A Study of Baricitinib (LY3009104) in Adult and Pediatric Japanese Participants With NNS/CANDLE, SAVI, and AGS
A Phase 2/3, Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Baricitinib in Adult and Pediatric Japanese Patients With NNS/CANDLE, SAVI, and AGS
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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-
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Hiroshima, Japan, 734-8551
- Hiroshima University Hospital
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Wakayama, Japan, 641-0012
- Wakayama Medical University Hospital
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Nara
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Kashihara, Nara, Japan, 634-0813
- Nara Medical University Hospital
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Tokyo
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Bunkyō, Tokyo, Japan, 113-8519
- Tokyo Medical and Dental University Medical Hospital
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Setagaya-ku, Tokyo, Japan, 157-8535
- National Center for Child Health and Development
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have systemic signs and symptoms of inflammation as manifested NNS/CANDLE, SAVI, AGS
- Have been diagnosed with genetic diagnosis
- Men must agree to use a reliable method of birth control during the study
- Women not of child-bearing potential or nonbreastfeeding
- Women must agree to use birth control or remain abstinent during the study and for at least 12 weeks after stopping treatment
- NNS/CANDLE and SAVI patients who are ≥17.5 months of age
- AGS patients who are ≥6 months of age
- Are ≥ 5kg in body weight
Exclusion Criteria:
- Have received immunosuppressive biologic agent/monoclonal antibody/oral JAK inhibitor/OAT3 inhibitor and cannot discontinue prior to investigational product initiation. Note: A washout period is required to each drug.
- Have diagnosis of current active tuberculosis (TB) or, latent TB who did not receive appropriate treatment.
- Have had a serious infection within 12 weeks prior to screening.
- Have a history of lymphoproliferative disease
- Have any history of venous thromboembolic event (VTE) (deep vein thrombosis [DVT]/pulmonary embolism [PE]) prior to screening.
- Have had any major surgery within 8 weeks prior to screening.
- Have previously been enrolled in any other study investigating baricitinib.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CANDLE
Participants with chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE) were administered an optimized final dosage of baricitinib, ranging from 8 mg to 12 mg daily (initially 8 mg, with gradual escalation to 10 mg and 12 mg), either as tablets or oral suspension, for 12 weeks.
This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and estimated glomerular filtration rate (eGFR).
Participants then continued receiving baricitinib at their optimized dosage for 191.1 weeks.
|
Administered orally
Other Names:
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Experimental: SAVI
Participants with stimulator of interferon genes (STING)-associated vasculopathy with onset during infancy (SAVI) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 12 mg daily (initially 6 mg, with gradual escalation to 8 mg, 10 mg, and 12 mg), either as tablets or oral suspension, for 24 weeks.
This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR.
Participants then continued receiving baricitinib at their optimized dosage for 202.9 weeks.
|
Administered orally
Other Names:
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Experimental: Aicardi-Goutières Syndrome (AGS)
Participants with Aicardi-Goutières Syndrome (AGS) were administered an optimized final dosage of baricitinib, ranging from 6 mg to 8 mg daily (initially 6 mg, with gradual escalation to 8 mg), either as tablets or oral suspension, for 24 weeks.
This dosage was determined during a prior 8-week dose-adjustment period, tailored to each participant's weight and eGFR.
Participants then continued receiving baricitinib at their optimized dosage for 206.1 weeks.
|
Administered orally
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment Period)
Time Frame: Baseline, 20 weeks
|
Diaries were specific to individual indications or conditions (i.e., NNS/CANDLE, SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
Total score was not utilized.
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Baseline, 20 weeks
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Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment Period)
Time Frame: Baseline, 32 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For SAVI, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, fatigue, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms,3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
Total score was not utilized.
|
Baseline, 32 weeks
|
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Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment Period)
Time Frame: Baseline, 32 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For AGS, participant or caregiver was instructed to rate each symptom (rating) (neurologic disability (0, 5, 7,10) crying (0, 1, 2, 3), length of uninterrupted sleep (0, 1, 2, 3), generalized seizure (0, 8), fever (0,1), excessive irritability (0, 1, 2, 3), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom.
The mean daily diary score was the average of all symptom scores and the range was 0 - 4.25 with the higher score indicating a more severe symptom.
Total score was not utilized.
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Baseline, 32 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Mean Daily Diary Scores in Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 191.1 weeks
|
Diaries were specific to individual indications or conditions (i.e., NNS/CANDLE, SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
Total score was not utilized.
|
Baseline, 191.1 weeks
|
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Change From Baseline in Mean Daily Diary Scores in Participants With SAVI (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 202.9 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For SAVI, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, fatigue, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms,3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
Total score was not utilized.
|
Baseline, 202.9 weeks
|
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Change From Baseline in Mean Daily Diary Scores in Participants With AGS (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 206.1 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For AGS, participant or caregiver was instructed to rate each symptom (rating) (neurologic disability (0, 5, 7,10) crying (0, 1, 2, 3), length of uninterrupted sleep (0, 1, 2, 3), generalized seizure (0, 8), fever (0,1), excessive irritability (0, 1, 2, 3), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom.
The mean daily diary score was the average of all symptom scores and the range was 0 - 4.25 with the higher score indicating a more severe symptom.
Total score was not utilized.
|
Baseline, 206.1 weeks
|
|
Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment Period)
Time Frame: CANDLE: Week 20, SAVI and AGS: Week 32
|
Decrease was defined as total steroid dose at the visit <0.15 mg/kg/day (prednisone-equivalent) or >=50% decrease from baseline.
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CANDLE: Week 20, SAVI and AGS: Week 32
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Number of Participants With Decrease in Daily Dose of Corticosteroids in Participants With CANDLE, SAVI and AGS (Primary Treatment and Maintenance Period)
Time Frame: CANDLE: Week 191.1; SAVI: 202.9 and AGS: Week 206.1
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Decrease was defined as total steroid dose <0.15 mg/kg/day (prednisone-equivalent) or >=50% decrease from baseline.
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CANDLE: Week 191.1; SAVI: 202.9 and AGS: Week 206.1
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Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment Period)
Time Frame: Baseline, 20 weeks
|
Diaries were specific to individual indications or conditions (i.e, NNS/CANDLE,SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fatigue, fever, headache, musculoskeletal pain and rash in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]).
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
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Baseline, 20 weeks
|
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Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment Period)
Time Frame: Baseline, 32 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For SAVI, participant or caregiver was instructed to rate each symptom (fatigue, fever, musculoskeletal pain, rash, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]).
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
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Baseline, 32 weeks
|
|
Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment Period)
Time Frame: Baseline, 32 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For AGS, participant or caregiver was instructed to rate each symptom (rating) (crying (0, 1, 2, 3), excessive irritability (0, 1, 2, 3), fever (0,1), generalized seizure (0, 8), length of uninterrupted sleep (0, 1, 2, 3), neurologic disability (0, 5, 7,10), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom.
|
Baseline, 32 weeks
|
|
Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 191.1 weeks
|
Diaries were specific to individual indications or conditions (i.e, NNS/CANDLE,SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fatigue, fever, headache, musculoskeletal pain and rash in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]).
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
|
Baseline, 191.1 weeks
|
|
Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With SAVI (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 202.9 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For SAVI, participant or caregiver was instructed to rate each symptom (fatigue, fever, musculoskeletal pain, rash, respiratory/breathing problems, and ulcers/ischemic lesions in the diary on a scale from 0 to 4, where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms]).
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
|
Baseline, 202.9 weeks
|
|
Change From Baseline in Patient's Symptom Specific Daily Diary Scores For Participants With AGS (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 206.1 weeks
|
Diaries were specific to individual indications or conditions (i.e.
NNS/CANDLE, SAVI, or AGS).
For AGS, participant or caregiver was instructed to rate each symptom (rating) (crying (0, 1, 2, 3), excessive irritability (0, 1, 2, 3), fever (0,1), generalized seizure (0, 8), length of uninterrupted sleep (0, 1, 2, 3), neurologic disability (0, 5, 7,10), skin findings(body) (0, 1, 2, 3), and skin findings (hands, feet, and ears) (0, 1, 2, 3) with a higher score for each symptom indicating a more severe symptom.
|
Baseline, 206.1 weeks
|
|
Change From Baseline in the Physician's Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment Period)
Time Frame: Baseline, 20 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
Baseline, 20 weeks
|
|
Change From Baseline in the Physician's Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Primary Treatment Period)
Time Frame: Baseline, 32 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle VAS ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
Baseline, 32 weeks
|
|
Change From Baseline in the Physician's Global Assessment of Disease Activity Scores in Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Baseline, 191.1 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
Baseline, 191.1 weeks
|
|
Change From Baseline in the Physician's Global Assessment of Disease Activity Scores in Participants With SAVI and AGS (Maintenance Period)
Time Frame: SAVI: Baseline, 202.9 weeks; AGS: Baseline, 206.1 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle VAS ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
SAVI: Baseline, 202.9 weeks; AGS: Baseline, 206.1 weeks
|
|
Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to that in Pre-treatment period in Participants with CANDLE was evaluated
|
Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
|
Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
Change of Percentage of Days Meeting the Criteria of Participant's Mean Daily Diary Score <0.5 Compared to That in Pre-treatment Period in Participants With CANDLE was evaluated.
|
Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
|
Change From Baseline in Growth Velocity (Height and Weight Z Score) (Primary Treatment and Maintenance Period)
Time Frame: CANDLE: Baseline, 191.1 weeks; SAVI: Baseline, 202.9 weeks and AGS: Baseline, 206.1 weeks
|
The change from baseline in normalized scores for body weight or height is measured using Z-scores. A Z-score indicates how many standard deviations a person's height or body weight is above or below the average for their age and gender. Z-score which was calculated by (value - [mean of the population]) / [SD of the population] at a given age/sex. Interpretation: Z-score of 0: The measurement is equal to the population mean. Z-score less than 0: The measurement is below the population mean. Z-score greater than 0: The measurement is above the population mean. An increase in the Z-score for weight or height means that the weight or height of the participants has increased more than the standard population during the study. For study participants with Z-scores less than 0 at baseline, an increase in Z-score is considered a positive outcome. A Z-score within the range of -2 to +2 indicates that the height or weight is within the normal range. |
CANDLE: Baseline, 191.1 weeks; SAVI: Baseline, 202.9 weeks and AGS: Baseline, 206.1 weeks
|
|
Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
|
Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
|
Change From Pre-treatment Period in Mean Daily Diary Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
Diaries were specific to individual indications or conditions (ie, NNS/CANDLE,SAVI, or AGS).
For NNS/CANDLE, participant or caregiver was instructed to rate each symptom (fever, rash, musculoskeletal pain, headache and fatigue in the diary on a scale from 0 to 4 (where a score of 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = more severe symptoms, and 4 = severe symptoms [equivalent to "worst" symptoms].
The mean daily score range was 0-4 with the higher score indicating a more severe symptom.
|
Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
|
Change From Pre-treatment Period in the Physician's Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
Pre-treatment period (average of 12-week pre-treatment data), up to 20 weeks
|
|
Change From Pre-treatment Period in the Physician's Global Assessment of Disease Activity Scores For Participants With CANDLE (Primary Treatment and Maintenance Period)
Time Frame: Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
The Physician's Global Assessment of Disease Activity is used to assess the patient's current disease activity, as it relates to their signs and symptoms.
The instrument uses a 21-circle Visual Analog Scale (VAS) ranging from 0 to 10 (using 0.5 increments) where 0 = "no activity" and 10 = "maximum activity" (Filocamo et al. 2010).
Higher scores indicate greater disease severity.
|
Pre-treatment period (average of 12-week pre-treatment data), up to 191.1 weeks
|
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 (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 17571
- I4V-JE-JAJE (Other Identifier: Eli Lilly and Company)
- 2025-000001-16 (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
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