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A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of Sibeprenlimab Administered Subcutaneously in Participants With Sjögren's

ReclutandoFase 2ClinicalTrials.gov
ID: NCT06928142Tipo: INTERVENTIONALInicio: 23 de abr de 2025Fin estimado: 4 de jun de 2027
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Resumen

This is a phase 2 study to evaluate the effects of sibeprenlimab 400 mg administered subcutaneously (SC) every 4 (Q4) weeks as an add-on to background treatment in participants with Sjögren's disease.

Descripcion detallada

This is a multicenter, randomized, double-blind, placebo-controlled, proof-of-concept study followed by an optional open-label extension to evaluate the efficacy and safety of sibeprenlimab 400 mg administered SC Q4 weeks as an add-on to background treatment in participants with Sjögren's disease. The primary objective is to compare the effect of sibeprenlimab versus placebo added to background treatment on European League Against Rheumatism Sjögren's Syndrome Disease Activity Index (ESSDAI) scores at 28 weeks. The key secondary objective is to compare the effect of sibeprenlimab versus placebo added to background treatment on European League Against Rheumatism Sjögren's Syndrome Patient-Reported Index (ESSPRI) at 28 weeks. Approximately 80 participants who have a diagnosis of Sjögren's disease according to the 2016 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria will be randomized with approximately 40 participants in the sibeprenlimab group and 40 participants in the placebo group.

Elegibilidad

Edad minima: 18 YearsEdad maxima: 75 YearsSexo: ALL

Criterios de inclusion

  • Diagnosed with Sjögren's disease.
  • ESSDAI score (which measures disease activity) must be 5 or higher.
  • Salivary flow rate must be at least 0.05 mL/min.
  • Serum IgG level must be higher than 900 mg/dL.
  • Must be able to communicate well with the investigator and agree to follow the trial requirements.
  • Participants can continue certain medications (hydroxychloroquine, methotrexate, leflunomide, or azathioprine) if they have been on a stable dose for at least 30 days.
  • Corticosteroid dose must be stable and no more than 10 mg/day for at least 30 days.
  • Test positive for anti-Ro52 and/or anti-Ro60 antibodies.

Criterios de exclusion

  • Another active autoimmune rheumatic disease.
  • Prior use of B-cell depleting therapy or prohibited immunosuppressants.
  • Significant comorbidities including uncontrolled type 2 diabetes, malignancy, and chronic and/or acute infections.
  • Suicidal ideation or behavior based on the Patient Health Questionnaire-9 (PHQ-9).

Intervenciones

biological

Sibeprenlimab

400 mg administered SC Q4 weeks

other

Placebo

Administered SC Q4 weeks

Ubicaciones

Consultorios Médicos Dr. Doreski - Fundacion Respirar - PPDS

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

RECRUITING

Instituto CER S.A.

Quilmes, Buenos Aires, Argentina

NOT_YET_RECRUITING

Instituto Médico de la Fundación Estudios Clínicos

Rosario, Santa Fe Province, Argentina

NOT_YET_RECRUITING

Clínica Mayo de U.M.C.B. S.R.L

San Miguel de Tucumán, Tucumán Province, Argentina

RECRUITING

Centro de Investigaciones Médicas Tucumán - PPDS

San Miguel de Tucumán, Tucumán Province, Argentina

RECRUITING

DOM Centro de Reumatología

Buenos Aires, Argentina

RECRUITING

Expertia S.A- Mautalén Salud e Investigación

Buenos Aires, Argentina

NOT_YET_RECRUITING

Maffei Centro Médico

Buenos Aires, Argentina

RECRUITING

Aprillus Asistencia e Investigacion de Arcis Salud SRL

Buenos Aires, Argentina

RECRUITING

Centro Polivalente de Asistencia e Investigación Clínica - CER San Juan

San Juan, Argentina

RECRUITING

Patrocinadores

PrincipalOtsuka Pharmaceutical Development & Commercialization, Inc.
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