Kezar Suspends Lupus Trial After 4 Deaths
Following four fatalities, Kezar Life Sciences has suspended the enrollment of new patients and dosing of ongoing patients in its Phase 2b PALIZADE trial evaluating two dose levels of zetomipzomib (30mg and 60mg) in patients with active lupus nephritis.
The suspension resulted from a safety data review by an independent data monitoring committee (IDMC) that involved emerging safety data, including an assessment of the four Grade 5 (fatal) serious adverse events involving patients enrolled in the Philippines and Argentina, according to the company. “Review of the data by the IDMC revealed that three of the fatalities showed a common pattern of symptoms and proximity to dosing, and additional non-fatal SAEs showed a similar proximity to dosing,” it says. The trial remains blinded and Kezar says it has not observed any instances of death or serious opportunistic infections in prior clinical studies.
To date, 84 patients have been enrolled in the PALIZADE trial, Kezar says, adding that the ongoing Phase 2a PORTOLA clinical trial of zetomipzomib in patients with autoimmune hepatitis has completed enrollment and remains active at this time. To date, no Grade 4 or 5 adverse events have been observed in the PORTOLA study.
The company says it has notified all study investigators and is notifying regulatory authorities, including FDA.