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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03398837
Registration number
NCT03398837
Ethics application status
Date submitted
5/01/2018
Date registered
16/01/2018
Titles & IDs
Public title
Trial to Evaluate Efficacy and Safety of Lenabasum in Diffuse Cutaneous Systemic Sclerosis
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Scientific title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 3 Trial to Evaluate Efficacy and Safety of Lenabasum in Diffuse Cutaneous Systemic Sclerosis
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Secondary ID [1]
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JBT101-SSc-002
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Universal Trial Number (UTN)
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Trial acronym
RESOLVE-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diffuse Cutaneous Systemic Sclerosis
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Condition category
Condition code
Inflammatory and Immune System
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Autoimmune diseases
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Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Lenabasum 5 mg
Treatment: Drugs - Lenabasum 20 mg
Other interventions - Placebo oral capsule
Experimental: Cohort 1 - Lenabasum 5 mg BID
Experimental: Cohort 2 - Lenabasum 20 mg BID
Placebo comparator: Cohort 3 - Placebo BID
Treatment: Drugs: Lenabasum 5 mg
Subjects will receive lenabasum 5 mg twice daily.
Treatment: Drugs: Lenabasum 20 mg
Subjects will receive lenabasum 20 mg twice daily.
Other interventions: Placebo oral capsule
Subjects will receive placebo twice daily.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Efficacy of lenabasum compared to placebo for the American College of Rheumatology Combined Response Index in diffuse cutaneous Systemic Sclerosis score.
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Assessment method [1]
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The ACR CRISS exponential algorithm determines the predicted probability of improvement from baseline, incorporating change in mRSS, FVC % predicted, physician and patient global assessments, and HAQ-DI. The outcome is a continuous variable between 0.0 and 1.0 (0 - 100%). A higher score indicates greater improvement.
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Timepoint [1]
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American College of Rheumatology Combined Response Index score through study completion, up to 1 year.
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Secondary outcome [1]
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Efficacy of lenabasum compared to placebo for the change from baseline in modified Rodnan skin score.
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Assessment method [1]
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mRSS evaluates a subject's skin thickness on a 4 point scale for 17 surface anatomic areas: 0 = normal skin; 1 = mild thickness; 2 = moderate thickness; 3 = severe thickness with inability to pinch skin into fold. The individual values of the 17 surface areas are summed to define the total skin score with a maximum score of 51.
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Timepoint [1]
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Change from baseline through study completion, up to 1 year.
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Secondary outcome [2]
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Efficacy of lenabasum compared to placebo for the change from baseline in Health Assessment Questionnaire - Disability Index.
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Assessment method [2]
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It includes 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). The individual scores of the eight sections are summed and divided by 8. The result is the disability index or functional disability index. A higher score indicates more functional disability.
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Timepoint [2]
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Change from baseline through study completion, up to 1 year.
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Secondary outcome [3]
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Efficacy of lenabasum compared to placebo for the change from baseline in forced vital capacity.
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Assessment method [3]
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Timepoint [3]
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Change from baseline through study completion, up to 1 year.
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Eligibility
Key inclusion criteria
Key
1. = 18 years of age at the time Informed Consent is signed.
2. Diffuse cutaneous SSc (skin thickening on upper arms, upper legs, or trunk).
3. Disease duration = 6 years from the first non-Raynaud's symptom.
4. No new or increased doses of immunosuppressive medications within 8 weeks prior to Screening.
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Unstable SSc or SSc with end-stage organ involvement at Screening or Visit 1.
2. Any of the following values for laboratory tests at Screening:
1. A positive pregnancy test in women of childbearing potential;
2. Hemoglobin < 9 g/dL for males and < 8 g/dL for females;
3. Neutrophils < 1.0 ×10^9/L;
4. Platelets < 75 ×10^9/L;
5. Creatinine clearance < 50 mL/min according to the Modification of Diet in Renal Disease (MDRD) Study equation;
6. Aspartate aminotransferase or alanine aminotransferase > 2.0 × upper limit of normal.
3. Any medical condition or concurrent medical therapies at Screening or Visit 1, including a history of non-compliance with medical treatments, that may put the subject at greater safety risk, influence response to study product, or interfere with study assessments.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/12/2017
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Date of last participant enrolment
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Actual
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Date of last data collection
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Actual
21/12/2020
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Sample size
Target
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Accrual to date
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Final
365
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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Liverpool Hospital - Liverpool
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Recruitment hospital [3]
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St Vincent's Hospital - Melbourne
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Recruitment hospital [4]
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Royal Prince Alfred Hospital - Sydney
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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- Liverpool
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Recruitment postcode(s) [3]
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3065 - Melbourne
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Recruitment postcode(s) [4]
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- Sydney
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Recruitment outside Australia
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California
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Corbus Pharmaceuticals Inc.
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Ethics approval
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Summary
Brief summary
This is a Phase 3 multicenter, double-blind, randomized, placebo-controlled study assessing the efficacy and safety of lenabasum for the treatment of diffuse cutaneous systemic sclerosis (SSc). Approximately 354 subjects will be enrolled in this study at about 60 sites in North America, Europe, Australia, and Asia. The planned duration of treatment with study drug is 52 weeks.
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Trial website
https://clinicaltrials.gov/study/NCT03398837
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Robert Spiera, MD
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Address
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Professor of Clinical Medicine, Weill Cornell Medical College
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03398837