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Sjogren's SyndromePhase 2NCT02701985

A Study to Assess the Efficacy of RO5459072 in Participants With Primary Sjogren's Syndrome

A Phase 2 study testing RO5459072 in people with Sjogren's Syndrome, run by Hoffmann-La Roche at 31 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a randomized, double-blind, placebo-controlled, two-treatment arm, parallel-group study designed to evaluate the effects of RO5459072 treatment on disease activity and symptoms of Sjogren's syndrome in adult participants with moderate to severe primary Sjogren's syndrome. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Sjogren's Syndrome
What is being tested?
RO5459072
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
75 participants
Where
31 sitesin 6 countries
Study dates
5 Jul 2016to 10 Jul 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A diagnosis of primary Sjogren's syndrome according to the revised American-European Consensus Group (AECG) criteria
  • ESSDAI score greater than or equal to (>/=) 5
  • ESSPRI score >/=5
  • Elevated serum titers of anti-Sjogren's-syndrome-related antigen A (anti-SSA) and/or anti-Sjogren's-syndrome-related antigen B (anti-SSB) antibodies at screening
  • Negative pregnancy test at screening and baseline (for women only)
  • Willing to comply with the study procedures and restrictions, including measures to prevent pregnancy and restrictions on sperm donation

Who cannot join

  • A diagnosis of secondary Sjogren's syndrome according to the revised AECG criteria
  • Severe complications of Sjogren's syndrome
  • Systemic immunosuppressant therapy, cyclophosphamide, or B-cell depleting therapy within 6 months prior to the screening visit
  • Corticosteroid therapy exceeding 7.5 mg prednisone equivalents per day
  • A positive test result for hepatitis B (HBV), hepatitis C (HCV), or human immunodeficiency virus (HIV), or tuberculosis, or any other active viral, fungal, yeast or bacterial infection at screening
  • A history suggesting reduced immune function or any other conditions predisposing participants to serious infection
Show all 13Show fewer
  • A history of lymphoma, myeloma or monoclonal gammopathy of unknown significance (MGUS), or any other malignancies within the past 5 years
  • A diagnosis of fibromyalgia or significant depression
  • Having any concomitant disease or condition that could interfere with the conduct of the study, or that would pose an unacceptable risk to the individual
  • Participation in an investigational drug or device study within 3 months prior to screening
  • Inability to comply with the study protocol for any other reason
  • Women who are lactating, breastfeeding or planning to nurse
  • Using other prohibited medication (moderate or potent inhibitors of CYP3A4; strong inducers of CYP3A4; strong inhibitors of the transporter P-glycoprotein [P-gp]; sensitive substrates of CYP3A4 with a narrow therapeutic index)

Trial locations and contacts

31 sites in 6 countries.

31 sites in 6 countries

United States12 sites
  • University Of Michigan

    Ann Arbor, Michigan, 48109

  • John Hopkins Bayview Medical Center

    Baltimore, Maryland, 21224

  • Ochsner Clinic Foundation

    Baton Rouge, Louisiana, 70809

  • Wallace Rheumatic Study Center

    Beverly Hills, California, 90211

  • MetroHealth System

    Cleveland, Ohio, 44109

  • Denver Arthritis Clinic

    Denver, Colorado, 80230-7127

  • Altoona Center For Clinical Research

    Duncansville, Pennsylvania, 16635

  • Ramesh Gupta - PP

    Memphis, Tennessee, 38119

  • Winthrop University Hospital

    Mineola, New York, 11501

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • Shanahan Rheumatology & Immunology, PLLC

    Raleigh, North Carolina, 27617

  • Clinical Research Center of Reading

    Wyomissing, Pennsylvania, 19610

Other trials in United States

United Kingdom6 sites
  • University Hospitals Birmingham NHS Foundation Trust

    Birmingham, B15 2TH

  • Barts and the London NHS Trust

    London, E1 2ES

  • University College London Hospitals NHS Foundation Trust - University College Hospital

    London, NW1 2PG

  • The Newcastle upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, NE1 4LP

  • Sheffield Teaching Hospitals NHS Foundation Trust; Royal Hallamshire Hospital

    Sheffield, S10 2JF

  • Great Western Hospitals NHS Foundation Trust.

    Wiltshire, SN3 6BB

Other trials in United Kingdom

France4 sites
  • Hopital Avicenne, Paris

    Bobigny, 93009

  • C.H.U. Ambroise Pare (AP-HP)

    Boulogne-Billancourt, 92104

  • Hopital La Cavale Blanche; Rhumatologie

    Brest, 29609

  • Hopital Lapeyronie; Immunologie Rhumatologie

    Montpellier, 34295

Other trials in France

Poland4 sites
  • Szpital Uniwersytecki; nr 2 im. Dr J. Biziela; Klinika Reumatologii i Ukladowych Chorob

    Bydgoszcz, 85-168

  • MedPolonia

    Poznan, 60-693

  • Niepubliczny Opieki Zdrowotnej; Reumatika - Ctr Reum.

    Warsaw, 02-691

  • Centrum Medyczne AMED

    Warsaw, 03-291

Other trials in Poland

Portugal4 sites
  • Instituto Portugues de Reumatologia

    Lisbon, 1050-34

  • Centro Hospitalar de Lisboa Norte, EPE - Hospital Santa Maria

    Lisbon, 1649-035

  • Centro Hospitalar do Porto - Hospital de Santo António

    Porto, 4099-001

  • Centro Hospitalar de Sao Joao,E.P.E.

    Porto, 4200-319

Other trials in Portugal

Germany1 site
  • Charité Research Organisation GmbH

    Berlin, 10117

Other trials in Germany

About this study

Official title: A Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Phase 2A Study to Assess the Efficacy of RO5459072 in Patients With Primary Sjogren's Syndrome

This is a randomized, double-blind, placebo-controlled, two-treatment arm, parallel-group study designed to evaluate the effects of RO5459072 treatment on disease activity and symptoms of Sjogren's syndrome in adult participants with moderate to severe primary Sjogren's syndrome. The total duration of the study for each participant will be approximately 18 weeks (including screening).

Being tested
Placebo, RO5459072
Medical subject headings
Sjogren's Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Matching-placebo capsules will be administered orally, 2 times a day with food.

  • RO5459072Drug

    RO5459072 at a dose of 100 milligrams (as capsules) will be administered orally, 2 times a day with food.

Study groups in NCT02701985
Study groupRoleWhat they receive
PlaceboPlacebo comparatorMatching-placebo capsules will be administered orally, 2 times a day, for up to 12 weeks.
Receives: Drug: Placebo
RO5459072ExperimentalRO5459072 at a dose of 100 milligrams (as capsules) will be administered orally, 2 times a day, for up to 12 weeks.
Receives: Drug: RO5459072

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With a Clinically Relevant Decrease in European League Against Rheumatism (EULAR) Sjogren's Syndrome Disease Activity Index (ESSDAI) Score

    Percentage of participants with a clinically relevant decrease in European League Against Rheumatism (EULAR) Sjogren's Syndrome Disease Activity Index (ESSDAI) Score is defined as participants with absolute decrease of ≥ 3-points in ESSDAI score. ESSDAI is physician-assessed disease activity index developed by EULAR consortium consisting of 44 items in 12 organ-specific 'domains' (constitutional,lymphadenopathy, articular,muscular,cutaneous,glandular,pulmonary,renal,peripheral nervous system,central nervous system,hematological,biological). Each domain is assessed for activity level (i.e., no, low, moderate, high) and assigned a numerical score based on pre-determined weighting of each individual domain. Overall score is calculated as sum of all individual weighted domain scores (ranges from 0 (best) to 123 (worst activity). A score ≥ 5 is considered moderate or severe disease activity and a clinically relevant change in ESSDAI score is defined as absolute decrease of ≥ 3-points.

    Measured: 12 weeks

Secondary outcomes (19)
  1. Percentage of Participants With a Clinically Relevant Decrease in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) Score

    The efficacy of RO5459072 in patients with primary Sjogren's Syndrome Disease is evaluated in terms of the percentage of participants with a clinically relevant decrease in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) Score, where a clinically relevant decrease in ESSPRI score is defined as a decrease of ≥ 1 point. The ESSPRI is a patient-reported, subjective symptom index for primary Sjögren's syndrome developed by the EULAR consortium. It consists of 3 questions covering cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). Each domain scored on scale of 0-10 (0 =no symptom at all and 10 = worst symptom imaginable), and overall score is calculated as the mean of 3 individual domains where all domains carry same weight.

    Measured: 12 weeks

  2. Change From Baseline in ESSDAI Score at Week 12

    Change from baseline in European League Against Rheumatism (EULAR) Sjogren's Syndrome Disease Activity Index (ESSDAI) Score is defined as the change in score between baseline (Week -1) and Week 12. The ESSDAI is a physician-assessed disease activity index for primary Sjögren's syndrome developed by the EULAR consortium. It consists of 44 items in 12 organ-specific 'domains' contributing to disease activity (constitutional, lymphadenopathy, articular, muscular, cutaneous, glandular, pulmonary, renal, peripheral nervous system, central nervous system, hematological, biological). Each domain is assessed for activity level (i.e., no, low, moderate, high) and assigned a numerical score based on pre-determined weighting of each individual domain. An overall score is then calculated as the sum of all individual weighted domain scores. Overall score is calculated as sum of all individual weighted domain scores (ranges from 0 (best) to 123 (worst activity).

    Measured: Baseline (Week -1), Week 12

  3. Change From Baseline in ESSPRI Score at Week 12

    Change from baseline in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) Score is defined as the change in score between baseline (Week -1) and Week 12. The ESSPRI is a patient-reported, subjective symptom index for primary Sjögren's syndrome developed by the EULAR consortium. It consists of three questions covering the cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). Each domain scored on scale of 0-10 (0 =no symptom at all and 10 = worst symptom imaginable), and an overall score is calculated as the mean of the three individual domains where all domains carry the same weight.

    Measured: Baseline (Week -1), Week 12

  4. Change From Baseline in Short Form 36 Health Survey (SF-36) Mental Score at Week 12

    Change from baseline in Short Form-36 Health Survey (SF-36) Mental score is defined as the change in score between baseline (Week -1) and Week 12. The SF-36 was used to assess health-related quality of life at baseline and at on-treatment visits. The SF-36 consisted of 36 questions covering 8 domains (general health, physical functioning, role-functioning physical, bodily pain, social functioning, role-functioning emotional, mental health, and vitality), with each domain scoring on a scale 0-100 (a score of 0 = maximum disability and a score of 100 = no disability). Reported here is the mental health domain score.

    Measured: Baseline (Week -1), Week 12

  5. Change From Baseline in SF-36 Physical Score at Week 12

    Change from baseline in Short Form-36 Health Survey (SF-36) Physical Score is defined as the change in score between baseline (Week -1) and Week 12. The SF-36 was used to assess health-related quality of life at baseline and at on-treatment visits. The SF-36 consisted of 36 questions covering 8 domains (general health, physical functioning, role-functioning physical, bodily pain, social functioning, role-functioning emotional, mental health, and vitality), with each domain scoring on a scale 0-100. (a score of 0 = maximum disability and a score of 100 = no disability)

    Measured: Baseline (Week -1), Week 12

  6. Change From Baseline in ESSPRI Dryness Component Score at Week 12

    Change from baseline in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) dryness component score is defined as the change in score between baseline (Week -1) and Week 12. The Dryness Component score ranged from 0-10 (0 =no symptom at all and 10 = worst symptom imaginable).

    Measured: Baseline (Week -1), Week 12

  7. Change From Baseline in ESSPRI Fatigue Component Score at Week 12

    Change from baseline in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) fatigue component score is defined as the change in score between baseline (Week -1) and Week 12. The ESSPRI score consists of three questions covering the cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). Each domain scored on scale of 0-10 (0 =no symptom at all and 10 = worst symptom imaginable).

    Measured: Baseline (Week -1), Week 12

  8. Change From Baseline in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) Pain Component Score at Week 12

    Change from baseline in EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) pain component score is defined as the change in score between baseline (Week -1) and Week 12. The ESSPRI score consists of three questions covering the cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). Each domain scored on scale of 0-10 (Each domain scored on scale of 0-10 (0 = no symptom at all and 10 = worst symptom imaginable).

    Measured: Baseline (Week -1), Week 12

  9. Change From Baseline in Tear Flow Rate at Weeks 2, 6, and 12

    Un-stimulated tear production rate was measured from both eyes (without the use of analgesics/ anesthetic drops) at baseline and at on-treatment visits using the Schirmer method. A thin strip of filter paper (Schirmer strip, e.g., 35 x 5 mm) was placed at the junction of the lateral and middle thirds of the lower eyelid of each eye. The maximum length of wetting along the strip at the end of the test period was measured.

    Measured: Baseline, Week 2, Week 6, and Week 12

  10. Change From Baseline in Mechanically Stimulated Salivary Flow Rate at Weeks 2, 6, and 12

    Change from baseline in mechanically stimulated salivary flow rate is defined as the change in flow (mL/min) between baseline (Week -1) and Week 2, Week 6 and Week 12. Using a mechanical stimulation method of a piece of neutral wax, paraffin, silicone, unflavored chewing gum, or similar chewable, unflavored, nonabsorbent material, patients were instructed to chew for a period of 5 minutes. The stimulated salivary flow rate was calculated assuming a specific gravity of 1 (i.e., 1 mL saliva = 1 g) and expressed in mL per minute.

    Measured: Baseline, Week 2, Week 6, and Week 12

  11. Change From Baseline in Anti-Sjögren's-Syndrome-Related Antigen A at Weeks 6, and 12

    Anti-Sjögren's-syndrome-related antigen A is a type of antibody found in the auto-antibody titers.

    Measured: Baseline, Week 6, and Week 12

  12. Change From Baseline in Anti-Sjögren's-Syndrome-Related Antigen B at Weeks 6, and 12

    Anti-Sjögren's-syndrome-related antigen B is a type of antibody found in the auto-antibody titers.

    Measured: Baseline, Week 6, and Week 12

  13. Change From Baseline in Rheumatoid Factor at Weeks 6, and 12

    Rheumatoid factor is a type of auto-antibody found in the auto-antibody titers.

    Measured: Baseline, Week 6, and Week 12

  14. Change From Baseline in Total Immunoglobulin G (IgG) at Weeks 6, and 12

    Total IgG is a type of auto-antibody found in the auto-antibody titers.

    Measured: Baseline, Week 6, and Week 12

  15. Change From Baseline in Total Immunoglobulin M (IgM) at Weeks 6, and 12

    Total IgM is a type of auto-antibody found in the auto-antibody titers.

    Measured: Baseline, Week 6, and Week 12

  16. Minimum Concentration (Cmin) of RO5459072

    Minimum observed plasma concentration (mass/volume)

    Measured: Week 2, Week 6, and Week 12

  17. Maximum Concentration (Cmax) of RO5459072

    Maximum observed plasma concentration (mass/volume)

    Measured: Week 2, Week 6, and Week 12

  18. Average Concentration (Caverage) of RO5459072

    Average observed plasma concentration (mass/volume)

    Measured: Week 2, Week 6, and Week 12

  19. Percentage of Participants With Adverse Events

    An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

    Measured: Baseline up to Week 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Mar 2016 (estimated)
  2. Study start5 Jul 2016
  3. Primary completion10 Jul 2017
  4. Study completion10 Jul 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02701985
Sponsor's protocol ID
BP30037
Other IDs
2015-004476-30, 2015
Status last verified
Jul 2018
First submitted
3 Mar 2016
Last updated
1 Aug 2018

Publications

  • Bentley D, Fisher BA, Barone F, Kolb FA, Attley G. A randomized, double-blind, placebo-controlled, parallel group study on the effects of a cathepsin S inhibitor in primary Sjogren's syndrome. Rheumatology (Oxford). 2023 Nov 2;62(11):3644-3653. doi: 10.1093/rheumatology/kead092.

    PubMed 36864622

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RO5459072 in people with Sjogren's Syndrome, run by Hoffmann-La Roche at 31 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, United Kingdom, France, Poland, Portugal and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Aug 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With a Clinically Relevant Decrease in European League Against Rheumatism (EULAR) Sjogren's Syndrome Disease Activity Index (ESSDAI) Score (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02701985, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Aug 2018.

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