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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-001200-15 | EudraCT Number |
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Sponsor decision
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This is a Phase 2/3, double-blind, randomized, placebo-controlled, parallel group, multicenter study to evaluate the efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity of ravulizumab in adult participants with dermatomyositis (DM).
The study will be conducted in 2 parts: Part A (Phase 2) and Part B (Phase 3). There will be 3 periods in both Part A and Part B of this study: Screening Period, Randomized Controlled Period, and Open-Label Extension Period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ravulizumab | Experimental | Participants will receive ravulizumab in both Parts A and B. |
|
| Placebo | Placebo Comparator | Participants will receive placebo in both Parts A and B. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ravulizumab | Drug | Intravenous dosing will consist of a loading dose followed by maintenance doses administered every 8 weeks (q8w). The maintenance dosing will be initiated 2 weeks after the loading dose is administered. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With International Myositis Assessment and Clinical Studies Total Improvement Score (IMACS-TIS) (TIS40) Response at Week 26 of the Randomized Controlled Period | Data are presented for the number of participants with a TIS40 response, defined as an IMACS-TIS score ≥ 40 at Week 26. IMACS-TIS is a clinical instrument that encompasses 6 core set measure (CSMs) (physician, patient, extra-muscular global activity, muscle strength, Health Assessment Questionnaire [HAQ], and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. A higher score indicated greater improvement. TIS40 was considered a moderate improvement score. | Week 26 |
| Measure | Description | Time Frame |
|---|---|---|
| TIS at Week 26 | TIS scores ranged from 0-100 with higher scores indicating a greater improvement. Scores were determined by summing scores in each of the 6 CSMs of the IMAC (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). Clinically meaningful thresholds for improvement were defined as ≥ 20 point improvement response on IMACS-TIS (TIS20; mild), ≥ 40 point improvement response on IMACS TIS (TIS40; moderate) and ≥ 60 point improvement response on IMACS-TIS (TIS60; severe). Scores were based on the improvement and relative weight of each CSM. Data are presented for TIS (least squares mean) at Week 26. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Phoenix | Arizona | 85032 | United States | ||
| Research Site |
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| Label | URL |
|---|---|
| Related Info | View source |
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Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.
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The study was planned to be conducted in 2 parts - Part A and Part B. The study was terminated early and participants were not enrolled into Part B. Therefore, results are presented for Part A of the study only. Part A consisted of a Randomized Controlled Period (RCP) and an Open-Label Extension (OLE) period.
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| ID | Title | Description |
|---|---|---|
| FG000 | RCP: Ravulizumab | Participants received a loading dose of ravulizumab on Day 1 followed by a maintenance dose at Week 2 and then ravulizumab once every 8 weeks (Q8W) during the 26-week RCP. |
| FG001 | RCP: Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Randomized Controlled Period (RCP) |
|
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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 | Jun 23, 2023 | Oct 15, 2024 |
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|
| Placebo | Drug | Intravenous dosing will consist of a loading dose followed by maintenance doses administered q8w. The maintenance dosing will be initiated 2 weeks after the loading dose is administered. |
|
| Week 26 |
| Change From Baseline In Cutaneous Dermatomyositis Disease Area And Severity Index (CDASI) Activity Score at Week 26 | The CDASI is an instrument that separately measures activity and damage in the skin of dermatomyositis (DM) participants. It contains 3 activity measures (erythema, scale, and erosion/ulceration) and 2 damage measures (poikiloderma and calcinosis). CDASI score is calculated by rating the severity of skin disease in 15 anatomical locations on the body based on the activity and damage components. CDASI was completed by the Clinician or Clinician-Investigator while examining the participant. Total CDASI scores ranged from 0-100, with higher scores indicating a greater disease severity. Change from baseline in CDASI Total Activity Score at Week 26 was analyzed using a mixed model repeated measures (MMRM). The MMRM model included the observed Total Activity Score values at post baseline visits (Week 26) as the dependent variable. | Baseline, Week 26 |
| Number of Participants With Response Related to Muscle Enzymes: Normalization of Most Abnormal Baseline Enzyme at Week 26 | Laboratory tests were conducted to measure serum activities of muscle associated enzymes including creatine kinase (CK), alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and aldolase. Data are presented for the number of participants who had an abnormal muscle enzyme at baseline that had been normalized at Week 26. | Baseline, Week 26 |
| Change From Baseline In IMACS CSMs: Extra-Muscular Disease Activity Based on Myositis Disease Activity Assessment Tool (MDAAT) at Week 26 | The MDAAT assesses disease activity of extra-muscular organ systems and muscles in participants with DM. The validated MDAAT tool measures the degree of disease activity of extra-muscular organ systems and muscle on a 0-10 centimeter (cm) visual analog scale (VAS). Extra-muscular activity ranged between 0 and 10, where, 0 cm = absent and 10 cm = maximum disease activity. | Baseline, Week 26 |
| Change From Baseline In IMACS CSMs: Physician Global Activity Assessment at Week 26 | The physician global activity assessment provides an overall rating of disease activity related to myositis. Disease activity is judged by the physician based on all information available at the time of evaluation, including the participant's appearance, medical history, physical examination, laboratory testing, and prescribed medical therapy. The global disease activity score is recorded on a 10-cm VAS, where 0 cm= no evidence of disease activity and 10 cm= extremely severe disease activity. | Baseline, Week 26 |
| Change From Baseline In IMACS CSMs: Patient Global Activity Assessment at Week 26 | The patient global activity assessment provides an overall rating of disease activity related to myositis from the participant's perspective. Participants were asked to consider all of the active inflammation in their own muscles, skin, joints, intestines, heart, lungs, or other parts of the body that can improve with treatment. The patient global disease activity score was recorded on a 10-cm VAS that contained a smiley face at the 0-cm anchor and a sad face at the 10 cm anchor to help participants understand the scale. Scores ranged from 0 (no evidence of disease activity) to 10 (extremely active or severe disease activity). | Baseline, Week 26 |
| Change From Baseline In IMACS CSMs: Manual Muscle Testing Subset 8 Muscles (MMT-8) at Week 26 | The purpose of the MMT-8 was to measure muscle strength as part of the physical examination. It included a subset of 8 muscle groups: neck flexors, deltoids, biceps, wrist, extensors, gluteus maximus and medius, quadriceps, and ankle dorsiflexors. Total MMT8 scores ranged from 0 (lowest strength) to 150 (highest strength). | Baseline, Week 26 |
| Change From Baseline In IMACS CSMs: Health Assessment Questionnaire (HAQ) at Week 26 | The HAQ is a brief self-report questionnaire that assesses physical function pertaining to activities of daily living in a variety of domains. The HAQ includes 20 questions relating to 8 domains of function: dressing and grooming, arising, eating, walking, hygiene, reach, grip and usual activities. For each of the categories, participants reported the amount of difficulty they had in performing 2 or 3 specific subcategory items. The standard disability score is calculated from the 8 categories by dividing the sum of the individual categories by the number of categories answered, yielding a score from 0 (without any difficulty) to 3 (unable to do), with higher values indicating higher disability. | Baseline, Week 26 |
| Number of Participants With CDASI Response (>=7-point Improvement) at Week 26 | The CDASI is an instrument that separately measures activity and damage in the skin of dermatomyositis (DM) participants. It contains 3 activity measures (erythema, scale, and erosion/ulceration) and 2 damage measures (poikiloderma and calcinosis). CDASI score is calculated by rating the severity of skin disease in 15 anatomical locations on the body based on the activity and damage components. CDASI was completed by the Clinician or Clinician-Investigator while examining the participant. Total CDASI scores ranged from 0-100, with higher scores indicating a greater disease severity. Data are presented for the number of participants with a CDASI response. Response was defined as a >=7 point improvement in participants who did not have an intercurrent event at or prior to the relevant timepoint. | Week 26 |
| Number of Participants With Cutaneous Dermatomyositis Activity Physician's Global Assessment (CDA-IGA) Response at Week 26 | CDA-IGA is a scale that was created to measure disease severity in participants with skin disease. It is a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) with morphologic descriptors for each score. The CDA-IGA was completed by the Investigator and was used to describe the overall appearance of lesions at a given time point. Data are presented for the number of participants with a CDA-IGA response at Week 26. A response was defined as participants with clear or almost clear skin (score of 0 or 1) who did not have an intercurrent event at or before the relevant timepoint. | Week 26 |
| Number of Participants With ≥ 20-Point Improvement Response on IMACS-TIS (TIS20) Response at Week 26 | TIS20 was defined as a ≥20-point improvement response on IMACS-TIS. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS20 is considered a mild improvement score. | Week 26 |
| Number of Participants With ≥ 60-Point Improvement Response on IMACS-TIS (TIS60) Response at Week 26 | TIS60 was defined as a ≥60-point improvement response on IMACS-TIS. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS60 is considered a severe improvement score. | Week 26 |
| Time to First Response of TIS20, TIS40, or TIS60 | TIS20, 40 and 60 were defined as a ≥20, ≥40 and ≥60-point improvement response on IMACS-TIS respectively. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, and extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS20, 40 and 60 were considered mild, moderate and severe improvement scores respectively. Data are presented for the time to first response of TIS20, TIS40, or TIS60. The median time to TIS20, TIS40, and TIS60 was defined at the time in which 50% of the participants experienced TIS20, TIS40, or TIS60, respectively, based on a Kaplan-Meier analysis. | Baseline through Week 26 |
| Number of Participants With Clinical Worsening (CW) During the RCP At 2 Consecutive Visits | CW was defined as one of the following:
Data are presented for the number of participants with clinical worsening during the RCP at 2 consecutive visits. | Baseline through Week 26 |
| Number of Participants Who Received Acute Rescue Therapy With Standard DM Treatment | Acute rescue therapy with standard DM treatment included an increased dose of a medication that was being taken for DM or the initiation of a new DM treatment (glucocorticoid and/or immunosuppressive/immunomodulatory therapy [ISTs]). Data are presented for the number of participants who received acute rescue therapy with standard DM treatment. | Baseline through Week 26 |
| Irvine |
| California |
| 92617 |
| United States |
| Research Site | Santa Monica | California | 90404 | United States |
| Research Site | Washington D.C. | District of Columbia | 20037 | United States |
| Research Site | Tampa | Florida | 33612 | United States |
| Research Site | Atlanta | Georgia | 30322 | United States |
| Research Site | Chicago | Illinois | 60637 | United States |
| Research Site | Fairway | Kansas | 66205 | United States |
| Research Site | Baltimore | Maryland | 21205 | United States |
| Research Site | Las Vegas | Nevada | 89145 | United States |
| Research Site | Manhasset | New York | 11030 | United States |
| Research Site | New York | New York | 10021 | United States |
| Research Site | Chapel Hill | North Carolina | 27599 | United States |
| Research Site | Durham | North Carolina | 27710 | United States |
| Research Site | Cleveland | Ohio | 44195 | United States |
| Research Site | Pittsburgh | Pennsylvania | 15213 | United States |
| Research Site | Charleston | South Carolina | 29425 | United States |
| Research Site | Memphis | Tennessee | 38120 | United States |
| Research Site | North Richland Hills | Texas | 76180 | United States |
| Research Site | Seattle | Washington | 98122 | United States |
| Research Site | Camperdown | 2050 | Australia |
| Research Site | Murdoch | WA6150 | Australia |
| Research Site | Belém | 66095-055 | Brazil |
| Research Site | Belo Horizonte | 30150-221 | Brazil |
| Research Site | Campinas | 13083 | Brazil |
| Research Site | Juiz de Fora | 36010-570 | Brazil |
| Research Site | Natal | 59025-050 | Brazil |
| Research Site | Porto Alegre | 90035-000 | Brazil |
| Research Site | Porto Alegre | 90480-000 | Brazil |
| Research Site | Salvador | 40150-150 | Brazil |
| Research Site | São José do Rio Preto | 15090-000 | Brazil |
| Research Site | São Paulo | 01308-050 | Brazil |
| Research Site | São Paulo | 05403-010 | Brazil |
| Research Site | Serra | 29160-750 | Brazil |
| Research Site | Vitória | 29050-400 | Brazil |
| Research Site | Lille | 59037 | France |
| Research Site | Lyon | 69437 | France |
| Research Site | Nantes | 44093 | France |
| Research Site | Paris | 75010 | France |
| Research Site | Paris | 75651 | France |
| Research Site | Strasbourg | 67098 | France |
| Research Site | Toulouse | 31059 | France |
| Research Site | Düsseldorf | 40225 | Germany |
| Research Site | Erlangen | 91054 | Germany |
| Research Site | Essen | 45147 | Germany |
| Research Site | Freiburg im Breisgau | 79106 | Germany |
| Research Site | Göttingen | 37075 | Germany |
| Research Site | Halle | 06120 | Germany |
| Research Site | Jena | 07747 | Germany |
| Research Site | Bari | 70124 | Italy |
| Research Site | Brescia | 25123 | Italy |
| Research Site | Catania | 95123 | Italy |
| Research Site | Florence | 50134 | Italy |
| Research Site | Iesi | 60035 | Italy |
| Research Site | Messina | 98124 | Italy |
| Research Site | Milan | 20132 | Italy |
| Research Site | Pavia | 27100 | Italy |
| Research Site | Pisa | 56126 | Italy |
| Research Site | Reggio Emilia | 42122 | Italy |
| Research Site | Roma | 00128 | Italy |
| Research Site | Roma | 00168 | Italy |
| Research Site | Rome | 00189 | Italy |
| Research Site | Rozzano | 20089 | Italy |
| Research Site | Siena | 53100 | Italy |
| Research Site | Torino | 10126 | Italy |
| Research Site | Torrette AN | 60126 | Italy |
| Research Site | Udine | 33100 | Italy |
| Research Site | Verona | 37126 | Italy |
| Research Site | Bunkyō City | 113-8655 | Japan |
| Research Site | Hiroshima | 734-8551 | Japan |
| Research Site | Iruma-Gun | 350-0495 | Japan |
| Research Site | Nagoya | 467-8602 | Japan |
| Research Site | Narita-shi | 286-8520 | Japan |
| Research Site | Okayama | 700-8558 | Japan |
| Research Site | Osaka | 565-0871 | Japan |
| Research Site | Sapporo | 060-8648 | Japan |
| Research Site | Sendai | 980-8574 | Japan |
| Research Site | Urayasu-shi | 279-0021 | Japan |
| Research Site | Warsaw | 02-637 | Poland |
| Research Site | Daejeon | 35015 | South Korea |
| Research Site | Junggu | 22332 | South Korea |
| Research Site | Seoul | 02447 | South Korea |
| Research Site | Seoul | 03080 | South Korea |
| Research Site | Seoul | 04763 | South Korea |
| Research Site | Seoul | 6591 | South Korea |
| Research Site | A Coruña | 15006 | Spain |
| Research Site | Barakaldo | 48903 | Spain |
| Research Site | Barcelona | 08035 | Spain |
| Research Site | Barcelona | 08036 | Spain |
| Research Site | Bilbao (Vizcaya) | 48013 | Spain |
| Research Site | L'Hospitalet de Llobregat | 08907 | Spain |
| Research Site | Las Palmas de Gran Canaria | 35020 | Spain |
| Research Site | Madrid | 28034 | Spain |
| Research Site | Madrid | 28040 | Spain |
| Research Site | Madrid | 28041 | Spain |
| Research Site | Oviedo | 33011 | Spain |
| Research Site | Santander | 39008 | Spain |
| Research Site | Seville | 41010 | Spain |
| Research Site | Seville | 41013 | Spain |
| Research Site | Valencia | 46026 | Spain |
| Research Site | Zaragoza | 50009 | Spain |
| Research Site | Kaohsiung City | 83301 | Taiwan |
| Research Site | Taichung | 40705 | Taiwan |
| Research Site | Taoyuan City | 33305 | Taiwan |
| Research Site | Altındağ-Ankara | 06230 | Turkey (Türkiye) |
| Research Site | Istanbul | 34093 | Turkey (Türkiye) |
| Research Site | Edinburgh | EH4 2XU | United Kingdom |
| Research Site | Liverpool | L9 7AL | United Kingdom |
| Research Site | London | SE5 9RS | United Kingdom |
| Research Site | Salford | M6 8HD | United Kingdom |
| Research Site | West Bromwich | B71 4HJ | United Kingdom |
Participants received placebo on Day 1, and Weeks 2, 10, and 18 during the 26-week RCP.
| FG002 | OLE: Ravulizumab to Ravulizumab | Participants who received ravulizumab during the RCP continued to receive ravulizumab during the 130-week OLE. Participants received a blinded ravulizumab dose at Week 26, a maintenance dose at Week 28, then ravulizumab Q8W for the remainder of the OLE period. |
| FG003 | OLE: Placebo to Ravulizumab | Participants who received placebo during the RCP received ravulizumab during the 130-week OLE. Participants received a blinded ravulizumab dose at Week 26, a maintenance dose at Week 28, then ravulizumab Q8W for the remainder of the OLE period. |
| Received at Least 1 Dose of Treatment |
|
| COMPLETED |
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| NOT COMPLETED |
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| Open-Label Extension (OLE) Period |
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Randomized Set, which included all randomized participants grouped by randomized treatment group.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Ravulizumab | Participants received a loading dose of ravulizumab on Day 1 followed by a maintenance dose at Week 2 and then Q8W during the 26-week RCP. |
| BG001 | Placebo | Participants received placebo on Day 1, Weeks 2, 10 and 18 during the 26-week RCP. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | Number of Participants With International Myositis Assessment and Clinical Studies Total Improvement Score (IMACS-TIS) (TIS40) Response at Week 26 of the Randomized Controlled Period | Data are presented for the number of participants with a TIS40 response, defined as an IMACS-TIS score ≥ 40 at Week 26. IMACS-TIS is a clinical instrument that encompasses 6 core set measure (CSMs) (physician, patient, extra-muscular global activity, muscle strength, Health Assessment Questionnaire [HAQ], and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. A higher score indicated greater improvement. TIS40 was considered a moderate improvement score. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Week 26 |
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| Secondary | TIS at Week 26 | TIS scores ranged from 0-100 with higher scores indicating a greater improvement. Scores were determined by summing scores in each of the 6 CSMs of the IMAC (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). Clinically meaningful thresholds for improvement were defined as ≥ 20 point improvement response on IMACS-TIS (TIS20; mild), ≥ 40 point improvement response on IMACS TIS (TIS40; moderate) and ≥ 60 point improvement response on IMACS-TIS (TIS60; severe). Scores were based on the improvement and relative weight of each CSM. Data are presented for TIS (least squares mean) at Week 26. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Week 26 |
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| Secondary | Change From Baseline In Cutaneous Dermatomyositis Disease Area And Severity Index (CDASI) Activity Score at Week 26 | The CDASI is an instrument that separately measures activity and damage in the skin of dermatomyositis (DM) participants. It contains 3 activity measures (erythema, scale, and erosion/ulceration) and 2 damage measures (poikiloderma and calcinosis). CDASI score is calculated by rating the severity of skin disease in 15 anatomical locations on the body based on the activity and damage components. CDASI was completed by the Clinician or Clinician-Investigator while examining the participant. Total CDASI scores ranged from 0-100, with higher scores indicating a greater disease severity. Change from baseline in CDASI Total Activity Score at Week 26 was analyzed using a mixed model repeated measures (MMRM). The MMRM model included the observed Total Activity Score values at post baseline visits (Week 26) as the dependent variable. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Number of Participants With Response Related to Muscle Enzymes: Normalization of Most Abnormal Baseline Enzyme at Week 26 | Laboratory tests were conducted to measure serum activities of muscle associated enzymes including creatine kinase (CK), alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and aldolase. Data are presented for the number of participants who had an abnormal muscle enzyme at baseline that had been normalized at Week 26. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Baseline, Week 26 |
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| Secondary | Change From Baseline In IMACS CSMs: Extra-Muscular Disease Activity Based on Myositis Disease Activity Assessment Tool (MDAAT) at Week 26 | The MDAAT assesses disease activity of extra-muscular organ systems and muscles in participants with DM. The validated MDAAT tool measures the degree of disease activity of extra-muscular organ systems and muscle on a 0-10 centimeter (cm) visual analog scale (VAS). Extra-muscular activity ranged between 0 and 10, where, 0 cm = absent and 10 cm = maximum disease activity. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Change From Baseline In IMACS CSMs: Physician Global Activity Assessment at Week 26 | The physician global activity assessment provides an overall rating of disease activity related to myositis. Disease activity is judged by the physician based on all information available at the time of evaluation, including the participant's appearance, medical history, physical examination, laboratory testing, and prescribed medical therapy. The global disease activity score is recorded on a 10-cm VAS, where 0 cm= no evidence of disease activity and 10 cm= extremely severe disease activity. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Change From Baseline In IMACS CSMs: Patient Global Activity Assessment at Week 26 | The patient global activity assessment provides an overall rating of disease activity related to myositis from the participant's perspective. Participants were asked to consider all of the active inflammation in their own muscles, skin, joints, intestines, heart, lungs, or other parts of the body that can improve with treatment. The patient global disease activity score was recorded on a 10-cm VAS that contained a smiley face at the 0-cm anchor and a sad face at the 10 cm anchor to help participants understand the scale. Scores ranged from 0 (no evidence of disease activity) to 10 (extremely active or severe disease activity). | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Change From Baseline In IMACS CSMs: Manual Muscle Testing Subset 8 Muscles (MMT-8) at Week 26 | The purpose of the MMT-8 was to measure muscle strength as part of the physical examination. It included a subset of 8 muscle groups: neck flexors, deltoids, biceps, wrist, extensors, gluteus maximus and medius, quadriceps, and ankle dorsiflexors. Total MMT8 scores ranged from 0 (lowest strength) to 150 (highest strength). | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Change From Baseline In IMACS CSMs: Health Assessment Questionnaire (HAQ) at Week 26 | The HAQ is a brief self-report questionnaire that assesses physical function pertaining to activities of daily living in a variety of domains. The HAQ includes 20 questions relating to 8 domains of function: dressing and grooming, arising, eating, walking, hygiene, reach, grip and usual activities. For each of the categories, participants reported the amount of difficulty they had in performing 2 or 3 specific subcategory items. The standard disability score is calculated from the 8 categories by dividing the sum of the individual categories by the number of categories answered, yielding a score from 0 (without any difficulty) to 3 (unable to do), with higher values indicating higher disability. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants with evaluable data for the outcome measure. | Posted | Least Squares Mean | Standard Error | scores on a scale | Baseline, Week 26 |
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| Secondary | Number of Participants With CDASI Response (>=7-point Improvement) at Week 26 | The CDASI is an instrument that separately measures activity and damage in the skin of dermatomyositis (DM) participants. It contains 3 activity measures (erythema, scale, and erosion/ulceration) and 2 damage measures (poikiloderma and calcinosis). CDASI score is calculated by rating the severity of skin disease in 15 anatomical locations on the body based on the activity and damage components. CDASI was completed by the Clinician or Clinician-Investigator while examining the participant. Total CDASI scores ranged from 0-100, with higher scores indicating a greater disease severity. Data are presented for the number of participants with a CDASI response. Response was defined as a >=7 point improvement in participants who did not have an intercurrent event at or prior to the relevant timepoint. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Week 26 |
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| Secondary | Number of Participants With Cutaneous Dermatomyositis Activity Physician's Global Assessment (CDA-IGA) Response at Week 26 | CDA-IGA is a scale that was created to measure disease severity in participants with skin disease. It is a 5-point scale (0 = clear; 1 = almost clear; 2 = mild; 3 = moderate; 4 = severe) with morphologic descriptors for each score. The CDA-IGA was completed by the Investigator and was used to describe the overall appearance of lesions at a given time point. Data are presented for the number of participants with a CDA-IGA response at Week 26. A response was defined as participants with clear or almost clear skin (score of 0 or 1) who did not have an intercurrent event at or before the relevant timepoint. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Week 26 |
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| Secondary | Number of Participants With ≥ 20-Point Improvement Response on IMACS-TIS (TIS20) Response at Week 26 | TIS20 was defined as a ≥20-point improvement response on IMACS-TIS. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS20 is considered a mild improvement score. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Week 26 |
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| Secondary | Number of Participants With ≥ 60-Point Improvement Response on IMACS-TIS (TIS60) Response at Week 26 | TIS60 was defined as a ≥60-point improvement response on IMACS-TIS. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS60 is considered a severe improvement score. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Week 26 |
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| Secondary | Time to First Response of TIS20, TIS40, or TIS60 | TIS20, 40 and 60 were defined as a ≥20, ≥40 and ≥60-point improvement response on IMACS-TIS respectively. IMACS-TIS is a clinical instrument that encompasses 6 CSMs (physician, patient, and extra-muscular global activity, muscle strength, HAQ, and muscle enzyme levels). A Total Improvement Score (TIS: 0-100), was determined by summing scores in each CSM, and was based on the improvement and relative weight of each CSM. Higher scores indicated greater improvement/response. TIS20, 40 and 60 were considered mild, moderate and severe improvement scores respectively. Data are presented for the time to first response of TIS20, TIS40, or TIS60. The median time to TIS20, TIS40, and TIS60 was defined at the time in which 50% of the participants experienced TIS20, TIS40, or TIS60, respectively, based on a Kaplan-Meier analysis. | Randomized Set, which included all randomized participants grouped by randomized treatment group. Overall number of participants analyzed = participants evaluable for this outcome measure. Number analyzed = participant evaluable for the specified category. | Posted | Median | 80% Confidence Interval | weeks | Baseline through Week 26 |
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| Secondary | Number of Participants With Clinical Worsening (CW) During the RCP At 2 Consecutive Visits | CW was defined as one of the following:
Data are presented for the number of participants with clinical worsening during the RCP at 2 consecutive visits. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Baseline through Week 26 |
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| Secondary | Number of Participants Who Received Acute Rescue Therapy With Standard DM Treatment | Acute rescue therapy with standard DM treatment included an increased dose of a medication that was being taken for DM or the initiation of a new DM treatment (glucocorticoid and/or immunosuppressive/immunomodulatory therapy [ISTs]). Data are presented for the number of participants who received acute rescue therapy with standard DM treatment. | Randomized Set, which included all randomized participants grouped by randomized treatment group. | Posted | Count of Participants | Participants | Baseline through Week 26 |
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|
Up to approximately 130 weeks
Safety Set for the RCP, which included all participants who received at least 1 dose of study intervention. Participants were analyzed according to the study intervention received. One participant who was randomized to ravulizumab during the RCP received placebo. This participant was analyzed in the placebo group for safety data collection and reporting.
OLE Set for the OLE period, which included all randomized participants who received at least 1 dose of ravulizumab from Week 26 onward.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | RCP: Ravulizumab | Participants received a loading dose of ravulizumab on Day 1 followed by a maintenance dose at Week 2 and then ravulizumab once every 8 weeks (Q8W) during the 26-week RCP. | 0 | 25 | 2 | 25 | 9 | 25 |
| EG001 | RCP: Placebo | Participants received placebo on Day 1, and Weeks 2, 10, and 18 during the 26-week RCP. | 0 | 13 | 0 | 13 | 10 | 13 |
| EG002 | OLE: Ravulizumab to Ravulizumab | Participants who received ravulizumab during the RCP continued to receive ravulizumab during the 130-week OLE. Participants received a blinded ravulizumab dose at Week 26, a maintenance dose at Week 28, then ravulizumab Q8W for the remainder of the OLE period. | 0 | 22 | 4 | 22 | 11 | 22 |
| EG003 | OLE: Placebo to Ravulizumab | Participants who received placebo during the RCP received ravulizumab during the 130-week OLE. Participants received a blinded ravulizumab dose at Week 26, a maintenance dose at Week 28, then ravulizumab Q8W for the remainder of the OLE period. | 0 | 9 | 4 | 9 | 7 | 9 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Agranulocytosis | Blood and lymphatic system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Impaired healing | General disorders | MedDRA v27.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Escherichia urinary tract infection | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Endometrial hyperplasia | Reproductive system and breast disorders | MedDRA v27.0 | Systematic Assessment | Number at risk has been adjusted as this is a sex-specific event. |
|
| Cutaneous calcification | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Coronary artery stenosis | Cardiac disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Intestinal haemorrhage | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA v27.0 | Systematic Assessment |
| |
| Hypovolaemic shock | Vascular disorders | MedDRA v27.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Cushingoid | Endocrine disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Diabetic retinopathy | Eye disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Anal erosion | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Diverticulum intestinal | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Enterocolitis | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Hypoaesthesia oral | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Large intestine polyp | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Tongue movement disturbance | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Vaccination site swelling | General disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Genital infection fungal | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Pyoderma | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA v27.0 | Systematic Assessment |
| |
| Compression fracture | Injury, poisoning and procedural complications | MedDRA v27.0 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA v27.0 | Systematic Assessment |
| |
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA v27.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Osteoporosis | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Neuralgia | Nervous system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Taste disorder | Nervous system disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Pulmonary mass | Respiratory, thoracic and mediastinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Vocal cord leukoplakia | Respiratory, thoracic and mediastinal disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Dermatomyositis | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Diffuse alopecia | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Skin lesion | Skin and subcutaneous tissue disorders | MedDRA v27.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA v27.0 | Systematic Assessment |
|
Part A did not meet its primary endpoint and the study was terminated.
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Alexion Pharmaceuticals Inc. | Alexion Pharmaceuticals Inc. | 855-752-2356 | clinicaltrials@alexion.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 20, 2023 | Oct 15, 2024 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D003882 | Dermatomyositis |
| ID | Term |
|---|---|
| D017285 | Polymyositis |
| D009220 | Myositis |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000629409 | ravulizumab |
Not provided
Not provided
Not provided
| Study Terminated by Sponsor |
|
| Physician Decision |
|
| Lost to Follow-up |
|
| Adverse Event |
|
| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Units | Counts |
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Participants received placebo on Day 1, and Weeks 2, 10, and 18 during the 26-week RCP.
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