E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
subjects with moderate to severe Sjögren's syndrome |
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E.1.1.1 | Medical condition in easily understood language |
subjects with moderate to severe Sjögren's syndrome |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040766 |
E.1.2 | Term | Sjogren's disease |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10040767 |
E.1.2 | Term | Sjogren's syndrome |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10042846 |
E.1.2 | Term | Syndrome Sjogren's |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040765 |
E.1.2 | Term | Sjogren's |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10048676 |
E.1.2 | Term | Sjogren-Larsson syndrome |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the efficacy of treatment with either lulizumab or BMS-986142 versus placebo in subjects with moderate to severe primary Sjögren’s syndrome as measured by the change from baseline in ESSDAI at Week 12 between active treatment arms (lulizumab or BMS-986142, respectively) and the placebo arm |
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E.2.2 | Secondary objectives of the trial |
To assess the:-Change from baseline in ESSPRI score at Wk 12 -Proportion of subject from baseline at wk12 with:>3 pt improvement in ESSDAI/>1 pt improvement in ESSPRI/both >3 pt improvement in ESSDAI and >1 pt improvement in ESSPRI -Change from baseline at Wk 4 and Wk 8: in ESSDAI and ESSPRI scores -Change from baseline in ESSPRI components at Wk 4, 8 and 12-Change from baseline in unstimulated and stimulated salivary flow at Wks 4, 8, and 12-Change from baseline in ocular surface staining, Schirmer’s test, and tear-break up time test at Wks 4, 8,and 12-Safety and tolerability of lulizumab or BMS-986142 in subjects with moderate to severe pSS, as measured by adverse events, laboratory parameters, vital signs, physical exams, and ECGs-Change from baseline in patient and physician assessments of disease activity:NRS scores for mouth, eye and vaginal dryness/patGDA and phyGDA/PROMIS Fatigue SF/SF-36 acute/FSFI/WPAI-Trough plasma concentrations of lulizumab and BMS-986142 in pSS subjects |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Age 18-70 years old
- Subjects diagnosed or classified as having moderate to severe primary Sjögren’s syndrome based on the 2015 ACR-EULAR Classification Criteria
- ESSDAI ≥ 5 including disease activity (any score > 0) in at least one of the following domains: Glandular, Articular, Hematological, Biological, Lymphadenopathy
- Positive anti-SS-A/Ro or anti-SS-B/La autoantibody
- Unstimulated whole saliva secretion > 0.01 ml/min
- Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 24 hours prior to the start of study drug and must not be pregnant or breastfeeding. Male and female subjects must be willing to adhere to protocol-mandated highly effective contraception for the duration of the study and for the protocol-specified follow up period. Hormone-based contraceptive methods are not permitted. |
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E.4 | Principal exclusion criteria |
-Secondary Sjögren's syndrome or the presence of any other systemic autoimmune disease (eg, RA, SLE, multiple sclerosis)
-Very severe primary Sjögren's syndrome or severe complications of primary Sjögren's syndrome at the time of the screening visit
-Active systemic bacterial (including tuberculosis), viral or fungal infection, or evidence of prior or current Hepatitis B or C, HIV infection, latent bacterial, viral or fungal infections
-Any significant concurrent medical condition at the time of screening or baseline visit
-Use of methotrexate, cyclophosphamide, cyclosporine, tacrolimus, azathioprine, mycophenolate mofetil (MMF) or leflunomide within 12 weeks of screening visit
-Previous treatment with other biologics either marketed or in development within 6 months prior to screening visit
-Treatment started or an unstable dose of hydroxychloroquine within
8 weeks of screening visit.
-Oral corticosteroids > 10 mg/day within 14 days of dosing (Day 1), corticosteroid therapy ≥ 1 mg/kg during the 4 weeks preceding enrollment, or intravenous, intramuscular or intra-articular corticosteroids within 4 weeks of screening visit. |
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E.5 End points |
E.5.1 | Primary end point(s) |
To compare the change from baseline in ESSDAI score at Week 12 between active treatment arms (lulizumab or BMS-986142) and the placebo arm |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
(1)Change from baseline in ESSPRI score
(1)Proportions of subjects with >3 points of improvement from baseline in ESSDAI
(1)Proportions of subjects with >1 point of improvement from baseline in ESSPRI
(1)Proportion of subjects with both >3 points improvement in ESSDAI and >1 point improvement in ESSPRI from baseline
(2)Change from baseline in ESSDAI score
(2)Change from baseline in ESSPRI score
(3)Change from baseline in ESSPRI individual component (Dryness, Fatigue, and Pain) scores
(3)Change from baseline in unstimulated and stimulated salivary flow
(3)Change from baseline in ocular surface staining, Schrimer’s test, and the tear break-up time test
(4)Safety and tolerability of lulizumab or BMS-986142 in subjects with moderate to severe pSS
(4)Numeric rating scale (NRS) for mouth, eye and vaginal dryness
(4)Patient and physician Global Assessment of Disease activity
(4)Short Form-36 acute (SF-36 acute)
(4)Female Sexual Function Index (FSFI)
(4)Work Participation and Activity Impairment Questionnaire (WPAI)
(4)PROMIS Fatigue Short Form
(4)Trough plasma concentrations of lulizumab and BMS-986142 in pSS subjects |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
(1)Week 12
(2)Up to Week 8
(3)Up to Week 12
(4)Up to Week 18 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 28 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Belgium |
Chile |
Colombia |
Denmark |
France |
Greece |
Hungary |
Italy |
Mexico |
Netherlands |
Norway |
Peru |
Poland |
Romania |
Russian Federation |
South Africa |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 8 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 11 |
E.8.9.2 | In all countries concerned by the trial days | 27 |