Sjogrens SyndromePhase 3DAFFODILNCT06741969
Nipocalimab in Moderate to Severe Sjogren's Disease
A Phase 3 study testing Nipocalimab in people with Sjogrens Syndrome, run by Janssen Research & Development, LLC at 254 sites in 28 countries.
Trial summary
The purpose of this study is to evaluate the clinical efficacy and safety of nipocalimab in participants with moderate to severe Sjogren's disease (SjD). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Sjogrens Syndrome
- What is being tested?
- Nipocalimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 655 participants
- Where
- 254 sitesin 28 countries
- Study dates
- 4 Dec 2024to 18 May 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Medically stable on the basis of physical examination, medical history, vital signs, clinical laboratory tests, and 12-lead electrocardiogram (ECG) performed at screening
- Meets criteria for diagnosis of SjD by the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) classification criteria
- Seropositive for antibodies to Ro/SSA (Ro60 and/or Ro52) at screening
- Total ClinESSDAI score greater than or equal to (>=) 5 at screening
- Participants of childbearing potential must have a negative highly sensitive serum (beta-hCG) pregnancy test at screening and a negative urine pregnancy test at Week 0 prior to randomization
Who cannot join
- Has a history of severe, progressive and/or uncontrolled hepatic, gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension, and/or any other medical or uncontrolled autoimmune disorder or clinically significant abnormalities in screening laboratory
- Known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients or excipients used in the placebo formulation
- Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her SjD or has a family history of congenital or hereditary immunodeficiency
- Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis, to therapeutic proteins (for example [e.g.], monoclonal antibodies, intravenous immunoglobulin)
- Has any unstable or progressive manifestation of SjD that is likely to warrant escalation in therapy beyond permitted background medications
Trial locations and contacts
254 sites in 28 countries.
254 sites in 28 countries
United States43 sites
Amarillo Medical Specialists LLP
Amarillo, Texas, 79124
Overlake Arthritis and Osteoporosis Center
Bellevue, Washington, 98004
Joint and Muscle Research Institute
Charlotte, North Carolina, 28204
Atrium Health SouthPark Rheumatology
Charlotte, North Carolina, 28211
Tidewater Clinical Research
Chesapeake, Virginia, 23320
Advanced Clinical Research Center
Chula Vista, California, 91910
Clinical Research of West Florida Inc
Clearwater, Florida, 33765
Denver Arthritis Clinic
Denver, Colorado, 80230
Altoona Center For Clinical Research
Duncansville, Pennsylvania, 16635
St. Paul Rheumatology P A
Eagan, Minnesota, 55123
Wright State Physicians Health Center
Fairborn, Ohio, 45324
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242
West Tennessee Research Institute
Jackson, Tennessee, 38305
UF Health Rheumatology
Jacksonville, Florida, 32256
University of Kansas Medical Center
Kansas City, Kansas, 66160
AARA Clinical Research- Kansas City Physicians Partners
Kansas City, Missouri, 64151
Arthritis & Osteoporosis Medical Center - La Palma
La Palma, California, 90623
Alpine Research TC LLC
Layton, Utah, 84041
Providence Medical Foundation
Mission Viejo, California, 92691
NovaMed Research
Monterey Park, California, 91754
AARA Clinical Research - Murfreesboro Medical Clinic
Murfreesboro, Tennessee, 37128
Suncoast Clinical Research
New Port Richey, Florida, 34652
NYU Langone Health - Clinical and Translational Science Institute
New York, New York, 10016
Pioneer Clinical Research NY
New York, New York, 10016
OMRF Rheumatology Center of Excellence
Oklahoma City, Oklahoma, 73104
Rheumatology Associates of Oklahoma
Oklahoma City, Oklahoma, 73116
Clinical Research Philadelphia
Philadelphia, Pennsylvania, 19114
Texas Rheumatology Research Institute LLC
Plano, Texas, 75024
Clinical Research Institute of Michigan, LLC
Saint Clair Shores, Michigan, 48081
Onsite Clinical Solutions
Salisbury, North Carolina, 28144
Medvin Clinical Research San Leandro
San Leandro, California, 94578
Providence Saint John s Health Center
Santa Monica, California, 90404
Sarasota Arthritis Center
Sarasota, Florida, 34239
Clinical Investigation Specialists - Clinic of Robert Hozman
Skokie, Illinois, 60076
BioResearch Partner
South Miami, Florida, 33143
Fort Bend Rheumatology Associates PLLC
Sugar Land, Texas, 77479
Low Country Rheumatology PA
Summerville, South Carolina, 29486
Immunology and Rheumatology Research Associates LLC
Suwanee, Georgia, 30024
Advanced Rheumatology of Houston
The Woodlands, Texas, 77382
Solace Clinical Research California
Tustin, California, 92780
Inland Rheumatology Clinical Trials Inc.
Upland, California, 91786
Arthritis Rheumatic And Back Disease Associates
Voorhees Township, New Jersey, 08043
Willow Rheumatology and Wellness PLLC
Willowbrook, Illinois, 60527
China30 sites
Beiijing Friendship Hospital, Capital Medical University
Beijing, 100050
Peking University Third Hospital
Beijing, 100191
Xiangya Hospital Central South University
Changsha, 410008
Changzhou No 2 Peoples Hospital
Changzhou, 213164
West China Hospital Sichuan University
Chengdu, 610041
Dazhou Central Hospital
Dazhou, 635002
First Affiliated Hospital of Gannan Medical University
Ganzhou, 341006
Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
Guangzhou, 510275
The Affiliated Hospital of Guizhou Medical University
Guiyang, 550004
The Second Affiliated Hospital of Zhejiang University College of Medicine
Hangzhou, 311608
Anhui Provincial Hospital
Hefei, 230001
Shandong Provincial Hospital
Jinan, 250021
Jinhua municipal central hospital
Jinhua, 321013
Linyi City People Hospital
Linyi, 276002
The First Affiliated Hospital of NanChang University
Nanchang, 330019
Affiliated Hospital of North Sichuan Medical College
Nanchong, 637503
Zhongda Hospital Southeast University
Nanjing, 210009
The People's Hospital of Guangxi Zhuang Autonomous Region
Nanning, 530000
Ningbo medical center lihuili hospital
Ningbo, 315041
Huashan Hospital affiliated to Fudan University
Shanghai, 200031
Shenshan Medical Center Memorial Hospital of Sun Yat Sen University
Shanwei, 516601
The Second Hospital of Hebei Medical University
Shijiazhuang, 050004
Shanxi Academy of Medical Sciences
Taiyuan, 030000
Tianjin First Central Hospital
Tianjin, 300384
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000
The first affiliated hospital of xiamen university
Xiamen, 361003
Xinxiang Central Hospital
Xinxiang, 453099
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, 221000
People s Hospital of Ningxia Hui Autonomous Region
Yinchuan, 750031
Zhongshan Traditional Chinese Medicine Hospital
Zhongshan, 528401
Poland14 sites
MICS Centrum Medyczne Bydgoszcz
Bydgoszcz, 85 065
Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy
Bydgoszcz, 85 168
ETG Debica
Dębica, 39 200
Malopolskie Badania Kliniczne Sp z o o
Krakow, 30-002
Futuremeds Krakow
Krakow, 31 501
ETG Lublin Poradnie Specjalistyczne
Lublin, 20 412
Etyka Osrodek Badan Klinicznych Tomasz Pesta S K A
Olsztyn, 10 117
AI Centrum Medyczne
Poznan, 61 113
ETG Siedlce
Siedlce, 08 110
MICS Centrum Medyczne Warszawa
Warsaw, 00 874
Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher
Warsaw, 02 637
FutureMeds Targowek
Warsaw, 03 291
Centrum Medyczne Oporow
Wroclaw, 52 416
FutureMeds Wroclaw
Wroclaw, 53 673
Brazil13 sites
Instituto D Or de Pesquisa e Ensino 1
Brasília, 70390 700
Ceti - Centro de Estudos Em Terapias Inovadoras
Curitiba, 80030 110
Hospital De Clinicas De Porto Alegre
Porto Alegre, 90035 903
Hospital Moinhos de Vento
Porto Alegre, 90035-001
LMK Servicos Medicos S S
Porto Alegre, 90480 000
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto
Ribeirão Preto, 14048 900
SER - Servicos Especializados em Reumatologia da Bahia
Salvador, 40150 150
IDOR - Regional Bahia
Salvador, 41253-190
Funfarme Sjrp
São José do Rio Preto, 15090-000
Hospital Samaritano de Sao Paulo
São Paulo, 01243 020
CEPIC Centro Paulista de Investigacao Clinica e Servicos Medicos
São Paulo, 04266 010
Hospital Das Clinicas Da Faculdade De Medicina Da USP
São Paulo, 05403 000
CEDOES Centro de Pesquisa Clinica e Diagnostico do Espirito Santo Ltda
Vitória, 29055 450
Japan12 sites
St. Luke's International Hospital
Chūōku, 104 8560
Tokyo Metropolitan Tama Medical Center
Fuchū, 183 8524
National Hospital Organization Kyushu Medical Center
Fukuoka, 810 8563
National Hospital Organization Osaka Minami Medical Center
Kawachi-Nagano, 586 8521
Shinkenko Clinic
Naha, 900 0015
Okayama City General Medical Center Okayama City Hospital
Okayama, 700 8557
Hokkaido University Hospital
Sapporo, 060 8648
Sasebo Chuo Hospital
Sasebo, 857 1195
Tohoku Medical And Pharmaceutical University Hospital
Sendai, 983 0005
Dokkyo Medical University Hospital
Shimotsuga Gun, 321 0293
Tokyo Metropolitan Bokutoh Hospital
Sumida Ku, 130 8575
Nihon University Itabashi Hospital
Tokyo, 173 8610
Germany11 sites
Krankenhaus Porz am Rhein
Cologne, 51149
Universitatsklinikum Carl Gustav Carus Dresden
Dresden, 01307
Universitatsklinikum Erlangen Medizinische Klinik 3
Erlangen, 91054
Universitatsklinikum Freiburg
Freiburg im Breisgau, 79106
Hamburger Rheuma Forschungszentrum II
Hamburg, 20095
Medizinische Hochschule Hannover
Hanover, 30625
Rheumazentrum Ruhrgebiet
Herne, 44649
Klinikum der Universitaet Muenchen
München, 80336
Medicover Muenchen Ost MVZ
München, 81667
Rheumazentrum Ratingen
Ratingen, 40878
Universitaetsklinikum Wuerzburg
Würzburg, 97080
Argentina10 sites
Instituto Medico De Alta Complejidad (IMAC)
Buenos Aires, B1643CRO
Centro de Investigacion San Miguel CISM
Buenos Aires, B1663GJE
Mautalen Salud e Investigacion
CABA, C1128AAF
Centro Medico del Dr. Javier Gerardo Tartaglione
Cdad Autonoma de Buenos Aires, C1123AAO
Centro de Investigacion en Enfermedades Reumaticas CIER
Ciudad de Buenos Aires, C1055
Centro Medico Barrio Parque. Swiss Medical Group
Ciudad de Buenos Aires, C1414
Cosultorios Reumatologógicos Pampa
Ciudad de Buenos Aires, C1428
Cer Instituto Medico
Quilmes, B1878DVB
MR Medicina Reumatologica
San Fernando, B1646GHP
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, T4000AXL
Italy10 sites
Ospedale San Raffaele
Milan, 20132
Centro Specialistico Ortopedico Traumatologico Gaetano Pini CTO
Milan, 20122
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Azienda Ospedaliera di Perugia Ospedale S.Maria della Misericordia
Perugia, 06129
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Umberto I Policlinico di Roma
Roma, 00161
Fondazione Policlinico Universitario A Gemelli IRCCS
Roma, 00168
Campus Bio Medico di Roma
Roma, 128
Istituto Clinico Humanitas
Rozzano, 20089
Ospedale S. Maria Della Misericordia
Udine, 33100
Bulgaria9 sites
UMHAT Kaspela
Plovdiv, 4001
Medical Center Artmed
Plovdiv, 4002
Medical Center Teodora
Rousse, 7003
Lyulin Multi Profile Hospital For Active Medical Treatment
Sofia, 1336
Diagnostic-Consultative Center (DCC) Aleksandrovska
Sofia, 1431
St Ivan Rilski University Multiprofile Hospital For Active Treatment
Sofia, 1431
Military Medical Academy Multiprofile Hospital for Active Treatment Sofia
Sofia, 1606
Diagnostic Consultative Center - DCC Equita EOOD
Varna, 9000
MHAT 'St. Marina' EAD
Varna, 9010
France8 sites
CHU de Brest - Hopital de la Cavale Blanche
Brest, 29200
CHU Dijon Bourgogne - Hopital Francois Mitterrand
Dijon, 21000
Hopital Bicetre Aphp Hopitaux Universitaires Paris Sud
Le Kremlin-Bicêtre, 94270
CHRU de Lille Hopital Claude Huriez
Lille, 59037
CHRU Montpellier Hopital Lapeyronie
Montpellier, 34090
CHU Saint Etienne Hopital Nord
Saint-Priest-en-Jarez, 42270
CHRU de Strasbourg - Hopital de Hautepierre
Strasbourg, 67200
CHU Bordeaux
Talence, 33400
Israel8 sites
Barzilai Medical Center
Ashkelon, 7830604
Rambam Health Care Campus
Haifa, 3109601
Carmel Medical Center
Haifa, 34362
Tzafon Medical Center Poria
Har Poriyya, 1528001
Galil Medical Center
Nahariya, 2210001
Rabin Medical Center
Petah Tikva, 4941492
Sheba Medical Center
Ramat Gan, 5262100
Sourasky Medical Center
Tel Aviv
Mexico8 sites
Centro de Investigacion de Tratamientos Innovadores de Sinaloa
Culiacán, 80000
Clinica de Investigacion en Reumatologia y Obesidad
Guadalajara, 44650
Medical Care & Research SA de CV
Mérida, 97070
CITER Centro de Investigacion y Tratamiento de las Enfermedades Reumaticas S A de C V
México, 06700
Centro Medico Nacional Siglo XXI IMSS
Mexico City, 06720
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico D F, 14080
SMIQ S de R L de C V
Querétaro, 76070
Centro de Alta Especialidad en Reumatologia e Investigacion del Potosi
San Luis Potosí City, 78213
South Korea8 sites
Chonnam National University Hospital
Gwangju, 61469
Seoul National University Bundang Hospital
Seongnam-si, 13620
Seoul National University Hospital
Seoul, 03080
Hanyang University Medical Center
Seoul, 04763
Konkuk University Medical Center
Seoul, 05030
The Catholic University of Korea Seoul St Mary s Hospital
Seoul, 06591
The Catholic university of Korea, St. Vincent's Hospital
Suwon, 16247
Ajou University Hospital
Suwon, 16499
Spain8 sites
Hosp. Cima Sanitas Barcelona
Barcelona, 08034
Hosp Univ Vall D Hebron
Barcelona, 08035
Hosp. de La Santa Creu I Sant Pau
Barcelona, 08041
Hosp. Gral. Juan Ramon Jimenez
Huelva, 21005
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp. de Navarra
Pamplona, 310008
Hosp. Univ. Marques de Valdecilla
Santander, 39008
Hosp. Infanta Luisa
Seville, 41010
United Kingdom8 sites
Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ
Doncaster Royal Infirmary
Doncaster, DN2 5LT
Barts Health NHS Trust
Greater London, E1 4DG
Leeds Teaching Hospitals NHS Trust
Leeds, LS7 4SA
University Hospital Aintree
Liverpool, L9 7AL
West Middlesex University Hospital
London, TW7 6AF
Peterborough City Hospital
Peterborough, PE3 9GZ
Great Western Hospital
Swindon, SN3 6BB
Hungary7 sites
Semmelweis Egyetem Reumatologiai es Immunologiai Klinika
Budapest, 1023
Betegapolo Irgalmas Rend Budai Irgalmasrendi Korhaz
Budapest, 1027
Clinexpert Kft
Budapest, 1033
Del Pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet Szent Laszlo Telephely
Budapest, 1097
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Szegedi Tudomanyegyetem
Szeged, 6725
Vita Verum Medical Egeszsegugyi Szolgaltato Bt
Székesfehérvár, 8000
Romania7 sites
Spitalul Clinic Sf Maria
Bucharest, 011172
Spitalul Clinic Colentina
Bucharest, 020125
Policlinica CCBR SRL
Bucharest, 030463
Hiperdia SA
Bucharest, 041312
Spitalul Clinic Judetean de Urgenta Cluj
Cluj-Napoca, 400006
Medisof Diagnostic S R L
Craiova, 200347
Selfmed Clinique S.R.L.
Timișoara, 300133
Taiwan7 sites
NTU Biomedical Park Hospital
Hsinchu, 302058
Kaohsiung Veterans General Hospital
Kaohsiung City, 81362
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833
Taipei Medical University Shuang Ho Hospital
New Taipei City, 23561
China Medical University Hospital
Taichung, 404332
Taipei Veterans General Hospital
Taipei, 11217
Linkou Chang Gung Memorial Hospital
Taoyuan, 333
Turkey (Türkiye)6 sites
Gulhane Training and Research Hospital
Ankara, 06010
Gazi University Medical Faculty
Ankara, 06560
Ankara Bilkent City Hospital
Ankara, 06800
Uludag University Medical Faculty
Bursa, 16059
Marmara University Istanbul Pendik Education and Research Hospital
Istanbul, 34899
Necmettin Erbakan University
Konya, 42090
Austria5 sites
Medizinische Universitaet Graz
Graz, 8036
SCRI CCCIT gem GmbH
Salzburg, 5020
LK Weinviertel Stockerau
Stockerau, 2000
Medizinische Universitaet Wien
Vienna, 1090
Wiener Gesundheitsverbund Klinik Hietzing
Vienna, 1130
Czechia5 sites
Revmatologie s r o
Brno, 63800
Revimex Pro s r o
Karvina Frystat, 73301
Artroscan s r o
Ostrava, 722 00
Nuselska Poliklinika
Prague, 140 00
MEDICAL PLUS Research, s.r.o.
Uherské Hradiště, 68601
Portugal4 sites
Ipr Inst Port de Reumatologia
Lisbon, 1050 034
Uls Lisboa Ocidental - Hosp. Egas Moniz
Lisbon, 1349 019
Uls Santa Maria - Hosp. Santa Maria
Lisbon, 1649 035
Uls Gaia Espinho
Vila Nova de Gaia, 4434 502
Canada3 sites
Hospital Regional de Rimouski
Rimouski, Quebec, G5L 5T1
Centre de Recherche Musculo Squelettique
Trois-Rivières, Quebec, G9A 3X2
Dr Sabeen Anwar Medicine Professional Corporation
Windsor, Ontario, N8X 1T3
Denmark3 sites
Aarhus University Hospital
Aarhus, 8200
Rigshospitalet
Copenhagen, 2100
Zealand University Hospital
Køge, 4600
Norway2 sites
Oslo universitetssykehus HF, Rikshospitalet
Oslo, 0372
Stavanger University Hospital
Stavanger, 4011
Switzerland2 sites
Universitatsspital Basel
Basel, 4031
Kantonsspital St Gallen
Sankt Gallen, 9000
About this study
Official title: A Randomized, Placebo-controlled, Double-blind, Multicenter Phase 3 Protocol to Assess the Efficacy and Safety of Nipocalimab in Adults With Moderate to Severe Sjogren's Disease (SjD)
The purpose of this study is to evaluate the clinical efficacy and safety of nipocalimab in participants with moderate to severe Sjogren's disease (SjD).
Read the detailed description
This clinical development program for nipocalimab in SjD includes 2 identical double blind, placebo-controlled studies to evaluate the efficacy, safety, and tolerability of nipocalimab in participants greater than or equal to (>=) 18 years of age with moderate to severe SjD.
- Conditions
- Sjogrens Syndrome
- Being tested
- Nipocalimab, Placebo, Standard of care treatment
- Keywords
- Sjogrens Disease
- 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.
NipocalimabDrug
Also called JNJ-80202135, JNJ-86507083, M281
Nipocalimab SC.
PlaceboDrug
Placebo SC.
Standard of care treatmentDrug
Protocol-defined topical and systemic standard of care background treatments.
| Study group | Role | What they receive |
|---|---|---|
| Nipocalimab | Experimental | Participants will receive nipocalimab subcutaneously (SC) along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an open-label long-term extension (OLE) phase, where they will continue to receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study. Receives: Drug: Nipocalimab; Drug: Standard of care treatment |
| Placebo | Placebo comparator | Participants will receive placebo subcutaneously along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an OLE phase, where they will receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study. Receives: Drug: Placebo; Drug: Standard of care treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Clinical European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ClinESSDAI) Score at Week 48
ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD. The ClinESSDAI includes 11 domains divided into 3-4 activity levels, where zero represents no activity and low, medium, and high scores can vary in numerical value depending on the domain being measured. A higher score represents worse disease symptoms.
Measured: Baseline to Week 48
Secondary outcomes (8)
Improvement from Baseline in Minimal Clinically Important Improvement (MCII) in ClinESSDAI Score at Week 48
The ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with Sjogren's syndrome.
Measured: Baseline to Week 48
Improvement from Baseline in ClinESSDAI Score at Week 48 in Participants with High Immunoglobulin (IgG) Levels at Baseline
ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD.
Measured: Baseline to Week 48
Change from Baseline in ClinESSDAI Score at Week 8
ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD.
Measured: Baseline to Week 8
Change from Baseline in Stimulated Salivary Flow Rate at Week 48
Stimulated salivary flow is considered a reliable and objective method to evaluate glandular function in SjD patients.
Measured: Baseline to Week 48
Change from Baseline in Sjogren's Symptoms Dryness Score at Week 48
Participants will be asked to report the worst severity of their dryness symptoms on a 0 to 10 numeric rating scale (NRS), with score 0 indicating "No [specific symptom]" and score 10 indicating "Severe [specific symptom]". Higher scores reflect greater symptom severity. Change from baseline in Sjogren's Symptoms dryness score at Week 48 for US, US reference regions, and other non-US regions will be reported.
Measured: Baseline to Week 48
Change from Baseline in Sjogren's Symptoms Joint Pain Score at Week 48
Participants will be asked to report the worst severity of their joint pain symptoms on a 0 to 10 numeric rating scale (NRS), with score 0 indicating "No [specific symptom]" and score 10 indicating "Severe [specific symptom]". Higher scores reflect greater symptom severity. Change from baseline in Sjogren's Symptoms joint pain score at Week 48 for US, US reference regions, and other non-US regions will be reported.
Measured: Baseline to Week 48
Change from Baseline in EULAR Sjogren's Syndrome Patient Reported Index (ESSPRI) Score At Week 48
ESSPRI is a participant-reported assessment of the severity of dryness, fatigue, and pain associated with primary Sjogren's Syndrome. Participants are asked to rate the severity of dryness, fatigue, and pain on a 0 to 10 NRS, with score 0 indicating "No [specific symptom]" and score 10 indicating "Severe [specific symptom]". A global score, calculated as the mean of the 3 domain scores, ranges from 0 to 10, with higher scores reflecting greater (worse) symptom severity. Change from baseline in Sjogren's Symptoms score at Week 48 for EU, UK \& EU reference regions will be reported.
Measured: Baseline to Week 48
Change from Baseline in Functional Assessment of Chronic Illness Therapy Fatigue (FACIT) Fatigue Score at Week 48
FACIT-Fatigue version 4.0 is a 13-item questionnaire that assesses participant-reported fatigue and its impact upon daily activities and function over the past 7 days. Participants will be asked to answer each question using a 5-point Likert scale (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; and 4=Very much). FACIT-Fatigue has a total score range from 0 to 52, with 0 being the worst possible score and 52 the best.
Measured: Baseline to Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2024
- Study start4 Dec 2024
- Primary completion1 Jan 2028 (estimated)
- Study completion18 May 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sjogrens SyndromeStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned to one of the 2 identical studies (conducted under this single protocol) to make a total of 300 participants in each study. Participants in each study will be randomly assigned to one of the arms nipocalimab or placebo respectively.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 655 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06741969
- Sponsor's protocol ID
- 80202135SJS3001
- Other IDs
- 80202135SJS3001, 2024-513965-38-00
- Acronym
- DAFFODIL
- Status last verified
- Nov 2026
- First submitted
- 18 Dec 2024
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-controlled, Double-blind, Multicenter Phase 3 Protocol to Assess the Efficacy and Safety of Nipocalimab in Adults With Moderate to Severe Sjogren's Disease (SjD)
- ClinicalTrials.gov ID
- NCT06741969
- Acronym / sponsor ID
- DAFFODIL / 80202135SJS3001
- Conditions
- Sjogrens Syndrome
- Keywords
- Sjogrens Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 655 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 4 Dec 2024 (actual)
- Primary completion
- 1 Jan 2028 (estimated)
- Study completion
- 18 May 2029 (estimated)
- First posted
- 19 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the clinical efficacy and safety of nipocalimab in participants with moderate to severe Sjogren's disease (SjD).
Detailed description
This clinical development program for nipocalimab in SjD includes 2 identical double blind, placebo-controlled studies to evaluate the efficacy, safety, and tolerability of nipocalimab in participants greater than or equal to (>=) 18 years of age with moderate to severe SjD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned to one of the 2 identical studies (conducted under this single protocol) to make a total of 300 participants in each study. Participants in each study will be randomly assigned to one of the arms nipocalimab or placebo respectively.
| Arm | Type | Receives |
|---|---|---|
| Nipocalimab | Experimental | Drug: Nipocalimab, Drug: Standard of care treatmentParticipants will receive nipocalimab subcutaneously (SC) along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an open-label long-term extension (OLE) phase, where they will continue to receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Standard of care treatmentParticipants will receive placebo subcutaneously along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an OLE phase, where they will receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Medically stable on the basis of physical examination, medical history, vital signs, clinical laboratory tests, and 12-lead electrocardiogram (ECG) performed at screening
- Meets criteria for diagnosis of SjD by the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) classification criteria
- Seropositive for antibodies to Ro/SSA (Ro60 and/or Ro52) at screening
- Total ClinESSDAI score greater than or equal to (>=) 5 at screening
- Participants of childbearing potential must have a negative highly sensitive serum (beta-hCG) pregnancy test at screening and a negative urine pregnancy test at Week 0 prior to randomization
Key exclusion criteria (5 listed)
- Has a history of severe, progressive and/or uncontrolled hepatic, gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension, and/or any other medical or uncontrolled autoimmune disorder or clinically significant abnormalities in screening laboratory
- Known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients or excipients used in the placebo formulation
- Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her SjD or has a family history of congenital or hereditary immunodeficiency
- Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis, to therapeutic proteins (for example [e.g.], monoclonal antibodies, intravenous immunoglobulin)
- Has any unstable or progressive manifestation of SjD that is likely to warrant escalation in therapy beyond permitted background medications
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NipocalimabAlso: JNJ-80202135, JNJ-86507083, M281Nipocalimab SC. | Drug | Nipocalimab |
| PlaceboPlacebo SC. | Drug | Placebo |
| Standard of care treatmentProtocol-defined topical and systemic standard of care background treatments. | Drug | Nipocalimab, Placebo |
Primary outcome
Change from Baseline in Clinical European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ClinESSDAI) Score at Week 48
Time frame: Baseline to Week 48
ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD. The ClinESSDAI includes 11 domains divided into 3-4 activity levels, where zero represents no activity and low, medium, and high scores can vary in numerical value depending on the domain being measured. A higher score represents worse disease symptoms.
8 secondary outcomes
Improvement from Baseline in Minimal Clinically Important Improvement (MCII) in ClinESSDAI Score at Week 48
Time frame: Baseline to Week 48
Improvement from Baseline in ClinESSDAI Score at Week 48 in Participants with High Immunoglobulin (IgG) Levels at Baseline
Time frame: Baseline to Week 48
Change from Baseline in ClinESSDAI Score at Week 8
Time frame: Baseline to Week 8
Change from Baseline in Stimulated Salivary Flow Rate at Week 48
Time frame: Baseline to Week 48
Change from Baseline in Sjogren's Symptoms Dryness Score at Week 48
Time frame: Baseline to Week 48
Change from Baseline in Sjogren's Symptoms Joint Pain Score at Week 48
Time frame: Baseline to Week 48
Change from Baseline in EULAR Sjogren's Syndrome Patient Reported Index (ESSPRI) Score At Week 48
Time frame: Baseline to Week 48
Change from Baseline in Functional Assessment of Chronic Illness Therapy Fatigue (FACIT) Fatigue Score at Week 48
Time frame: Baseline to Week 48
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Related trials for Sjogrens Syndrome
RecruitingObservational study
The Pathogenesis and Natural History of Sjogren's Disease
Sjogren's Syndrome, Salivary Gland
RecruitingPhase 2
A PHASE II PROSPECTIVE RANDOMIZED DOUBLE-MASKED CONTROLLED STUDY ASSESSING THE SAFETY & EFFICACY OF RHPRG4 (450 µG/ML RECOMBINANT HUMAN PROTEOGLYCAN 4) COMPARED TO VEHICLE FOR THE TREATMENT OF SJÖGREN'S RELATED DRY EYE DISEASE
Sjögren's Syndrome
Active, not recruitingPhase 3
A Randomized, Double-blind 2-arm, Followed by an Open-label 1-arm, NEPTUNUS Extension Study to Assess the Long-term Safety and Efficacy of Ianalumab in Patients With Sjogrens Syndrome.
Sjogrens Syndrome
Not yet recruitingPhase 2
A Study to Assess Efficacy and Safety of Efgartigimod in Adults With Sjogren's Disease-associated Sensorimotor Polyneuropathy or Sensory Polyneuropathy (SERENITY)
Sjogrens Disease, Primary Sjögren's Syndrome Painful Sensory Neuropathies
RecruitingPhase 2
AlloNK®, an Allogeneic Non-genetically Modified, Cord Blood-derived NK Cell Therapy, in Combination With Rituximab, Studied in Relapsing Forms of B-cell Dependent Rheumatologic Diseases.
Refractory Rheumatoid Arthritis (RA), Idiopathic Inflammatory Myopathies (IIMs)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
254 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nipocalimab in people with Sjogrens Syndrome, run by Janssen Research & Development, LLC at 254 sites in 28 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 5 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 254 sites in United States, China, Poland, Brazil, Japan and 23 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Change from Baseline in Clinical European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ClinESSDAI) Score at Week 48 (time frame: Baseline to Week 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Nov 2026.