day 85 in eGFRBaseline to Day 85eGFR (Estimated glomerular filtration rate) based on the MDRD (Modification of Diet in Renal Disease) formula using serum creatinine
Percent Change From Baseline to Day 85 in Urinary RBC CountBaseline to day 85In subjects with hematuria at baseline, RBC (Red Blood Cell)
Percent Change From Baseline to Day 85 in UACRBaseline to Day 85In subjects with albuminuria at baseline UACR (urinary albumin:creatinine ratio)
Percent Change From Baseline to Day 85 in Urinary MCP-1:Creatinine RatioBaseline to Day 85Urinary Monocyte Chemoattractant Protein-1 (MCP-1):creatinine ratio
Proportion of Subjects Requiring Rescue IV or Oral Glucocorticoid TreatmentBaseline to Day 85
Change From Baseline to Day 85 in the Vasculitis Damage IndexBaseline to Day 85VDI=Vasculitis Damage Index; The VDI is comprised of 64 items of damage, grouped into 11 organ-based systems or categorizations. Damage is defined as the presence of non-healing scars and does not give any indication of current disease activity. Damage is also defined as having been present or currently present for at least 3 months. Completion of the form provides a numerical score, which ranges from 0 (best health) to 64 (worst health).
Change From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2Baseline, Day 29 & Day 85SF-36v2: Medical Outcomes Survey Short Form-36 version 2. SF-36v2 measures each of the following eight health domains: Physical Functioning, Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. Scores on each item are summed and averaged. The SF-36v2 component domain scores range from 0 (worst health) to 100 (best health).
Change From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LBaseline, Day 29 and Day 85EQ-5D-5L: EuroQuality of Life-5 Domains-5 Levels. The EQ-5D-5L consists of 2 pages: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The answers given can be converted into an Index Score ranging from 0 for death to 1 for perfect health. The EQ-5D questionnaire also includes a Visual Analog Scale (VAS), by which respondents can report their perceived health status with a grade ranging from 0 (the worst imaginable health) to 100 (the best imaginable health).
Time to First Achieving Urinary RBC Count <=30/Hpf at Any Point During the 84-day Treatment PeriodBaseline to Day 85In subjects with baseline hematuria \<=30 RBCs/hpf (Red Blood Cell/High Power Field)

Countries

Austria, Belgium, Czechia, France, Germany, Hungary, Netherlands, Poland, Sweden, United Kingdom

Participant flow

Participants by arm

ArmCount
Placebo BID Plus 60 mg Prednisone
Drug: Placebo BID plus 60 mg prednisone
23
CCX168 30 mg BID Plus 20 mg Prednisone
Drug: CCX168 30 mg BID plus 20 mg prednisone
22
CCX168 30 mg BID Without Prednisone
Drug: CCX168 30 mg BID without prednisone
22
Total67

Baseline characteristics

CharacteristicCCX168 30 mg BID Plus 20 mg PrednisonePlacebo BID Plus 60 mg PrednisoneTotalCCX168 30 mg BID Without Prednisone
Age, Continuous57.0 years
STANDARD_DEVIATION 14.2
59.1 years
STANDARD_DEVIATION 14
57.9 years
STANDARD_DEVIATION 13.9
57.4 years
STANDARD_DEVIATION 14
Albumin: creatinine ratio278.6 mg/g353.9 mg/g303.8 mg/g283.4 mg/g
ANCA- associated vasculitis disease duration at screening0.0 months0.0 months0.0 months1.0 months
ANCA disease status
Newly diagnosed
15 Participants18 Participants49 Participants16 Participants
ANCA disease status
Relapsed
7 Participants5 Participants18 Participants6 Participants
ANCA status categorical
ANCA equivocal
0 Participants0 Participants1 Participants1 Participants
ANCA status categorical
ANCA negative
0 Participants1 Participants1 Participants0 Participants
ANCA status categorical
Anti-MPO positive
12 Participants10 Participants35 Participants13 Participants
ANCA status categorical
Anti-PR3 positive
10 Participants11 Participants29 Participants8 Participants
ANCA status categorical
Both anti-MPO positive and anti-PR3 positive
0 Participants1 Participants1 Participants0 Participants
Background treatment
Cyclophosphamide
17 Participants20 Participants54 Participants17 Participants
Background treatment
Rituximab
5 Participants3 Participants13 Participants5 Participants
BMI24.9 kg/m^2
STANDARD_DEVIATION 4.05
27.3 kg/m^2
STANDARD_DEVIATION 7.09
26.3 kg/m^2
STANDARD_DEVIATION 5.49
26.5 kg/m^2
STANDARD_DEVIATION 4.66
BVAS total score14.3 units on a scale
STANDARD_DEVIATION 5.98
13.2 units on a scale
STANDARD_DEVIATION 5.8
13.7 units on a scale
STANDARD_DEVIATION 5.98
13.8 units on a scale
STANDARD_DEVIATION 6.38
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants23 Participants67 Participants22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Glomerular filtration rate (MDRD)52.5 mL/min/1.73 m2
STANDARD_DEVIATION 26.7
47.6 mL/min/1.73 m2
STANDARD_DEVIATION 15.08
51.6 mL/min/1.73 m2
STANDARD_DEVIATION 20.92
54.7 mL/min/1.73 m2
STANDARD_DEVIATION 19.64
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
22 Participants23 Participants67 Participants22 Participants
Sex: Female, Male
Female
8 Participants6 Participants20 Participants6 Participants
Sex: Female, Male
Male
14 Participants17 Participants47 Participants16 Participants
Smoking Status
Current Smoker
2 Participants3 Participants9 Participants4 Participants
Smoking Status
Never Smoked
14 Participants9 Participants33 Participants10 Participants
Smoking Status
Past Smoker
6 Participants11 Participants25 Participants8 Participants
Type of AAV
GPA
11 Participants10 Participants33 Participants12 Participants
Type of AAV
Microscopic polyangiitis
9 Participants10 Participants28 Participants9 Participants
Type of AAV
Renal-limited vasculitis
2 Participants2 Participants5 Participants1 Participants
Type of AAV
Unknown
0 Participants1 Participants1 Participants0 Participants
Urinary MCP-1 : creatinine ratio1266.1 pg/mg creatinine825.9 pg/mg creatinine957.9 pg/mg creatinine846.4 pg/mg creatinine
Urinary red blood cells
30-49 per hpf
4 Participants6 Participants12 Participants2 Participants
Urinary red blood cells
50-75 per hpf
4 Participants5 Participants12 Participants3 Participants
Urinary red blood cells
>75 per hpf
5 Participants3 Participants11 Participants3 Participants
VDI score0.9 units on a scale
STANDARD_DEVIATION 1.46
1.2 units on a scale
STANDARD_DEVIATION 1.35
0.9 units on a scale
STANDARD_DEVIATION 1.35
0.5 units on a scale
STANDARD_DEVIATION 1.19

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 220 / 22
other
Total, other adverse events
21 / 2321 / 2221 / 22
serious
Total, serious adverse events
5 / 238 / 2210 / 22

Outcome results

Primary

Proportion of Subjects Achieving Disease Response at Day 85

Disease response is defined as BVAS percentage reduction from baseline of at least 50% plus no worsening in any body system component.

Time frame: Baseline to Day 85

ArmMeasureValue (NUMBER)
Placebo BID Plus 60 mg PrednisoneProportion of Subjects Achieving Disease Response at Day 850.7 proportion of participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Subjects Achieving Disease Response at Day 850.86 proportion of participants
CCX168 30 mg BID Without PrednisoneProportion of Subjects Achieving Disease Response at Day 850.81 proportion of participants
Secondary

Change From Baseline to Day 85 in eGFR

eGFR (Estimated glomerular filtration rate) based on the MDRD (Modification of Diet in Renal Disease) formula using serum creatinine

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in eGFR5.55 ml/min/1.73 m^2Standard Deviation 10.211
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in eGFR6.00 ml/min/1.73 m^2Standard Deviation 10.469
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in eGFR0.79 ml/min/1.73 m^2Standard Deviation 9.549
Secondary

Change From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5L

EQ-5D-5L: EuroQuality of Life-5 Domains-5 Levels. The EQ-5D-5L consists of 2 pages: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The answers given can be converted into an Index Score ranging from 0 for death to 1 for perfect health. The EQ-5D questionnaire also includes a Visual Analog Scale (VAS), by which respondents can report their perceived health status with a grade ranging from 0 (the worst imaginable health) to 100 (the best imaginable health).

Time frame: Baseline, Day 29 and Day 85

Population: Number of subjects with data at baseline and the specified visit are specified.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 29)-2.4 Change from baseline score on a scaleStandard Deviation 10.61
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 85)-3.3 Change from baseline score on a scaleStandard Deviation 13.23
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 29)-0.044 Change from baseline score on a scaleStandard Deviation 0.1597
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 85)-0.043 Change from baseline score on a scaleStandard Deviation 0.1718
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 85)0.067 Change from baseline score on a scaleStandard Deviation 0.1314
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 29)6.5 Change from baseline score on a scaleStandard Deviation 17.96
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 29)0.034 Change from baseline score on a scaleStandard Deviation 0.1111
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 85)11.8 Change from baseline score on a scaleStandard Deviation 17.61
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 85)-0.047 Change from baseline score on a scaleStandard Deviation 0.0721
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 85)4.0 Change from baseline score on a scaleStandard Deviation 4.69
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LIndex Score (Day 29)-0.057 Change from baseline score on a scaleStandard Deviation 0.0952
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the EQ-5D-5LVAS Score (Day 29)4.5 Change from baseline score on a scaleStandard Deviation 12.62
Secondary

Change From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2

SF-36v2: Medical Outcomes Survey Short Form-36 version 2. SF-36v2 measures each of the following eight health domains: Physical Functioning, Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. Scores on each item are summed and averaged. The SF-36v2 component domain scores range from 0 (worst health) to 100 (best health).

Time frame: Baseline, Day 29 & Day 85

Population: Number of subjects with data at baseline and the specified visit are specified.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 85)4.36 Change from baseline score on a scaleStandard Error 6.457
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 85)-0.766 Change from baseline score on a scaleStandard Error 3.888
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 29)5.0 Change from baseline score on a scaleStandard Error 6.18
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 29)-2.8 Change from baseline score on a scaleStandard Error 11.74
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 85)5.383 Change from baseline score on a scaleStandard Error 2.694
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 85)0.0 Change from baseline score on a scaleStandard Error 0.37
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 85)6.3 Change from baseline score on a scaleStandard Error 9.9
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 85)12.8 Change from baseline score on a scaleStandard Error 7.36
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 29)0.2 Change from baseline score on a scaleStandard Error 0.22
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 29)1.7 Change from baseline score on a scaleStandard Error 2.2
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 85)13.7 Change from baseline score on a scaleStandard Error 11.06
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 85)-1.0 Change from baseline score on a scaleStandard Error 4.88
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 29)2.693 Change from baseline score on a scaleStandard Error 3.436
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 29)2.5 Change from baseline score on a scaleStandard Error 8.26
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 29)9.7 Change from baseline score on a scaleStandard Error 10.73
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 85)0.0 Change from baseline score on a scaleStandard Error 10.98
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 85)5.7 Change from baseline score on a scaleStandard Error 6.05
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 29)0.303 Change from baseline score on a scaleStandard Error 3.12
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 29)1.9 Change from baseline score on a scaleStandard Error 9.08
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 29)7.63 Change from baseline score on a scaleStandard Error 6.403
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 29)3.1 Change from baseline score on a scaleStandard Error 10.63
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 85)5.2 Change from baseline score on a scaleStandard Error 7
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 85)11.779 Change from baseline score on a scaleStandard Error 3.428
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 29)13.8 Change from baseline score on a scaleStandard Error 7.61
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 85)36.1 Change from baseline score on a scaleStandard Error 9.28
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 29)17.3 Change from baseline score on a scaleStandard Error 8.42
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 85)21.7 Change from baseline score on a scaleStandard Error 9.54
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 29)3.7 Change from baseline score on a scaleStandard Error 4.6
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 85)2.3 Change from baseline score on a scaleStandard Error 3.93
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 29)12.98 Change from baseline score on a scaleStandard Error 7.4
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 85)22.28 Change from baseline score on a scaleStandard Error 7.541
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 29)24.1 Change from baseline score on a scaleStandard Error 6.07
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 85)35.6 Change from baseline score on a scaleStandard Error 6.91
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 29)10.8 Change from baseline score on a scaleStandard Error 3.71
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 85)16.5 Change from baseline score on a scaleStandard Error 4.65
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 29)-0.6 Change from baseline score on a scaleStandard Error 0.41
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 85)-1.2 Change from baseline score on a scaleStandard Error 0.48
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 29)7.0 Change from baseline score on a scaleStandard Error 6.9
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 85)13.5 Change from baseline score on a scaleStandard Error 7.73
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 29)20.3 Change from baseline score on a scaleStandard Error 8.04
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 85)21.8 Change from baseline score on a scaleStandard Error 9.42
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 29)4.074 Change from baseline score on a scaleStandard Error 2.601
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 85)6.744 Change from baseline score on a scaleStandard Error 3.132
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 29)10.855 Change from baseline score on a scaleStandard Error 3.244
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 29)8.6 Change from baseline score on a scaleStandard Error 6.02
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 29)8.2 Change from baseline score on a scaleStandard Error 11.46
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 29)-0.78 Change from baseline score on a scaleStandard Error 3.63
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 85)4.863 Change from baseline score on a scaleStandard Error 2.415
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Functioning (Day 85)11.4 Change from baseline score on a scaleStandard Error 8.43
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 85)-1.5 Change from baseline score on a scaleStandard Error 5.51
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role Physical (Day 85)16.1 Change from baseline score on a scaleStandard Error 9.24
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 29)-1.1 Change from baseline score on a scaleStandard Error 8.97
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 General Health Perceptions (Day 29)-13.7 Change from baseline score on a scaleStandard Error 10.21
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 85)2.197 Change from baseline score on a scaleStandard Error 1.066
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Role-Emotional (Day 85)10.7 Change from baseline score on a scaleStandard Error 8.27
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 85)14.0 Change from baseline score on a scaleStandard Error 9.3
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 29)-8.1 Change from baseline score on a scaleStandard Error 6.88
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health Summary (Day 29)-4.760 Change from baseline score on a scaleStandard Error 3.266
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Mental Health (Day 85)2.1 Change from baseline score on a scaleStandard Error 4.86
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 85)5.4 Change from baseline score on a scaleStandard Error 3.72
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Physical Component Summary (Day 29)2.826 Change from baseline score on a scaleStandard Error 4.526
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 29)0.3 Change from baseline score on a scaleStandard Error 0.31
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Social Functioning (Day 29)-7.8 Change from baseline score on a scaleStandard Error 6.22
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Bodily pain (Day 29)5.1 Change from baseline score on a scaleStandard Error 16.75
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Reported Health Transition (Day 85)-0.4 Change from baseline score on a scaleStandard Error 0.48
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in Health-related Quality of Life as Measured by the SF-36 v2SF-36 Vitality (Day 85)10.71 Change from baseline score on a scaleStandard Error 5.893
Secondary

Change From Baseline to Day 85 in the Vasculitis Damage Index

VDI=Vasculitis Damage Index; The VDI is comprised of 64 items of damage, grouped into 11 organ-based systems or categorizations. Damage is defined as the presence of non-healing scars and does not give any indication of current disease activity. Damage is also defined as having been present or currently present for at least 3 months. Completion of the form provides a numerical score, which ranges from 0 (best health) to 64 (worst health).

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisoneChange From Baseline to Day 85 in the Vasculitis Damage Index0.7 score on a scaleStandard Deviation 0.81
CCX168 30 mg BID Plus 20 mg PrednisoneChange From Baseline to Day 85 in the Vasculitis Damage Index0.3 score on a scaleStandard Deviation 0.57
CCX168 30 mg BID Without PrednisoneChange From Baseline to Day 85 in the Vasculitis Damage Index0.2 score on a scaleStandard Deviation 0.54
Secondary

Percent Change From Baseline to Day 85 in BVAS

Percent change in Burmingham Vasculitis Index Score (BVAS) at week 12, higher percentage change indicates worse outcome BVAS = Birmingham Vasculitis Activity Score The BVAS form is divided into 9 organ-based systems, with each section including symptoms/signs that are typical of that particular organ involvement in systemic vasculitis. The clinician only scores features believed to be due to active vasculitis. Completion of the form provides a numerical score, which ranges from 0 (best health) to 63 (worst health). A negative percentage change indicated improvement in health.

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisonePercent Change From Baseline to Day 85 in BVAS-56.45 percentage changeStandard Deviation 62.1
CCX168 30 mg BID Plus 20 mg PrednisonePercent Change From Baseline to Day 85 in BVAS-79.05 percentage changeStandard Deviation 23.005
CCX168 30 mg BID Without PrednisonePercent Change From Baseline to Day 85 in BVAS-73.01 percentage changeStandard Deviation 29.464
Secondary

Percent Change From Baseline to Day 85 in eGFR

eGFR (Estimated glomerular filtration rate) based on the MDRD (Modification of Diet in Renal Disease) formula using serum creatinine

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)Dispersion
Placebo BID Plus 60 mg PrednisonePercent Change From Baseline to Day 85 in eGFR15.36 percentage changeStandard Deviation 23.685
CCX168 30 mg BID Plus 20 mg PrednisonePercent Change From Baseline to Day 85 in eGFR19.91 percentage changeStandard Deviation 23.034
CCX168 30 mg BID Without PrednisonePercent Change From Baseline to Day 85 in eGFR0.92 percentage changeStandard Deviation 20.562
Secondary

Percent Change From Baseline to Day 85 in UACR

In subjects with albuminuria at baseline UACR (urinary albumin:creatinine ratio)

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)
Placebo BID Plus 60 mg PrednisonePercent Change From Baseline to Day 85 in UACR-3.10 percentage change
CCX168 30 mg BID Plus 20 mg PrednisonePercent Change From Baseline to Day 85 in UACR-34.18 percentage change
CCX168 30 mg BID Without PrednisonePercent Change From Baseline to Day 85 in UACR-15.21 percentage change
Secondary

Percent Change From Baseline to Day 85 in Urinary MCP-1:Creatinine Ratio

Urinary Monocyte Chemoattractant Protein-1 (MCP-1):creatinine ratio

Time frame: Baseline to Day 85

ArmMeasureValue (MEAN)
Placebo BID Plus 60 mg PrednisonePercent Change From Baseline to Day 85 in Urinary MCP-1:Creatinine Ratio-37.57 percentage change
CCX168 30 mg BID Plus 20 mg PrednisonePercent Change From Baseline to Day 85 in Urinary MCP-1:Creatinine Ratio-59.29 percentage change
CCX168 30 mg BID Without PrednisonePercent Change From Baseline to Day 85 in Urinary MCP-1:Creatinine Ratio-39.44 percentage change
Secondary

Percent Change From Baseline to Day 85 in Urinary RBC Count

In subjects with hematuria at baseline, RBC (Red Blood Cell)

Time frame: Baseline to day 85

ArmMeasureValue (MEAN)
Placebo BID Plus 60 mg PrednisonePercent Change From Baseline to Day 85 in Urinary RBC Count-72.37 percentage change
CCX168 30 mg BID Plus 20 mg PrednisonePercent Change From Baseline to Day 85 in Urinary RBC Count1.63 percentage change
CCX168 30 mg BID Without PrednisonePercent Change From Baseline to Day 85 in Urinary RBC Count-21.26 percentage change
Secondary

Proportion of Patients Achieving Renal Response at Day 85

Renal response, assessed in patients with hematuria and albuminuria at baseline, and defined as an improvement in renal parameters, i.e., an increase from baseline to Day 85 in eGFR (Estimated glomerular filtration rate), MDRD (Modification of Diet in Renal Disease), serum creatinine equation, a decrease from baseline to Day 85 in haematuria (central laboratory microscopic count of urinary red blood cells) , decrease from baseline to Day 85 in albuminuria count (first morning UACR (urinary albumin:creatinine ratio).

Time frame: Baseline to Day 85

ArmMeasureValue (NUMBER)
Placebo BID Plus 60 mg PrednisoneProportion of Patients Achieving Renal Response at Day 850.4 proportion of participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Patients Achieving Renal Response at Day 850.56 proportion of participants
CCX168 30 mg BID Without PrednisoneProportion of Patients Achieving Renal Response at Day 850.33 proportion of participants
Secondary

Proportion of Subjects Achieving Disease Remission at Day 85

Disease remission is defined as BVAS (Birmingham Vasculitis Activity Score) of 0 or 1 plus no worsening in eGFR (Estimated glomerular filtration rate) and urinary RBC (Red Blood cell) count \<10/high power field (hpf)

Time frame: Day 85

ArmMeasureValue (NUMBER)
Placebo BID Plus 60 mg PrednisoneProportion of Subjects Achieving Disease Remission at Day 850.35 proportion of participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Subjects Achieving Disease Remission at Day 850.27 proportion of participants
CCX168 30 mg BID Without PrednisoneProportion of Subjects Achieving Disease Remission at Day 850.19 proportion of participants
Secondary

Proportion of Subjects Achieving Urinary RBC Count <30/Hpf at Any Time During the 84-day Treatment Period

In subjects with baseline hematuria \>=30 RBCs/hpf,(Red Blood Cell/High Power Field)

Time frame: Baseline to Day 85

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Placebo BID Plus 60 mg PrednisoneProportion of Subjects Achieving Urinary RBC Count <30/Hpf at Any Time During the 84-day Treatment Period11 Participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Subjects Achieving Urinary RBC Count <30/Hpf at Any Time During the 84-day Treatment Period13 Participants
CCX168 30 mg BID Without PrednisoneProportion of Subjects Achieving Urinary RBC Count <30/Hpf at Any Time During the 84-day Treatment Period5 Participants
Secondary

Proportion of Subjects Achieving Urinary RBC Count <=5/Hpf at Any Time During the 84-day Treatment Period

In subjects with baseline hematuria \>5 RBCs/hpf (Red Blood Cell/High Power Field)

Time frame: Baseline to Day 85

ArmMeasureValue (NUMBER)
Placebo BID Plus 60 mg PrednisoneProportion of Subjects Achieving Urinary RBC Count <=5/Hpf at Any Time During the 84-day Treatment Period0.79 proportion of participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Subjects Achieving Urinary RBC Count <=5/Hpf at Any Time During the 84-day Treatment Period0.61 proportion of participants
CCX168 30 mg BID Without PrednisoneProportion of Subjects Achieving Urinary RBC Count <=5/Hpf at Any Time During the 84-day Treatment Period0.61 proportion of participants
Secondary

Proportion of Subjects Requiring Rescue IV or Oral Glucocorticoid Treatment

Time frame: Baseline to Day 85

ArmMeasureValue (NUMBER)
Placebo BID Plus 60 mg PrednisoneProportion of Subjects Requiring Rescue IV or Oral Glucocorticoid Treatment0 proportion of participants
CCX168 30 mg BID Plus 20 mg PrednisoneProportion of Subjects Requiring Rescue IV or Oral Glucocorticoid Treatment0.33 proportion of participants
CCX168 30 mg BID Without PrednisoneProportion of Subjects Requiring Rescue IV or Oral Glucocorticoid Treatment0.13 proportion of participants
Secondary

Time to First Achieving Urinary RBC Count <=30/Hpf at Any Point During the 84-day Treatment Period

In subjects with baseline hematuria \<=30 RBCs/hpf (Red Blood Cell/High Power Field)

Time frame: Baseline to Day 85

ArmMeasureValue (MEDIAN)
Placebo BID Plus 60 mg PrednisoneTime to First Achieving Urinary RBC Count <=30/Hpf at Any Point During the 84-day Treatment Period10.5 days
CCX168 30 mg BID Plus 20 mg PrednisoneTime to First Achieving Urinary RBC Count <=30/Hpf at Any Point During the 84-day Treatment Period21.0 days
CCX168 30 mg BID Without PrednisoneTime to First Achieving Urinary RBC Count <=30/Hpf at Any Point During the 84-day Treatment Period42.0 days
Secondary

Time to First Achieving Urinary RBC Count <=5/Hpf at Any Point During the 84-day Treatment Period

In subjects with baseline hematuria \<=5 RBCs/hpf (Red Blood Cell/High Power Field)

Time frame: Baseline to Day 85

ArmMeasureValue (MEDIAN)
Placebo BID Plus 60 mg PrednisoneTime to First Achieving Urinary RBC Count <=5/Hpf at Any Point During the 84-day Treatment Period69.0 days
CCX168 30 mg BID Plus 20 mg PrednisoneTime to First Achieving Urinary RBC Count <=5/Hpf at Any Point During the 84-day Treatment Period69.0 days
CCX168 30 mg BID Without PrednisoneTime to First Achieving Urinary RBC Count <=5/Hpf at Any Point During the 84-day Treatment Period42.0 days

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026