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En klinisk undersøgelse til evaluering af Ianalumab hos deltagere med diffus kutan systemisk sklerose

12. oktober 2026 opdateret af: Novartis Pharmaceuticals

En randomiseret, dobbeltblind, parallel gruppe, placebokontrolleret multicenterundersøgelse til evaluering af Ianalumabs effektivitet, sikkerhed og tolerabilitet hos deltagere med diffus kutan systemisk sklerose

The purpose of this study is to evaluate efficacy, safety and tolerability of s.c. ianalumab administered in participants with diffuse cutaneous systemic sclerosis relative to placebo

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The study consists of the following periods:

  • Screening Period, with a duration of up to 6 weeks;
  • Treatment Period 1, with a duration of 52 weeks;
  • Treatment Period 2 (Open-label treatment), with a duration of 52 weeks;
  • Post-treatment Follow-up Period, with a duration of at least 20 weeks post last dose and up to 2 years.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

201

Fase

  • Fase 2

Udvidet adgang

Ledig uden for det kliniske forsøg. Se udvidet adgangsregistrering.

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Caba, Argentina, C1015ABO
        • Novartis Investigative Site
      • Caba, Argentina, C1427CCL
        • Novartis Investigative Site
      • San Miguel de Tucumán, Argentina, T4000AXL
        • Novartis Investigative Site
    • Buenos Aires
      • CABA, Buenos Aires, Argentina, C1221ADC
        • Novartis Investigative Site
      • Leuven, Belgien, 3000
        • Novartis Investigative Site
    • Estado de Bahia
      • Salvador, Estado de Bahia, Brasilien, 40150-150
        • Novartis Investigative Site
    • Paraná
      • Curitiba, Paraná, Brasilien, 80030-110
        • Novartis Investigative Site
    • Rio Grande do Sul
      • Porto Alegre, Rio Grande do Sul, Brasilien, 90035-074
        • Novartis Investigative Site
    • São Paulo
      • Sao Jose Rio Preto, São Paulo, Brasilien, 15090-000
        • Novartis Investigative Site
      • São Paulo, São Paulo, Brasilien, 04038-002
        • Novartis Investigative Site
      • Bogotá, Colombia, 110231
        • Novartis Investigative Site
      • Medellín, Colombia, 050034
        • Novartis Investigative Site
    • Antioquia
      • Medellín, Antioquia, Colombia, 050001
        • Novartis Investigative Site
    • Cundinamarca
      • Bogota, Cundinamarca, Colombia, 110111
        • Novartis Investigative Site
      • Bogota, Cundinamarca, Colombia, 110221
        • Novartis Investigative Site
    • Valle del Cauca Department
      • Cali, Valle del Cauca Department, Colombia, 760012
        • Novartis Investigative Site
      • Bristol, Det Forenede Kongerige, BS10 5NB
        • Novartis Investigative Site
      • London, Det Forenede Kongerige, NW3 2QG
        • Novartis Investigative Site
    • Arizona
      • Mesa, Arizona, Forenede Stater, 85202
        • Arizona Arthritis and Rheumatology Research PLLC
    • California
      • Los Angeles, California, Forenede Stater, 90095
        • UCLA
      • Newport Beach, California, Forenede Stater, 92663
        • Hoag Hospital
    • Florida
      • Clearwater, Florida, Forenede Stater, 33765
        • Clinical Res Of W Florida
      • Cooper City, Florida, Forenede Stater, 33024
        • GNP Research
      • Plantation, Florida, Forenede Stater, 33324
        • IRIS Research and Development
      • Sarasota, Florida, Forenede Stater, 34239
        • Sarasota Arthritis Res Ctr
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60637
        • University of Chicago Hospitals
    • Michigan
      • Ann Arbor, Michigan, Forenede Stater, 48109
        • Uni Of Michigan Health System
    • New York
      • New York, New York, Forenede Stater, 10021
        • Hospital for Special Surgery
    • Tennessee
      • Jackson, Tennessee, Forenede Stater, 38305
        • West Tennessee Research Institute
    • Texas
      • Bellaire, Texas, Forenede Stater, 77401
        • Novel Research LLC
      • Frisco, Texas, Forenede Stater, 75035
        • Arthritis and Rheumatology Ins
      • Houston, Texas, Forenede Stater, 77054
        • Prolato Clinical Research Center
      • Dijon, Frankrig, 21000
        • Novartis Investigative Site
      • Le Mans, Frankrig, 72000
        • Novartis Investigative Site
      • Lille, Frankrig, 59037
        • Novartis Investigative Site
      • Montpellier, Frankrig, 34295
        • Novartis Investigative Site
      • Paris, Frankrig, 75014
        • Novartis Investigative Site
      • Rennes, Frankrig, 35033
        • Novartis Investigative Site
      • Strasbourg, Frankrig, 67000
        • Novartis Investigative Site
      • Toulouse, Frankrig, 31054
        • Novartis Investigative Site
      • Alexandroupoli, Grækenland, 681 00
        • Novartis Investigative Site
      • Athens, Grækenland, 115 27
        • Novartis Investigative Site
      • Athens, Grækenland, 115 21
        • Novartis Investigative Site
    • Kerala
      • Kochi, Kerala, Indien, 682018
        • Novartis Investigative Site
    • Maharashtra
      • Mumbai, Maharashtra, Indien, 400078
        • Novartis Investigative Site
    • National Capital Territory of Delhi
      • New Delhi, National Capital Territory of Delhi, Indien, 110060
        • Novartis Investigative Site
    • New Delhi
      • New Delhi, New Delhi, Indien, 110029
        • Novartis Investigative Site
    • Rajasthan
      • Jaipur, Rajasthan, Indien, 302004
        • Novartis Investigative Site
    • AN
      • Ancona, AN, Italien, 60020
        • Novartis Investigative Site
    • MI
      • Milan, MI, Italien, 20100
        • Novartis Investigative Site
      • Rozzano, MI, Italien, 20089
        • Novartis Investigative Site
    • MO
      • Modena, MO, Italien, 41124
        • Novartis Investigative Site
    • PA
      • Palermo, PA, Italien, 90127
        • Novartis Investigative Site
    • PV
      • Pavia, PV, Italien, 27100
        • Novartis Investigative Site
    • RM
      • Roma, RM, Italien, 00168
        • Novartis Investigative Site
    • VR
      • Verona, VR, Italien, 37134
        • Novartis Investigative Site
      • Hiroshima, Japan, 7348551
        • Novartis Investigative Site
      • Ishikawa, Japan, 9208641
        • Novartis Investigative Site
      • Kyoto, Japan, 6068507
        • Novartis Investigative Site
    • Aichi-ken
      • Nagoya, Aichi-ken, Japan, 4578510
        • Novartis Investigative Site
      • Toyoake, Aichi-ken, Japan, 4701192
        • Novartis Investigative Site
    • Kanagawa
      • Yokohama, Kanagawa, Japan, 2360004
        • Novartis Investigative Site
    • Saitama
      • Iruma-gun, Saitama, Japan, 3500495
        • Novartis Investigative Site
    • Tokyo
      • Bunkyo-ku, Tokyo, Japan, 1138603
        • Novartis Investigative Site
      • Shinjuku Ku, Tokyo, Japan, 1628666
        • Novartis Investigative Site
    • Toyama
      • Toyama, Toyama, Japan, 9300194
        • Novartis Investigative Site
      • Beijing, Kina, 100191
        • Novartis Investigative Site
      • Tianjin, Kina, 300052
        • Novartis Investigative Site
    • Guangxi
      • Nanning, Guangxi, Kina, 530021
        • Novartis Investigative Site
    • Henan
      • Zhengzhou, Henan, Kina, 450003
        • Novartis Investigative Site
    • Sichuan
      • Chengdu, Sichuan, Kina, 610041
        • Novartis Investigative Site
    • Zhejiang
      • Ningbo, Zhejiang, Kina, 315016
        • Novartis Investigative Site
      • Kuala Lumpur, Malaysia, 59100
        • Novartis Investigative Site
    • Kuala Lumpur
      • Cheras, Kuala Lumpur, Malaysia, 56000
        • Novartis Investigative Site
    • Chihuahua
      • Chihuahua City, Chihuahua, Mexico, 31000
        • Novartis Investigative Site
    • Jalisco
      • Guadalajara, Jalisco, Mexico, 44650
        • Novartis Investigative Site
    • Mexico City
      • Mexico City, Mexico City, Mexico, 11850
        • Novartis Investigative Site
    • Nuevo León
      • Monterrey, Nuevo León, Mexico, 64460
        • Novartis Investigative Site
      • Bydgoszcz, Polen, 85-168
        • Novartis Investigative Site
      • Warsaw, Polen, 00-874
        • Novartis Investigative Site
      • Vila Nova de Gaia, Portugal, 4434-502
        • Novartis Investigative Site
      • Barcelona, Spanien, 08041
        • Novartis Investigative Site
      • Madrid, Spanien, 28009
        • Novartis Investigative Site
      • Salamanca, Spanien, 37007
        • Novartis Investigative Site
    • Andalusia
      • Málaga, Andalusia, Spanien, 29009
        • Novartis Investigative Site
      • Seoul, Sydkorea, 04763
        • Novartis Investigative Site
      • Seoul, Sydkorea, 06273
        • Novartis Investigative Site
    • Seoul
      • Seoul, Seoul, Sydkorea, 03080
        • Novartis Investigative Site
      • Changhua, Taiwan, 50006
        • Novartis Investigative Site
      • Kaohsiung City, Taiwan, 833
        • Novartis Investigative Site
      • Taichung, Taiwan, 40447
        • Novartis Investigative Site
      • Taoyuan, Taiwan, 33305
        • Novartis Investigative Site
      • Bangkok, Thailand, 10400
        • Novartis Investigative Site
    • THA
      • Khon Kaen, THA, Thailand, 40002
        • Novartis Investigative Site
    • Fatih
      • Istanbul, Fatih, Tyrkiet (Türkiye), 34093
        • Novartis Investigative Site
    • Sihhiye Altindag
      • Ankara, Sihhiye Altindag, Tyrkiet (Türkiye), 06230
        • Novartis Investigative Site
    • Yenimahalle
      • Ankara, Yenimahalle, Tyrkiet (Türkiye), 06500
        • Novartis Investigative Site
      • Berlin, Tyskland, 13353
        • Novartis Investigative Site
    • Bavaria
      • Würzburg, Bavaria, Tyskland, 97080
        • Novartis Investigative Site
    • Thuringia
      • Jena, Thuringia, Tyskland, 07740
        • Novartis Investigative Site
      • Budapest, Ungarn, 1083
        • Novartis Investigative Site
    • Baranya
      • Pécs, Baranya, Ungarn, 7623
        • Novartis Investigative Site
    • Hajdu Bihar Megye
      • Debrecen, Hajdu Bihar Megye, Ungarn, 4032
        • Novartis Investigative Site
      • Ho Chi Minh City, Vietnam, 700000
        • Novartis Investigative Site
    • VNM
      • Ho Chi Minh City, VNM, Vietnam, 700000
        • Novartis Investigative Site
      • Graz, Østrig, 8036
        • Novartis Investigative Site

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 70 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Key Inclusion Criteria:

  • Male and female participants >= 18 and =< 70 years (at the time of the screening visit).

  • Diagnosis of systemic sclerosis, as defined by the 2013 American College of Rheumatology/ European League Against Rheumatism (ACR/EULAR) classification criteria for SSc (van den Hoogen et al 2013) and meet the dcSSc subset classification according to LeRoy (LeRoy 1988)

  • Disease duration of =< 60 months (defined as time from the first non-Raynaud phenomenon manifestation, e.g., puffy hands, scleroderma, digital ulcers, arthralgia, dyspnea)

  • mRSS units of >= 15 and =< 45 at the time of the screening visit

  • Active disease that meets at least one of the following criteria at screening:

    • Disease duration of =< 18 months defined as time from the first non-Raynaud phenomenon manifestation
    • Increase in mRSS of >= 3 units compared with the most recent assessment performed within the previous 6 months
    • Involvement of one new body area and an increase in mRSS of >= 2 units compared with the most recent assessment performed within the previous 6 months
    • Involvement of two new body areas within the previous 6 months
    • Elevated acute phase reactants (ESR) >= 30 mm/hr or high-sensitivity C-reactive protein (hsCRP) >= 6 mg/L)
    • Presence of SSc-interstitial lung disease (ILD) and ATA autoantibody positivity
    • Modified EUSTAR disease activity index (mDAI) ≥ 2.5
  • Participant must be positive for at least one of the following autoantibodies:

    • anti-topoisomerase I (ATA) (also known as anti-SCL-70)
    • anti-RNA polymerase III (anti-RNAP3)
    • anti-nuclear antibody (ANA) (≥ 1:80) Participants who are positive only for ANA (while being negative for both ATA /anti-RNAP3) will be limited to 30% of the overall randomized study population.

Key Exclusion Criteria:

  • Rheumatic disease other than dcSSc, including limited cutaneous disease (lcSSc) or sine scleroderma at the screening visit. Secondary Sjogren's disease and scleroderma myopathy are not exclusionary.
  • Positive anti-centromere antibody (ACA+) without positive ATA or anti-RNAP3 autoantibody result at the screening visit
  • Previous improvement (decrease) in mRSS > 10 units
  • Pulmonary disease with FVC ≤ 50% of predicted or diffusing capacity of the lung for carbon monoxide (DLCO, corrected for hemoglobin) ≤ 40% of predicted at the screening visit
  • WHO Functional Class 3 or higher assessment for pulmonary arterial hypertension (PAH, as defined on right heart catheterization), receiving IV therapy for PAH or evidence of other moderately severe pulmonary disease
  • Participants treated with cyclophosphamide within 12 weeks prior to Baseline.
  • Prior use of a B-cell depleting therapy other than ianalumab (e.g., rituximab, other anti-CD20 mAb, anti-CD22 mAb, or anti-CD52 mAb) administered within 36 weeks prior to randomization, or as long as B cell count is less than the lower limit of normal or baseline value prior to receipt of B cell-depleting therapy (whichever is lower).
  • Treatment with biologic agents, such as intravenous immunoglobulin or monoclonal antibodies, including marketed drugs, within 12 weeks or 5 half-lives (whichever is longer) prior to baseline visit, unless explicitly allowed in inclusion criteria.
  • Treatment with any investigational agent within ≤ 4 weeks (or 5 half-lives of the investigational drug, whichever is longer) of the baseline visit.
  • Use of anti-fibrotic agents including colchicine, D-penicillamine, pirfenidone, or tyrosine kinase inhibitors (e.g., nintedanib, nilotinib, imatinib, dasatinib) in the 4 weeks prior to baseline visit. Patients with SSc-ILD requiring antifibrotics for management of ILD during the study, as per investigator judgement, should be excluded.
  • Previous treatment with chlorambucil, bone marrow transplantation or total lymphoid irradiation.
  • Women of childbearing potential, defined as all women physiologically capable of becoming pregnant from menarche until becoming post-menopausal, unless they are using highly effective methods of contraception (failure rate < 1% per year) while taking study treatment and for 6 months after stopping study treatment.

Other protocol-defined inclusion/exclusion criteria may apply.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: VAY736 (Ianalumab)

Treatment Period 1:

Ianalumab subcutaneous (s.c.) injection as defined in the protocol

Treatment Period 2:

Open-label (OL) Ianalumab subcutaneous (s.c.) injection as defined in the protocol

subcutaneous (s.c.) injection as defined in the protocol

Andre navne:
  • VAY736
Placebo komparator: Placebo

Treatment Period 1:

Placebo to Ianalumab subcutaneous (s.c.) injection as defined in the protocol

Treatment Period 2:

Open-label (OL) Ianalumab subcutaneous (s.c.) injection as defined in the protocol

subcutaneous (s.c.) injection as defined in the protocol

Andre navne:
  • VAY736

Ianalumab matching placebo subcutaneous (s.c.) injection as defined in the protocol

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
3/5 rCRISS25 response
Tidsramme: Week 52

To demonstrate the superiority of ianalumab, compared to placebo, in achieving 3/5 Revised Composite Response Index in Systemic Sclerosis 25 (rCRISS25) response at Week 52

Week 52

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change from baseline in FVC% predicted at Week 52
Tidsramme: Week 52

To demonstrate the superiority of ianalumab, compared to placebo, on change from baseline in percent-predicted forced vital capacity (FVC%) at Week 52

Week 52
Change from baseline in mRSS at Week 52
Tidsramme: Week 52

To demonstrate the superiority of ianalumab, compared to placebo, on change from baseline in modified Rodnan Skin Score (mRSS) at Week 52

Week 52
Change from baseline in HAQ-DI at Week 52
Tidsramme: Week 52

To demonstrate the superiority of ianalumab, compared to placebo, on change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 52

Week 52
Ianalumab concentrations in serum during treatment and Follow-up Period
Tidsramme: Baseline, Week 4, Week 8, Week 12, Week 24, Week 36, Week 52, Week 64, Week 76, Week 88, Week 104, Week 108, Week 112, Week 116, Week 120, Week 124 and Week 208

To assess the pharmacokinetics of ianalumab

Baseline, Week 4, Week 8, Week 12, Week 24, Week 36, Week 52, Week 64, Week 76, Week 88, Week 104, Week 108, Week 112, Week 116, Week 120, Week 124 and Week 208
Incidence and titer of anti-drug (ianalumab) antibodies (ADAs) in serum over time
Tidsramme: Baseline, Week 4, Week 8, Week 12, Week 24, Week 36, Week 52, Week 64, Week 76, Week 88, Week 104, Week 124, Week 208

To evaluate the immunogenicity of ianalumab

Baseline, Week 4, Week 8, Week 12, Week 24, Week 36, Week 52, Week 64, Week 76, Week 88, Week 104, Week 124, Week 208
Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Up to Week 208

The distribution of adverse events for ianalumab will be done via the analysis of frequencies for Adverse Event (AEs) and Serious Adverse Event (SAEs) through the monitoring of relevant clinical and laboratory safety parameters.

Up to Week 208

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

9. oktober 2024

Primær færdiggørelse (Anslået)

30. juli 2027

Studieafslutning (Anslået)

31. juli 2034

Datoer for studieregistrering

Først indsendt

17. juni 2024

Først indsendt, der opfyldte QC-kriterier

17. juni 2024

Først opslået (Faktiske)

24. juni 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

12. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CVAY736S12201
  • 2024-511933-36-00 (Registry Identifier: EU CT number)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .