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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-501097-19-00 | EU Trial (CTIS) Number |
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The purpose of this study is to evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of orally administered GLPG3667 once daily for 24 weeks in adult participants with dermatomyositis (DM), followed by an open-label extension (OLE) period until Week 48.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GLPG3667 During DB + During OLE | Experimental | Participants will receive GLPG3667 dose A orally once daily for 24 weeks in the double-blind (DB) treatment period. Eligible participants will roll-over to an open-label extension (OLE) period to receive the same dose for another 24 weeks. |
|
| Placebo During DB + GLPG3667 During OLE | Placebo Comparator | Participants will receive placebo matching to GLPG3667 orally once daily for 24 weeks in the DB treatment period. Eligible participants will roll-over to an OLE period to receive GLPG3667 dose A orally once daily for another 24 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GLPG3667 | Drug | GLPG3667 capsules will be administered per dose and schedule specified in the arm description. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total improvement score [TIS] according to the American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria | The TIS is a score derived from the evaluation of the results from 6 core set measurements (CSMs) of myositis disease activity: Physician's Global Disease Activity Assessment; Patient's Global Disease Activity Assessment; Muscle Manual Test-8 (MMT-8); Health Assessment Questionnaire-Disability Index (HAQ-DI); Enzymes (aldolase, creatine kinase (CK), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and lactate dehydrogenase (LDH); and Extra-muscular disease activity. The TIS is a scale from 0 to 100 that allows for the discrimination between minimal, moderate and major responders depending on their improvement in the combined 6 CSM. | Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With at Least Minimal Improvement According to the ACR/EULAR Criteria | Minimal improvement per ACR/EULAR was defined as TIS of ≥ 20 points. The TIS is a score derived from the evaluation of the results from 6 CSMs of myositis disease activity: Physician's Global Disease Activity Assessment; Patient's Global Disease Activity Assessment; MMT-8; HAQ-DI; Enzymes (aldolase, CK, ALT, AST, and LDH; and Extra-muscular disease activity. The TIS is a scale from 0 to 100 that allows for the discrimination between minimal, moderate and major responders depending on their improvement in the combined 6 CSM. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (SAEs), and TEAEs Leading to Treatment Discontinuation | Baseline (Day 1) up to Week 52 |
Key Inclusion Criteria:
Participant has probable or definite DM in accordance with the ACR/EULAR criteria for at least 3 months.
Participant with DM diagnosed in the 3 years prior to screening must have undergone cancer screening (according to local standard of care or applicable guidelines) within 1 year prior to screening. Note: The evidence of cancer screening must be documented.
Participant must present objective evidence of active disease as defined by fulfilling 1 of the criteria below (as confirmed by the sponsor):
Participant has reduced muscle strength (defined as Manual Muscle Test-8 < 142/150) and at least 2 additional abnormal core set measurements out of the following 5 at screening:
Participant previously demonstrated failure to or intolerance to first-line treatment (defined as oral corticosteroid[s] and at least 1 other immunosuppressant/ hydroxychloroquine) OR active disease despite treatment with first-line drugs. Currently, the participant is receiving maximum 3 treatments for DM (oral corticosteroid[s] and/or allowed immunosuppressant[s]/hydroxychloroquine) for at least 3 months and is on a stable dose (defined as no change in dose, type of administration, or dose regimen) for at least 4 weeks prior to screening and during screening within maximum allowed doses as specified in the study protocol. Note: Participants receiving 1 or no concomitant treatment for DM are also eligible.
Open Label Extension : Participant must meet both of the following inclusion criteria at Visit 8 to be eligible for participation in the OLE period of the study: participant who may benefit from open-label treatment with GLPG3667, according to the investigator's judgment; participant who completed the 24-week double-blind treatment period on investigational product.
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Galapagos Study Director | Lakefront Biotherapeutics NV | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HonorHealth Neurology | Scottsdale | Arizona | 85251 | United States | ||
| Inland Rheumatology Clinical Trials, Inc. |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38805213 | Derived | Mammoliti O, Martina S, Claes P, Coti G, Blanque R, Jagerschmidt C, Shoji K, Borgonovi M, De Vos S, Marsais F, Oste L, Quinton E, Lopez-Ramos M, Amantini D, Brys R, Jimenez JM, Galien R, van der Plas S. Discovery of GLPG3667, a Selective ATP Competitive Tyrosine Kinase 2 Inhibitor for the Treatment of Autoimmune Diseases. J Med Chem. 2024 Jun 13;67(11):8545-8568. doi: 10.1021/acs.jmedchem.4c00769. Epub 2024 May 28. |
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| Placebo | Drug | Placebo matching to GLPG3667 capsules will be administered per schedule specified in the arm description. |
|
| Week 24 |
| Change From Baseline in Modified-Cutaneous DM Disease Area and Severity Index Activity Score (m-CDASI-A) at Week 24 | The CDASI is a clinician-scored single page instrument that separately measures activity (m-CDASI-A) and damage (m-CDASI-D) in the skin of DM participants. The m-CDASI-A consists of 3 activity measures (erythema, scale, and erosion/ulceration) assessed over 15 body areas along with the activity of Gottron's papules on hands and activity of periungual changes and alopecia. m-CDASI-A ranges from 0-100. Higher scores indicate more disease activity. | Week 24 |
| Change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 24 | The HAQ-DI is a generic rather than a disease-specific instrument, comprised of 8 sections: dressing, arising, eating, walking, hygiene, reach, grip, and activities. There are 2 or 3 questions for each section. Scoring within each section is from 0 [without any difficulty] to 3 [unable to do]. For each section the score given to that section is the worst score within the section. The 8 scores of the 8 sections are summed and divided by 8. | Week 24 |
| Change from baseline in the manual muscle test (MMT-8) at Week 24 | MMT-8 is a set of 8 designated muscles, 7 of them being tested bilaterally (potential score 0-140). Axial (neck flexors) testing is included, so that potential maximum MMT-8 score = 150. | Week 24 |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (SAEs), and TEAEs Leading to Treatment Discontinuation | Baseline (Day 1) up to Week 24 |
| Maximum Plasma Concentration (Cmax) of GLPG3667 | Week 4 |
| Area Under the Plasma Concentration-Time Curve (AUC) of GLPG3667 | Week 4 |
| Plasma Trough Concentration (Ctrough) at Steady State of GLPG3667 | Week 2 predose until Week 24 |
| Upland |
| California |
| 91786 |
| United States |
| New Access Research and Medical Center | Kendall | Florida | 33186 | United States |
| Omega Research Orlando, LLC | Orlando | Florida | 32808 | United States |
| Augusta University | Augusta | Georgia | 30912 | United States |
| St. Paul Rheumatology | Eagan | Minnesota | 55121 | United States |
| Northwell Health, LLC PRIME | Lake Success | New York | 11042 | United States |
| Altoona Center for Clinical Research, P.C. | Duncansville | Pennsylvania | 16635 | United States |
| Fundacion Respirar Consultorios Médicos Dr. Doreski | Buenos Aires | C1426ABO | Argentina |
| Hospital Cordoba | Córdoba | X5004CDT | Argentina |
| Hospital Italiano de La Plata | La Plata | B1900 | Argentina |
| Framingham Centro Medico | La Plata | B1902 | Argentina |
| Instituto Medico CER | Quilmes | B1878DVB | Argentina |
| UZ Leuven | Leuven | 3000 | Belgium |
| Enroll SpA | Santiago | 7500587 | Chile |
| BioMedica Research Group Psicomedica Clinical and Research Group | Santiago | 7500710 | Chile |
| Clinica de la Costa S.A.S | Barranquilla | 080020 | Colombia |
| Centro de Investigacion Medico Asistencial S.A.S | Barranquilla | 80020 | Colombia |
| Healthy Medical Center | Zipaquirá | 250252 | Colombia |
| Polyclinic Bonifarm | Zagreb | 10000 | Croatia |
| Solmed Polyclinic | Zagreb | 10000 | Croatia |
| Revmatologicky Ustav | Prague | 12850 | Czechia |
| CHU de Nice Hôpital Pasteur 2 Centre de Réf des Maladies Neuromusculaires et SLA | Nice | 06001 | France |
| Groupe Hospitalier Pitie-Salpetriere service de médecine interne et immunologie cliniqu | Paris | 75651 | France |
| CHU Strasbourg - Hôpital Hautepierre service de rhumatologie | Strasbourg | 67091 | France |
| Charité - Campus Charité Mitte - Klinik für Dermatologie, Venerologie und Allergologie | Berlin | 10117 | Germany |
| Helios Fachklinik Vogelsang-Gommern | Gommern | 39245 | Germany |
| Universitätsklinikum Tübingen - Universitäts-Hautklinik | Tübingen | 72076 | Germany |
| Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili) Medicina Interna | Brescia | 25123 | Italy |
| Azienda Ospedaliero Universitaria Policlinico. PO San Marco | Catania | 95100 | Italy |
| Ospedale San Raffaele U.O. di Medicina Gen. Ind. Immunologico-Clinica | Milan | 20132 | Italy |
| Azienda Ospedaliero Universitaria Pisana U.O. Reumatologia Universitaria | Pisa | 56100 | Italy |
| Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Roma | 00168 | Italy |
| Istituto Clinico Humanitas U.O. Reumatologia | Rozzano | 20089 | Italy |
| Ospedale San Giovanni Bosco | Torino | 10154 | Italy |
| Medical Care & Research SA de CV | Mérida | 97070 | Mexico |
| Centro de Investigacion Clínica GRAMEL S.C | México | 03720 | Mexico |
| Consultorio de Reumatologia Hospital Angeles Lindavista | México | 07760 | Mexico |
| Centro de Alta Especialidad en Reumatología e Investigación del Potosí S.C. | San Luis Potosí City | 78213 | Mexico |
| Nova Reuma Domysławska i Rusiłowicz, Spółka Partnerska Lekarza Reumatologa i Fizjoterapeuty | Bialystok | 15-707 | Poland |
| Centrum Medyczne Plejady | Krakow | 30-363 | Poland |
| Zespol Poradni Specjalistycznych Reumed | Lublin | 20-582 | Poland |
| Klinika Ambroziak ESTEDERM | Warsaw | 02-953 | Poland |
| Spitalul Clinic Colentina parent | Bucharest | 020125 | Romania |
| Spitalul Clinic 'Sf. Maria' Clinica de Medicina Interna si Reumatologie | Bucharest | 11172 | Romania |
| Sc Medaudio-Optica SRL | Râmnicu Vâlcea | 240762 | Romania |
| Hospital Universitari Vall d'Hebron Internal Medicine Dept. | Barcelona | 08035 | Spain |
| Hospital Clinic de Barcelona Servicio de Medicina Interna | Barcelona | 08036 | Spain |
| Hospital Universitari de Bellvitge Servicio de Cardiologia | L'Hospitalet de Llobregat | 08907 | Spain |
| Hospital Universitario Fundacion Jimenez Diaz | Madrid | 28040 | Spain |
| St. Peter´s Hospital Dept of Rheumatology | Chertsey | KT16 OPZ | United Kingdom |
| Western General Hospital Dept of Rheumatology | Edinburgh | EH4 2XU | United Kingdom |
| King's College Hospital Dept of Rheumatology | London | SE5 9RS | United Kingdom |
| Salford Care Organisation Dept of Rheumatology | Salford | M6 8HD | United Kingdom |
| 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 |
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