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| ID | Type | Description | Link |
|---|---|---|---|
| PRN1008-017 | Other Identifier | Principia Biopharma Identifier | |
| U1111-1260-3972 | Registry Identifier | ICTRP | |
| 2022-002959-18 | EudraCT Number |
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| Name | Class |
|---|---|
| Massachusetts General Hospital | OTHER |
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This is a Phase 2a, multi-center, open-label, two-arm study of approximately 25 patients with active IgG4-related disease (IgG4-RD). The two arms include (1) Experimental: rilzabrutinib with glucocorticoids and (2) Active Comparator: glucocorticoids only.
4 weeks of screening, 12 weeks of main treatment, 12 weeks of cross-over (for GC-only group), 40 weeks of extension treatment and 4-week follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rilzabrutinib + glucocorticoids | Experimental | Rilzabrutinib tablets, 400 mg twice daily from Week 0 to Week 12 plus glucocorticoids (20 to 40 mg/day prednisone equivalent tapered to 0 mg/day within 2 weeks on study) |
|
| Glucocorticoids | Active Comparator | Glucocorticoids (20 to 40 mg/day prednisone equivalent tapered to 0 mg/day within 12 weeks on study) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rilzabrutinib | Drug | oral tablet |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants who are without disease flare following the first dose of rilzabrutinib until the end of treatment | Disease flare is defined as an increase in IgG4-RD responder index (RI) >2 or initiation of rescue treatment. | Up to 64 weeks |
| Incidence of SAE, AE leading to discontinuation and possible glucocorticoid-related AE | Up to 68 weeks | |
| Number of participants with Potentially clinically significant abnormalities (PCSAs) for clinical laboratory tests, vital signs and ECG | Up to 68 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with reduction from baseline IgG4-RD RI activity score by ≥2 points over time | At Week 52 | |
| Proportion of patients with an IgG4-RD RI activity score = 0 at over time | Up to 64 weeks |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site Number 84019 | Stanford | California | 94305 | United States | ||
| Investigational Site Number 84016 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30612117 | Background | Wallace ZS, Zhang Y, Perugino CA, Naden R, Choi HK, Stone JH; ACR/EULAR IgG4-RD Classification Criteria Committee. Clinical phenotypes of IgG4-related disease: an analysis of two international cross-sectional cohorts. Ann Rheum Dis. 2019 Mar;78(3):406-412. doi: 10.1136/annrheumdis-2018-214603. Epub 2019 Jan 5. |
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Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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| Glucocorticoids | Drug | oral tablet or capsule |
|
| Level and change from baseline of each subclass of the serological markers over time | serum protein electrophoresis to determine IgG subclasses and complement factors C3 and C4 | Up to 64 weeks |
| Proportion of participants achieving reduction in baseline serum IgG4 level of 10% over time | Up to 64 weeks |
| Change from baseline in IgG4-RD RI over time | From baseline up to 64 weeks |
| Change from baseline in IgG4-RD damage, as recorded on the damage portion of the IgG4-RD RI over time | From baseline up to 64 weeks |
| Boston |
| Massachusetts |
| 02114 |
| United States |
| Investigational Site Number 84018 | Detroit | Michigan | 48202 | United States |
| Investigational Site Number 84030 | New York | New York | 10021 | United States |
| Investigational Site Number 84036 | Portland | Oregon | 97239 | United States |
| Investigational Site Number 12403 | Vancouver | V6K 2V8 | Canada |
| Investigational Site Number 25013 | Marseille | France |
| Investigational Site Number 38016 | Milan | Italy |
| Investigational Site Number 72415 | Barcelona | Spain |
| ID | Term |
|---|---|
| D000077733 | Immunoglobulin G4-Related Disease |
| ID | Term |
|---|---|
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D005938 | Glucocorticoids |
| ID | Term |
|---|---|
| D000305 | Adrenal Cortex Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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