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The study was designed primarily to assess preliminary efficacy and safety of CJM112 in patients with moderate to severe inflammatory acne and to determine if CJM112 has an adequate clinical profile for further clinical development. In addition, sustainability of response and dose relationship were to be explored.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: CJM112 high dose | Experimental | CJM112 high dose in treatment period 1; CJM112 high dose in extension period 2 |
|
| Group 2: CJM112 low dose | Experimental | CJM112 low dose in treatment period 1; CJM112 low dose in extension period 2 |
|
| Group 3: Placebo, CJM112 low dose or high dose | Placebo Comparator | Placebo in treatment period 1; CJM112 low dose or CJM112 high dose in extension period 2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CJM112 | Biological |
| ||
| Measure | Description | Time Frame |
|---|---|---|
| Total Inflammatory Facial Lesion Count at Day 85 | Total inflammatory facial lesion count was the total count of papules, pustules and nodules assessed at day 85 | Day 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Number and Severity of Adverse Events in Period 1 | Frequency and severity of adverse events in Period 1 | Day 1 to Day 85 |
| Number and Severity of Adverse Events in Period 2 | Frequency and severity of adverse events in Period 2 |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Culver City | California | 90230 | United States | ||
| Novartis Investigative Site |
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
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For period 1 (12 weeks) subjects were randomized to one of the 3 treatment groups CJM112 high dose, CJM112 low dose or placebo.
For Period 2 (12 weeks) subjects treated with Placebo in Period 1 were rerandomized to CJM112 high dose or CJM112 low dose. All other subjects remained on the same dose.
A total of approximately 75 subjects were planned to be enrolled in the study. The study was terminated early due to futility after a total of 52 subjects were enrolled and randomized.
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| ID | Title | Description |
|---|---|---|
| FG000 | P1: CJM112 High Dose / P2: CJM112 High Dose | CJM112 high dose (300mg) in treatment period 1 (Day 1 - 85) ; CJM112 high dose (300mg) in extension period 2 (Day 86 - 169) |
| FG001 | P1: CJM112 Low Dose / P2: CJM112 Low Dose | CJM112 low dose (75mg) in treatment period 1 (Day 1 - 85) ; CJM112 low dose (75mg) in extension period 2 (Day 86 - 169) |
| FG002 | P1: Placebo / P2: CJM112 High Dose | Placebo in treatment period 1 (Day 1 - 85); CJM112 high dose (300mg) in extension period 2 (Day 86 - 169) |
| FG003 | P1: Placebo / P2: CJM112 Low Dose | Placebo in treatment period 1 (Day 1 - 85) ; CJM112 low dose (75mg) in extension period 2 (Day 86 - 169) |
| FG004 | P1: Placebo / P2: NA | Placebo in treatment period 1 (Day 1 - 85); Patients did not enter extension period 2 |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 |
|
| ||||||||||||||||||
| Period 2 |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | P1: CJM112 High Dose / P2: CJM112 High Dose | CJM112 high dose (300mg) in treatment period 1 (Day 1 - 85) ; CJM112 high dose (300mg) in extension period 2 (Day 86 - 169) |
| BG001 | P1: CJM112 Low Dose / P2: CJM112 Low Dose |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Total Inflammatory Facial Lesion Count at Day 85 | Total inflammatory facial lesion count was the total count of papules, pustules and nodules assessed at day 85 | Pharmacodynamic analysis set, including only patients completing 12-week assessments. | Posted | Geometric Mean | 90% Confidence Interval | Lesions | Day 85 |
|
38 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Period 1: CJM112 High Dose | Period 1: CJM112 high dose (300mg) | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cholelithiasis | Hepatobiliary disorders | MedDRA (21.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Increased tendency to bruise | Blood and lymphatic system disorders | MedDRA (21.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | novartis.email@novartis.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 14, 2016 | Jul 31, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 30, 2017 | Jul 31, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000152 | Acne Vulgaris |
| ID | Term |
|---|---|
| D017486 | Acneiform Eruptions |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012625 | Sebaceous Gland Diseases |
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| Placebo |
| Other |
|
| Day 86 to Day 260 |
| Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 1 | Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0. | Day 1, Day 29, Day 57 and Day 85 |
| Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 2 | Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0. | Day 85, Day 113, Day 141 and Day 169 |
| Number of Patients With Clinically Significant Abnormal Hematology Laboratory Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | 38 Weeks |
| Number of Patients With Clinically Significant Abnormal Clinical Chemistry Laboratory Parameters Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | 38 Weeks |
| Number of Patients With Clinically Significant Abnormal Urinalysis Laboratory Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | 38 Weeks |
| Sacramento |
| California |
| 95819 |
| United States |
| Novartis Investigative Site | Austin | Texas | 78759 | United States |
| Novartis Investigative Site | Bonn | 53111 | Germany |
| Novartis Investigative Site | Frankfurt | 60590 | Germany |
| Novartis Investigative Site | Münster | 48149 | Germany |
| Novartis Investigative Site | Pommelsbrunn | 91224 | Germany |
| Novartis Investigative Site | Bergen op Zoom | 4624 VT | Netherlands |
| Novartis Investigative Site | Groningen | 9713 GZ | Netherlands |
| Novartis Investigative Site | Leiden | 2333 CL | Netherlands |
| Withdrawal by Subject |
|
| Pregnancy |
|
| Adverse Event |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
CJM112 low dose (75mg) in treatment period 1 (Day 1 - 85) ; CJM112 low dose (75mg) in extension period 2 (Day 86 - 169)
| BG002 | P1: Placebo / P2: CJM112 High Dose | Placebo in treatment period 1 (Day 1 - 85); CJM112 high dose (300mg) in extension period 2 (Day 86 - 169) |
| BG003 | P1: Placebo / P2: CJM112 Low Dose | Placebo in treatment period 1 (Day 1 - 85) ; CJM112 low dose (75mg) in extension period 2 (Day 86 - 169) |
| BG004 | P1: Placebo / P2: NA | Placebo in treatment period 1 (Day 1 - 85); Patients did not enter extension period 2 |
| BG005 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| OG002 | P1: Placebo / P2 CJM112 Low Dose or High Dose | Placebo in treatment period 1 (Day 1 - 85) ; CJM112 low dose or CJM112 high dose in extension period 2 (Day 86 - 169) |
|
|
|
| Secondary | Number and Severity of Adverse Events in Period 1 | Frequency and severity of adverse events in Period 1 | Safety analysis set | Posted | Number | Adverse Events | Day 1 to Day 85 |
|
|
|
| Secondary | Number and Severity of Adverse Events in Period 2 | Frequency and severity of adverse events in Period 2 | Safety analysis set | Posted | Number | Adverse Events | Day 86 to Day 260 |
|
|
|
| Secondary | Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 1 | Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0. | Pharmacokinetic analysis set | Posted | Mean | Standard Deviation | ng/mL | Day 1, Day 29, Day 57 and Day 85 |
|
|
|
| Secondary | Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 2 | Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0. | Pharmacokinetic analysis set | Posted | Mean | Standard Deviation | ng/mL | Day 85, Day 113, Day 141 and Day 169 |
|
|
|
| Secondary | Number of Patients With Clinically Significant Abnormal Hematology Laboratory Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | Safety Analysis Set | Posted | Count of Participants | Participants | 38 Weeks |
|
|
|
| Secondary | Number of Patients With Clinically Significant Abnormal Clinical Chemistry Laboratory Parameters Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | Safety Analysis Set | Posted | Count of Participants | Participants | 38 Weeks |
|
|
|
| Secondary | Number of Patients With Clinically Significant Abnormal Urinalysis Laboratory Parameters | Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects. | Safety Analysis Set | Posted | Count of Participants | Participants | 38 Weeks |
|
|
|
| 21 |
| 0 |
| 21 |
| 16 |
| 21 |
| EG001 | Period 1: CJM112 Low Dose | Period 1: CJM112 low dose (75mg) | 0 | 13 | 0 | 13 | 11 | 13 |
| EG002 | Period 1: Placebo | Period 1: Placebo | 0 | 18 | 0 | 18 | 10 | 18 |
| EG003 | Period 1: Pooled CJM112 | Period 1: Pooled CJM112 | 0 | 34 | 0 | 34 | 27 | 34 |
| EG004 | Period 2: CJM112 High Dose/CJM112 High Dose | CJM112 high dose (300mg) in treatment period 1; CJM112 high dose (300mg) in extension period 2 | 0 | 17 | 1 | 17 | 10 | 17 |
| EG005 | Period 2: CJM112 Low Dose/CJM112 Low Dose | CJM112 low dose (75mg) in treatment period 1 ; CJM112 low dose (75mg) in extension period 2 | 0 | 10 | 0 | 10 | 9 | 10 |
| EG006 | Period 2: Placebo/ CJM112 High Dose | Placebo in treatment period 1; CJM112 high dose (300mg) in extension period 2 | 0 | 6 | 0 | 6 | 5 | 6 |
| EG007 | Period 2: Placebo/ CJM112 Low Dose | Placebo in treatment period 1; CJM112 low dose (75mg) in extension period 2 | 0 | 8 | 0 | 8 | 5 | 8 |
| EG008 | Period 2: Pooled CJM112 High Dose | Period 2: Pooled CJM112 high dose (300mg) | 0 | 23 | 1 | 23 | 15 | 23 |
| EG009 | Period 2: Pooled CJM112 Low Dose | Period 2: Pooled CJM112 low dose (75mg) | 0 | 18 | 0 | 18 | 14 | 18 |
| Sinus arrest | Cardiac disorders | MedDRA (21.0) | Systematic Assessment |
|
| Supraventricular extrasystoles | Cardiac disorders | MedDRA (21.0) | Systematic Assessment |
|
| Blepharospasm | Eye disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dry eye | Eye disorders | MedDRA (21.0) | Systematic Assessment |
|
| Eye irritation | Eye disorders | MedDRA (21.0) | Systematic Assessment |
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| Eye pruritus | Eye disorders | MedDRA (21.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Frequent bowel movements | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Inguinal hernia | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Lip dry | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (21.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (21.0) | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (21.0) | Systematic Assessment |
|
| Injection site bruising | General disorders | MedDRA (21.0) | Systematic Assessment |
|
| Injection site reaction | General disorders | MedDRA (21.0) | Systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA (21.0) | Systematic Assessment |
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| Sensation of foreign body | General disorders | MedDRA (21.0) | Systematic Assessment |
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| Hypersensitivity | Immune system disorders | MedDRA (21.0) | Systematic Assessment |
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| Seasonal allergy | Immune system disorders | MedDRA (21.0) | Systematic Assessment |
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| Bacterial vaginosis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
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| Conjunctivitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Fungal skin infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Helicobacter gastritis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Vulvovaginal mycotic infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Concussion | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Joint dislocation | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Sports injury | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Wound | Injury, poisoning and procedural complications | MedDRA (21.0) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Blood triglycerides increased | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Glucose urine present | Investigations | MedDRA (21.0) | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (21.0) | Systematic Assessment |
|
| Vitamin D deficiency | Metabolism and nutrition disorders | MedDRA (21.0) | Systematic Assessment |
|
| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Joint effusion | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (21.0) | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA (21.0) | Systematic Assessment |
|
| Micturition urgency | Renal and urinary disorders | MedDRA (21.0) | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA (21.0) | Systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA (21.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dermal cyst | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Diffuse alopecia | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Papule | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Pityriasis rosea | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Psoriasis | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
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| Number of AEs of severe intensity |
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| Number of AEs of moderate intensity |
|
| Number of AEs of severe intensity |
|
| Period 1 Day 29 (Pre Dose) |
|
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| Period 1 Day 57 (Pre Dose) |
|
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| Period 1 Day 85 (Pre Dose) |
|
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| Period 2 Day 113 (Pre Dose) |
|
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| Period 2 Day 141 (Pre Dose) |
|
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| Period 2 Day 169 (Pre Dose) |
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| Period 2 |
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| Period 2 |
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| Period 2 |
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