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Trial · NCT04838860

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAssess the Clinical Benefit Response (CBR) of Siltuximab12 Weeks
Assess the clinical benefit response (CBR) of increased siltuximab doses in patients with IL-6-driven (C-reactive protein \[CRP\]-elevated and rising) idiopathic multicentric Castleman disease (iMCD) after disease progression on the standard siltuximab dose schedule. CBR defined as complete response (CR), partial response (PR), or stable disease (SD) lasting ≥12 weeks per Castleman Disease Collaborative Network Response Criteria (CDCNRC).
SecondaryTo evaluate the safety and tolerability of increased Siltuximab doses12 Weeks
Incidence of Adverse Events (AEs), serious adverse events (SAEs), suspected unexpected serious adverse reactions (SUSARs), incidence of abnormal laboratory test results incidence of dose-limiting toxicities (DLTs)
SecondaryPharmacokinetics (Vd)12 WeeksTo test the patient's drug propensity
SecondaryPharmacokinetics (CL)12 WeeksTo test the volume of plasma cleared of drug per unit time
SecondaryPharmacokinetics (AUC)12 WeeksTo test the extent of exposure to a drug and its clearance rate from the body
SecondaryPharmacokinetics (Cmin / Cmax)12 WeeksTo test the minimum (Cmin) and the maximum (Cmax) blood plasma concentration
SecondaryPharmacokinetics (Ctrough)12 WeeksTo test the minimum drug concentration after a dose
SecondaryPharmacokinetics (Tmax)12 WeeksTo test the time taken to reach Cmax
SecondaryEvaluate the efficacy of increased siltuximab doses after disease progression on prior siltuximab treatment.12 WeeksThe primary efficacy endpoint is CBR defined as CR, PR, or SD lasting ≥12 weeks per CDCNRC based on evaluation of biochemical, lymph node, and symptom response
SecondaryEvaluate the immunogenicity of increased siltuximab doses after disease progression on prior siltuximab treatment.12 Weeks
Immunogenicity will be assessed through the detection of antibodies against siltuximab, and will be conducted via immunoassay ± serum IL-6 levels on Day 1 of Cycle 1, 3, 6 and every 4 cycles thereafter, before administration of siltuximab.
SecondaryTo evaluate the patient-reported outcomes (PROs) using the EQ-5D Instrument12 Weeks
The secondary outcome measures will include the health status measures of the EuroQuality of Life Five Dimensions (EQ-5D) has the following dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 levels: no problems, some problems, and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the 5 dimensions
SecondaryTo evaluate the patient-reported outcomes (PROs) using the MCD-SS Instrument12 Weeks
The Multicentric Castleman disease symptom score (MCD-SS) lists 10 symptoms which are graded on a scale: Did not experience (0); Very mild (2); Mild (4); Moderate (6); Severe (8); Very Severe (10). The mean score of the ten items is calculated and a higher score indicates more severe symptoms.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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