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New drug aims to tame rare immune storms
NCT ID NCT04641442
First seen Jun 26, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This phase 2 study tests a drug called MAS825 in 17 people with rare genetic conditions that cause severe inflammation. The goal is to see if the drug can prevent disease flares better than a placebo. Participants will be monitored for safety and effectiveness over several periods.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MAS825
- What this could lead to
- If successful, this could provide a new treatment option to control flares in rare, severe autoinflammatory diseases.
- What could go wrong
- This is a small early-phase trial with only 17 participants, so results may not apply broadly. The drug may not prevent flares or could cause side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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17 people
The number who actually took part.
- Started
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Dec 2020
- Expected to finish
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Nov 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: For all Patients: 1. Male and female patients weighing at least 3 kg 2. Written informed consent by parent(s)/legal guardian(s) for the pediatric patients and assent by the pediatric patient (depending on local requirements) must be obtained before any study-specific assessment is performed. For adult patients, written informed consent by patients capable of giving consent, or when the patient is not capable of giving consent, by his/her legal/authorized representative (if allowed according to local requirements). Cohort 1 specific inclusion criteria: 3. Patients with a genetic diagnosis of either NLRC4-GOF, XIAP deficiency, or CDC42 mutation 4. Clinical history and investigations consistent with autoinflammation and infantile enterocolitis (AIFEC/NLRC4-GOF), XIAP or CDC42. XIAP patients must have persistent disease or be resistant to escalating therapy. 5. At first treatment, evidence of active disease as assessed by inflammatory markers and PGA Cohort 2 specific inclusion criteria: 6. Patients with a genetic diagnosis of NLRC4-GOF, XIAP deficiency, or CDC42 mutations who are being treated with MAS825 in a Novartis Managed Access Program (MAP). Exclusion Criteria: 1. History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes or to any of the excipients. 2. Signs and symptoms, in the judgment of the investigator, of clinically significant active bacterial, fungal, parasitic or viral infections, excluding chronic Epstein-Barr Virus (EBV). \- COVID-19 specific: If in line with health and governmental authority guidance, it is highly recommended that testing to exclude COVID-19 using PCR or comparable approved methodology be completed within 1 week prior to first dosing. 3. Any conditions or significant medical problems, which in the opinion of the investigator places the patient at unacceptable risk for MAS825 therapy 4. Previous treatment with anti-rejection and/or immunomodulatory drugs within the past 28 days or 5 half-lives (whichever is the longer) for immunomodulatory therapeutic antibodies (or as listed in the prohibited medications section) prior to MAS825 treatment with the exceptions of glucocorticoids, cyclosporin and targeted binding or blocking therapies. 5. A positive HIV test result at Screening. Evidence of prior testing within 3 months is sufficient. 6. A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result at Screening. Evidence of prior testing within 3 months is sufficient. 7. Presence of tuberculosis infection as defined by a positive TB test at Screening. Evidence of prior testing within 3 months is sufficient. 8. Live vaccinations within 1 month prior to MAS825 treatment, during the trial, and up to 3 months following the last dose. 9. Pregnant or nursing (lactating) females. 10. Female patients of child-bearing potential (or Tanner stage 2 or above) who are or might become sexually active, agree to use highly effective contraceptive methods to prevent pregnancy while on MAS825 therapy 11. Patients weighing \>160 kg at Screening. 12. For CDC42 mutation patients: Takenouchi-Kosaki syndrome - CDC42 mutations associated with a diverse syndrome characterized by variable development delays, cardiac, brain and hematological abnormalities.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bambino Gesu Hospital
Roma, RM, 00165, Italy
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Centrum detske revmatologie a autoinflamatornich onemocneni
Prague, CZ, 121 00, Czechia
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Children´s Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Cincinnati Children's Hospital
Cincinnati, Ohio, 45229, United States
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Great Ormond Street Hospital
London, WC1N 3JH, United Kingdom
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Novartis Investigative Site
Paris, 75970, France
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Novartis Investigative Site
Chiba, 266-0007, Japan
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Novartis Investigative Site
Madrid, 28046, Spain
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Novartis Investigative Site
London, NW3 2QG, United Kingdom
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Seattle Children´s Hospital
Seattle, Washington, 98105, United States
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Texas Children´s Hospital
Houston, Texas, 77030, United States
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Ustav Imunologie 2 LF UK a FN Motol
Prague, 150 06, Czechia