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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02847598
Other study ID # 230LE201
Secondary ID 2015-004359-32
Status Completed
Phase Phase 2
First received
Last updated
Start date October 20, 2016
Est. completion date November 18, 2019

Study information

Verified date October 2023
Source Biogen
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary purpose of the study is to evaluate the efficacy of BIIB059 (litifilimab) in reducing disease activity in participants with systemic lupus erythematosus (SLE) with active cutaneous manifestations and joint involvement (Part A), and in participants with active cutaneous lupus erythematosus (CLE) (Subacute cutaneous lupus erythematosus (SCLE) or chronic CLE, including discoid lupus erythematosus (DLE)) with or without systemic manifestations (Part B). The secondary objective is to evaluate additional efficacy parameters of BIIB059 in reducing SLE/CLE disease activity, pharmacokinetic parameters, safety and tolerability of BIIB059 (Parts A and B).


Recruitment information / eligibility

Status Completed
Enrollment 264
Est. completion date November 18, 2019
Est. primary completion date August 28, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Key Inclusion Criteria: Part A: 1. Diagnosis of systemic lupus erythematosus (SLE) fulfilling at least 4 out of 11 of the 1997 revised American College of Rheumatology (ACR) classification criteria for SLE along with active skin manifestations and joint involvement. 2. At least 4 tender joints and at least 4 swollen joints with at least 4 of the swollen joints in the proximal interphalangeal (PIP) joints, metacarpophalangeal (MCP) joints and/or wrist. 3. Demonstrate at least one sign of active lupus skin disease, including acute cutaneous lupus erythematosus (ACLE), subacute cutaneous lupus erythematosus (SCLE), and/or chronic cutaneous lupus erythematosus (CCLE) (e.g., discoid lupus erythematosus (DLE)), with skin activity defined by SLE Disease Activity Index 2000 (SLEDAI-2K) at the time of Screening and randomization. Part B: 1. Active skin manifestations Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) =8)) and a diagnosis of cutaneous lupus erythematosus (CLE) that has been histologically confirmed (in the past or at Screening), with or without SLE manifestations. Key Exclusion Criteria: 1. Active lupus nephritis or moderate-to-severe or chronic kidney disease. 2. Any active skin conditions other than CLE that may interfere with the study (e.g., psoriasis, non-LE skin lupus, drug-induced lupus). 3. History of chronic, recurrent (3 or more of the same type of infection in a 12-month period), or recent serious infection (e.g., pneumonia, septicemia, herpes zoster) as determined by the Investigator and requiring anti-infective treatment within 12 weeks prior to Screening. 4. Use of immunosuppressive or disease-modifying treatments for SLE or CLE that were initiated less than 12 weeks prior to Randomization. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
BIIB059 (litifilimab)
Administered as specified in the treatment arm.
Placebo
Administered as specified in the treatment arm.

Locations

Country Name City State
Argentina Research Site Bueno Aires Ciudad Autonoma Bueno Aires
Argentina Research Site Bueno Aires Ciudad Autonoma Bueno Aires
Argentina Research Site Ciudad Autonoma Buenos Aires
Argentina Research Site Ciudad Autonoma Buenos Aires
Argentina Research Site Ciudad Autonoma Buenos Aires
Argentina Research Site Ciudad Autonoma Buenos Aires
Argentina Research Site Ciudad Autonoma Buenos Aires
Argentina Research Site Cordoba
Argentina Research Site Mendoza
Argentina Research Site Quilmes Buenos Aires
Argentina Research Site San Juan
Argentina Research Site San Miguel de Tucuman Tucuman
Argentina Research Site San Miguel de Tucuman Tucuman
Bulgaria Research Site Pleven
Bulgaria Research Site Plovdiv
Bulgaria Research Site Plovdiv
Bulgaria Research Site Ruse
Bulgaria Research Site Ruse
Bulgaria Research Site Shumen
Bulgaria Research Site Sofia
Bulgaria Research Site Sofia
Bulgaria Research Site Sofia
Bulgaria Research Site Sofia
Colombia Research Site Barranquilla
Colombia Research Site Barranquilla
Colombia Research Site Bogota
Colombia Research Site Bogota
Colombia Research Site Bucaramanga
Colombia Research Site Medellín
Israel Research Site Jerusalem
Israel Research Site Ramat Gan
Korea, Republic of Research Site Daejeon
Korea, Republic of Research Site Suwon-Si Gyeonggi-do
Mexico Research Site Cuernavaca Morelos
Mexico Research Site Durango
Mexico Research Site Guadalajara Jalisco
Mexico Research Site Guadalajara Jalisco
Mexico Research Site Merida Yucatan
Mexico Research Site Mexico Distrito Federal
Mexico Research Site Mexico Distrito Federal
Mexico Research Site Mexico Distrito Federal
Mexico Research Site Monterrey Neuvo Leon
Mexico Research Site Morelia Michoacán
Mexico Research Site Saltillo Coahuila
Mexico Research Site San Luis Potosi San Luis Potos
Mexico Research Site San Luis Potosi San Luis Potos
Philippines Research Site Angeles City Pampanga
Philippines Research Site Batangas
Philippines Research Site Cebu City
Philippines Research Site Dasmarinas
Philippines Research Site Davao City
Philippines Research Site Iloilo
Philippines Research Site Iloilo City
Philippines Research Site Makati City
Philippines Research Site Manila
Philippines Research Site Manila
Philippines Research Site Quezon City
Poland Research Site Bydgoszcz
Poland Research Site Krakow
Poland Research Site Krakow
Poland Research Site Lodz
Poland Research Site Olsztyn
Poland Research Site Poznan
Poland Research Site Wroclaw
Serbia Research Site Belgrade
Serbia Research Site Niska Banja
Serbia Research Site Sabac
Taiwan Research Site Changhua
Taiwan Research Site Kaohsiung
Taiwan Research Site Taipei
Taiwan Research Site Taoyuan
Thailand Research Site Bangkok Pathumwan
Thailand Research Site Chiang Mai Muang
Thailand Research Site Hat Yai Songkhla
Thailand Research Site Khon Kaen Muang
Thailand Research Site Pathum Thani Klongluang
United States Albuquerque Center For Rheumatology Albuquerque New Mexico
United States University of Michigan Ann Arbor Michigan
United States Pinnacle Research Group LLC Anniston Alabama
United States Austin Regional Clinic, P.A. Austin Texas
United States Advanced Clinical Research Boise Idaho
United States Brigham and Women's Hospital Boston Massachusetts
United States Univeristy of North Carolina at Chapel Hill Chapel Hill North Carolina
United States Medical University of South Carolina Charleston South Carolina
United States American Health Research, Inc. Charlotte North Carolina
United States Joint and Muscle Research Institute Charlotte North Carolina
United States Clinical Research of West Florida- Corporate Clearwater Florida
United States Ohio State University Clinical Trials Columbus Ohio
United States UT Southwestern Medical Center Dallas Texas
United States Denver Arthritis Clinic Denver Colorado
United States TriWest Research Associates, LLC El Cajon California
United States Tien Q Nguyen MD Inc Fountain Valley California
United States North Shore/Long Island Jewish PRIME Great Neck New York
United States Medication Management, LLC Greensboro North Carolina
United States MD Med Corp Hemet California
United States Accurate Clinical Research, Inc. Houston Texas
United States Pioneer Research Solutions, Inc. Houston Texas
United States Dawes Fretzin Clinical Research Group, LLC Indianapolis Indiana
United States Universtiy of California, Irvine Irvine California
United States The Regents of the University of California La Jolla California
United States Purushotham Akther & Rosan Kotha, MD Inc. La Mesa California
United States Davis Group, LTD Las Vegas Nevada
United States University of Arkansas for Medical Sciences Little Rock Arkansas
United States Dermatology Reserach Associates Los Angeles California
United States University of Tennessee Health Sciences Center Memphis Tennessee
United States Medical Research Center Of Miami Miami Florida
United States Lakes Research, LLC Miami Lakes Florida
United States Virginia Clinical Research Norfolk Virginia
United States Low Country Rheumatology, PA North Charleston South Carolina
United States Compass Research, LLC Orlando Florida
United States Omega Research Consultants Orlando Florida
United States University of Pennsylvania Philadelphia Pennsylvania
United States Arizona Arthritis & Rheumatology Phoenix Arizona
United States DMI Research, Inc. Pinellas Park Florida
United States University of Pittsburg Medical Center Pittsburgh Pennsylvania
United States UPMC Arthritis Center Pittsburgh Pennsylvania
United States Valley Hospital Ridgewood New Jersey
United States Washington University School of Medicine Saint Louis Missouri
United States University Clinical Trials San Diego California
United States Advanced Medical Reserarch, PC Sandy Springs Georgia
United States Richard Barthel, MD Santa Barbara California
United States Institute for Rheumatic & Autoimmune diseases, Overlook Medical Center Summit New Jersey
United States Robin K. Dore, MD, Inc. Tustin California
United States Inland Rheumatology Clinical Trials Inc. Upland California
United States Howard University Hospital Washington District of Columbia
United States Medical Faculty Associates, Inc. Washington District of Columbia
United States Washington DC VA Medical Center Washington District of Columbia
United States Nazanin Firooz, MD Inc. West Hills California
United States PMG Research of Wilmington, LLC Wilmington North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Biogen

Countries where clinical trial is conducted

United States,  Argentina,  Bulgaria,  Colombia,  Israel,  Korea, Republic of,  Mexico,  Philippines,  Poland,  Serbia,  Taiwan,  Thailand, 

Outcome

Type Measure Description Time frame Safety issue
Primary Part A: Change From Baseline in Active Joint Count (28-joint Assessment) to Week 24 An active joint is defined as a joint with pain and signs of inflammation (e.g., tenderness, swelling or effusion). The 28 Joint Count includes assessment of swelling and tenderness in the shoulders, elbows, wrists, metacarpophalangeal joints, proximal interphalangeal joints and knees. The investigator counts how many of the 28 joints are swollen or tender at the given week. Baseline to Week 24
Primary Part B: Percent Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score to Week 16 The Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) is a clinical tool that quantifies disease activity and damage in cutaneous lupus erythematosus (CLE). The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. Baseline to Week 16
Secondary Part A : Percentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity- 50 (CLASI-50) Response at Week 24 CLASI-50 Response is defined as a 50% improvement from baseline in CLASI-A score at Week 24. The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. Week 24
Secondary Part B: Percentage of Participants With Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity- 50 (CLASI-50) Response at Week 12 and 16 CLASI-50 Response is defined as a 50% improvement from baseline in CLASI-A score at Weeks 12 and 16. The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. Week 12, Week 16
Secondary Part A: Percent Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 12, 16 and 24 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. Baseline, Week 12, 16 and 24
Secondary Part B: Percent Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 12 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. Baseline, Week 12
Secondary Part A: Percentage of Participants With a >=4-point Reduction From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 24 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. The percentage of participants with a >=4-point reduction from baseline in CLASI-A score are reported here. Week 24
Secondary Part B: Percentage of Participants With a >=4-point Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 12 and 16 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. The percentage of participants with a >=4-point reduction from baseline in CLASI-A score are reported here. Week 12, Week 16
Secondary Part A: Percentage of Participants With a >=7-point Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 24 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. The percentage of participants with a >=7-point reduction from baseline in CLASI-A score are reported here. Week 24
Secondary Part B: Percentage of Participants With a >=7-point Change From Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity (CLASI-A) Score at Week 12 and 16 The CLASI is a clinical tool that quantifies disease activity and damage in CLE. The activity scale (CLASI-A) includes measurements of erythema, scale and hypertrophy, and mucous membrane disease. Each part of the body is listed separately, from the scalp to the feet, in addition to sections focusing on mucous membrane involvement and alopecia. Points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. Composite scores are calculated by summing the individual component scores. CLASI-A scores of 0-9, 10-20, and 21-70 represent disease severity of mild, moderate, and severe, respectively. Higher scores indicate more disease activity. The percentage of participants with a >=7-point reduction from baseline in CLASI-A score are reported here. Week 12, Week 16
Secondary Part A: Percentage of Participants Achieving a Systemic Lupus Erythematosus (SLE) Responder Index >=4 (SRI-4) at Week 24 An SRI-4 at Week 24 was a categorical response variable (Yes/No) incorporating the following criteria for achievement of responder status (i.e., all criteria must have been met to achieve responder status): A reduction from baseline of =4 points in SLEDAI-2K, No new organ system affected, as defined by no new BILAG-2004 Grade A and no more than 1 new BILAG-2004 Grade B, No worsening from baseline in participant's lupus disease activity, defined by a <1-point increase in the PGA (VAS) [on a scale of 0 to 10],No changes to protocol-specified medication rules,as follows (all criteria were required to be met): No initiation or increase of SLE standard of care therapy or other disallowed concomitant therapy; Concomitant corticosteroid dosage at Week 24 to be =10 mg/day;Concomitant corticosteroid dosage at Week 24 was no more than at Day 1;No increase in corticosteroid dose between Weeks 17 and 24. The percentage of participants who had responded to each of the 4 criteria was also reported. Week 24
Secondary Part A: Change From Baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) Score at Week 24 The SLEDAI-2K is a reliable, valid, simple, 1-page activity index that measures disease activity and records features of active lupus as present or not. It uses a weighted checklist to assign a numeric score based on the presence or absence of 24 symptoms at the time of assessment or during the previous 28 days. Each symptom present is assigned between 1 and up to 8 points based on its usual clinical importance, yielding a total score that ranges from 0 points (no symptoms) to 105 points (presence of all defined symptoms), where higher scores representing increased disease activity. Baseline to Week 24
Secondary Part A: Percentage of Participants With no New Organ System Affected at Week 24 No new organ system affected, as defined by no new British Isles Lupus Activity Group (BILAG)-2004 A and no more than one new BILAG-2004 B. The BILAG-2004 index categorizes disease activity in each organ system into five different levels from A to E. Grade A represents very active disease, Grade B represents moderate disease activity, Grade C indicates mild stable disease, and grade D implies no disease activity, but suggests the organ system had previously been affected. Grade E indicates no current or previous disease activity. A score is applied to each grade of each organ system using coding scheme of A=12, B=8, C=1, and D/E=0 and is summarized as a total score ranging 0-108. Higher scores indicate more severe disease activity. Week 24
Secondary Part A: Change From Baseline in Physician's Global Assessment (PGA) of SLE Visual Analog Scale (VAS) Score at Week 24 The PGA is used to quantify disease activity and is measured using an anchored VAS. The PGA asks the Investigator to assess the participants current disease activity from a score of 0 (none) to 3 (severe), where higher score means severe SLE disease activity. Baseline to Week 24
Secondary Part A: Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose: Results in death; in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event); however, this does not include an event that, had it occurred in a more severe form, might have caused death; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect. Baseline up to Week 36
Secondary Part B: Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose: Results in death; in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event); however, this does not include an event that, had it occurred in a more severe form, might have caused death; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect. Baseline up to Week 28
Secondary Part A: Number of Participants With Clinically Significant Laboratory Assessment Abnormalities Baseline up to Week 36
Secondary Part B: Number of Participants With Clinically Significant Laboratory Assessment Abnormalities Baseline up to Week 28
Secondary Part A: Number of Participants With Clinically Significant Vital Sign Abnormalities Baseline up to Week 36
Secondary Part B: Number of Participants With Clinically Significant Vital Sign Abnormalities Baseline up to Week 28
Secondary Part A: Number of Participants With Clinically Significant 12-Lead Electrocardiograms (ECGs) Abnormalities Baseline up to Week 36
Secondary Part B: Number of Participants With Clinically Significant 12-Lead Electrocardiograms (ECGs) Abnormalities Baseline up to Week 28
Secondary Part A: Number of Participants With Positive BIIB059 Antibodies Baseline up to Week 24
Secondary Part B: Number of Participants With Positive BIIB059 Antibodies Baseline up to Week 16
Secondary Part A: Absolute Change From Baseline Over Time in Immunoglobulin Levels Baseline up to Week 24
Secondary Part B: Absolute Change From Baseline Over Time in Immunoglobulin Levels Baseline up to Week 16
Secondary Part A: Absolute Change From Baseline in Vaccine Titers - Streptococcus Pneumoniae (S. Pneumoniae) at Week 24 Vaccine-related immunoglobulin (Ig) titers for Pneumococcus (S. pneumoniae) were analyzed, including 23 types of serotypes (sero). AB = Antibody. Baseline to Week 24
Secondary Part B: Absolute Change From Baseline in Vaccine Titers - Streptococcus Pneumoniae (S. Pneumoniae) at Week 12 Vaccine-related immunoglobulin (Ig) titers for Pneumococcus (S. pneumoniae) were analyzed, including 23 types of serotypes (sero). AB = Antibody. Baseline to Week 12
Secondary Part A: Absolute Change From Baseline in Vaccine Titers - Clostridium Tetani (C. Tetani) and Diphtheria at Week 24 Vaccine-related immunoglobulin titers for tetanus and diphtheria were analyzed using international units per milliliter (IU/mL). Baseline to Week 24
Secondary Part B: Absolute Change From Baseline in Vaccine Titers - Clostridium Tetani (C. Tetani) and Diphtheria at Week 12 Vaccine-related immunoglobulin titers for tetanus and diphtheria were analyzed. Baseline to Week 12
Secondary Part A: Percent Change From Baseline Over Time in Immunoglobulin Levels Baseline up to Week 24
Secondary Part B: Percent Change From Baseline Over Time in Immunoglobulin Levels Baseline up to Week 16
Secondary Part A: Percent Change From Baseline in Vaccine Titers at Week 24 Vaccine-related immunoglobulin (Ig) titers for Pneumococcus (S. pneumoniae) including 23 types of serotypes (sero), tetanus and diphtheria were analyzed. AB = Antibody Baseline to Week 24
Secondary Part B: Percent Change From Baseline in Vaccine Titers at Week 12 Vaccine-related immunoglobulin (Ig) titers for Pneumococcus (S. pneumoniae) including 23 types of serotypes (sero), tetanus and diphtheria were analyzed. AB = Antibody. Baseline to Week 12
Secondary Part A: Serum Concentration of BIIB059 Part A: pre-dose on Days 1, 29, 85 and 113 and post-dose on Days 1, 8, 29, 85, 169, 197 and 253
Secondary Part B: Serum Concentration of BIIB059 Part B: pre-dose on Days 1, 29, 85 and post-dose on Days 1, 29, 85, 113, 141, 169 and 197
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