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Sjögren's SyndromePhase 2NCT02843659

Proof of Concept Study to Evaluate the Efficacy and Safety of BMS-931699 (Lulizumab) or BMS-986142 in Primary Sjögren's Syndrome

A Phase 2 study testing BMS-931699 and BMS-986142 in people with Sjögren's Syndrome, run by Bristol-Myers Squibb at 34 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is 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… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Sjögren's Syndrome
What is being tested?
BMS-931699 and BMS-986142
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
34 sitesin 11 countries
Study dates
18 Oct 2016to 24 Jul 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects diagnosed or classified as having moderate to severe primary Sjögren's Syndrome based on the 2016 ACR-EULAR Sjögren's Syndrome Classification Criteria for at least 16 weeks prior to screening
  • 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 and/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

Who cannot join

  • Secondary Sjögren's syndrome or the presence of any other systemic autoimmune disease (eg, RA, SLE, multiple sclerosis, vasculitis)
  • Very severe primary Sjögren's syndrome or severe complications of primary Sjögren's syndrome at the time of the screening visit
  • Active systemic or latent bacterial (including tuberculosis), viral or fungal infection, evidence of current or chronic Hepatitis B or C infection, or HIV infection
  • 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 biologics therapies either marketed or in development within 6 months prior to screening visit
Show all 9Show fewer
  • 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
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

34 sites in 11 countries.

34 sites in 11 countries

United States17 sites
  • New Mexico Clinical Research & Osteoporosis Center

    Albuquerque, New Mexico, 87109

  • Tekton Research Inc

    Austin, Texas, 78745

  • Altoona Center For Clinical Research

    Duncansville, Pennsylvania, 16635-8406

  • Arthritis And Osteoporosis Associates, Pa

    Freehold, New Jersey, 07728

  • St Joseph Heritage Healthcare

    Fullerton, California, 92835

  • West Tennessee Research Institute

    Jackson, Tennessee, 38305

  • North Georgia Rheumatology Group

    Lawrenceville, Georgia, 30096

  • Paramount Medical Research & Consulting, Llc

    Middleburg Heights, Ohio, 44130

  • Local Institution

    Mineola, New York, 11501

  • Acme Research, Llc

    Orangeburg, South Carolina, 29118

  • Local Institution

    Palo Alto, California, 94304

  • Local Institution

    Philadelphia, Pennsylvania, 19104

  • Local Institution

    Sarasota, Florida, 34239

  • Local Institution

    Tupelo, Mississippi, 38801

  • Local Institution

    Wexford, Pennsylvania, 15090

  • Pmg Research Of Wilmington Llc

    Wilmington, North Carolina, 28401

  • Clinical Pharmacology Study Group

    Worcester, Massachusetts, 01605

Other trials in United States

Mexico4 sites
  • Local Institution

    Guadalajara, Jalisco, 44650

  • Local Institution

    Mérida, Yucatán, 97070

  • Local Institution

    Mexico City, Distrito Fededral, 11850

  • Local Institution

    Veracruz, 91910

Other trials in Mexico

Colombia3 sites
  • Local Institution

    Bogota, Cundinamarca

  • Local Institution

    Bogotá

  • Local Institution

    Cali

Other trials in Colombia

Peru3 sites
  • Local Institution

    Lima, LIMA 31

  • Instituto De Ginecologia Y Reproduccion Inv. Clinical Sac

    Lima, LIMA 33

  • Local Institution

    Lima Cercado, Lima region, 1

Other trials in Peru

Australia1 site
  • Local Institution

    Camperdown, New South Wales, 2050

Other trials in Australia

Chile1 site
  • Local Institution

    Santiago, Santiago Metropolitan, 7501126

Other trials in Chile

Italy1 site
  • Azienda Ospedaliera Universitaria Pisana

    Pisa, 56126

Other trials in Italy

Poland1 site
  • Klinika Reumatologii i Chorob Wewnetrznych

    Wroclaw, 50-556

Other trials in Poland

Puerto Rico1 site
  • Local Institution

    San Juan, 00909

Other trials in Puerto Rico

Russia1 site
  • Local Institution

    Moscow, 121374

Other trials in Russia

South Africa1 site
  • Local Institution

    Stellenbosch, Western Cape, 7600

Other trials in South Africa

About this study

Official title: A Phase II, Randomized, Multi-Center, Double-Blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of BMS-931699 (Lulizumab) or BMS-986142 in Subjects With Moderate to Severe Primary Sjögren's Syndrome

The primary objective of this study is 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.

Being tested
BMS-931699, BMS-986142, Placebo
Medical subject headings
Sjogren's Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BMS-931699Drug

    Also called lulizumab

    Specified dose on specified days

  • BMS-986142Drug

    Specified dose on specified days

  • PlaceboDrug

    Specified dose on specified days

Study groups in NCT02843659
Study groupRoleWhat they receive
BMS-931699ExperimentalSubcutaneous weekly injection + daily oral placebo tablets
Receives: Drug: BMS-931699; Drug: Placebo
BMS-986142ExperimentalDaily oral tablets + subcutaneous placebo (weekly) injection
Receives: Drug: BMS-986142; Drug: Placebo
PlaceboPlacebo comparatorWeekly subcutaneous placebo injection +daily oral placebo tablets
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change From Baseline in ESSDAI

    The ESSDAI is a clinical index that measures Sjogren's syndrome disease activity. A physician scores the disease activity level of twelve organ-specific domains in 3 or 4 levels according to their severity. For example, for no disease activity the domain score equals 0 and for high disease activity the domain score equals 3 or 4. Each domain is assigned a weight between 1 and 6, and the domain score is multiplied by the domain weight. The sum of the weighted domain scores is the overall score, which can range from 0 to 123. A higher score indicates more disease activity. Change from baseline was computed as the value at Week 24 minus the baseline value. A negative value in change from baseline indicates an improvement and a positive value indicates worsening

    Measured: At baseline and week 12

Secondary outcomes (19)
  1. Mean Change From Baseline in ESSDAI Scores at Week 4 and Week 8

    The ESSDAI is a clinical index that measures Sjogren's syndrome disease activity. A physician scores the disease activity level of twelve organ-specific domains in 3 or 4 levels according to their severity. For example, for no disease activity the domain score equals 0 and for high disease activity the domain score equals 3 or 4. Each domain is assigned a weight between 1 and 6, and the domain score is multiplied by the domain weight. The sum of the weighted domain scores is the overall score, which can range from 0 to 123. A higher score indicates more disease activity. Change from baseline was computed as the value at Week 24 minus the baseline value. A negative value in change from baseline indicates an improvement and a positive value indicates worsening

    Measured: At baseline, week 4 and week 8

  2. Mean Change From Baseline in ESSPRI Score at Week 4, Week 8, and Week 12.

    ESSPRI, also known as EULAR Sjogren's Syndrome Patient Reported Index, measures subjective symptoms of dryness, pain and fatigue. It uses 0-10 numerical scales, one for each domain. The weight of the domains is identical, and the final score is the mean score of the 3 domains.

    Measured: At baseline, week 4, week 8, and week 12

  3. Proportion of Subjects With a > = 3 Point Improvement From Baseline in ESSDAI at Week 12

    The ESSDAI is a clinical index that measures Sjogren's syndrome disease activity. A physician scores the disease activity level of twelve organ-specific domains in 3 or 4 levels according to their severity. For example, for no disease activity the domain score equals 0 and for high disease activity the domain score equals 3 or 4. Each domain is assigned a weight between 1 and 6, and the domain score is multiplied by the domain weight. The sum of the weighted domain scores is the overall score, which can range from 0 to 123. A higher score indicates more disease activity. Change from baseline was computed as the value at Week 24 minus the baseline value. A negative value in change from baseline indicates an improvement and a positive value indicates worsening

    Measured: At week 12

  4. Proportion of Subjects With Both >= 3 Points Improvement in ESSDAI and >= 1 Point Improvement in ESSPRI From Baseline at Week 12

    The ESSDAI is a clinical index that measures Sjogren's syndrome disease activity. A physician scores the disease activity level of twelve organ-specific domains in 3 or 4 levels according to their severity. For example, for no disease activity the domain score equals 0 and for high disease activity the domain score equals 3 or 4. Each domain is assigned a weight between 1 and 6, and the domain score is multiplied by the domain weight. The sum of the weighted domain scores is the overall score, which can range from 0 to 123. A higher score indicates more disease activity. Change from baseline was computed as the value at Week 24 minus the baseline value. A negative value in change from baseline indicates an improvement and a positive value indicates worsening

    Measured: At week 12

  5. Proportions of Subjects With >=1 Point of Improvement From Baseline in ESSPRI

    ESSPRI, also known as EULAR Sjogren's Syndrome Patient Reported Index, measures subjective symptoms of dryness, pain and fatigue. It uses 0-10 numerical scales, one for each domain. The weight of the domains is identical, and the final score is the mean score of the 3 domains

    Measured: At week 12

  6. Mean Change in Baseline in ESSPRI Individual Component of Dryness

    ESSPRI, also known as EULAR Sjogren's Syndrome Patient Reported Index, measures subjective symptoms of dryness, pain and fatigue. It uses 0-10 numerical scales, one for each domain. The weight of the domains is identical, and the final score is the mean score of the 3 domains

    Measured: At baseline, week 4, week 8, and week 12

  7. Mean Change in Baseline in ESSPRI Individual Component of Fatigue

    ESSPRI, also known as EULAR Sjogren's Syndrome Patient Reported Index, measures subjective symptoms of dryness, pain and fatigue. It uses 0-10 numerical scales, one for each domain. The weight of the domains is identical, and the final score is the mean score of the 3 domains

    Measured: At baseline, week 4, week 8, and week 12

  8. Mean Change in Baseline in ESSPRI Individual Component of Pain

    ESSPRI, also known as EULAR Sjogren's Syndrome Patient Reported Index, measures subjective symptoms of dryness, pain and fatigue. It uses 0-10 numerical scales, one for each domain. The weight of the domains is identical, and the final score is the mean score of the 3 domains

    Measured: At baseline, week 4, week 8, and week 12

  9. Mean Change From Baseline in Unstimulated Salivary Flow Rate

    Serum and saliva biomarkers (collected from samples obtained during unstimulated and stimulated salivary flow assessments) were measured to determine the potential PD effect of BMS-931699 and BMS-986142 on disease-related protein analytes. These assessments included, but were not limited to, the detection of cytokines and other protein analytes by immunoassays and/or mass spectrometry proteomic profiling.

    Measured: At baseline, week 4, week 8, and week 12

  10. Mean Change From Baseline in Stimulated Salivary Flow Rate

    Serum and saliva biomarkers (collected from samples obtained during unstimulated and stimulated salivary flow assessments) were measured to determine the potential PD effect of BMS-931699 and BMS-986142 on disease-related protein analytes. These assessments included, but were not limited to, the detection of cytokines and other protein analytes by immunoassays and/or mass spectrometry proteomic profiling.

    Measured: At baseline, week 4, week 8, and week 12

  11. Mean Change From Baseline in Ocular Surface Staining

    The test was performed by instillation of fluorescein dye and either lissamine green or Rose bengal dye to stain the cornea and conjunctiva, respectively. After instilling the dye, the ocular surface was examined through a slit lamp (biomicroscope).

    Measured: At baseline, week 4, week 8, and week 12

  12. Mean Change From Baseline in Schrimer's Test

    The test (without anaesthesia) was performed by placing a narrow calibrated filter-paper strip in the inferior cul-de-sac of each eye. Aqueous tear production was measured by the length in millimeters that the strip wets during the 5 minute test period

    Measured: At baseline, week 4, week 8, and week 12

  13. Mean Change From Baseline in the Tear Break-up Time Test

    Determined by instilling fluorescein dye and evaluating the stability of the pre-corneal tear film. After several blinks, the tear film is examined using a broad beam of the slit-lamp (biomicroscope) with a cobalt blue filter. The TBUT, defined as the time in seconds between the subjects's last blink and the first appearance of a random dry spot on the corneal surface, is measured 3 times and the mean value is recorded.

    Measured: At baseline, week 4, week 8, and week 12

  14. Mean Change From Baseline in Numeric Rating Scale (NRS) for Mouth, Eye and Vaginal Dryness

    The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. 0 = No Pain, 1-3 = Mild Pain(nagging, annoying, interfering little with ADLs), 4-6 = Moderate Pain (interferes significantly with ADLs), 7-10 = Severe Pain (disabling; unable to perform ADLs)

    Measured: At baseline, at week 2, week 4, week 6, week 8, week 10, week 12, and week 18

  15. Mean Change From Baseline in Subject Global Assessment of Disease Activity (SubGDA)

    The subjects overall assessment of disease activity from 0-10 cm VAS scale with 0 being no disease and 10 cm being most severe disease

    Measured: At baseline, week 2, week 4, week 6, week 8, week 10, week 12, and week 18

  16. Mean Change Form Baseline in Physician Global Assessment of Disease Activity (phyGDA)

    The investigator's or physician's overall assessment of disease activity from 0-10 cm VAS scale with 0 being no disease and 10 cm being most severe disease.

    Measured: At baseline, week 2, week 4, week 6, week 8, week 10, week 12, and week 18

  17. Mean Change From Baseline in Short Form-36 (SF-36)

    First, precoded numeric values are recoded per the scoring key given in Table 1. Note that all items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. Scores represent the percentage of total possible score achieved. In step 2, items in the same scale are averaged together to create the 8 scale scores. Table 2 lists the items averaged together to create each scale. Items that are left blank(missing data) are not taken into account when calculating the scale scores. Hence, scale scores represent the average for all items in the scale that the respondent answered

    Measured: At baseline, week 4, week 8, week 12, and week 18

  18. Mean Change From Baseline in Female Sexual Function Index (FSFI)

    The Female Sexual Function Index (FSFI), a 19-item questionnaire, has been developed as a brief, multidimensional self-report instrument for assessing the key dimensions of sexual function in women

    Measured: At baseline, week 4, week 8, week 12, and week 18

  19. Mean Change From Baseline in Work Participation and Activity Impairment Questionnaire (WPAI)

    Affords calculation of 4 scales to measure the impact of IBD on different domains of impairment in work or other activities: absenteeism, presenteeism (impairment at work), productivity loss (overall work impairment), activity impairment

    Measured: At baseline, week 4, week 8, week 12, and week 18

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jul 2016 (estimated)
  2. Study start18 Oct 2016
  3. Primary completion24 Jul 2017
  4. Study completion24 Jul 2017

Why it stopped: Inability to meet protocol objectives

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02843659
Sponsor's protocol ID
IM128-035
Other IDs
2016-000101-37, 2016
Status last verified
Oct 2018
First submitted
8 Jul 2016
Last updated
4 Oct 2018
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BMS-931699 and BMS-986142 in people with Sjögren's Syndrome, run by Bristol-Myers Squibb at 34 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 4 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, Mexico, Colombia, Peru, Australia and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Change From Baseline in ESSDAI (time frame: At baseline and week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Oct 2018.

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