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AzTrials

Autoimmune DisorderPhase 2NCT04186871

Study to Assess Safety and Effectiveness of Branebrutinib Treatment in Participants With Active Systemic Lupus Erythematosus or Primary Sjögren's Syndrome, or Branebrutinib Treatment Followed by Open-label Abatacept Treatment in Study Participants With Active Rheumatoid Arthritis

A Phase 2 study testing branebrutinib and abatacept in people with Autoimmune Disorder and Rheumatoid Arthritis, run by Bristol-Myers Squibb at 81 sites in 10 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and effectiveness of treatment with branebrutinib treatment in participants with active systemic Lupus Erythematosus (SLE) or Primary Sjögren's Syndrome (pSS), or branebrutinib treatment followed by open-label abatacept treatment in study participants with active… Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
branebrutinib and abatacept
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
119 participants
Where
81 sitesin 10 countries
Study dates
7 Jan 2020to 5 Dec 2022
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

  • Sub-study for Systemic Lupus Erythematosus (SLE)
  • Active SLE as defined by the Systemic Lupus Erythematosus International Collaborating Clinics (SLICC) classification
  • Diagnosed with SLE more than 24 weeks before screening visit
  • Sub-study for primary Sjögren's Syndrome (pSS)
  • Moderate to severe pSS, meeting ACR-EULAR classification criteria
  • Sub-study for active Rheumatoid Arthritis (RA)
Show all 9Show fewer
  • Moderate to severe adult-onset RA
  • ACR global functional status class I to III
  • Women and men must agree to follow instructions for methods of contraception.

Who cannot join

  • Sub-study for SLE
  • Certain other autoimmune diseases and overlap syndromes
  • Sub-study for pSS
  • Certain other immune-mediated diseases, active fibromyalgia, or other medical conditions
  • Sub-study for RA
  • Diagnosis with juvenile arthritis or idiopathic arthritis before age 16
Show all 10Show fewer
  • For all sub-studies:
  • History of any significant drug allergy
  • Active infection, significant concurrent medical condition, or clinically significant abnormalities
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

81 sites in 10 countries.

81 sites in 10 countries

United States40 sites
  • Local Institution - 0041

    Ann Arbor, Michigan, 48109

  • Local Institution

    Brandon, Florida, 33511

  • Local Institution - 0008

    Charlotte, North Carolina, 28204

  • Local Institution - 0092

    Colleyville, Texas, 76034

  • Local Institution - 0002

    Covina, California, 91723

  • Local Institution

    Dallas, Texas, 75231

  • Local Institution - 0062

    DeBary, Florida, 32713

  • Local Institution - 0010

    Duncansville, Pennsylvania, 16635

  • Local Institution - 0024

    Encino, California, 91436

  • Local Institution

    Evansville, Indiana, 47715

  • Local Institution - 0082

    Grand Blanc, Michigan, 48439

  • Local Institution - 0035

    Hialeah, Florida, 33016

  • Local Institution - 0063

    Houston, Texas, 77084

  • Local Institution - 0079

    Jackson, Tennessee, 38305

  • Local Institution

    Jacksonville, Florida, 32209

  • Local Institution - 0007

    Las Vegas, Nevada, 89119

  • Local Institution - 0009

    Lawrenceville, Georgia, 30046

  • Local Institution - 0056

    Lincoln, Nebraska, 68516

  • Local Institution

    Manhasset, New York, 11030

  • Local Institution - 0001

    Memphis, Tennessee, 38119

  • Local Institution - 0016

    Mesquite, Texas, 75150

  • Local Institution

    Minot, North Dakota, 58701

  • Local Institution - 0005

    Monroe, Louisiana, 71203

  • Local Institution

    New York, New York, 10016

  • Local Institution - 0023

    Oklahoma City, Oklahoma, 73103-2433

  • Local Institution - 0022

    Oklahoma City, Oklahoma, 79112

  • Local Institution - 0045

    Orangeburg, South Carolina, 29118

  • Local Institution - 0019

    Phoenix, Arizona, 85032

  • Local Institution - 0030

    Plano, Texas, 75024

  • Local Institution - 0029

    Plantation, Florida, 33324

  • Local Institution - 0006

    Salisbury, North Carolina, 28144

  • Local Institution - 0031

    San Antonio, Texas, 78215

  • Local Institution - 0034

    San Diego, California, 92108

  • Local Institution - 0014

    Skokie, Illinois, 60076

  • Local Institution - 0083

    Spokane, Washington, 99204

  • Local Institution - 0096

    St Louis, Missouri, 63131

  • Local Institution - 0040

    St Louis, Missouri, 63141

  • Local Institution - 0021

    Summerville, South Carolina, 29486

  • Local Institution - 0032

    Upland, California, 91786

  • Local Institution

    Waco, Texas, 76710

Other trials in United States

Poland11 sites
  • Local Institution - 0094

    Bialystok, 15-879

  • Local Institution - 0089

    Bydgoszcz, 85-065

  • Local Institution - 0072

    Bydgoszcz, 85-168

  • Local Institution - 0012

    Elblag, 82-300

  • Local Institution - 0073

    Elblag, 82-300

  • Local Institution - 0011

    Poznan, 60-773

  • Local Institution - 0091

    Torun, 87-100

  • Local Institution - 0017

    Warsaw, 00-660

  • Local Institution - 0033

    Warsaw, 02-691

  • Local Institution - 0101

    Warsaw, 02-793

  • Local Institution - 0026

    Warsaw, 03-291

Other trials in Poland

Mexico8 sites
  • Local Institution - 0102

    Cuernavaca, Morelos, 62290

  • Local Institution - 0060

    Guadalajara, Jalisco, 44160

  • Local Institution - 0042

    Guadalajara, Jalisco, 44650

  • Local Institution - 0104

    Mérida, Yucatán, 97000

  • Local Institution - 0114

    San Luis Potosí City, 78200

  • Local Institution - 0050

    San Luis Potosí City, 78213

  • Local Institution - 0059

    San Luis Potosí City, 78240

  • Local Institution - 0113

    Zapopan, Jalisco, 45070

Other trials in Mexico

Germany5 sites
  • Local Institution - 0038

    Berlin, 10117

  • Local Institution - 0037

    Cologne, 50937

  • Local Institution - 0049

    Freiburg im Breisgau, 79106

  • Local Institution - 0074

    Herne, 44649

  • Local Institution - 0051

    München, 80336

Other trials in Germany

Spain5 sites
  • Local Institution - 0028

    A Coru, 15006

  • Local Institution - 0036

    Barcelona, 08035

  • Local Institution - 0025

    Málaga, 29010

  • Local Institution - 0018

    Seville, 41010

  • Local Institution - 0061

    Valencia, 46010

Other trials in Spain

Argentina3 sites
  • Local Institution - 0065

    Ciudad Autonoma de Buenos Aires, Buenos Aires, C1431FWO

  • Local Institution - 0066

    San Juan, J5402DIL

  • Local Institution - 0047

    San Miguel de Tucum, Tucumán Province, T4000AXL

Other trials in Argentina

France3 sites
  • Local Institution - 0075

    Brest, 29609

  • Local Institution - 0070

    Marseille, 13003

  • Local Institution - 0067

    Montpellier, 34295

Other trials in France

United Kingdom3 sites
  • Local Institution - 0076

    Leeds, LS7 4SA

  • Local Institution - 0058

    London, SE1 9RT

  • Local Institution - 0052

    Southampton, SO16 6YD

Other trials in United Kingdom

Belgium2 sites
  • Local Institution - 0064

    Ghent, 9000

  • Local Institution - 0069

    Leuven, 3000

Other trials in Belgium

Netherlands1 site
  • Local Institution - 0004

    Groningen, 9713 GZ

Other trials in Netherlands

About this study

Official title: A Randomized, Placebo-Controlled, Double-Blind, Multicenter Study to Assess the Efficacy and Safety of Branebrutinib Treatment in Subjects With Active Systemic Lupus Erythematosus or Primary Sjögren's Syndrome, or Branebrutinib Treatment Followed by Open-label Abatacept Treatment in Subjects With Active Rheumatoid Arthritis

The purpose of this study is to evaluate the safety and effectiveness of treatment with branebrutinib treatment in participants with active systemic Lupus Erythematosus (SLE) or Primary Sjögren's Syndrome (pSS), or branebrutinib treatment followed by open-label abatacept treatment in study participants with active Rheumatoid Arthritis (RA).

Being tested
branebrutinib, abatacept, branebrutinib placebo
Medical subject headings
Autoimmune Diseases, Arthritis, Rheumatoid, Lupus Erythematosus, Systemic

What participants receive

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

  • branebrutinibDrug

    Specified dose on specified days

  • abataceptDrug

    Specified dose on specified days

  • branebrutinib placeboDrug

    Specified dose on specified days

Study groups in NCT04186871
Study groupRoleWhat they receive
Systemic Lupus Erythematosus (SLE): branebrutinibExperimentalNot described
Receives: Drug: branebrutinib
SLE: placeboPlacebo comparatorNot described
Receives: Drug: branebrutinib placebo
Primary Sjögren's Syndrome (pSS): branebrutinibExperimentalNot described
Receives: Drug: branebrutinib
pSS: placeboPlacebo comparatorNot described
Receives: Drug: branebrutinib placebo
Rheumatoid Arthritis (RA): branebrutinib followed by abataceptExperimentalNot described
Receives: Drug: branebrutinib; Drug: abatacept
RA: placebo followed by abataceptPlacebo comparatorNot described
Receives: Drug: abatacept; Drug: branebrutinib placebo

What is being measured

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

  1. The Percent of Participants With mCLASI Response at Week 24 and Corticosteroid (CS) < 10 mg/Day at Week 20 and Week 24 - SLE

    mCLASI response is defined as a decrease of ≥ 50% from baseline mCLASI activity score, in participants with a baseline mCLASI activity score ≥ 10, at Week 24. Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    To be considered as meeting the second criterion, the CS (prednisone or equivalent) dose had to remain stable and ≤ 10 mg from Week 16 until Week 24.

    The modified CLASI (mCLASI) is defined as the activity portions of CLASI that describe skin erythema and scale/hypertrophy and inflammation of the scalp. The percentage of patients who entered the study with a positive mCLASI activity score (≥ 10) and who achieved a ≥ 50% decrease from baseline at Week 24 is considered to likely represent a clinically meaningful improvement. The scores are calculated by simple addition based on the extent of the symptoms.

    mCLASI: Modified Cutaneous Lupus Erythematosus Disease Area and Severity Index

    Measured: Week 24

  2. The Percent of Participants With Composite Response at Week 24 - pSS

    Composite response is defined as the percent of participants with at least 3 of the following at Week 24:

    • Decrease of ≥ 1 point or 15% from baseline in the ESSPRI Total Score
    • Decrease of ≥ 3 points from baseline in ESSDAI score
    • Decrease of ≥ 25% from baseline in ocular staining score, or if normal score at baseline no change to abnormal
    • Increase of ≥ 25% from baseline in stimulated salivary flow
    • Improvement in one or more serological markers (rheumatoid factor (RF), immunoglobulin G protein (IgG), complement C3 or C4, cryoglobulin).

    Measured: Week 24

  3. Percent of Participants With ACR50 Response at Week 12 Compared to Baseline - RA

    ACR50 response is defined as both improvement of 50% in the number of tender and swollen joints and a 50% improvement in 3 of the following 5 criteria:

    • Subject global assessment (SGA)
    • Physician global assessment (PGA)
    • Functional ability measure
    • Pain visual analog scale (VAS)
    • Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP).

    Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 12

Secondary outcomes (8)
  1. Change From Baseline in SLEDAI-2K Score at Week 24 - SLE

    The SLEDAI-2K is a global index providing a total score of overall disease activity ranging from 0 to 105, with higher scores representing more active disease. The SLEDAI index includes 24 items divided into 9 organ systems: neurological, musculoskeletal, renal, mucocutaneous, general, heart, respiratory, vascular, and hematological. Each item is scored based on the severity of the symptom or finding, with higher scores indicating more severe disease activity. The weighted scores for each item range from 0 to 8. To calculate the SLEDAI-2K score, the scores for each of the 24 items are added together.

    Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 24

  2. Percent of Participants With BICLA Response at Week 24 - SLE

    BILAG-based composite lupus assessment (BICLA) response is defined as:

    1. At least one gradation of improvement in baseline BILAG scores in all body systems with moderate or severe disease activity at entry
    2. No new BILAG A or more than one new BILAG B scores
    3. No worsening of total SLEDAI score from baseline
    4. No significant deterioration (< 10%) in PGA and
    5. No treatment failure (initiation of nonprotocol treatment).

    BILAG scores: A (severe disease), B (moderate), C (mild), or D (no activity). Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 24

  3. Change From Baseline in DAS28-CRP at Week 12 - RA

    The Disease Activity Score-28-C-Reactive Protein (DAS28CRP) is a composite outcome assessment that measures: 1) How many joints in the hands, wrists, elbows, shoulders, and knees are swollen and/or tender over a total of 28, 2) CRP in the blood to measure the degree of inflammation, and 3) SGA of disease activity.

    DAS28-CRP scores range from 1.0 to 9.4, where lower scores indicate less disease activity. The results are combined to produce the DAS28-CRP score, which correlates with the extent of disease activity:

    < 2.6: Disease remission 2.6 - 3.2: Low disease activity 3.2 - 5.1: Moderate disease activity > 5.1: High disease activity

    A negative change from baseline in DAS28-CRP indicates an improvement. Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 12

  4. Change From Baseline in DAS28-ESR at Week 12 - RA

    The Disease Activity Score Erythrocyte Sedimentation Rate - DAS28ESR is a composite outcome assessment that measures:

    1. How many joints in the hands, wrists, elbows, shoulders, and knees are swollen and/or tender over a total of 28
    2. ESR in the blood to measure the degree of inflammation
    3. SGA of disease activity

    DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity. The results are combined to produce the DAS28-ESR score, which correlates with the extent of disease activity:

    < 2.6: Disease remission 2.6 - 3.2: Low disease activity 3.2 - 5.1: Moderate disease activity > 5.1: High disease activity

    A negative change from baseline in DAS28-ESR indicates an improvement. Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 12

  5. Change From Baseline in SDAI at Week 12- RA

    The Simplified Disease Activity Index (SDAI) is the sum of the tender joint score (range 0 to 28), the swollen joint score (range 0 to 28), the subject global assessment (SGA) of disease activity (range 0 to 10 in increments of 0.5), the PGA of disease activity (range 0 to 10 in increments of 0.5), and C-reactive protein (CRP) test result. Baseline values are defined as the last nonmissing value prior to the first dose of study treatment. A SDAI score ranges from 0 (disease remission) to 86 (high disease activity).

    Measured: Week 12

  6. Change From Baseline in CDAI at Week 12 - RA

    The Clinical Disease Activity Index (CDAI) is the sum of the tender joint score (range 0 to 28), the swollen joint score (range 0 to 28), the SGA of disease activity (range 0 to 10 in increments of 0.5), and the PGA of disease activity (range 0 to 10 in increments of 0.5). Baseline values are defined as the last nonmissing value prior to the first dose of study treatment. A CDAI score ranges from 0 to 76.

    The interpretation of CDAI is as follows:

    0.0 - 2.8: Disease remission 2.9 - 10.0: Low disease activity (LDA) 10.1 - 22.0: Moderate disease activity 22.1 - 76.0: High disease activity

    Measured: Week 12

  7. Percent of Participants With ACR20 Response Compared to Baseline at Week 12 - RA

    ACR20 defined as both improvement of 20% in the number of tender and swollen joints and a 20% improvement in 3 of the following 5 criteria:

    • Subject global assessment (SGA)
    • Physician global assessment (PGA)
    • Functional ability measure
    • Pain visual analog scale (VAS)
    • Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP).

    Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 12

  8. Percent of Participants With ACR70 Response Compared to Baseline at Week 12 - RA

    ACR70 is defined as both improvement of 70% in the number of tender and swollen joints and a 70% improvement in 3 of the following 5 criteria:

    • Subject global assessment (SGA)
    • Physician global assessment (PGA)
    • Functional ability measure
    • Pain visual analog scale (VAS)
    • Erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP).

    Baseline values are defined as the last nonmissing value prior to the first dose of study treatment.

    Measured: Week 12

Timeline

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

  1. First posted5 Dec 2019
  2. Study start7 Jan 2020
  3. Primary completion5 Dec 2022
  4. Study completion5 Dec 2022

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04186871
Sponsor's protocol ID
IM014-029
Other IDs
2019-002205-22, 2019
Status last verified
Jan 2024
First submitted
28 Nov 2019
Last updated
16 Jan 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Ostergaard M, Haavardsholm EA, Nowak M, Luo Y, Landis J, Fura A, Pachai C, Rotich D, Wang-Fischer Y, Carayannopoulos LN, Zammit D, Karabeber H, Wang A, Grasela DM. Efficacy and safety of branebrutinib (BMS-986195), an irreversible Bruton's tyrosine kinase inhibitor, for the treatment of rheumatoid arthritis: a phase 2a, randomised, double-blind, placebo-controlled study. Lancet Rheumatol. 2026 Jul;8(7):e539-e549. doi: 10.1016/S2665-9913(25)00374-1. Epub 2026 May 1.

    PubMed 42081904

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing branebrutinib and abatacept in people with Autoimmune Disorder and Rheumatoid Arthritis, run by Bristol-Myers Squibb at 81 sites in 10 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 9 inclusion and 10 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 16 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in United States, Poland, Mexico, Germany, Spain and 5 more countries. 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 16 Jan 2024). 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?

The Percent of Participants With mCLASI Response at Week 24 and Corticosteroid (CS) < 10 mg/Day at Week 20 and Week 24 - SLE (time frame: Week 24). The study lists 3 primary outcomes in all. 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 NCT04186871, 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 16 Jan 2024.

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