- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07621809
Two Arm, Double-blind, Phase III Study Assessing Efficacy and Safety of Ianalumab Versus Placebo, in Participants With Sjögren's Disease With High Symptom Burden (THALASSA)
A Randomized, Double-blind, Placebo-controlled, 2-arm Multicenter Phase III Study to Assess the Efficacy and Safety of Ianalumab in Participants With Sjogren's Disease With High Symptom Burden (THALASSA)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
- Navn: Novartis Pharmaceuticals
- Telefonnummer: 1-888-669-6682
- E-mail: novartis.email@novartis.com
Undersøgelse Kontakt Backup
- Navn: Novartis Pharmaceuticals
- Telefonnummer: +41613241111
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Male or female participants ≥ 18 years of age or as per country-specific legal adult age, whichever is higher
- Classification of Sjögren's disease according to ACR/EULAR 2016 criteria.
- Seropositive for anti-Ro/SSA antibodies at screening
- SSSD oral dryness score ≥ 5 and overall SSSD summary score ≥5 collected over 14 consecutive days during the Screening 2 period
- Screening ESSDAI biologic and/or hematologic domain > 0 Note: laboratory abnormalities for scoring must be confirmed as associated with Sjögren's disease and not be due to other underlying conditions.
- Stimulated whole salivary flow (sSF) rate > 0.3 mL/min at screening
- Participants taking hydroxychloroquine (≤ 400 mg/day) are allowed to continue their medication, and must have been on a stable dose for at least 4 weeks prior to screening, which should be maintained throughout the 52 weeks of the blinded treatment period.
- Predniso(lo)ne ≤ 5 mg/day or equivalent are allowed for up to 16 weeks post-randomization.
Exclusion Criteria:
- Presence of another autoimmune rheumatic disease that is active and constitutes the principal illness, specifically:
- Systemic sclerosis (SSc)
- Any other associated connective tissue disease (e.g., lupus nephritis (LN), large vessel vasculitis (LVV), Sharp syndrome (mixed connective tissue disease)) that is active and requires immunosuppressive treatment outside the scope of this trial and would impede on Sjögren's disease organ domain assessments.
- Concurrent diagnosis or history of fibromyalgia or overlapping inflammatory diseases
- Prior treatment with B-cell-depleting therapy (e.g., rituximab, other anti-CD20 mAb, anti-CD22 mAb, or anti-CD52 mAb) within:
- 36 weeks prior to randomization, or
- As long as B-cell count is less than the lower limit of normal (LLN) or baseline value prior to receipt of previous B-cell-depleting therapy (whichever is lower) at Screening.
- Prior treatment with ianalumab
- Prior treatment with any of the following within the given period prior to Screening:
- Within 5 half-lives prior to Screening: iscalimab (anti-CD 40 mAb), belimumab (anti-BAFF mAb), abatacept (CTLA4-Fc Ig), anti-tumor necrosis factor alpha (TNFα) biologic agents, immunoglobulins (i.v./s.c.), plasmapheresis, any other investigational biologic medicines under investigation for Sjögren's disease
- Within 4 weeks OR drug-specific 5 half-lives elimination period (if longer than 4 weeks) prior to screening: i.v. or oral cyclophosphamide, mycophenolate mofetil (MMF), methotrexate, azathioprine, i.v. or oral cyclosporine A or any other immunosuppressants (e.g., JAK inhibitors or other kinase inhibitors).
- History of hypersensitivity to any of the study drugs or their excipients, or to drugs of similar chemical classes (e.g., mAb of IgG1 class) or to any of the constituents of the study drug formulation (sucrose, L-histidine hydrochloride/L-histidine, polysorbate 20).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: VAY736 - 300 mg
VAY736 once monthly solution for injection for subcutaneous use.
|
VAY736 once monthly solution for injection for subcutaneous use.
Andre navne:
|
|
Placebo komparator: Placebo
Placebo once monthly solution for injection for subcutaneous use.
|
Placebo once monthly solution for injection for subcutaneous use.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in SSSD oral dryness score
Tidsramme: Baseline to Week 52
|
The Sjögren's Syndrome Symptom Diary (SSSD) oral dryness score is a patient-reported measure assessing severity of mouth dryness.
The mouth dryness symptom is scored daily on a numerical scale (higher scores = worse symptoms).
|
Baseline to Week 52
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in SSSD summary score
Tidsramme: Baseline to Week 52
|
The SSSD summary score is calculated over a defined time window.
Each symptom is scored daily on a numerical scale (higher scores = worse symptoms).
|
Baseline to Week 52
|
|
Change from baseline in ESSPRI score
Tidsramme: Baseline to Week 52
|
The EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) score is a validated patient-reported outcome assessing three symptom domains: dryness, pain and fatigue.
Scores range from 0 (no symptoms) to 10 (worst imaginable symptoms).
|
Baseline to Week 52
|
|
Change from baseline in stimulated whole salivary flow (sSF)
Tidsramme: Baseline to Week 52
|
The stimulated whole salivary flow rate, is an objective functional assessment of salivary gland activity, measuring saliva production under stimulation.
Higher values indicate better salivary gland function.
|
Baseline to Week 52
|
|
Change from baseline in Patient's Global Assessment (PaGA) NRS score
Tidsramme: Baseline to Week 52
|
The Patient's Global Assessment of disease activity captures the patient's overall perception of disease activity.
It is assessed using a Numerical Rating Scale (NRS) from 0 to 10. Higher scores indicate worse perceived disease activity.
|
Baseline to Week 52
|
|
Proportion of participants achieving SSSD response
Tidsramme: Week 52
|
Proportion of participants achieving a clinically meaningful improvement in the SSSD summary score at Week 52.
|
Week 52
|
|
Proportion of participants achieving ESSPRI response
Tidsramme: Week 52
|
Proportion of participants achieving a clinically meaningful improvement in the ESSPRI score at Week 52.
|
Week 52
|
|
Change from baseline in SSSD eye dryness score
Tidsramme: Baseline to Week 52
|
The SSSD eye dryness item score is a patient-reported measure assessing severity of eye dryness.
The eye dryness symptom is scored daily on a numerical scale (higher scores = worse symptoms).
|
Baseline to Week 52
|
|
Change from baseline in FACIT-Fatigue score
Tidsramme: Baseline to Week 52
|
The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) score is a 13-item questionnaire assessing fatigue and its impact on daily activities over the previous 7 days.
Higher scores indicate less fatigue / better functioning.
|
Baseline to Week 52
|
|
Change from baseline in Sjögren's-Related Quality of Life (SRQoL) score
Tidsramme: Baseline to Week 52
|
The Sjögren's-Related Quality of Life (SRQoL) score is a disease-specific quality-of-life instrument evaluating the impact of Sjögren's disease on physical, emotional, social and daily functioning.
Lower scores indicate better quality of life.
|
Baseline to Week 52
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Muskuloskeletale sygdomme
- Mundsygdomme
- Stomatognatiske sygdomme
- Gigt
- Ledsygdomme
- Reumatiske sygdomme
- Bindevævssygdomme
- Sygdomme i immunsystemet
- Øjensygdomme
- Gigt, reumatoid
- Xerostomi
- Spytkirtelsygdomme
- Syndromer med tørre øjne
- Sygdomme i tåreapparatet
- Patologiske tilstande, tegn og symptomer
- Hud- og bindevævssygdomme
- Tegn og symptomer
- Træthed
- Sjøgrens syndrom
- Autoimmune sygdomme
- Ianalumab
Andre undersøgelses-id-numre
- CVAY736A22301
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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
Studerer et amerikansk FDA-reguleret enhedsprodukt
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