En undersøgelse for at vurdere effektiviteten og sikkerheden af Efgartigimod PH20 SC hos voksne med systemisk sklerose (eSScape)
Et randomiseret, dobbeltblindet, placebokontrolleret, fase 2, parallelgruppestudie til evaluering af effektivitet, sikkerhed, tolerabilitet, farmakodynamik, farmakokinetik og immunogenicitet af Efgartigimod PH20 SC hos voksne deltagere med systemisk sklerose
The main purpose of this study is to evaluate the effect and safety of efgartigimod PH20 SC compared to placebo in adults with systemic sclerosis. The study consists of a screening period, a treatment period of up to 48 weeks and a safety follow-up period. After the screening period, eligible participants will be randomized in a 2:1 ratio to receive either efgartigimod PH20 SC or placebo. The total study duration can be up to approximately 15 months.
More information can be found on: https://clinicaltrials.argenx.com/esscape
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Buenos Aires, Argentina, C1405BFN
- Instituto de Investigación Clínica TyT
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Buenos Aires, Argentina, C1046AAQ
- Aprillus Asistencia e Investigacion
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Buenos Aires, Argentina, C1426ABP
- Consultorios Médicos Dr. Doreski - Fundacion Respirar
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Buenos Aires, Argentina
- Hospital General de Agudos Dr. José María Ramos Mejia
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Córdoba, Argentina, 5000
- Sanatorio Allende S.A.
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San Miguel de Tucumán, Argentina, T4000IAP
- Centro de Investigaciones Reumatológicas
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San Miguel de Tucumán, Argentina, T4000IHE
- Clínica Mayo de U.M.C.B. S.R.L
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San Miguel de Tucumán, Argentina, T4000IKJ
- Centro de Investigaciones Médicas Tucumán
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Ghent, Belgien, 9000
- UZ Gent
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Jette, Belgien, 1090
- UZ Brussel
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Plovdiv, Bulgarien, 4002
- Medical Center Artmed OOD
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Sofia, Bulgarien, 1680
- Diagnostic Consultative Center Convex EOOD
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Santiago, Chile, 8330034
- Centro de Investigaciones Clinicas UC (CICUC)
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Santiago, Chile, 8320000
- BIOCINETIC Ltda
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Temuco, Chile, 4810345
- Centro de especialidades médicas Vanguardia
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Copenhagen, Danmark, 2100
- Rigshospitalet
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Leeds, Det Forenede Kongerige, LS7 4SA
- Chapel Allerton Hospital
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London, Det Forenede Kongerige, NW3 2QG
- Royal Free Hospital
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Luton, Det Forenede Kongerige, LU4 0DZ
- Luton and Dunstable University Hospital
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Arizona
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Phoenix, Arizona, Forenede Stater, 85032-9306
- Arizona Arthritis and Rheumatology Associates
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California
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Los Angeles, California, Forenede Stater, 90095
- UCLA Ronald Reagan University of California Los Angeles Medical Center
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Florida
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Plantation, Florida, Forenede Stater, 33324
- IRIS Research and Development LLC
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Illinois
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Chicago, Illinois, Forenede Stater, 60612
- University of Illinois Health Outpatient Care Center
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Louisiana
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New Orleans, Louisiana, Forenede Stater, 70112
- DelRicht Research, LLC
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Maryland
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Baltimore, Maryland, Forenede Stater, 21224
- Johns Hopkins Asthma and Allergy Center
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Columbia, Maryland, Forenede Stater, 21044
- Thomas Jefferson University
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Michigan
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Ann Arbor, Michigan, Forenede Stater, 48109
- University of Michigan Hospital
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- Perelman Center for Advanced Medicine
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Bordeaux, Frankrig, 33000
- CHU de Bordeaux - Hôpital Pellegrin
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Lille, Frankrig, 59000
- CHU de Lille - Hopital Claude Huriez
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Marseille, Frankrig, 13274
- CHU de Strasbourg - Hôpital de Hautepierre
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Montpellier, Frankrig, 34090
- CHU de Montpellier- Hôpital Saint Eloi
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Paris, Frankrig, 75014
- AP-HP - Hôpital Cochin - Port-Royal, site Cochin
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Nord
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Lille, Nord, Frankrig, 59000
- CHU de Lille - Hopital Claude Huriez
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Pátrai, Grækenland, 265 04
- University General Hospital of Patras
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Pátrai, Grækenland, 264 43
- Olympion General Clinic
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Thessaloniki, Grækenland, 546 36
- Euromedica Kianous Stavros
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Leiden, Holland, 2333 ZA
- Leids Universitair Medisch Centrum
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Florence, Italien, 50134
- Azienda Ospedaliera Universitaria Careggi
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Milan, Italien, 20132
- Ospedale San Raffaele S.r.l.
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Modena, Italien, 41124
- Azienda Ospedaliero-Universitaria di Modena - Policlinico di Modena
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Naples, Italien, 80131
- Azienda Ospedaliera Universitaria Luigi Vanvitelli
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Roma, Italien, 00168
- Fondazione Policlinico Universitario A. Gemelli IRCCS
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Roma, Italien, 128
- Fondazione Policlinico Universitario Campus Bio-Medico
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Rozzano, Italien, 20089
- IRCCS Istituto Clinico Humanitas
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Osijek, Kroatien, 31000
- Clinical Hospital Centre Osijek
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Split, Kroatien, 21000
- University Hospital of Split
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Zadar, Kroatien, 23000
- General Hospital Zadar
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Kaunas, Litauen, 50161
- Hospital of Lithuanian University of Health Sciences Kauno klinikos
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Klaipėda, Litauen, LT-92288
- Klaipeda Hospital, Affiliate of Klaipeda University Hospital
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Chihuahua City, Mexico, 31203
- Mediadvance Clinical S.A.P.I. de C.V.
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Guadalajara, Mexico, 44160
- Centro Integral Reumatologia SA de CV
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Mexico City, Mexico, 11850
- Centro de Investigación y Tratamiento Reumatológico S.C
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Mérida, Mexico, 97070
- Medical Care and Research S.A. de C.V.
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Tlalpan
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Belisario Domínguez, Tlalpan, Mexico, 14080
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
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Krakow, Polen, 30-002
- Malopolskie Badania Kliniczne
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Lublin, Polen, 20-607
- Zespol Poradni Specjalistycznych REUMED
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Nowa Sól, Polen, 67-100
- Twoja Przychodnia NCM
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Warsaw, Polen, 00-874
- MICS Centrum Medyczne Warszawa
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Wroclaw, Polen, 53-224
- Niepubliczny Zaklad Opieki Zdrowotnej Biogenes
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Lisbon, Portugal, 1349-019
- ULS de Lisboa Ocidental, EPE - Hospital Egas Moniz
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Lisbon, Portugal, 1649-035
- ULS de Santa Maria,EPE - Hospital de Santa Maria
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Vila Nova de Gaia, Portugal, 4434-502
- ULS de Gaia/Espinho, EPE - Unidade I
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San Juan, Puerto Rico, 00936
- The Alliance Medical Sciences Campus
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Bucharest, Rumænien, 11172
- Sf.Maria Clinical Hospital
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Bucharest, Rumænien, 20475
- Dr I Cantacuzino Clinical Hospital
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Sankt Gallen, Schweiz, 9000
- Kantonsspital St. Gallen
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Zurich, Schweiz, 8090
- Universitätsspital Zürich
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Belgrade, Serbien, 11000
- Institute of Rheumatology - PPDS
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Belgrade, Serbien, 11152
- Military Medical Academy
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Barcelona, Spanien, 8023
- Hospital Del Mar
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Córdoba, Spanien, 14004
- C.H. Regional Reina Sofia
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Sabadell, Spanien, 08208
- Corporacio Sanitaria Parc Tauli
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Prague, Tjekkiet, 140 59
- Revmatologicky Ustav
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Bad Bramstedt, Tyskland, 24576
- Auenlandklinik Bad Bramstedt GmbH
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Lübeck, Tyskland, 23562
- Universitätsklinikum Schleswig-Holstein - Campus Lübeck
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Minden, Tyskland, 32429
- Mühlenkreiskliniken - Johannes Wesling Klinikum Minden
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Tübingen, Tyskland, 72076
- Universitätsklinikum Tübingen
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Pécs, Ungarn, 7632
- Pecsi Tudomanyegyetem, Klinika Kozpont, Bor, Nemikortani es Onkodermatologiai Klinika
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Is aged ≥18 years and the local legal age of consent for clinical studies
- Has diffuse or limited SSc diagnosis and fulfills the 2013 ACR/EULAR classification criteria
- Has a positive antinuclear antibodies (ANA) test result at the central laboratory with titer of at least 1:160
- Has a Health Assessment Questionnaire-Disability Index (HAQ-DI) score of at least 0.5 OR a Patient Global Assessment (PGA) score of at least 3
- Has a modified Rodnan Skin Score (mRSS) score between 15 and 35
- The participant is anti-RNA polymerase III autoantibody negative at central laboratory and had the first non-Raynaud's phenomenon manifestation less than 5 years before screening or the participant is anti-RNA polymerase III autoantibody positive at central laboratory and had the first non-Raynaud's phenomenon manifestation less than 2 years before screening
- Has uninvolved or mildly thickened skin area in at least 1 injection site
Exclusion Criteria:
- Isolated anticentromere antibodies (ACA) seropositivity at the central laboratory
- Significant Pulmonary Arterial Hypertension
- Severe digital vasculopathy within the past 3 months
- Skin thickening due to scleroderma mimics or localized scleroderma
- Scleroderma renal crisis within the past 6 months of participating to the study
- Another rheumatic autoimmune disease, except for secondary Sjögren's syndrome or fibromyalgia
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Efgartigimod PH20 SC
Participants receiving efgartigimod PH20 SC |
Subcutaneous efgartigimod PH20 SC given by prefilled syringe |
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Placebo komparator: Placebo PH20 SC
Participants receiving placebo PH20 SC |
Subcutaneous placebo PH20 SC given by prefilled syringe |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in mRSS at week 24
Tidsramme: Up to 24 weeks
|
The Modified Rodnan Skin Score is a scoring tool to assess skin thickness in 17 cutaneous sites across the body. Each site is rated on a semiquantitative score ranging from 0 (normal) to 3 (severe). The total score is the sum of the individual skin scores and can range from 0 to 51. |
Up to 24 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Forekomst af behandlingsfremkaldte (alvorlige) bivirkninger
Tidsramme: Op til 55 uger
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Op til 55 uger
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Efgartigimod serumkoncentrationer over tid
Tidsramme: Op til 48 uger
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Op til 48 uger
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Procentvis ændring fra baseline i totale IgG-niveauer i serum over tid
Tidsramme: Op til 55 uger
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Op til 55 uger
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Forekomst af anti-lægemiddelantistoffer mod efgartigimod i serum over tid
Tidsramme: Op til 55 uger
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Op til 55 uger
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Forekomst af antistoffer mod rHuPH20 i plasma over tid
Tidsramme: Op til 55 uger
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Op til 55 uger
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Change from baseline in mRSS at week 48
Tidsramme: Up to 48 weeks
|
The Modified Rodnan Skin Score is a scoring tool to assess skin thickness in 17 cutaneous sites across the body. Each site is rated on a semiquantitative score ranging from 0 (normal) to 3 (severe). The total score is the sum of the individual skin scores and can range from 0 to 51. |
Up to 48 weeks
|
|
Proportion of participants who improve in at least 2 or at least 3 of the 5 core items of CRISS-25 at weeks 24 and 48 and do not have worsening in >1 component and have no significant SSc-related event(s)
Tidsramme: Up to 48 weeks
|
Revised Composite Response Index in Systemic Sclerosis (CRISS-25) is a global composite outcome assessment that provides a holistic perspective of the disease. It includes 5 core items: the Modified Rodnan Skin Score, the Clinician's global assessment, the Forced Vital Capacity, the Patient global assessment, and the Health Assessment Questionnaire-Disability Index. |
Up to 48 weeks
|
|
Change from baseline in HAQ-DI at weeks 24 and 48
Tidsramme: Up to 48 weeks
|
Health Assessment Questionnaire-Disability Index is a tool to assess physical function and disability. It consists of 8 categories with each question scored from 0 (without any difficulty) to 3 (unable to do). |
Up to 48 weeks
|
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Change from baseline in PGA at weeks 24 and 48
Tidsramme: Up to 48 weeks
|
Patient's Global Assessment is a tool that measures a participant's global evaluation of their overall health during the previous week using a 10-point numerical scale. The score varies between 0 (excellent overall health) and 10 (extremely poor overall health). |
Up to 48 weeks
|
|
Change from baseline in CGA at weeks 24 and 48
Tidsramme: Up to 48 weeks
|
Clinician's Global Assessment is a tool that measures a clinician's assessment of the overall health of a participant during the previous week using a 10-point numerical scale. The score varies between 0 (excellent overall health) and 10 (extremely poor overall health). |
Up to 48 weeks
|
|
Annualized rate of decline in FVC (in mL) in participants with interstitial lung disease
Tidsramme: Up to 48 weeks
|
Forced Vital Capacity is a tool to assess lung function |
Up to 48 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ARGX-113-2317
- 2024-514539-67-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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