E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
SLE Sub-protocol: Systemic Lupus Erythematosus pSS Sub-protocol: Primary Sjögren’s Syndrome RA Sub-protocol: Rheumatoid Arthritis |
Subprotocolo LES: Lupus Eritematoso Sistémico Subprotocolo SSP: Síndrome de Sjögren primario Subprotocolo AR: Artritis Reumatoide |
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E.1.1.1 | Medical condition in easily understood language |
Lupus, Sjögren’s Syndrome and Arthritis are autoimmune diseases that develops when body's immune system overreacts to unknown stimulus making antibodies/proteins directed against own's body tissues. |
El Lupus, el Síndrome de Sjögren y la Artritis son enfermedades autoinmunes en las que el sistema inmune reacciona a estímulos fabricando anticuerpos dirigidos contra los tejidos corporales propios. |
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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 | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10042945 |
E.1.2 | Term | Systemic lupus erythematosus |
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 | 21.0 |
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 | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10039073 |
E.1.2 | Term | Rheumatoid arthritis |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue 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 |
SLE Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 24 in the treatment of subjects with SLE
pSS Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 24 in the treatment of subjects with pSS
RA Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 12 in the treatment of subjects with moderate to severe RA on a stable background of MTX who have had an inadequate response to MTX |
-Subprotocolo LES: Comparar la eficacia de branebrutinib con placebo en la semana 24 del tratamiento de pacientes con LES.
-Subprotocolo SSp: Comparar la eficacia de branebrutinib con placebo en la semana 24 del tratamiento de pacientes con SSp
-Subprotocolo AR: Comparar la eficacia de branebrutinib con placebo en la semana 12 de tratamiento de pacientes con AR de moderada a grave que reciben tratamiento de base estable con MTX que han tenido una respuesta inadecuada al MTX |
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E.2.2 | Secondary objectives of the trial |
SLE Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 24 in the treatment of subjects with SLE -To compare the efficacy of branebrutinib with PBO on measures of global and organ-specific clinical responses at Week 24 in the treatment of subjects with SLE -To compare the safety and tolerability of branebrutinib with PBO in subjects with SLE
pSS Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 24 in the treatment of subjects with pSS
RA Sub-protocol: -To compare the efficacy of branebrutinib with PBO at Week 12 in the treatment of subjects with moderate to severe RA on a stable background of MTX who have had an inadequate response to MTX -To evaluate the safety and tolerability at Week 24 of switching at Week 12 from branebrutinib or PBO to abatacept in subjects with RA. |
-Subprotocolo LES: • Comparar la eficacia de branebrutinib con placebo en la semana 24 del tratamiento de pacientes con LES • Comparar la eficacia de branebrutinib con placebo en mediciones de la respuesta clínica global y específica de órganos en la semana 24 del tratamiento de pacientes con LES • Comparar la seguridad y tolerabilidad de branebrutinib con placebo en sujetos con LES
-Subprotocolo SSp: • Comparar la eficacia de branebrutinib con placebo en la semana 24 del tratamiento de pacientes con SSp
-Subprotocolo AR: • Comparar la eficacia de branebrutinib con PBO en la semana 12 de tratamiento de pacientes con AR de moderada a grave que reciben tratamiento de base estable con MTX que han tenido una respuesta inadecuada al MTX • Evaluar la seguridad y tolerabilidad en la semana 24 de cambiar en la semana 12 de branebrutinib o placebo a abatacept en sujetos con AR |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Sub-Protocol for Systemic Lupus Erythematosus (SLE): - Active SLE as defined by the Systemic Lupus Erythematosus International Collaborating Clinics (SLICC) classification. - Diagnosed with SLE more than 24 weeks before screening visit.
Sub-Protocol for primary Sjögren's Syndrome (pSS): - Moderate to severe pSS, meeting ACR-EULAR classification criteria.
Sub-Protocol for active Rheumatoid Arthritis (RA): - Moderate to severe adult-onset RA. - ACR global functional status class I to III. For all sub-studies: - Women and men must agree to follow instructions for methods of contraception.
Please, be referred to the Protocol document for a complete list of Inclusion criteria. |
Subprotocolo para lupus eritematoso sistémico (LES): - LES activo según según clasificación del SLICC - Diagnóstico de LES más de 24 semanas antes de la visita de selección
Subprotocolo para Síndrome de Sjögren primario (SSp): - SSp de moderado a grave según criterios de clasificación de ACR-EULAR.
Subprotocolo para artritis reumatoide (AR): - AR de inicio en la edad adulta de moderado a grave - Clase I a III de estado funcional global según ACR
Para todos los subestudios: - Tanto los hombres como las mujeres deben estar de acuerdo en seguir las instrucciones relativas a los métodos de contracepción
Para una lista completa de criterios de inclusión consultar protocolo. |
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E.4 | Principal exclusion criteria |
Sub-Protocol for Systemic Lupus Erythematosus (SLE): - Certain other autoimmune diseases and overlap syndromes. Sub-Protocol for primary Sjögren's Syndrome (pSS): - Certain other immune-mediated diseases, active fibromyalgia, or other medical conditions. Sub-Protocol for Rheumatoid Arthritis (RA): - Diagnosis with juvenile arthritis or idiopathic arthritis before age 16. For all sub-studies: - History of any significant drug allergy - Active infection, significant concurrent medical condition, or clinically significant abnormalities Please, be referred to the Protocol document for a complete list of Exclusion criteria. |
Subprotocolo para Lupus Eritematoso Sistémico (LES): - Otras enfermedades autoimmunes y síndromes superpuestos conocidas.
Subprotocolo para Síndrome de Sjögren primario (SSp): - Otras enfermedades inmunes, fibromialgia u otra condición médica conocida
Subprotocolo para Artritis Reumatoide (AR): - Diagnóstico de artritis juvenil o idiopática antes de los 16 años.
Para una lista completa de criterios de exclusión consultar protocolo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. SLE: mCLASI activity score response [ Time Frame: at 24 weeks ] Proportion of participants with a ≥ 50% reduction of mCLASI from baseline 2. pSS: Proportion of subjects with changes in a composite score that includes ESSPRI (EULAR Sjögren's Syndrome Patient Reported Index), ESSDAI (EULAR Sjögren's Syndrome Disease Activity Index), ocular staining, salivary flow and serological marker [ Time Frame: at 24 weeks] Clinically significant improvements from baseline in ESSPRI, ESSDAI, ocular staining, salivary flow, and serological marker (rheumatoid factor [RF], IgG, complement C3 or C4, cryoglobulin) used in the composite measure. 3. RA: ACR50 response [ Time Frame: at 12 weeks ] Proportion of participants achieving ACR50 response (American College of Rheumatology 50 criteria) |
- LES: Proporción de pacientes reducción ≥50 % en la puntuación de la actividad mCLASI desde la visita basal (en la semana 24)
-SSP: Proporción de pacientes con cambios en una escala compuesta que incluye el índice ESSPRI, ESSDAI, tinción ocular, producción salivar y marcadores serológicos (en la semana 24).
Mejora clínica significativa desde la visita basal en ESSPRI, ESSDAI, tinción ocular, flujo salivar y marcadores serológicos (factor reumatoide, IgG, complemento C3 o C4, crioglobulina) utilizados en la medición compuesta.
-AR: Proporción de participantes que alcanzan una respuesta en ACR50 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
SLE Sub-Protocol: -Week 20 and Week 24 pSS Sub-Protocol: - Week 24 RA Sub-protocol: -Week 12 |
-Subprotocolo LES: Semana 20 y semana 24
-Subprotocolo SSp: Semana 24
-Subprotocolo AR: Semana 12 |
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E.5.2 | Secondary end point(s) |
1. SLE: SLEDAI-2K score response [ Time Frame: at 24 weeks ] Change from baseline in SLEDAI-2K score (Systemic Lupus Erythematosus Disease Activity Index 2000) 2. SLE: BILAG-based Composite Lupus Assessment response [ Time Frame: at 24 weeks ] Change from baseline in BILAG-based (British Isles Lupus Assessment Group) Composite Lupus Assessment response 3. RA: DAS28-CRP response [ Time Frame: at 12 weeks ] Change from baseline in DAS28-CRP (Disease Activity Score 28 - C reactive protein) 4. RA: DAS28-ESR response [ Time Frame: at 12 weeks ] Change from baseline in DAS28-ESR (Disease Activity Score 28 - Erythrocyte Sedimentation Rate) 5. RA: SDAI response [ Time Frame: at 12 weeks ] Change from baseline in SDAI (Simplified Disease Activity Index) 6. RA: CDAI response [ Time Frame: at 12 weeks ] Change from baseline in CDAI (Clinical Disease Activity Index) 7. RA: ACR20 response [ Time Frame: at 12 weeks ] Proportion of participants achieving ACR20 response (American College of Rheumatology 20 criteria) 8. RA: ACR70 response [ Time Frame: at 12 weeks ] Proportion of participants achieving ACR70 response (American College of Rheumatology 70 criteria) 9. SLE, pSS, RA: Safety [ Time Frame: up to 28 weeks ] Incidence of Serious Adverse Events, Adverse Events; number of clinically significant changes in lab assessment of blood, number of clinically significant changes in vital sign of body temperature, blood pressure, and respiratory rate; number of clinically significant changes in electrocardiogram. |
1. LES: respuesta en la escala SLEDAI-2K (a las 24 semanas) Cambio en la respuesta en la escala SLEDAI-2K desde visita basal. 2: LES: respuesta en la escala BILAG (a las 24 semanas) Cambio en la respuesta en la escala BILAG desde visita basal. 3: AR: respuesta en la escala DAS28-CRP (a las 12 semanas) Cambio en la respuesta en la escala DAS28-CRP desde visita basal. 4: AR: respuesta en la escala DAS28-ESR (a las 12 semanas) Cambio en la escala DAS28-ESR desde visita basal. 5: AR: respuesta en la escala SDAI (a las 12 semanas) Cambio en la escala SDAI desde visita basal. 6: AR: respuesta en la escala CDAI (a las 12 semanas) Cambio en la escala CDAI desde visita basal. 7: AR: respuesta en la escala ACR20 (a las 12 semanas) Proporción de participantes que alcanzan respuesta según escala ACR20. 8: AR: respuesta en la escala ACR70 (a las 12 semanas) Proporción de participantes que alcanzan respuesta según escala ACR70 9: LES, SSp y RA: seguridad (hasta las 28 semanas) Incidencia de RAGIs, AAs; número de cambios significativos en los resultados de laboratorio en sangre, número de cambios significativos en temperatura corporal, presión sanguíniea y tasa de respiración: número de cambios significativos en electrocardiograma. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
SLE Sub-protocol: -Week 24
pSS Sub-protocol: -Week 24
RA Sub-protocol: -Week 12 |
-Subprotocolo LES: Semana 20 y semana 24
-Subprotocolo SSp: Semana 24
-Subprotocolo AR: Semana 12 |
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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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
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 | 7 |
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 35 |
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 |
Argentina |
Belgium |
France |
Germany |
Mexico |
Netherlands |
Poland |
Spain |
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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SLE Sub-protocol/pSS Sub-protocol/RA Sub-protocol: -Final date on which data for the primary endpoint was or is expected to be collected, if it is not the same. |
Subprotocolo LES/Subprotocolo SSp/Subprotocolo AR: -Fecha final en la que los datos sobre el objetivo principal son recogidos o se espera que sean recogidos, si no hay coincidencia en el tiempo. |
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |