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Sjögrens DiseasePhase 2NCT06293365

Two-period Crossover Study to Demonstrate the Comparability of Pharmacokinetics of Subcutaneous Ianalumab Between 2mL Auto-injector/2mL PFS with1mL Pre-filled Syringe in Adult Participants With Autoimmune Disease

A Phase 2 study testing VAY736 1ml PFS, VAY736 2 ml PFS and VAY736 2ml AI in people with Sjögrens Disease and Systemic Lupus Erythematosus, run by Novartis Pharmaceuticals at 37 sites in 8 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to demonstrate the comparability of ianalumab exposure following the sub-cutaneous (s.c.) administration of one injection of 300 mg/2 mL auto-injector (AI) versus two injections of 150 mg/1 mL pre-filled syringe (PFS), and to evaluate the safety and tolerability of ianalumab following the… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
VAY736 1ml PFS, VAY736 2 ml PFS and VAY736 2ml AI
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
155 participants
Where
37 sitesin 8 countries
Study dates
2 Jul 2024to 16 Jan 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Signed informed consent must be obtained before any assessment is performed.
  • Male and female patients aged 18 years to 70 years (inclusive).
  • Body weight at least 35 kg and not more than 150 kg and must have a body mass index (BMI) within the range of 18 - 35 kg/m2. BMI = Body weight (kg) / [Height (m)]2 at screening.
  • Diagnosed with RA, SjD and/or SLE as determined by the investigator.
  • Have active disease (RA, SjD or SLE) that may benefit from B-cell depletion therapy, as determined by the investigator.
  • Participants currently receiving protocol-allowed SoC should be on stable doses of SoC medications for 4 weeks prior to first dosing of study treatment.
  • Ability to communicate well with the investigator, understand and agree to comply with the requirements of the study.

Who cannot join

  • Use of prohibited therapies.
  • Active viral, bacterial or other infections requiring systemic treatment at the time of screening or baseline or history of recurrent clinically significant infection.
  • Plans for administration of live vaccines during the study period.
  • Uncontrolled co-existing serious disease.
  • Pregnant or nursing (lactating) women.
  • Women of child-bearing potential (WOCBP), defined as all women physiologically capable of becoming pregnant, refusing or unable to use highly effective methods of contraception while on study treatment and for 6 months after stopping of study drug.
  • US (and other countries, if locally required): sexually active males unless using barrier protection during intercourse with women of child-bearing potential while taking study treatment.
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

37 sites in 8 countries.

37 sites in 8 countries

United States17 sites
  • Pinnacle Research Group Llc

    Anniston, Alabama, 36207

  • Ochsner Health System

    Baton Rouge, Louisiana, 70809

  • Novel Research LLC

    Bellaire, Texas, 77401

  • Altoona Center for Clin Res

    Duncansville, Pennsylvania, 16635

  • Providence Medical Foundation

    Fullerton, California, 92835

  • Ahmed Arif Medical Research Center

    Grand Blanc, Michigan, 48439

  • Indiana Univ School of Dentistry

    Indianapolis, Indiana, 46202

  • West Tennessee Research Institute

    Jackson, Tennessee, 38305

  • Advanced Medical Research

    La Palma, California, 90623

  • Parris and Associates Rheumatology

    Lawrenceville, Georgia, 30044

  • Shelby Research LLC

    Memphis, Tennessee, 38119

  • Southwest Rheum Rsrch LLC

    Mesquite, Texas, 75150

  • Paramount Med Rsrch and Consult LLC

    Middleburg Heights, Ohio, 44130

  • RAO Research LLC

    Oklahoma City, Oklahoma, 73116

  • Uni of Texas Health Science Center

    San Antonio, Texas, 78229

  • Advanced Rheumatology of Houston

    The Woodlands, Texas, 77382

  • Conquest Research

    Winter Park, Florida, 32789

Other trials in United States

Argentina4 sites
  • Novartis Investigative Site

    Buenos Aires, C1055AAF

  • Novartis Investigative Site

    Buenos Aires, C1437FFC

  • Novartis Investigative Site

    Quilmes, Buenos Aires, 1878

  • Novartis Investigative Site

    San Miguel Tucuman, Tucumán Province, T4000DPK

Other trials in Argentina

Canada4 sites
  • Novartis Investigative Site

    Hamilton, Ontario, L8N 3Z5

  • Novartis Investigative Site

    Rimouski, Quebec, G5L 5T1

  • Novartis Investigative Site

    Toronto, Ontario, M5T 2S8

  • Novartis Investigative Site

    Trois-Rivières, Quebec, G9A 3Y2

Other trials in Canada

Czechia3 sites
  • Novartis Investigative Site

    Brno, 638 00

  • Novartis Investigative Site

    Prague, 128 00

  • Novartis Investigative Site

    Uherské Hradiště, 686 01

Other trials in Czechia

Hungary3 sites
  • Novartis Investigative Site

    Budapest, 1027

  • Novartis Investigative Site

    Budapest, 1134

  • Novartis Investigative Site

    Debrecen, Hajdu Bihar Megye, 4032

Other trials in Hungary

Spain3 sites
  • Novartis Investigative Site

    A Coruña, 15006

  • Novartis Investigative Site

    Madrid, 28034

  • Novartis Investigative Site

    Santiago Compostela, A Coruna, 15706

Other trials in Spain

Poland2 sites
  • Novartis Investigative Site

    Krakow, 30-002

  • Novartis Investigative Site

    Lublin, 20-607

Other trials in Poland

Italy1 site
  • Novartis Investigative Site

    Salerno, SA, 84131

Other trials in Italy

About this study

Official title: A Randomized, Two-period Crossover Study to Demonstrate the Comparability of Pharmacokinetics of Subcutaneous Ianalumab Between 2mL Auto-injector/2mL Pre-filled Syringe With 1 mL Pre-filled Syringe in Adult Participants With Autoimmune Disease

The purpose of this study is to demonstrate the comparability of ianalumab exposure following the sub-cutaneous (s.c.) administration of one injection of 300 mg/2 mL auto-injector (AI) versus two injections of 150 mg/1 mL pre-filled syringe (PFS), and to evaluate the safety and tolerability of ianalumab following the s.c. administration of both devices in participants with rheumatoid arthritis (RA), Sjögren's disease (SjD), or systemic lupus erythematosus (SLE).

A second cohort will be included with the objective of demonstrating the comparability of pharmacokinetics of ianalumab between 1 x 2 mL Pre-filled Syringe (PFS) and 2 x 1 mL PFS.

Read the detailed description

The study consists of the following periods:

Screening period (up to 4 weeks):

Following the signing of the informed consent, participants will be assessed for eligibility during this period of up to 4 weeks.

Treatment Period 1 + Treatment Period 2, (Week 0 to Week 24):

After completion of the screening period, eligible participants will be randomized at the Baseline visit (Week 0) to one of the 2 treatment sequences (treatment switch at Week 12) in a ratio of 1:1 described below:

  • Cohort 1:
  • Sequence 1: ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (1 x 2 mL AI) monthly + SoC in Treatment Period 2
  • Sequence 2: ianalumab 300 mg s.c. (1 x 2 mL AI) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 2
  • Cohort 2:
  • Sequence 1: ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (1 x 2 mL PFS) monthly + SoC in Treatment Period 2
  • Sequence 2: ianalumab 300 mg s.c. (1 x 2 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 2 In addition, within each sequence, participants will be further randomized to one of the predetermined injection sites with equal allocation, resulting in a total randomization combination of four (2 sequences x 2 injection sites) for Cohort 1 and six (2 sequences x 3 injection sites) for Cohort 2, respectively.

Extended Treatment period (Week 24 to Week 72): After completion of Week 24 assessment, all participants (who did not discontinue during treatment period) will have the option to enter the extended treatment period to receive ianalumab 300 mg s.c. (Cohort 1: 2 mL AI; Cohort 2: 2 x 1 mL PFS) monthly up to Week 68. The end of treatment (EOT) visit will be performed 4 weeks after the last study treatment administration, i.e., at Week 72.

Mandatory Post-Treatment safety follow-up period (from Week 72 to Week 88): Participants who completed the last study treatment or prematurely discontinued from study treatment will enter the post-treatment safety follow-up period.

Conditional Post-Treatment safety follow-up period (from Week 88 to Week 176) Post-treatment follow-up will be performed until B-cell recovery or up to 2 years. B-cell recovery is defined when CD19+ B-cell counts return to >= 50 cells/μL or >= 80% of baseline value, whichever occurs earlier.

Being tested
VAY736 1ml PFS, VAY736 2 ml PFS, VAY736 2ml AI
Keywords
Sjögrens Disease (SjD), Systemic lupus erythematosus (SLE), Rheumatoid Arthritis (RA), Pharmacokinetic (PK) comparability, 2 mL auto-injector (AI), 1 mL pre-filled syringe (PFS), 2 mL pre-filled syringe (PFS), VAY736, ianalumab, B cell depletion, Area under the curve (AUC), Cmax
Medical subject headings
Lupus Erythematosus, Systemic, Arthritis, Rheumatoid

What participants receive

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

  • VAY736 1ml PFSBiological

    Also called Ianalumab

    Solution for injection.

  • VAY736 2 ml PFSBiological

    Also called Ianalumab

    Solution for injection

  • VAY736 2ml AIBiological

    Also called Ianalumab

    Solution for injection.

Study groups in NCT06293365
Study groupRoleWhat they receive
Cohort 1: Sequence 1 + ThighExperimentalPatients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh (1 X 2 mL) AI in TP2 in Thigh (1 x 2 mL) AI in ETP in Thigh/ Abdomen
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2ml AI
Cohort 1: Sequence 1 + AbdomenExperimentalPatients randomized to receive injection 1. X 2 mL) AI in TP1 in Abdomen 2. x 1 mL) PFS in TP2 in Abdomen (1 x 2 mL) AI in ETP in Thigh/ Abdomen
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2ml AI
Cohort 1: Sequence 2 + ThighExperimentalPatients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh (1 X 2 mL) AI in TP2 in Thigh (1 x 2 mL) AI in ETP in Thigh/ Abdomen
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2ml AI
Cohort 1: Sequence 2 + AbdomenExperimentalPatients randomized to receive injection 1. X 2 mL) AI in TP1 in Abdomen 2. x 1 mL) PFS in TP2 in Abdomen (1 x 2 mL) AI in ETP in Thigh/ Abdomen
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2ml AI
Cohort 2: Sequence 1 + ThighExperimentalPatients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh 1. X 2 mL) PFS in TP2 in Thigh 2. x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS
Cohort 2: Sequence 1 + AbdomenExperimentalPatients randomized to receive injection 1. X 2 mL) PFS in TP1 in Abdomen 2. x 1 mL) PFS in TP2 in Abdomen (2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS
Cohort 2: Sequence 1 + Upper ArmExperimentalPatients randomized to receive injection (2 x 1 mL) PFS in TP1 in Upper Arm 1. X 2 mL) PFS in TP2 in Upper Arm 2. x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS
Cohort 2: Sequence 2 + ThighExperimentalPatients randomized to receive injection 1. X 2 mL) PFS in TP1 in Thigh 2. x 1 mL) PFS in TP2 in Thigh (2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS
Cohort 2: Sequence 2 + AbdomenExperimentalPatients randomized to receive injection (2 x 1 mL) PFS in TP1 in Abdomen 1. X 2 mL) PFS in TP2 in Abdomen 2. x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS
Cohort 2: Sequence 2 + Upper ArmExperimentalPatients randomized to receive injection 1. X 2 mL) PFS in TP1 in Upper Arm 2. x 1 mL) PFS in TP2 in Upper Arm (2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm
Receives: Biological: VAY736 1ml PFS; Biological: VAY736 2 ml PFS

What is being measured

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

  1. Cohort 1: Area under the curve (AUC) calculated to the end of a dosing interval (tau) at steady-state (AUCtau) for ianalumab

    To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL AI and 2 x 1 mL PFS

    Measured: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).

  2. Cohort 1: Maximum (peak) observed serum drug concentration after dose administration (Cmax) for ianalumab

    To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL AI and 2 x 1 mL PFS

    Measured: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).

  3. Cohort 2: Area under the curve (AUC) calculated to the end of a dosing interval (tau) at steady-state (AUCtau) for ianalumab

    To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL PFS and 2 x 1 mL PFS.

    Measured: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).

  4. Cohort 2: Maximum (peak) observed serum drug concentration after dose administration (Cmax) for ianalumab

    To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL PFS and 2 x 1 mL PFS.

    Measured: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).

Secondary outcomes (7)
  1. Cohort 1: Time to reach maximum (peak) serum drug concentration following dose administration (Tmax) for ianalumab

    To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL AI and 2 x 1 mL PFS

    Measured: After the 3rd and 6th dose

  2. Cohort 2: Time to reach maximum (peak) serum drug concentration following dose administration (Tmax) for ianalumab

    To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL PFS and 2 x 1 mL PFS

    Measured: After the 3rd and 6th dose

  3. Cohort 1: Concentration at the end of a dosing interval (Ctrough) for ianalumab

    To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL AI and 2 x 1 mL PFS

    Measured: At the end of dosing interval

  4. Cohort 2: Concentration at the end of a dosing interval (Ctrough) for ianalumab

    To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL PFS and 2 x 1 mL PFS

    Measured: At the end of dosing interval

  5. Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    To evaluate the safety and tolerability of ianalumab administered 300 mg s.c. monthly.

    Measured: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months

  6. Anti-ianalumab antibodies (ADA)

    To assess the immunogenicity of ianalumab administered 300 mg s.c. monthly

    Measured: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months

  7. Incidence of ADA positive participants

    To assess the immunogenicity of ianalumab administered 300 mg s.c. monthly

    Measured: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months

Timeline

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

  1. First posted5 Mar 2024
  2. Study start2 Jul 2024
  3. Primary completion17 Feb 2026
  4. Study completion16 Jan 2029 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
155 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06293365
Sponsor's protocol ID
CVAY736A2202
Other IDs
2023-508996-35-00, 2023
Status last verified
Oct 2026
First submitted
28 Feb 2024
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VAY736 1ml PFS, VAY736 2 ml PFS and VAY736 2ml AI in people with Sjögrens Disease and Systemic Lupus Erythematosus, run by Novartis Pharmaceuticals at 37 sites in 8 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 7 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Argentina, Canada, Czechia, Hungary and 3 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Cohort 1: Area under the curve (AUC) calculated to the end of a dosing interval (tau) at steady-state (AUCtau) for ianalumab (time frame: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).). The study lists 4 primary outcomes in all. 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 14 Oct 2026.

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