A Study of Baricitinib (LY3009104) in Participants From 2 Years to Less Than 18 Years Old With Active JIA-Associated Uveitis or Chronic Anterior Antinuclear Antibody-Positive Uveitis
An Open-label, Active-Controlled, Safety, and Efficacy Study of Oral Baricitinib in Patients From 2 Years to Less Than 18 Years Old With Active Juvenile Idiopathic Arthritis-Associated Uveitis or Chronic Anterior Antinuclear Antibody-Positive Uveitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Le Kremlin-Bicêtre, France, 94270
- Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre
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Paris, France, 75015
- Hopital Universitaire Necker Enfants Malades
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Poitiers, France, 86021
- Centre Hospitalier Universitaire De Poitiers
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Berlin, Germany, 13125
- Helios Klinikum Berlin-Buch
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Berlin, Germany, 13353
- Charité Campus Virchow-Klinikum
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Hamburg, Germany, 22081
- Praxis Kinder- und Jugendrheumatologie Dr. Ivan Foeldvari
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North Rhine-Westphalia
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Sankt Augustin, North Rhine-Westphalia, Germany, 53757
- Asklepios Klinik Sankt Augustin
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Florence, Italy, 50100
- Azienda Ospedaliero Universitaria Meyer
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Lombardy
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Milan, Lombardy, Italy, 20122
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
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Valencia, Spain, 46026
- Hospital Universitario La Fe de Valencia
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Barcelona
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Esplugues de Llobregat, Barcelona, Spain, 08950
- Hospital Sant Joan de Déu
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Madrid, Comunidad de
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Madrid, Madrid, Comunidad de, Spain, 28009
- Hospital Infantil Universitario Niño Jesús
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Madrid, Madrid, Comunidad de, Spain, 28046
- Hospital Universitario La Paz
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London, United Kingdom, WC1N 3JH
- Great Ormond Street Hospital For Children NHS Foundation Trust
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Sheffield, United Kingdom, S10 2TH
- Sheffield Children's Hospital
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Bristol, City of
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Bristol, Bristol, City of, United Kingdom, BS2 8BJ
- Bristol Royal Hospital for Children
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Cambridgeshire
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Cambridge, Cambridgeshire, United Kingdom, CB2 0QQ
- Cambridge Clinical Research Facility
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England
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Liverpool, England, United Kingdom, L14 5AB
- Alder Hey Children's Hospital
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Newcastle upon Tyne, England, United Kingdom, NE1 4LP
- Royal Victoria Infirmary
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Hampshire
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Southampton, Hampshire, United Kingdom, SO16 0YD
- University Hospital Southampton NHS Foundation Trust
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants must have a diagnosis of JIA-U or chronic anterior antinuclear antibody (ANA) positive uveitis without systemic features.
- Participants must have active anterior uveitis, defined as cellular infiltrate in the anterior chamber of SUN criteria grade ≥1+ at screening and randomization, despite prior treatment with adequate doses of topical steroid therapy and methotrexate (MTX).
- Participants must have an inadequate response or intolerance to MTX.
- Participants must be on a stable dose of corticosteroid eye drops for at least 2 weeks prior to screening with a maximum of 4 drops/day/eye at screening.
- Participants and their partners of child bearing potential must agree to use 2 effective methods of contraception for the duration of the study and for at least 1 week following the last dose of investigational product.
Exclusion Criteria:
- Participants must not have a history or presence of any autoimmune inflammatory condition other than JIA, such as Crohn's disease or ulcerative colitis.
Participants must not have any contraindications to adalimumab.
- Exception: Participants who are biologic disease-modifying antirheumatic drug (bDMARD) inadequate response or intolerance with a contraindication to adalimumab may be enrolled, as they will be assigned to baricitinib.
- Participants must not have increased intraocular pressure ≥25 millimeters of mercury (mm Hg) or that required treatment, including increases in medications, surgery, or hospitalization, within 4 weeks prior to baseline that, in the opinion of the investigator, would pose an unacceptable risk to the participant.
- Participants must not have had intraocular surgery within the 3 months prior to screening (such as for cataract(s), glaucoma or vitrectomy).
- Participants must not have a current or recent (<4 weeks prior to baseline) infection.
- Participants must not have a positive test for hepatitis B virus (HBV) at screening.
- Participants must not have evidence of active tuberculosis (TB) or untreated latent TB.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Baricitinib
Participants ≥9 to <18 years of age were administered 4 milligrams (mg) baricitinib once daily (QD). Participants <9 years of age were administered 2 mg baricitinib QD. Participants <6 years of age received an oral suspension. Participants ≥6 to <12 years of age had the option of receiving an oral suspension. Participants >12 years of age were supplied tablets. |
Administered orally
Other Names:
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Active Comparator: Adalimumab
Participants received adalimumab administered subcutaneously (SC) once every 2 weeks.
The dose was based on body weight: 20 mg every 2 weeks for participants weighing <30 kilograms (kg), or 40 mg every 2 weeks for participants weighing ≥30 kg.
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Administered SC
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part A: Percentage of Responders for Baricitinib at Week 24
Time Frame: Week 24
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Response was defined according to the Standardization of Uveitis Nomenclature (SUN) criteria as a 2-step decrease in the level of inflammation (anterior chamber cells) or decrease to zero through week 24, in the eye most severely affected at baseline.
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Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in SUN Grade of Cells in the Anterior Chamber in the Most Severely Affected Eye
Time Frame: Baseline, Week 24
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Change from Baseline in SUN Grade of Cells in the Anterior Chamber in the Most Severely Affected Eye.
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Change From Baseline in SUN Grade of Cells in the Anterior Chamber in the Less Severely Affected Eye (If Applicable)
Time Frame: Baseline, Week 24
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Change from Baseline in SUN Grade of Cells in the Anterior Chamber in the Less Severely Affected Eye (If Applicable).
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Percentage of Responders in Participants With Bilateral Uveitis Disease at Baseline
Time Frame: Week 24
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Response is defined according to the SUN criteria as a 2-step decrease in the level of anterior chamber cells in the most severely affected eye at baseline (or both eyes if the inflammation grade is the same in both eyes) and a 1-step decrease in the level of anterior chamber cells in the less severely affected eye at baseline.
Outcome data will be provided after the study is completed.
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Week 24
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Change From Baseline in Visual Acuity Measured by Age-Appropriate Logarithm of the Minimum Angle of Resolution (LogMAR) Test
Time Frame: Baseline, Week 24
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Change from Baseline in Visual Acuity Measured by Age-Appropriate LogMAR Test.
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Change From Baseline in Vitreous Haze
Time Frame: Baseline, Week 24
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Change from Baseline in Vitreous Haze.
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Change From Baseline in Grade of Flare in the Anterior Chamber
Time Frame: Baseline, Week 24
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Change from Baseline in Grade of Flare in the Anterior Chamber.
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Percentage of Participants With Inactive Anterior Uveitis (Using SUN Definition)
Time Frame: Week 24
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Percentage of Participants with Inactive Anterior Uveitis (using SUN Definition).
Outcome data will be provided after the study is completed.
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Week 24
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Time to Inactive Anterior Uveitis Disease (Using SUN Definition)
Time Frame: Baseline through Week 24
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Time to Inactive Anterior Uveitis Disease (Using SUN Definition).
Outcome data will be provided after the study is completed.
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Baseline through Week 24
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Percentage of Participants Who Are Able to Taper Concomitant Topical Corticosteroids to <2 Drops Per Day
Time Frame: Week 24
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Percentage of Participants who are Able to Taper Concomitant Topical Corticosteroids to <2 Drops Per Day.
Outcome data will be provided after the study is completed.
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Week 24
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Pediatric American College of Rheumatology (PediACR30) Response Rate (For Participants With JIA-U)
Time Frame: Week 24
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PediACR30 Response Rate (For Participants with JIA-U).
Outcome data will be provided after the study is completed.
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Week 24
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Change From Baseline in Overall Uveitis-Related Disability
Time Frame: Baseline, Week 24
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Change from Baseline in Overall Uveitis-Related Disability.
Outcome data will be provided after the study is completed.
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Baseline, Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 16277
- I4V-MC-JAHW (Other Identifier: Eli Lilly and Company)
- 2019-000119-10 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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