The Use of Kineret (Anakinra) in the Treatment of Familial Cold Urticaria
Information source: Nova Scotia Health Authority
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Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Familial Cold Urticaria
Intervention: Kineret (anakinra) (Drug)
Phase: Phase 1
Sponsored by: Nova Scotia Health Authority
Official(s) and/or principal investigator(s):
Laura A. Finlayson MD FRCPC, Principal Investigator, Affiliation: Nova Scotia Health Authority
An open labelled trial of Kineret (anakinra) induction therapy (100mg./day) in over a four
week period in the treatment of Familial Cold Urticaria.
Familial Cold Urticaria (FCU) is a rare autosomal dominant condition manifesting symptoms
triggered by exposure to cold and variable in expression. Currently there is no standard
reliable agent available for the treatment of patients with FCU. This study will evaluate the
efficacy of Kineret (anakinra), an interleukin 1 receptor antagonist in induction and
maintenance therapy in patients with FCU.
Official title: The Use of Kineret (Anakinra) in the Treatment of Familial Cold Urticaria
Study design: Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Primary outcome: To determine the efficacy of kineret (anakinra) 100mg./day in subjects with familial cold urticaria.
Secondary outcome: To demonstrate the use of C-Reactive Protein (CRP) and Serum Amyloid A Protein (SAA) levels as objective laboratory indicators of effective treatment and to compare the results of two different laboratory methods for the estimation of CRP
Product: Kineret (anakinra) Protocol title: The Use of Kineret (anakinra) in the Treatment
of Familial Cold Urticaria (FCU) Target Disease: Familial Cold Urticaria Patients: 8
patients all previously diagnosed with FCU and living close to Moncton, N. B.
- To assess the efficacy of Kineret (anakinra) 100mg. given subcutaneously daily in
subjects with FCU.
- To demonstrate the use of CRP and SAA as objective laboratory markers of the
effectiveness of treatment.
- To determine the effect of Kineret (anakinra)on the quality of life of patients with
Study design: An open-labelled trial of Kineret (anakinra) induction therapy (100mg./day)
over a four week period.
Treatment regimens: After initial clinical and laboratory assessment, the patients will
receive Kineret (anakinra) 100mg. daily for four weeks. They will be observed for two
further weeks without the medication.
Route of administration: Subcutaneous injection Interval between first and last dose of
active study agent: 4 weeks Duration of study participation: 8 weeks Number of subjects: 8
Number of sites: 1 Interim analysis: Daily patient diary; weekly follow-up phone calls; CRP
Minimum age: 18 Years.
Maximum age: N/A.
- Must be 18 years of age or older at the time of enrollment; may be male or female
- Must be previously diagnosed with Familial Cold Urticaria (FCU)
- Must react with at least one of the symptoms of FCU in the summer months at least
four times per week sufficiently to interfere with ordinary daily activities or
inhibit normal life enjoyment.
- Women must be willing to have a pregnancy test and if necessary, use contraceptive
- Receiving any systemic medications/treatments that could affect FCU.
- Pregnancy, nursing or planning pregnancy, or, have recently been pregnant to less
than three months development and with a history of serious birth defect.
- Have had any previous treatment with Kineret (anakinra) or any therapeutic agent
targeted at IL-1 blockade.
- Have used any investigational drug within the previous 1 month or five times the half
life of the investigational agent, whichever is longer, or 3 months for any biologic
of unknown half life.
- Have received any systemic medication or treatments that could affect the symptoms of
FCU such as antihistamines, corticosteroid drugs, NSAIDS, anabolic medications or
Ketotifen within 2 weeks of the baseline visit.
- Have any known malignancy or have a history of malignancy within the previous five
years (with the exception of basal or squamous cell carcinoma of the skin that has
been treated with no evidence of recurrence).
Locations and Contacts
Queen Elizabeth Health Sciences Centre, Halifax, Nova Scotia B3H 1V7, Canada
Starting date: September 2005
Last updated: May 30, 2008