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Completed

NCT Number: NCT02149420

PD of VAY736 in Patients With Primary Sjögren's Syndrome

This study was designed to evaluate the safety, tolerability, pharmacokinetics and therapeutic efficacy of a single intravenous infusion of VAY7346 monoclonal antibody in pSS patients

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigative Site

Berlin, 10117, Germany

About this study

Patients were enrolled in 2 sequential cohorts:

Cohort 1: 6 patients received 3 mg/kg or Placebo (2:1 ratio) Cohort 2: 21 patients received 10 mg/kg, 3 mg/kg or Placebo (6:1:3 ratio)

At week 24 the blind was broken to assess continuation in the trial:

  • If a patient received VAY736 and their B cell recovery was demonstrated at Week 24, then patients completed the trial.
  • If a patient received VAY736 and their B cell recovery was NOT demonstrated at Week 24, then patients were followed up until B cell recovery was demonstrated
  • If a patient received placebo, they were offered the option of receiving open-label VAY736 (10 mg/kg) in a separate treatment arm.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Fulfilled revised European US consensus criteria for pSS
  • ESSDAI value ≥ 6
  • Elevated serum titers at screening of ANA (≥ 1:160)
  • Seropositive at screening for anti-SSA and/or anti-SSB antibodies
  • Stimulated whole salivary flow rate at screening of > 0 mL/min

Exclusion criteria

  • Prior or previous use of (specific dosages and intervals prior to study start may apply): B-cell depleting therapy (e.g., rituximab), Prednisone, anti-BAFF mAb, CTLA4-Fc Ig (abatacept), anti-TNF-α mAb, cyclophosphamide, azathioprine and medications known to cause dry mouth.

Hydroxychloroquine or methotrexate in a consistent dose for ≥ 3 months prior to randomization is allowed

  • Active or recent history of clinically significant infection
  • Vaccination within 2 month prior to study
  • History of primary or secondary immunodeficiency

Treatment and study plan

VAY736

Drug

Placebo

Drug

Primary outcomes

  1. Change in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI)

    Time frame: Baseline, week 12

    The effect of VAY736 on clinical disease activity was measured by the change in ESSDAI (EULAR Sjögren's syndrome disease activity index) between baseline and week 12. The instrument contains 12 organ-specific domains contributing to disease activity. For each domain, features of disease activity are scored in 3 or 4 levels according to their severity. These scores are then summed across the 12 domains in a weighted manner to provide the total score (range 0-123). A reduction from baseline indicates improvement in patients.

  2. Overall Incidence of Adverse Events

    Time frame: Baseline to Week 24

    Number of subjects with Adverse Events during the double blind treatment period.

Secondary outcomes

  1. Change in EULAR Sjögren's Syndrome Patient Response Index (ESSPRI)

    Time frame: Baseline, week 12

    The ESSPRI is a patient self-reported outcome measure to assess dryness, limb pain, fatigue and mental fatigue, where each of the domains normally reported as 0 (not at all) to 10 (extremely severe). The final ESSPRI score is the average of three: dryness, pain and fatigue. A reduction from baseline indicates the improvement of symptoms. During the study all individual scores were reported as 1 to 10 instead. A linear transformation was reported to map the scores to the range of 0-10.

  2. Change in Short Form (36) Health Survey (SF-36)

    Time frame: Baseline, week 12

    The SF-36 is a 36-item, patient self-reported outcome measure (questionnaires) of patient health. The outcome of the questionnaires in eight scales results in two summary scores, physical component and mental component, both ranging from 0 - 100. An increase from baseline in either component summary score indicates reduced disease burden.

  3. Change in Multidimensional Fatigue Inventory (MFI)

    Time frame: Baseline, week 12

    The MFI is a patient self-reported outcome measure (questionnaires) to assess fatigue covering the following dimensions: General Fatigue, Physical Fatigue, Mental Fatigue, Reduced Motivation and Reduced Activity. Each dimension has a posible range from 4-20. A reduction from baseline in MFI indicates improvement.

  4. Change in the Physician's Global Assessment of Overall Disease Activity by Means of Visual Analog Scale (VAS)

    Time frame: Baseline, week 12

    The visual analogue scale used is a 100 mm VAS ranging from "no disease" (0 mm) to "maximal disease activity" (100 mm).

  5. Change in the Patient's Global Assessment of Overall Disease Activity by Means of Visual Analog Scale (VAS)

    Time frame: Baseline, week 12

    The visual analogue scale used is a 100 mm VAS ranging from "no disease" (0 mm) to "maximal disease activity" (100 mm).

  6. VAY736 Serum Concentration - AUCinf

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The area under the serum concentration-time curve from time zero to infinity [mass × time / volume]. The concentration of VAY736 was measured in the serum.

  7. VAY736 Serum Concentration - AUClast

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration [mass × time / volume]. The concentration of VAY736 was measured in the serum.

  8. VAY736 Serum Concentration - CL

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The systemic (or total body) clearance from serum following intravenous administration [volume / time]. The concentration of VAY736 was measured in the serum.

  9. VAY736 Serum Concentration - Cmax

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The observed maximum serum concentration following drug administration [mass / volume]. The concentration of VAY736 was measured in the serum.

  10. VAY736 Serum Concentration - T1/2

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    Apparent terminal half-life, determined as the ln2/lambda_z or 0.693/lambda_z. The concentration of VAY736 was measured in the serum.

  11. VAY736 Serum Concentration - Tmax

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The time to reach the maximum concentration after drug administration [time]. The concentration of VAY736 was measured in the serum.

  12. VAY736 Serum Concentration - Vz

    Time frame: 0, 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks.

    The volume of distribution during the terminal elimination phase following intravenous administration [volume]. The concentration of VAY736 was measured in the serum.

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Single Dose, Double-blind, Placebo-controlled, Parallel Study to Assess the Pharmacodynamics, Pharmacokinetics and Safety and Tolerability of VAY736 in Patients With Primary Sjögren's Syndrome

Acronym: CVAY736X2201

Important dates

Study start
2014
Primary completion
2018
Study completion
2018
First posted
May 29, 2014
Registry last updated
Oct 4, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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