- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT06470048
Badanie kliniczne mające na celu ocenę ianalumabu u uczestników chorych na rozsiane stwardnienie skórne układowe
Randomizowane, wieloośrodkowe badanie z podwójnie ślepą próbą, w grupach równoległych, kontrolowane placebo, mające na celu ocenę skuteczności, bezpieczeństwa i tolerancji ianalumabu u uczestników z rozsianym stwardnieniem układowym skórnym
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
Przegląd badań
Status
Interwencja / Leczenie
Szczegółowy opis
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.
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Faza 2
Rozszerzony dostęp
Kontakty i lokalizacje
Lokalizacje studiów
-
-
-
Caba, Argentyna, C1015ABO
- Novartis Investigative Site
-
Caba, Argentyna, C1427CCL
- Novartis Investigative Site
-
San Miguel de Tucumán, Argentyna, T4000AXL
- Novartis Investigative Site
-
-
Buenos Aires
-
CABA, Buenos Aires, Argentyna, C1221ADC
- Novartis Investigative Site
-
-
-
-
-
Graz, Austria, 8036
- Novartis Investigative Site
-
-
-
-
-
Leuven, Belgia, 3000
- Novartis Investigative Site
-
-
-
-
Estado de Bahia
-
Salvador, Estado de Bahia, Brazylia, 40150-150
- Novartis Investigative Site
-
-
Paraná
-
Curitiba, Paraná, Brazylia, 80030-110
- Novartis Investigative Site
-
-
Rio Grande do Sul
-
Porto Alegre, Rio Grande do Sul, Brazylia, 90035-074
- Novartis Investigative Site
-
-
São Paulo
-
Sao Jose Rio Preto, São Paulo, Brazylia, 15090-000
- Novartis Investigative Site
-
São Paulo, São Paulo, Brazylia, 04038-002
- Novartis Investigative Site
-
-
-
-
-
Beijing, Chiny, 100191
- Novartis Investigative Site
-
Tianjin, Chiny, 300052
- Novartis Investigative Site
-
-
Guangxi
-
Nanning, Guangxi, Chiny, 530021
- Novartis Investigative Site
-
-
Henan
-
Zhengzhou, Henan, Chiny, 450003
- Novartis Investigative Site
-
-
Sichuan
-
Chengdu, Sichuan, Chiny, 610041
- Novartis Investigative Site
-
-
Zhejiang
-
Ningbo, Zhejiang, Chiny, 315016
- Novartis Investigative Site
-
-
-
-
-
Dijon, Francja, 21000
- Novartis Investigative Site
-
Le Mans, Francja, 72000
- Novartis Investigative Site
-
Lille, Francja, 59037
- Novartis Investigative Site
-
Montpellier, Francja, 34295
- Novartis Investigative Site
-
Paris, Francja, 75014
- Novartis Investigative Site
-
Rennes, Francja, 35033
- Novartis Investigative Site
-
Strasbourg, Francja, 67000
- Novartis Investigative Site
-
Toulouse, Francja, 31054
- Novartis Investigative Site
-
-
-
-
-
Alexandroupoli, Grecja, 681 00
- Novartis Investigative Site
-
Athens, Grecja, 115 27
- Novartis Investigative Site
-
Athens, Grecja, 115 21
- Novartis Investigative Site
-
-
-
-
-
Barcelona, Hiszpania, 08041
- Novartis Investigative Site
-
Madrid, Hiszpania, 28009
- Novartis Investigative Site
-
Salamanca, Hiszpania, 37007
- Novartis Investigative Site
-
-
Andalusia
-
Málaga, Andalusia, Hiszpania, 29009
- Novartis Investigative Site
-
-
-
-
Kerala
-
Kochi, Kerala, Indie, 682018
- Novartis Investigative Site
-
-
Maharashtra
-
Mumbai, Maharashtra, Indie, 400078
- Novartis Investigative Site
-
-
National Capital Territory of Delhi
-
New Delhi, National Capital Territory of Delhi, Indie, 110060
- Novartis Investigative Site
-
-
New Delhi
-
New Delhi, New Delhi, Indie, 110029
- Novartis Investigative Site
-
-
Rajasthan
-
Jaipur, Rajasthan, Indie, 302004
- Novartis Investigative Site
-
-
-
-
-
Hiroshima, Japonia, 7348551
- Novartis Investigative Site
-
Ishikawa, Japonia, 9208641
- Novartis Investigative Site
-
Kyoto, Japonia, 6068507
- Novartis Investigative Site
-
-
Aichi-ken
-
Nagoya, Aichi-ken, Japonia, 4578510
- Novartis Investigative Site
-
Toyoake, Aichi-ken, Japonia, 4701192
- Novartis Investigative Site
-
-
Kanagawa
-
Yokohama, Kanagawa, Japonia, 2360004
- Novartis Investigative Site
-
-
Saitama
-
Iruma-gun, Saitama, Japonia, 3500495
- Novartis Investigative Site
-
-
Tokyo
-
Bunkyo-ku, Tokyo, Japonia, 1138603
- Novartis Investigative Site
-
Shinjuku Ku, Tokyo, Japonia, 1628666
- Novartis Investigative Site
-
-
Toyama
-
Toyama, Toyama, Japonia, 9300194
- Novartis Investigative Site
-
-
-
-
-
Bogotá, Kolumbia, 110231
- Novartis Investigative Site
-
Medellín, Kolumbia, 050034
- Novartis Investigative Site
-
-
Antioquia
-
Medellín, Antioquia, Kolumbia, 050001
- Novartis Investigative Site
-
-
Cundinamarca
-
Bogota, Cundinamarca, Kolumbia, 110111
- Novartis Investigative Site
-
Bogota, Cundinamarca, Kolumbia, 110221
- Novartis Investigative Site
-
-
Valle del Cauca Department
-
Cali, Valle del Cauca Department, Kolumbia, 760012
- Novartis Investigative Site
-
-
-
-
-
Seoul, Korea Południowa, 04763
- Novartis Investigative Site
-
Seoul, Korea Południowa, 06273
- Novartis Investigative Site
-
-
Seoul
-
Seoul, Seoul, Korea Południowa, 03080
- Novartis Investigative Site
-
-
-
-
-
Kuala Lumpur, Malezja, 59100
- Novartis Investigative Site
-
-
Kuala Lumpur
-
Cheras, Kuala Lumpur, Malezja, 56000
- Novartis Investigative Site
-
-
-
-
Chihuahua
-
Chihuahua City, Chihuahua, Meksyk, 31000
- Novartis Investigative Site
-
-
Jalisco
-
Guadalajara, Jalisco, Meksyk, 44650
- Novartis Investigative Site
-
-
Mexico City
-
Mexico City, Mexico City, Meksyk, 11850
- Novartis Investigative Site
-
-
Nuevo León
-
Monterrey, Nuevo León, Meksyk, 64460
- Novartis Investigative Site
-
-
-
-
-
Berlin, Niemcy, 13353
- Novartis Investigative Site
-
-
Bavaria
-
Würzburg, Bavaria, Niemcy, 97080
- Novartis Investigative Site
-
-
Thuringia
-
Jena, Thuringia, Niemcy, 07740
- Novartis Investigative Site
-
-
-
-
-
Bydgoszcz, Polska, 85-168
- Novartis Investigative Site
-
Warsaw, Polska, 00-874
- Novartis Investigative Site
-
-
-
-
-
Vila Nova de Gaia, Portugalia, 4434-502
- Novartis Investigative Site
-
-
-
-
Arizona
-
Mesa, Arizona, Stany Zjednoczone, 85202
- Arizona Arthritis and Rheumatology Research PLLC
-
-
California
-
Los Angeles, California, Stany Zjednoczone, 90095
- UCLA
-
Newport Beach, California, Stany Zjednoczone, 92663
- Hoag Hospital
-
-
Florida
-
Clearwater, Florida, Stany Zjednoczone, 33765
- Clinical Res Of W Florida
-
Cooper City, Florida, Stany Zjednoczone, 33024
- GNP Research
-
Plantation, Florida, Stany Zjednoczone, 33324
- IRIS Research and Development
-
Sarasota, Florida, Stany Zjednoczone, 34239
- Sarasota Arthritis Res Ctr
-
-
Illinois
-
Chicago, Illinois, Stany Zjednoczone, 60637
- University of Chicago Hospitals
-
-
Michigan
-
Ann Arbor, Michigan, Stany Zjednoczone, 48109
- Uni Of Michigan Health System
-
-
New York
-
New York, New York, Stany Zjednoczone, 10021
- Hospital for Special Surgery
-
-
Tennessee
-
Jackson, Tennessee, Stany Zjednoczone, 38305
- West Tennessee Research Institute
-
-
Texas
-
Bellaire, Texas, Stany Zjednoczone, 77401
- Novel Research LLC
-
Frisco, Texas, Stany Zjednoczone, 75035
- Arthritis and Rheumatology Ins
-
Houston, Texas, Stany Zjednoczone, 77054
- Prolato Clinical Research Center
-
-
-
-
-
Bangkok, Tajlandia, 10400
- Novartis Investigative Site
-
-
THA
-
Khon Kaen, THA, Tajlandia, 40002
- Novartis Investigative Site
-
-
-
-
-
Changhua, Tajwan, 50006
- Novartis Investigative Site
-
Kaohsiung City, Tajwan, 833
- Novartis Investigative Site
-
Taichung, Tajwan, 40447
- Novartis Investigative Site
-
Taoyuan, Tajwan, 33305
- Novartis Investigative Site
-
-
-
-
Fatih
-
Istanbul, Fatih, Turcja (Türkiye), 34093
- Novartis Investigative Site
-
-
Sihhiye Altindag
-
Ankara, Sihhiye Altindag, Turcja (Türkiye), 06230
- Novartis Investigative Site
-
-
Yenimahalle
-
Ankara, Yenimahalle, Turcja (Türkiye), 06500
- Novartis Investigative Site
-
-
-
-
-
Ho Chi Minh City, Wietnam, 700000
- Novartis Investigative Site
-
-
VNM
-
Ho Chi Minh City, VNM, Wietnam, 700000
- Novartis Investigative Site
-
-
-
-
-
Budapest, Węgry, 1083
- Novartis Investigative Site
-
-
Baranya
-
Pécs, Baranya, Węgry, 7623
- Novartis Investigative Site
-
-
Hajdu Bihar Megye
-
Debrecen, Hajdu Bihar Megye, Węgry, 4032
- Novartis Investigative Site
-
-
-
-
AN
-
Ancona, AN, Włochy, 60020
- Novartis Investigative Site
-
-
MI
-
Milan, MI, Włochy, 20100
- Novartis Investigative Site
-
Rozzano, MI, Włochy, 20089
- Novartis Investigative Site
-
-
MO
-
Modena, MO, Włochy, 41124
- Novartis Investigative Site
-
-
PA
-
Palermo, PA, Włochy, 90127
- Novartis Investigative Site
-
-
PV
-
Pavia, PV, Włochy, 27100
- Novartis Investigative Site
-
-
RM
-
Roma, RM, Włochy, 00168
- Novartis Investigative Site
-
-
VR
-
Verona, VR, Włochy, 37134
- Novartis Investigative Site
-
-
-
-
-
Bristol, Zjednoczone Królestwo, BS10 5NB
- Novartis Investigative Site
-
London, Zjednoczone Królestwo, NW3 2QG
- Novartis Investigative Site
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Poczwórny
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: 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
Inne nazwy:
|
|
Komparator placebo: 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
Inne nazwy:
Ianalumab matching placebo subcutaneous (s.c.) injection as defined in the protocol |
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
3/5 rCRISS25 response
Ramy czasowe: 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
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Change from baseline in FVC% predicted at Week 52
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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
|
Współpracownicy i badacze
Sponsor
Śledczy
- Dyrektor Studium: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
- Wyczerpanie komórek B
- Rozlana twardzina układowa
- Twardzina rozlana
- wymuszona pojemność życiowa
- Twardzina rozlana
- Rozlane stwardnienie układowe skóry (dcSSc)
- Twardzina, postępująca
- Stwardnienie, postępujące układowe
- Twardzina o nagłym początku
- Zmieniony wskaźnik odpowiedzi złożonej w twardzinie układowej 25 (rCRISS25)
- zmodyfikowany wynik skóry Rodnana
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- CVAY736S12201
- 2024-511933-36-00 (Identyfikator rejestru: EU CT number)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
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
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .