Clinical trial • Phase II • Neurology|Rare Disease

NIPOCALIMAB for Idiopathic inflammatory myopathies (IIM)

Phase II trial of NIPOCALIMAB for Idiopathic inflammatory myopathies (IIM).

Overview

Trial Therapeutic Area
Neurology|Rare Disease
Trial Disease
Idiopathic inflammatory myopathies (IIM)
Trial Stage
Phase II
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
12-12-2023
First CTIS Authorization Date
01-02-2024

Trial design

Randomised, saline, 0.9% sodium chloride solution for injection (placebo). dose and schedule not specified in the record.-controlled Phase II trial in Germany, France, Poland and others.

Randomised
Yes
Comparator
Saline, 0.9% Sodium Chloride Solution for Injection (placebo). Dose and schedule not specified in the record.
Target Sample Size
129
Trial Duration For Participant
364

Eligibility

Recruits 129 Vulnerable population selected. Subject information and informed consent materials include main SIS-ICF, caregiver ICF, pregnant partner ICF and optional genetic research ICFs. Consent is obtained from adult participants; caregiver-specific consent/information forms are available where relevant. Documents available in multiple languages..

Vulnerable Population
Vulnerable population selected. Subject information and informed consent materials include main SIS-ICF, caregiver ICF, pregnant partner ICF and optional genetic research ICFs. Consent is obtained from adult participants; caregiver-specific consent/information forms are available where relevant. Documents available in multiple languages.

Inclusion criteria

  • {"criterion_text":"- Disease classification criteria: Participant meets the diagnostic criteria of probable or definite idiopathic inflammatory myopathies (IIM) based on 2017 The European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for adult IIM at least 6 weeks prior to first administration of the study intervention"}
  • {"criterion_text":"- If a participant is on regular or as needed treatment with low potency topical glucocorticoids (GC) that are allowed in the study or topical tacrolimus (TAC) to treat skin lesions, the dose and frequency should be stable for greater than or equal to (>=) 4 weeks prior to first administration of the study intervention as well as maintained at the same dose until Week 52 of the study"}
  • {"criterion_text":"- Antibody positivity criteria: Any 1 of the myositis-specific antibodies (MSAs) positive: dermatomyositis (DM): anti-Mi-2 (Mi-2/nucleosome remodeling and deacetylase [NuRD] complex), anti-transcription intermediary factor 1-Gamma (TIF1-Gamma), anti- nuclear matrix protein 2 (NXP-2), anti-serious adverse event (SAE); anti- antimelanoma differentiation-associated gene 5 (MDA-5) antibodies. Or immunemediated necrotizing myopathy (IMNM): anti- signal recognition particle (SRP) and anti- 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) antibodies. Or anti-synthetase syndrome (ASyS): anti- histidylribonucleic acid [tRNA] synthetase (Jo-1), anti- threonyl-tRNA synthetase (PL7), anti- alanyl-tRNA synthetase (PL12), anti- isoleucyltRNA synthetase (OJ), and anti- glycyl-tRNA synthetase (EJ) antibodies. If all MSAs are negative or more than 1 MSA is positive within different subtypes (defined by the central laboratory) at screening, the tests should be repeated during the screening period. If the same results are observed at retesting, the participant should not be enrolled in the study."}

Exclusion criteria

  • {"criterion_text":"- Has a juvenile myositis diagnosis and now ≥18 years old"}
  • {"criterion_text":"- Has cancer-associated myositis defined as cancer diagnosis within 3 years of myositis diagnosis except for cervical carcinoma in situ and nonmelanoma skin cancer (squamous cell carcinoma, basal cell carcinoma of the skin)"}
  • {"criterion_text":"- Has comorbidities (example, asthma, chronic obstructive pulmonary disease [COPD]) which have required 3 or more courses of oral GC within 1 year prior to screening"}
  • {"criterion_text":"- Has a history of primary immunodeficiency or secondary immunodeficiency not related to the treatment of the participants IIM."}
  • {"criterion_text":"- Has experienced myocardial infarction (MI), unstable ischemic heart disease, or stroke within 12 weeks of screening."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion Percentage of participants who achieve at least minimal improvement (≥ 20-point improvement) in IMACS TIS (International myositis assessment and clinical studies total improvement score) at Week 52 and on ≤5 mg/day of oral prednisone (or equivalent) from week 44 through week 52.","definition_or_measurement_approach":"Measured as the percentage of participants achieving ≥20-point improvement in IMACS TIS at Week 52 and receiving ≤5 mg/day oral prednisone (or equivalent) during Weeks 44–52."}

Recruitment

Digital Remote Recruitment
True, patient email recruitment materials and electronic communications are used (country-specific patient email templates available).
Planned Sample Size
129
Recruitment Window Months
49
Consent Approach
Informed consent obtained from adult participants using subject information sheets and ICFs. Separate caregiver ICFs and pregnant partner ICFs are available. Optional genetic research consent forms provided. Consent documents available in multiple languages (including English, Spanish, Italian, German, French, Czech, Hungarian as per documentation).

Methods

  • Recruitment brochures (patient brochures) — channel: printed/handout materials; target: patients with idiopathic inflammatory myopathies; country-specific versions available
  • Physician-to-patient email/letter — channel: communications via treating physicians to patients; country-specific templates available
  • Posters — channel: clinic/hospital posters; patient-facing
  • Patient email — direct electronic contact with potential participants
  • Patient letter — mailed or handed letters to patients
  • Study visit guide — provided to participants to describe visits and procedures

Geography

Total Number Of Sites
13
Total Number Of Participants
62

Germany

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
01-02-2024
Processing Time Days
23
Number Of Sites
4
Number Of Participants
10

Sites

Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Centrum 12 für Innere Medizin und Dermatologie Klinik mS Rheumatologie und Klinische Immunologie
Contact Person Name
Udo Schneider
Contact Person Email
udo.schneider@charite.de
Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Universitaets-Hautklinik, Psoriasiszentrum
Contact Person Name
Matthias Hahn
Site Name
Immanuel Klinik Ruedersdorf
Department Name
Universitätsklinikum der Medizinischen Hochschule Brandenburg Theodor Fontane
Contact Person Name
Jens Schmidt
Contact Person Email
Jens.Schmidt@mhb-fontane.de
Site Name
Klinikum der Universitaet Muenchen AöR
Department Name
Neurologische Klinik und Poliklinik
Contact Person Name
Benedikt Schoser

France

Earliest CTIS Part Ii Submission Date
09-02-2024
Latest Decision Or Authorization Date
16-02-2024
Processing Time Days
7
Number Of Sites
3
Number Of Participants
8

Sites

Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Département de Physiologie et d’explorations fonctionnelles
Contact Person Name
Alain MEYER
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Médecine Interne et Immunologie Clinique
Contact Person Name
Olivier Benveniste
Contact Person Email
olivier.benveniste@psl.aphp.fr
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Département de Neurologie/Centre de Référence des Maladies Neuromusculaires et SLA
Contact Person Name
Sabrina Sacconi
Contact Person Email
SACCONI.S@chu-nice.fr

Poland

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
09-02-2024
Processing Time Days
31
Number Of Sites
2
Number Of Participants
8

Sites

Site Name
Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher
Department Name
Centrum Wsparcia Badań Klinicznych
Contact Person Name
Marzena Olesińska
Site Name
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
Department Name
Klinika Reumatologii i Układowych Chorób Tkanki Łącznej
Contact Person Name
Tomasz Jankowski
Contact Person Email
tojankowski@gazeta.pl

Hungary

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
05-02-2024
Processing Time Days
27
Number Of Sites
1
Number Of Participants
7

Sites

Site Name
University Of Debrecen
Department Name
Klinikai Kozpont, Belgyogyaszati Klinika C epulet
Contact Person Name
Zoltan Griger
Contact Person Email
griger.zoltan@med.unideb.hu

Spain

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
06-02-2024
Processing Time Days
28
Number Of Sites
1
Number Of Participants
8

Sites

Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Rheumatology Service
Contact Person Name
Ricardo Blanco Alonso
Contact Person Email
ricardo.blanco@scsalud.es

Italy

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
05-02-2024
Processing Time Days
27
Number Of Sites
1
Number Of Participants
17

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
Neuromuscular Repair Unit
Contact Person Name
Stefano Carlo Previtali
Contact Person Email
previtali.stefano@hsr.it

Czechia

Earliest CTIS Part Ii Submission Date
09-01-2024
Latest Decision Or Authorization Date
06-02-2024
Processing Time Days
28
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
Revmatologicky Ustav
Department Name
Oddeleni klinickych hodnoceni
Contact Person Name
Jiří Vencovský
Contact Person Email
vencovsky@revma.cz

Sponsor

Primary sponsor

Full Name
Janssen - Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Adjudication Committee; Vendor Management-(SCOUT/TransPerfect)
Name
Imperial Clinical Research Services International Limited
Responsibilities
Site materials printing
Name
Scout Clinical
Responsibilities
Patient transportation

Third parties

  • {"country":"France","full_name":"Quipment","duties_or_roles":"Ancillary supply management","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"eResearchTechnology GmbH","duties_or_roles":"Pulmonary Function Tests","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Adjudication Committee; Vendor Management-(SCOUT/TransPerfect)","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"Central laboratory services","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Imperial Clinical Research Services International Limited","duties_or_roles":"Site materials printing","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"eCOA","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Meeting Protocol Worldwide LP","duties_or_roles":"Investigators meeting","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"HRCT Imaging","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Ancillare LP","duties_or_roles":"Ancillary supply management","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"EDC","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient transportation","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
JNJ-80202135 (SOLUTION FOR INJECTION)
Active Substance
NIPOCALIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Investigational Product Name
JNJ-80202135 (SOLUTION FOR INFUSION)
Active Substance
NIPOCALIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Investigational Product Name
Saline, 0.9% Sodium Chloride Solution for Injection
Modality
Other

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