Eine klinische Studie zur Bewertung von Ianalumab bei Teilnehmern mit diffuser kutaner systemischer Sklerose
Eine randomisierte, doppelblinde, placebokontrollierte, multizentrische Parallelgruppenstudie zur Bewertung der Wirksamkeit, Sicherheit und Verträglichkeit von Ianalumab bei Teilnehmern mit diffuser kutaner systemischer 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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
Erweiterter Zugriff
Erweiterter Zugriff
Verfügbar
- Verfügbar: Für diese Prüfbehandlung ist derzeit ein erweiterter Zugang verfügbar, und Patienten, die nicht an der klinischen Studie teilnehmen, können möglicherweise Zugang zu dem Medikament, Biologikum oder Medizinprodukt erhalten wird untersucht.
- Nicht mehr verfügbar: Erweiterter Zugriff war früher für diese Intervention verfügbar, ist aber derzeit nicht verfügbar und wird auch in Zukunft nicht verfügbar sein.
- Vorübergehend nicht verfügbar: Erweiterter Zugang ist derzeit für diese Intervention nicht verfügbar, wird aber voraussichtlich in Zukunft verfügbar sein.
- Zur Vermarktung zugelassen: Die Intervention wurde von der U.S. Food and Drug Administration für die Verwendung durch die Öffentlichkeit zugelassen.
Kontakte und Standorte
Studienorte
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Caba, Argentinien, C1015ABO
- Novartis Investigative Site
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Caba, Argentinien, C1427CCL
- Novartis Investigative Site
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San Miguel de Tucumán, Argentinien, T4000AXL
- Novartis Investigative Site
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Buenos Aires
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CABA, Buenos Aires, Argentinien, C1221ADC
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Leuven, Belgien, 3000
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Estado de Bahia
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Salvador, Estado de Bahia, Brasilien, 40150-150
- Novartis Investigative Site
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Paraná
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Curitiba, Paraná, Brasilien, 80030-110
- Novartis Investigative Site
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brasilien, 90035-074
- Novartis Investigative Site
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São Paulo
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Sao Jose Rio Preto, São Paulo, Brasilien, 15090-000
- Novartis Investigative Site
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São Paulo, São Paulo, Brasilien, 04038-002
- Novartis Investigative Site
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Beijing, China, 100191
- Novartis Investigative Site
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Tianjin, China, 300052
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Guangxi
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Nanning, Guangxi, China, 530021
- Novartis Investigative Site
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Henan
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Zhengzhou, Henan, China, 450003
- Novartis Investigative Site
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Sichuan
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Chengdu, Sichuan, China, 610041
- Novartis Investigative Site
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Zhejiang
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Ningbo, Zhejiang, China, 315016
- Novartis Investigative Site
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Berlin, Deutschland, 13353
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Bavaria
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Würzburg, Bavaria, Deutschland, 97080
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Thuringia
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Jena, Thuringia, Deutschland, 07740
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Dijon, Frankreich, 21000
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Le Mans, Frankreich, 72000
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Lille, Frankreich, 59037
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Montpellier, Frankreich, 34295
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Paris, Frankreich, 75014
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Rennes, Frankreich, 35033
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Strasbourg, Frankreich, 67000
- Novartis Investigative Site
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Toulouse, Frankreich, 31054
- Novartis Investigative Site
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Alexandroupoli, Griechenland, 681 00
- Novartis Investigative Site
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Athens, Griechenland, 115 27
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Athens, Griechenland, 115 21
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Kerala
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Kochi, Kerala, Indien, 682018
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Maharashtra
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Mumbai, Maharashtra, Indien, 400078
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National Capital Territory of Delhi
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New Delhi, National Capital Territory of Delhi, Indien, 110060
- Novartis Investigative Site
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New Delhi
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New Delhi, New Delhi, Indien, 110029
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Rajasthan
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Jaipur, Rajasthan, Indien, 302004
- Novartis Investigative Site
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AN
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Ancona, AN, Italien, 60020
- Novartis Investigative Site
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MI
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Milan, MI, Italien, 20100
- Novartis Investigative Site
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Rozzano, MI, Italien, 20089
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MO
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Modena, MO, Italien, 41124
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PA
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Palermo, PA, Italien, 90127
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PV
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Pavia, PV, Italien, 27100
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RM
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Roma, RM, Italien, 00168
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VR
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Verona, VR, Italien, 37134
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Hiroshima, Japan, 7348551
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Ishikawa, Japan, 9208641
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Kyoto, Japan, 6068507
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Aichi-ken
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Nagoya, Aichi-ken, Japan, 4578510
- Novartis Investigative Site
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Toyoake, Aichi-ken, Japan, 4701192
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Kanagawa
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Yokohama, Kanagawa, Japan, 2360004
- Novartis Investigative Site
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Saitama
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Iruma-gun, Saitama, Japan, 3500495
- Novartis Investigative Site
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 1138603
- Novartis Investigative Site
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Shinjuku Ku, Tokyo, Japan, 1628666
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Toyama
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Toyama, Toyama, Japan, 9300194
- Novartis Investigative Site
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Bogotá, Kolumbien, 110231
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Medellín, Kolumbien, 050034
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Antioquia
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Medellín, Antioquia, Kolumbien, 050001
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Cundinamarca
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Bogota, Cundinamarca, Kolumbien, 110111
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Bogota, Cundinamarca, Kolumbien, 110221
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Valle del Cauca Department
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Cali, Valle del Cauca Department, Kolumbien, 760012
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Kuala Lumpur, Malaysia, 59100
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Kuala Lumpur
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Cheras, Kuala Lumpur, Malaysia, 56000
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Chihuahua
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Chihuahua City, Chihuahua, Mexiko, 31000
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Jalisco
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Guadalajara, Jalisco, Mexiko, 44650
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Mexico City
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Mexico City, Mexico City, Mexiko, 11850
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Nuevo León
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Monterrey, Nuevo León, Mexiko, 64460
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Bydgoszcz, Polen, 85-168
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Warsaw, Polen, 00-874
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Vila Nova de Gaia, Portugal, 4434-502
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Barcelona, Spanien, 08041
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Madrid, Spanien, 28009
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Salamanca, Spanien, 37007
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Andalusia
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Málaga, Andalusia, Spanien, 29009
- Novartis Investigative Site
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Seoul, Südkorea, 04763
- Novartis Investigative Site
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Seoul, Südkorea, 06273
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Seoul
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Seoul, Seoul, Südkorea, 03080
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Changhua, Taiwan, 50006
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Kaohsiung City, Taiwan, 833
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Taichung, Taiwan, 40447
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Taoyuan, Taiwan, 33305
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Bangkok, Thailand, 10400
- Novartis Investigative Site
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THA
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Khon Kaen, THA, Thailand, 40002
- Novartis Investigative Site
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Fatih
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Istanbul, Fatih, Türkei (türkiye), 34093
- Novartis Investigative Site
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Sihhiye Altindag
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Ankara, Sihhiye Altindag, Türkei (türkiye), 06230
- Novartis Investigative Site
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Yenimahalle
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Ankara, Yenimahalle, Türkei (türkiye), 06500
- Novartis Investigative Site
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Budapest, Ungarn, 1083
- Novartis Investigative Site
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Baranya
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Pécs, Baranya, Ungarn, 7623
- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Ungarn, 4032
- Novartis Investigative Site
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Arizona
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Mesa, Arizona, Vereinigte Staaten, 85202
- Arizona Arthritis and Rheumatology Research PLLC
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California
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Los Angeles, California, Vereinigte Staaten, 90095
- UCLA
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Newport Beach, California, Vereinigte Staaten, 92663
- Hoag Hospital
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Florida
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Clearwater, Florida, Vereinigte Staaten, 33765
- Clinical Res Of W Florida
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Cooper City, Florida, Vereinigte Staaten, 33024
- GNP Research
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Plantation, Florida, Vereinigte Staaten, 33324
- IRIS Research and Development
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Sarasota, Florida, Vereinigte Staaten, 34239
- Sarasota Arthritis Res Ctr
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60637
- University of Chicago Hospitals
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Michigan
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Ann Arbor, Michigan, Vereinigte Staaten, 48109
- Uni Of Michigan Health System
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New York
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New York, New York, Vereinigte Staaten, 10021
- Hospital for Special Surgery
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Tennessee
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Jackson, Tennessee, Vereinigte Staaten, 38305
- West Tennessee Research Institute
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Texas
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Bellaire, Texas, Vereinigte Staaten, 77401
- Novel Research LLC
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Frisco, Texas, Vereinigte Staaten, 75035
- Arthritis and Rheumatology Ins
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Houston, Texas, Vereinigte Staaten, 77054
- Prolato Clinical Research Center
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Bristol, Vereinigtes Königreich, BS10 5NB
- Novartis Investigative Site
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London, Vereinigtes Königreich, NW3 2QG
- Novartis Investigative Site
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Ho Chi Minh City, Vietnam, 700000
- Novartis Investigative Site
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VNM
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Ho Chi Minh City, VNM, Vietnam, 700000
- Novartis Investigative Site
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Graz, Österreich, 8036
- Novartis Investigative Site
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Key Inclusion Criteria:
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Male and female participants >= 18 and =< 70 years (at the time of the screening visit).
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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)
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Disease duration of =< 60 months (defined as time from the first non-Raynaud phenomenon manifestation, e.g., puffy hands, scleroderma, digital ulcers, arthralgia, dyspnea)
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mRSS units of >= 15 and =< 45 at the time of the screening visit
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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
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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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: 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
Andere Namen:
|
|
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
Andere Namen:
Ianalumab matching placebo subcutaneous (s.c.) injection as defined in the protocol |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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3/5 rCRISS25 response
Zeitfenster: Week 52
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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
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change from baseline in FVC% predicted at Week 52
Zeitfenster: Week 52
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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
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Change from baseline in mRSS at Week 52
Zeitfenster: Week 52
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To demonstrate the superiority of ianalumab, compared to placebo, on change from baseline in modified Rodnan Skin Score (mRSS) at Week 52 |
Week 52
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Change from baseline in HAQ-DI at Week 52
Zeitfenster: Week 52
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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
|
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Ianalumab concentrations in serum during treatment and Follow-up Period
Zeitfenster: 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
|
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Incidence and titer of anti-drug (ianalumab) antibodies (ADAs) in serum over time
Zeitfenster: 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
|
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Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Zeitfenster: Up to Week 208
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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
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
- B-Zell-Verarmung
- Diffuse systemische Sklerose
- Sklerodermie, diffus
- gezwungene Vitalkapazität
- Diffuse Sklerodermie
- Diffuse kutane systemische Sklerose (dcSSc)
- Sklerodermie, fortschreitend
- Sklerose, progressive systemische
- Plötzlich auftretende Sklerodermie
- Überarbeiteter Composite Response Index bei systemischer Sklerose 25 (rCRISS25)
- modifizierter Rodnan-Skin-Score
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CVAY736S12201
- 2024-511933-36-00 (Registrierungskennung: EU CT number)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .