Clinical trial • Phase III • Musculoskeletal|Immunology

DAZUKIBART for Idiopathic inflammatory myopathy|Dermatomyositis|Polymyositis

Phase III trial of DAZUKIBART for Idiopathic inflammatory myopathy|Dermatomyositis|Polymyositis. open-label. 161 participants.

Overview

Trial Therapeutic Area
Musculoskeletal|Immunology
Trial Disease
Idiopathic inflammatory myopathy|Dermatomyositis|Polymyositis
Trial Stage
Phase III
Drug Modality
Monoclonal antibody|Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
26-09-2024
First CTIS Authorization Date
22-01-2025

Trial design

open-label Phase III trial across 9 sites in Hungary, Sweden, Italy and others.

Open Label
Yes
Target Sample Size
161
Trial Duration For Participant
364

Eligibility

Recruits 161 Vulnerable population not selected for this trial (isVulnerablePopulationSelected=false); no special consent/assent handling for vulnerable minors is indicated in the CTIS record..

Vulnerable Population
Vulnerable population not selected for this trial (isVulnerablePopulationSelected=false); no special consent/assent handling for vulnerable minors is indicated in the CTIS record.

Inclusion criteria

  • {"criterion_text":"- Participants who have completed the treatment period of a qualifying study and did not discontinue study treatment early will be eligible to receive study drug (OL Treatment Groups). From C0251006 study, participants must have completed the 52-week treatment period of the study to receive study drug in this study."}

Exclusion criteria

  • {"criterion_text":"- Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator’s judgment, make the participant inappropriate for the study."}
  • {"criterion_text":"- Previous administration with an investigational product (drug or vaccine) other than dazukibart in a qualifying study within 30 days (or as determined by the local requirement) or 5 half-lives preceding baseline in this study (whichever is longer)."}
  • {"criterion_text":"- Current use of any prohibited concomitant medication(s)."}
  • {"criterion_text":"- Active bacterial, viral, fungal, mycobacterial or other infections (including but not limited to tuberculosis (TB) and atypical mycobacterial disease)."}
  • {"criterion_text":"- Participants with an ongoing adverse event in a qualifying study which, in the opinion of the investigator or sponsor, is an ongoing safety concern and makes the participant inappropriate for the study, OR the participant has met safety monitoring criteria in a qualifying study that have not resolved."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- TEAEs, SAEs, AESIs, and AEs leading to treatment discontinuation; Clinically significant abnormalities in laboratory tests, ECG measurements, and vital signs; Change from baseline in FVC/DLCO; Absolute values and change from baseline in C-SSRS at all scheduled timepoints.","definition_or_measurement_approach":"Safety assessed by treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs), and AEs leading to treatment discontinuation; clinically significant abnormalities in laboratory tests, ECGs, and vital signs monitored; pulmonary function change measured as change from baseline in FVC/DLCO; suicidality measured by C-SSRS absolute values and change from baseline at all scheduled timepoints."}

Secondary endpoints

  • {"endpoint_text":"- Cohort 1 (DM) and Cohort 2 (PM): • Change from baseline* in MMT-8 score at all scheduled timepoints. • Change from baseline* in PhGA at all scheduled timepoints. • Change from baseline* in extramuscular activity or disease activity score at all scheduled timepoints. • Change from baseline* in results in muscle enzymes at all scheduled timepoints. • Minimal, Moderate, and Major improvement in TIS at all scheduled timepoints. • TIS (continuous) at all scheduled timepoints.","definition_or_measurement_approach":"Efficacy measures include change from baseline in MMT-8 (manual muscle testing), Physician Global Assessment (PhGA), extramuscular/disease activity scores, muscle enzyme results; TIS improvement categories and TIS continuous scores evaluated at scheduled visits."}
  • {"endpoint_text":"- Cohort 1 (DM) and Cohort 2 (PM): Change from baseline at all scheduled timepoints in: PROMIS-PF, PtGA, HAQ-DI, FACIT-F, EQ-5D-5L and EQ-VAS, HRU questionnaire; Cohort 1 (DM) only: Change from baseline at all scheduled timepoints in: 5D-Itch Scale","definition_or_measurement_approach":"Patient-reported outcomes assessed by PROMIS-PF, Patient Global Assessment (PtGA), HAQ-DI, FACIT-F, EQ-5D-5L/EQ-VAS, and health resource utilization (HRU) questionnaire; itch assessed in DM cohort by 5D-Itch Scale; all measured as change from baseline at scheduled timepoints."}
  • {"endpoint_text":"- Change from baseline in corticosteroid dose over time; Response over time based on participants achieving: Corticosteroid dose ≤5 mg/day, Corticosteroid free; Change from baseline in non-steroid immunosuppressant/immunomodulator and antimalarial dose over time. Response over time based on participants achieving: Non-steroid immunosuppressants/immunomodulator and antimalarial free.","definition_or_measurement_approach":"Background medication use tracked over time; corticosteroid and non-steroid immunosuppressant/antimalarial doses measured and change from baseline calculated; responder definitions include achieving ≤5 mg/day corticosteroid or steroid-free status, and freedom from non-steroid immunosuppressants/immunomodulators/antimalarials."}
  • {"endpoint_text":"- Receive rescue therapy (yes or no) during the study; Number/cycles of rescue therapy received during the study.","definition_or_measurement_approach":"Record of whether participant received rescue therapy and count/number of rescue therapy cycles during study participation."}
  • {"endpoint_text":"- Auto antibodies (eg. TIF1-γ/P155, NXP2/P140, SAE, JO-1 and MDA-5).","definition_or_measurement_approach":"Assessment of myositis-specific autoantibodies (examples listed) measured at baseline and follow-up timepoints."}
  • {"endpoint_text":"- Baseline* and post-treatment ADAs and Nabs.","definition_or_measurement_approach":"Immunogenicity assessed by anti-drug antibodies (ADAs) and neutralising antibodies (Nabs) at baseline and post-treatment visits."}
  • {"endpoint_text":"- To be continued - secondary endpoint for secondary objective nr.1: Cohort 1 (DM) Only: Percent change from baseline and change from baseline in CDASI-A score at all scheduled timepoints; Change from baseline in CDASI-D score at all scheduled timepoints.","definition_or_measurement_approach":"Dermatologic assessment in DM cohort using CDASI activity (CDASI-A) and damage (CDASI-D) scores; percent change and absolute change from baseline measured at scheduled visits."}

Recruitment

Planned Sample Size
161
Recruitment Window Months
30
Consent Approach
Informed consent will be obtained from participants prior to study procedures. Subject information and informed consent form documents are provided (country-specific ICFs are present in the dossier for countries listed, e.g., HU, BG, IT, PL, SE and English versions where applicable). No paediatric assent procedures are indicated (vulnerable population not selected).

Geography

Total Number Of Sites
9
Total Number Of Participants
21

Hungary

Earliest CTIS Part Ii Submission Date
20-11-2024
Latest Decision Or Authorization Date
29-01-2025
Processing Time Days
70
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
University Of Debrecen
Department Name
Belgyógyászati Klinika, Klinikai Immunológiai Tanszék
Contact Person Name
Zoltán Griger
Contact Person Email
grigerz@gmail.com

Sweden

Earliest CTIS Part Ii Submission Date
24-07-2025
Latest Decision Or Authorization Date
29-07-2025
Processing Time Days
5
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Article 11 CTR SE
Department Name
Placeholder
Contact Person Name
Placeholder Placeholder
Contact Person Email
invalid@invalid.invalid

Italy

Earliest CTIS Part Ii Submission Date
30-10-2025
Latest Decision Or Authorization Date
14-11-2025
Processing Time Days
15
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania
Department Name
Rheumatology
Contact Person Name
Rosario Foti
Contact Person Email
rosfoti5@gmail.com

Bulgaria

Earliest CTIS Part Ii Submission Date
16-10-2024
Latest Decision Or Authorization Date
22-01-2025
Processing Time Days
98
Number Of Sites
2
Number Of Participants
5

Sites

Site Name
Medical Center Artmed Ltd.
Contact Person Name
Krasimir Kraev
Contact Person Email
dr.krasimir.kraev@gmail.com
Site Name
Dkc Fokus-5 Lzip OOD
Contact Person Name
Rasho Rashkov
Contact Person Email
proff_rashkov@yahoo.com

Poland

Earliest CTIS Part Ii Submission Date
18-09-2025
Latest Decision Or Authorization Date
26-10-2025
Processing Time Days
38
Number Of Sites
4
Number Of Participants
9

Sites

Site Name
Malopolskie Centrum Kliniczne
Contact Person Name
Ewa Zimmer-Satora
Contact Person Email
ezimersatora@mck-krakow.pl
Site Name
Twoja Przychodnia Poznanskie Centrum Medyczne Sp. z o.o.
Contact Person Name
Agata Wytyk-Nowak
Contact Person Email
wytyk@twojaprzychodnia.com
Site Name
Nova Reuma Domyslawska I Rusilowicz Lekarza Reumatologa I Fizjoterapeuty sp.p.
Contact Person Name
Izabela Domysławska
Contact Person Email
izadomyslawska@o2.pl
Site Name
Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher
Contact Person Name
Piotr Szczęsny
Contact Person Email
piotr.szczesny@spartanska.pl

Sponsor

Primary sponsor

Full Name
Pfizer Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Premier Research
Responsibilities
Dictionary Coding
Name
Ppd Inc.
Responsibilities
Biospecimen testing
Name
Signant Health Global Solutions Limited
Responsibilities
Electronic COA (eCOA) Support Services
Name
Medpace Inc.
Responsibilities
ECG - Central Reader/Reading Service
Name
Labcorp Central Laboratory Services LP
Responsibilities
Central laboratory services

Third parties

  • {"country":"United States","full_name":"Premier Research","duties_or_roles":"Dictionary Coding","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Ppd Inc.","duties_or_roles":"Biospecimen testing","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Signant Health Global Solutions Limited","duties_or_roles":"Electronic COA (eCOA) Support Services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medpace Inc.","duties_or_roles":"ECG - Central Reader/Reading Service","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Central laboratory services","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Dazukibart
Active Substance
DAZUKIBART
Modality
Monoclonal antibody
Routes Of Administration
SOLUTION FOR INJECTION
Route
SOLUTION FOR INJECTION
Authorisation Status
prodAuthStatus:1
Orphan Designation
Yes
Maximum Dose
600 mg (max daily); 7800 mg total
Combination Treatment
Yes

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