Clinical trial • Phase II/III • Immunology
CLOPIDOGREL for Systemic sclerosis | Raynaud phenomenon
Phase II/III trial of CLOPIDOGREL for Systemic sclerosis | Raynaud phenomenon.
Overview
- Trial Therapeutic Area
- Immunology
- Trial Disease
- Systemic sclerosis | Raynaud phenomenon
- Trial Stage
- Phase II/III
- Drug Modality
- Small molecule | Other
Key dates
- Initial CTIS Submission Date
- 12-02-2024
- First CTIS Authorization Date
- 15-02-2024
Trial design
Randomised, experimental arm: clopidogrel (plavix 75 mg film-coated tablets) - 75 mg daily during 24 months; placebo comparator: pl1 placebo - 1 capsule daily during 24 months.-controlled Phase II/III trial across 11 sites in France.
- Randomised
- Yes
- Comparator
- Experimental arm: Clopidogrel (Plavix 75 mg film-coated tablets) - 75 mg daily during 24 months; Placebo comparator: PL1 placebo - 1 capsule daily during 24 months.
- Target Sample Size
- 90
- Trial Duration For Participant
- 1825
Eligibility
Recruits 90 Incompetent adults (i.e. Individuals under the protection of a conservator) are listed among exclusion criteria; minors are excluded (inclusion requires patient over 18). Written informed consent must be provided and signed by the participant. Subject information and informed consent documents for adults are included in the trial documentation..
- Pregnancy Exclusion
- Women of childbearing age refusing effective contraception method during the the study treatment (24 months).
- Vulnerable Population
- Incompetent adults (i.e. Individuals under the protection of a conservator) are listed among exclusion criteria; minors are excluded (inclusion requires patient over 18). Written informed consent must be provided and signed by the participant. Subject information and informed consent documents for adults are included in the trial documentation.
Inclusion criteria
- {"criterion_text":"- Patient over 18 years old, and less than 85 years old.\n- Patient with positive AAN (AAN ≥ 1/160) with the following specificity: anti-Scl70 or anti-centromere, anti-RNApolIII, or any other autoantibodies related to systemic sclerosis.\n- Patient with RP reported by the subject and confirmed by the physician.\n- Patient affiliated to a health insurance system.\n- Patient who accepts to participate to the study and signs an inform consent form."}
Exclusion criteria
- {"criterion_text":"- Patient with an SSc diagnosis according to ACR/EULAR 2013 criteria.\n- Patient with skin fibrosis at screening.\n- Patient with antiplatelet treatment at screening.\n- Patient with contraindications to clopidogrel.\n- Patient treated by immunosuppressive agent at screening.\n- Patient treated by anticoagulants at screening.\n- Women of childbearing age refusing effective contraception method during the the study treatment (24 months).\n- Incompetent adults (i.e. Individuals under the protection of a conservator)."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Occurrence of SSc at 5 years according to ACR / EULAR 2013 criteria in the two randomization groups","definition_or_measurement_approach":"Occurrence of systemic sclerosis (SSc) at 5 years assessed according to ACR/EULAR 2013 criteria."}
Secondary endpoints
- {"endpoint_text":"- Frequency of occurrence of cutaneous fibrosis (sclerodactyly or other affected area) clinically assessed by at least 2 independent investigators in the two randomization groups","definition_or_measurement_approach":"Clinical assessment of cutaneous fibrosis (sclerodactyly or other area) by at least two independent investigators; frequency compared between groups."}
- {"endpoint_text":"- Mean of modified Rodman skin score in the two randomization groups","definition_or_measurement_approach":"Mean modified Rodnan skin score compared between randomization groups."}
- {"endpoint_text":"- Mean of Cochin Hand Function Scale in the two randomization groups","definition_or_measurement_approach":"Mean Cochin Hand Function Scale score compared between groups (assessed at 2 and 5 years as indicated)."}
- {"endpoint_text":"- Demographic (sex, age, environmental factors), clinical (associated diseases, history), biological, capillaroscopic criteria in the two randomization groups","definition_or_measurement_approach":"Assessment of demographic, clinical, biologic and capillaroscopic prognostic factors associated with risk of developing SSc, compared between randomization groups."}
Recruitment
- Planned Sample Size
- 90
- Recruitment Window Months
- 108
- Consent Approach
- Written informed consent must be signed by the participant prior to any study procedures. Inclusion criterion requires the patient to accept participation and sign an informed consent form. Trial documentation includes subject information and informed consent forms for adults (documents such as L1_ICF adults_CLEAN and other ICF/subject information documents).
Geography
- Total Number Of Sites
- 11
- Total Number Of Participants
- 90
France
- Earliest CTIS Part Ii Submission Date
- 18-01-2024
- Latest Decision Or Authorization Date
- 11-07-2025
- Processing Time Days
- 540
- Number Of Sites
- 11
- Number Of Participants
- 90
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Médecine Interne
- Contact Person Name
- Benjamin CHAIGNE
- Contact Person Email
- benjamin.chaigne@aphp.fr
- Site Name
- Pellegrin Hospital
- Department Name
- Rhumatologie
- Contact Person Name
- Marie-Elise TRUCHETET
- Contact Person Email
- marie-elise.truchetet@chu-bordeaux.fr
- Site Name
- Centre Hospitalier Regional Et Universitaire De Brest
- Department Name
- Rhumatologie
- Contact Person Name
- Alain SARAUX
- Contact Person Email
- alain.saraux@chu-brest.fr
- Site Name
- Centre Hospitalier Universitaire De Montpellier
- Department Name
- Médecine Vasculaire
- Contact Person Name
- Pierrick HENNETON
- Contact Person Email
- p-henneton@chu-montpellier.fr
- Site Name
- Centre Hospitalier De La Cote Basque
- Department Name
- Rhumatologie
- Contact Person Name
- Léa LOPEZ
- Contact Person Email
- llopez@ch-cotebasque.fr
- Site Name
- Centre Hospitalier De Pau
- Department Name
- Médecine Interne
- Contact Person Name
- Xavier DEBREL
- Contact Person Email
- xavier.delbrel@ch-pau.fr
- Site Name
- Centre Hospitalier Universitaire De Bordeaux
- Department Name
- médecine Interne et maladies infectieuses
- Contact Person Name
- Fabrice BONNET
- Contact Person Email
- fabrice.bonnet@chu-bordeaux.fr
- Site Name
- Centre Hospitalier Intercommunal De Mont De Marsan Et Du Pays Des Sources
- Department Name
- Médecine Interne
- Contact Person Name
- Marion MIRABEL
- Contact Person Email
- marion.mirabel@ch-mdm.fr
- Site Name
- Centre Hospitalier Universitaire De Toulouse
- Department Name
- Médecine Interne
- Contact Person Name
- Grégory PUGNET
- Contact Person Email
- pugnet.g@chu-toulouse.fr
- Site Name
- Centre Hospitalier Universitaire Grenoble Alpes
- Department Name
- Médecine vasculaire
- Contact Person Name
- Sophie BLAISE
- Contact Person Email
- sblaise@chu-grenoble.fr
- Site Name
- Centre Hospitalier General De Libourne
- Department Name
- Rhumatologie
- Contact Person Name
- Jean-Philippe VERNHES
- Contact Person Email
- philippe.vernhes@ch-libourne.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Universitaire De Bordeaux
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Third parties
- {"country":"France","full_name":"Ministère de la Santé (France)","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Plavix 75 mg film-coated tablets
- Active Substance
- CLOPIDOGREL
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Marketing authorisation (EU/marketing authorisation EU/1/98/069/005)
- Starting Dose
- 75 mg
- Dose Levels
- 75 mg
- Frequency
- Daily
- Maximum Dose
- 75 mg
- Investigational Product Name
- PL1
- Modality
- Other
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Not applicable - Placebo
- Starting Dose
- Placebo (1 capsule)
- Dose Levels
- Placebo (1 capsule)
- Frequency
- Daily
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