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
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

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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