ClinicalTrials.gg
RecruitingNCT07222553Updated Nov 13, 2026

Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Inebilizumab in Pediatric Participants With IgG4-RD

A Phase 2 interventional study of Inebilizumab in Immunoglobulin G4-related Disease, sponsored by Amgen. Recruiting at 19 sites in 8 countries. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Amgen · Phase 2, Interventional, and Treatment

Updated Nov 13, 2026Now RecruitingFirst site in Italy+3 moreGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
2 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 14 studies in Immunoglobulin G4-Related Disease with a site in United States — 4 open to participants now, 7 under way, 3 of them phase 3. Immunoglobulin G4-Related Disease · United States.

Planned enrollment
7th of 12
15 · median 18
Started
2026
with 1 other
Phase 2
7 of 14
1 open now
Registered
14th of 14
by date
Lead sponsor
2 of 14
Amgen

Among the 14 studies in Immunoglobulin G4-Related Disease with a site in United States, this one is the 7th largest by planned enrollment of the 12 interventional ones that give a count, is one of 2 that started in 2026, is one of 7 in phase 2, and was the 14th registered.

Immunoglobulin G4-Related Disease

72 studies on the registry are indexed under Immunoglobulin G4-Related Disease; 40 are open to participants now.

Browse Immunoglobulin G4-Related Disease studies →

Open to participants now

4 of the 14 studies in Immunoglobulin G4-Related Disease with a site in United States are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 28 Immunoglobulin G4-Related Disease studies recruiting now, 12 (43%) set no upper age limit and 13 (46%) stop at 75 or younger; 3 take children under 18; 3 take healthy volunteers.

This study: 2 Years to 18 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies in Immunoglobulin G4-Related Disease with a site in United States, or all of them as a file.
02

Study summary

The primary objectives of this study are to characterize the pharmacokinetics (PK) and pharmacodynamics (PD), as well as to assess the safety and tolerability, of inebilizumab in pediatric participants with IgG4-RD.

03

Conditions studied

  • Immunoglobulin G4-related Disease

Keywords

  • Immunoglobulin G4-related Disease
  • Inebilizumab
  • AMG 335
  • IgG4-related disease
  • IgG4-RD
04

Who can participate

Ages eligible
2 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Participants must weigh ≥ 17 kg to be eligible for enrollment.
  2. Participant has provided /assent before initiation of any study-specific activities/procedures. Participant's legally authorized representative has provided informed consent when the participant is legally too young to provide informed consent, and the participant has provided written assent based on local regulations and/or guidelines before any study-specific activities/procedures being initiated.
  3. Age 2 to \< 18 years at the time of screening. For participants who reach the age of legal consent during the clinical study, notification will be required, and a new consent form must be signed by the participant for continuation in the study.
  4. Clinical diagnosis of IgG4-RD.
  5. Fulfillment of the 2019 American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) classification criteria as determined by the principal investigator (PI) at screening. Specifically, participants must meet the classification criteria entry requirements (including involvement of one of the following organs: pancreas, bile ducts/biliary tree, orbits, lungs, kidneys, lacrimal glands, major salivary glands, retroperitoneum, aorta, pachymeninges, or thyroid gland [Riedel's thyroiditis]), must not meet any of the classification criteria exclusions, and must achieve at least 20 classification criteria inclusion points.
  6. Receipt of all age-appropriate and locally-required vaccinations before screening.
  7. Participants requiring treatment in addition to or other than (GCs) for IgG4-RD according to PI's assessment at screening.
  8. Participants who are on GCs for the treatment of IgG4-RD should remain on a stable dose for at least 2 weeks before enrollment (Day 1). Tapering post enrollment will be at PI's discretion.

Key Exclusion Criteria:

  1. Participants with any of the following abnormal liver function tests in the presence of hepatobiliary IgG4-RD activity:

    • (AST) > 10 × (ULN)
    • alanine aminotransferase (ALT) > 10 × ULN
    • total (TBL) > 5 × ULN Screening liver function tests may be repeated before Day 1 to permit abnormal values due to hepatobiliary IgG4-RD activity to respond to GC treatment.
  2. Evidence of significant hepatic, renal, or metabolic dysfunction or significant hematological abnormality, including any of the following at screening (one repeat test may be conducted to confirm results within the same screening period):

    • count \< 75000/μL (or \< 75 × 109/L)
    • \< 1200 cells/μL
    • total Ig \< 600 mg/dL
    • \< 300 cells/µL
    • \< 8 g/dL (or \< 80 g/L).
  3. Estimated \< 45 mL/min/1.73 m\^2.
  4. B-cell counts \< one-half of the lower limit of normal (LLN) for age according to the central laboratory.
  5. Diagnosed with a concurrent disease that is uncontrolled or requires any prohibited medication (unless approved by the medical monitor).
  6. serious active or chronic viral, bacterial, or fungal infection that requires treatment with anti-infectives, hospitalization, or, in the investigator's opinion, represents an additional risk to the participant, within 2 months before Day 1 of study.
  7. Known history of congenital or acquired immunodeficiency (eg, due to [HIV] infection, splenectomy, -related or idiopathic T-cell deficiencies) that predisposes the participant to infection.
  8. Positive test for chronic infection at screening, defined as either: (1) Positive hepatitis B surface antigen (HBsAg); or (2) Positive hepatitis B core antibody (anti-HBc) PLUS negative hepatitis B surface antibody (anti-HBs). Note: Participants with a positive anti-HBs only, or a positive anti-HBc plus positive anti-HBs and negative HBsAg, are eligible to enroll.
  9. Receipt of any of the following before Day 1: alemtuzumab, total lymphoid irradiation, bone marrow transplant, T-cell vaccination therapy.
  10. Receipt of any of the following within 2 months before Day 1: azathioprine, mycophenolate mofetil, cyclosporine, methotrexate, cyclophosphamide, tocilizumab, satralizumab, eculizumab, and mitoxantrone.
  11. Receipt of rituximab or any experimental B-cell depleting agent (eg, ocrelizumab, obinutuzumab, ofatumumab, inebilizumab), or any non-depleting B-cell-directed therapy (eg, belimumab), abatacept, within 6 months before screening unless B-cell counts have returned to ≥ one-half the LLN.
  12. Receipt of any live or attenuated vaccine (administration of inactivated [killed] vaccine is acceptable) within 4 weeks before Day 1, Bacillus Calmette-Guérin vaccine within 1 year of screening, or blood transfusion within 4 weeks before screening or during screening.
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Inebilizumab

    Participants will receive Inebilizumab via intravenous (IV) infusion.

    Drug: Inebilizumab

Interventions

  • Inebilizumab will be administered via IV infusion.

06

What researchers measure

Primary outcomes

  1. Maximum Plasma Concentration (Cmax) of Inebilizumab

    Time frame: Up to Day 561

  2. Area Under the Plasma Concentration-time Curve (AUC) of Inebilizumab

    Time frame: Up to Day 561

  3. Clearance (CL) of Inebilizumab

    Time frame: Up to Day 561

  4. Terminal Half-life (t½) of Inebilizumab

    Time frame: Up to Day 561

  5. Volume of Distribution at Steady-state (Vss) of Inebilizumab

    Time frame: Up to Day 561

  6. Change from Baseline in CD20+ B-cell Counts

    Time frame: Baseline and Day 561

  7. Number of Participants Experiencing Adverse Events (AEs)

    Time frame: Up to Day 561

  8. Number of Participants Experiencing Serious Adverse Events (SAEs)

    Time frame: Baseline up to Day 561

  9. Number of Participants Experiencing Events of Interest (EOIs)

    Time frame: Baseline up to Day 561

  10. Number of Participants Experiencing Clinically Significant Changes from Baseline in Laboratory Parameters

    Time frame: Baseline up to Day 561

  11. Number of Participants Experiencing Clinically Significant Changes from Baseline in Vital Signs

    Time frame: Baseline up to Day 561

Secondary outcomes

  1. Time-to-first Treated Flare Across 52 Weeks

    Time frame: Up to Week 52

  2. Percentage of Flare-free Participants Across 52 Weeks

    Time frame: Up to Week 52

  3. Annualized Flare Rate Across 52 Weeks

    Time frame: Up to Week 52

  4. Presence of Antidrug Antibodies (ADA) Before and After Initiation of Treatment

    Time frame: Day 1 to Day 561

  5. Percent Reduction from Baseline in Daily Glucocorticoid Dose at Week 52

    Time frame: Baseline and Week 52

07

Study locations

19 of 19 sites recruiting
  • University of South Florida - Carol and Frank Morsani Center for Advanced Health Care
    Tampa, Florida 33612, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Recruiting
  • University of Pittsburgh Medical Center Childrens Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
    Recruiting
  • Centro Oncologia Leonardo Da Vinci
    Fortaleza, Ceará 60140-025, Brazil
    Recruiting
  • Universidade Federal da Bahia - Hospital Universitario Professor Edgard Santos
    Salvador, Estado de Bahia 40110-060, Brazil
    Recruiting
  • Hospital de Clinicas de Porto Alegre
    Porto Alegre, Rio Grande do Sul 90035-903, Brazil
    Recruiting
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100730, China
    Recruiting
  • Childrens Hospital of Chongqing Medical University
    Chongqing, Chongqing Municipality 401122, China
    Recruiting
  • The Second Xiangya Hospital of Central South University
    Changsha, Hunan 410000, China
    Recruiting
  • Euroclinic Children Hospital
    Athens, 11521, Greece
    Recruiting
  • General Children Hospital Panagioti and Aglaias Kyriakou
    Athens, 11527, Greece
    Recruiting
  • IRCCS Ospedale Pediatrico Bambino Gesu
    Roma, 00165, Italy
    Recruiting
  • Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher
    Warsaw, 03-712, Poland
    Recruiting
  • Instytut Pomnik-Centrum Zdrowia Dziecka
    Warsaw, 04-730, Poland
    Recruiting
  • Szpital Specjalistyczny Im A Falkiewicza we Wroclawiu
    Wroclaw, 52-114, Poland
    Recruiting
  • Hospital Universitari i Politecnic La Fe
    Valencia, Valencia 46026, Spain
    Recruiting
  • Hacettepe Universitesi Tip Fakultesi Hastanesi
    Ankara, 06100, Turkey (Türkiye)
    Recruiting
  • Istanbul Universitesi Cerrahpasa Tip Fakultesi
    Istanbul, 34098, Turkey (Türkiye)
    Recruiting
  • Umraniye Egitim ve Arastirma Hastanesi
    Istanbul, 34764, Turkey (Türkiye)
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe, or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.

Data sharing details ↗ · www.amgen.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2026 (actual). Primary completion is estimated for Jun 2031, 55 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 28, 2025
First posted
Oct 30, 2025
StartActual
Oct 21, 2026
Primary completionEst.
Jun 10, 2031
CompletionEst.
Jun 10, 2031
Last update
Nov 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Nov 13, 2026
Sites
5 sites added — first site in Italy. 14 sites changed recruiting status (14 now recruiting)
Show 14 sites
  • University of South Florida - Carol and Frank Morsani Center for Advanced Health Care · Tampa, United Statesno status→Recruiting
  • University of North Carolina at Chapel Hill · Chapel Hill, United Statesno status→Recruiting
  • University of Pittsburgh Medical Center Childrens Hospital of Pittsburgh · Pittsburgh, United Statesno status→Recruiting
  • Centro Oncologia Leonardo Da Vinci · Fortaleza, Brazilno status→Recruiting
  • Peking Union Medical College Hospital · Beijing, Chinano status→Recruiting
  • The Second Xiangya Hospital of Central South University · Changsha, Chinano status→Recruiting
  • Euroclinic Children Hospital · Athens, Greeceno status→Recruiting
  • General Children Hospital Panagioti and Aglaias Kyriakou · Athens, Greeceno status→Recruiting
  • Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher · Warsaw, Polandno status→Recruiting
  • Instytut Pomnik-Centrum Zdrowia Dziecka · Warsaw, Polandno status→Recruiting
  • Hospital Universitari i Politecnic La Fe · Valencia, Spainno status→Recruiting
  • Hacettepe Universitesi Tip Fakultesi Hastanesi · Ankara, Turkey (Türkiye)no status→Recruiting
  • Istanbul Universitesi Cerrahpasa Tip Fakultesi · Istanbul, Turkey (Türkiye)no status→Recruiting
  • Umraniye Egitim ve Arastirma Hastanesi · Istanbul, Turkey (Türkiye)no status→Recruiting
Show 5 added (2 Brazil, 1 China, 1 Italy, 1 Poland)
  • Universidade Federal da Bahia - Hospital Universitario Professor Edgard Santos · Salvador, Brazil
  • Hospital de Clinicas de Porto Alegre · Porto Alegre, Brazil
  • Childrens Hospital of Chongqing Medical University · Chongqing, China
  • IRCCS Ospedale Pediatrico Bambino Gesu · Roma, Italy
  • Szpital Specjalistyczny Im A Falkiewicza we Wroclawiu · Wroclaw, Poland
Nov 13, 2026
Start date
Oct 31, 2026→Oct 21, 2026 (actual)
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    Not yet recruiting→Recruiting
    5 sites added — first site in Italy. 14 sites changed recruiting status (14 now recruiting)
    Show 14 sites
    • University of South Florida - Carol and Frank Morsani Center for Advanced Health Care · Tampa, United Statesno status→Recruiting
    • University of North Carolina at Chapel Hill · Chapel Hill, United Statesno status→Recruiting
    • University of Pittsburgh Medical Center Childrens Hospital of Pittsburgh · Pittsburgh, United Statesno status→Recruiting
    • Centro Oncologia Leonardo Da Vinci · Fortaleza, Brazilno status→Recruiting
    • Peking Union Medical College Hospital · Beijing, Chinano status→Recruiting
    • The Second Xiangya Hospital of Central South University · Changsha, Chinano status→Recruiting
    • Euroclinic Children Hospital · Athens, Greeceno status→Recruiting
    • General Children Hospital Panagioti and Aglaias Kyriakou · Athens, Greeceno status→Recruiting
    • Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher · Warsaw, Polandno status→Recruiting
    • Instytut Pomnik-Centrum Zdrowia Dziecka · Warsaw, Polandno status→Recruiting
    • Hospital Universitari i Politecnic La Fe · Valencia, Spainno status→Recruiting
    • Hacettepe Universitesi Tip Fakultesi Hastanesi · Ankara, Turkey (Türkiye)no status→Recruiting
    • Istanbul Universitesi Cerrahpasa Tip Fakultesi · Istanbul, Turkey (Türkiye)no status→Recruiting
    • Umraniye Egitim ve Arastirma Hastanesi · Istanbul, Turkey (Türkiye)no status→Recruiting
    Show 5 added (2 Brazil, 1 China, 1 Italy, 1 Poland)
    • Universidade Federal da Bahia - Hospital Universitario Professor Edgard Santos · Salvador, Brazil
    • Hospital de Clinicas de Porto Alegre · Porto Alegre, Brazil
    • Childrens Hospital of Chongqing Medical University · Chongqing, China
    • IRCCS Ospedale Pediatrico Bambino Gesu · Roma, Italy
    • Szpital Specjalistyczny Im A Falkiewicza we Wroclawiu · Wroclaw, Poland
    Start date Oct 31, 2026→Oct 21, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07222553
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Oct 30, 2025
Start date
Oct 21, 2026
Primary completion
Jun 10, 2031 (estimated)
Completion
Jun 10, 2031 (estimated)
Last update
Nov 13, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Inebilizumab

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