Early-access Avacopan in Real-world ANCA-associated Vasculitis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorLeiden University Medical Center

About this trial

The current study proposal aims to investigate the clinical practice variation of the initial use of avacopan for AAV patients in Europe. The study will describe patient characteristics and organ-specific clinical benefit of avacopan treatment in a unique, first-experience cohort of AAV patients. By studying the clinical practice variation of first-experience avacopan treatment, this study will be uniquely positioned to identify pivotal issues on the real-life implementation of avacopan treatment. These observational data can ultimately serve to address current knowledge gaps on avacopan treatment in AAV patients, improve the care and drug-access for AAV patients with avacopan treatment and generate new areas of research.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Established diagnosis of GPA or MPA

Treatment (initiation) with avacopan

Informed consent for use of medical data

Disqualifiers

If there is no AAV disease activity present that can be supported by an objectifiable clinical measure or assessment

If a subject is below 16 years old

Trial population

A multicenter, non-interventional, longitudinal cohort study which will collect incident as well as prevalent AAV patients treated with an avacopan-based regimen. The cohort will include retrospective and prospective data capture on real-life management and outcomes.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Assess physician's treatment indications for starting avacopan as reported in the database questionnaire

Assess physician's treatment indications for starting avacopan as reported in the database questionnaire. Options to choose are: Refractory disease, Relapsing disease, Steroid dependent, Steroid toxicity or Other

Time frame
1 year
2

Assess AAV patients' clinical characteristics at baseline as reported in the database questionnaire

Assess AAV patients' clinical characteristics at baseline as reported in the database questionnaire including: Gender (Male/Female) Age Date of AAV diagnosis Type AAV (GPA or MPA) Autoantibodies (PR3 or MPO) Organs affected

Time frame
1 year
3

Assess concomitant immunosuppressive treatment strategies employed with avacopan as registered in the database questionnaire

Assess concomitant treatment strategies employed with avacopan at baseline, 1 month, 3 months, 6 months, 9 months, 12 months, 18 months and 24 monhts. Possible options include steroids, cyclophosphamide, rituximab, azathioprine or other

Time frame
1 year
4

Assess the relevant clinical benefit of avacopan treatment at the individual patient level based on the BVAS score [0-63]

Assess the relevant clinical benefit of avacopan treatment at the individual patient level based on the BVAS score \[0-63\] as reported at baseline, 1 month, 3 months, 6 months, 9 months, 12 months, 18 months and 24 monhts.

Time frame
2 years

Secondary outcomes

1

Investigate determinants of non-response and/or relapse upon avacopan treatment based on baseline characteristics registered in the database questionnaire

Investigate determinants of non-response and/or relapse upon avacopan treatment based on baseline characteristics registered in the database questionnaire including: Gender (Male/Female) Age Date of AAV diagnosis Type AAV (GPA or MPA) Autoantibodies (PR3 or MPO) Organs affected

Time frame
2 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Leiden University Medical Center

Lead sponsor

University of Udine

Collaborator

University of Modena and Reggio Emilia

Collaborator

Hospital Universitari de Bellvitge

Collaborator

ZOL Hospital Genk Belgium

Collaborator