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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04605978
Registration number
NCT04605978
Ethics application status
Date submitted
19/10/2020
Date registered
28/10/2020
Titles & IDs
Public title
Efficacy and Safety of S95011 in Primary Sjögren's Syndrome Patients
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Scientific title
A Phase IIa Efficacy and Safety Trial With Intravenous S95011 in Primary Sjögren's Syndrome Patients: An International, Multicentre, Randomised, Double-blind, Placebo-controlled Study
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Secondary ID [1]
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2020-001526-59
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Secondary ID [2]
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CL2-95011-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Sjögren's Syndrome
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Condition category
Condition code
Inflammatory and Immune System
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Rheumatoid arthritis
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Musculoskeletal
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Other muscular and skeletal disorders
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Inflammatory and Immune System
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Autoimmune diseases
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - S95011 concentrate for solution for infusion
Treatment: Drugs - Placebo concentrate for solution for infusion
Experimental: S95011 concentrate for solution for infusion - S95011 is administrated by one IV infusion every 2 weeks for the first month and then every 3 weeks.
Placebo comparator: S95011 Placebo concentrate for solution for infusion - S95011 placebo is administrated by one IV infusion every 2 weeks for the first month and then every 3 weeks.
Treatment: Drugs: S95011 concentrate for solution for infusion
IV administration every 2 weeks until week 4 and then every 3 weeks until week 10.
Treatment: Drugs: Placebo concentrate for solution for infusion
IV administration every 2 weeks until week 4 and then every 3 weeks until week 10.
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Intervention code [1]
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Treatment: Drugs
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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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Change in ESSDAI Total Score
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Assessment method [1]
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Efficacy criterion Eular Sjögren Syndrome Disease Activity index (ESSDAI) is a physician-administered clinical index which has been validated to objectively assess systemic manifestations in Primary Sjögren's Syndrome patients. Scores range from 0 - 123, with a lower score representing less disease activity.
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Timepoint [1]
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From baseline to week 13
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Secondary outcome [1]
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ESSDAI Score by Domain and Total Score
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Assessment method [1]
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Efficacy criterion Eular Sjögren Syndrome Disease Activity index (ESSDAI) is a physician-administered clinical index which has been validated to objectively assess systemic manifestations in Primary Sjögren's Syndrome patients. There are 12 organ-specific domains and for each domain, features of disease activity are scored according to their severity. These scores are then summed across the 12 domains in a weighted manner to provide the total score. The total score ranges from 0 to 123. A higher score always represents a more severe disease activity. The domain \[weight\] and score range are as follows: Constitutional \[3\] 0-2; Lymphadenopathy and lymphoma \[4\] 0-3; Glandular \[2\] 0-2; Articular \[2\] 0-3; Cutaneous \[3\] 0-3; Pulmonary \[5\] 0-3; Renal \[5\] 0-3; Muscular \[6\] 0-3; PNS \[5\] 0-3; CNS \[5\] 0-3; Hematological \[2\] 0-3; Biological \[1\] 0-2.
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Timepoint [1]
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At baseline, week 4 and week 13
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Secondary outcome [2]
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ESSPRI Score by Symptom and Total Score
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Assessment method [2]
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Efficacy criterion EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) is an index designed to measure patients' symptoms in primary Sjögren's Syndrome. The three domains included in this scale are dryness, fatigue, and pain, each of which are scored on a scale of 0-10. The total score is calculated as the average of the three domain scores and therefore the maximum total score is 10. The higher score represents more severe symptoms.
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Timepoint [2]
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At baseline, week 4 and week 13
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Secondary outcome [3]
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Quality of Life (SF-36)
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Assessment method [3]
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Efficacy criterion The Short Form (SF-36) Health Survey is a 36-item, patient-reported survey of patient health to asses QoL. Scores for each subscale range from 0 - 100, with a lower number representing a worse quality of life.
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Timepoint [3]
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At baseline and week 13
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Secondary outcome [4]
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Fatigue (MFI)
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Assessment method [4]
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Efficacy criterion Modified Fatigue Impact Scale (MFI) is a 20-item survey to evaluate ?ve dimensions of fatigue. Scores range from 4 to 20 for each sub-score, with a lower score representing less fatigue.
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Timepoint [4]
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At baseline and week 13
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Secondary outcome [5]
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Physician's Global Assessment (PhGA) of the Disease Activity
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Assessment method [5]
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Efficacy criterion Physician's global assessment (PhGA) of the disease activity is a 0 to 10 numerical rating scale (NRS), with a lower score representing less disease activity.
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Timepoint [5]
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At baseline and week 13
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Secondary outcome [6]
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Patient's Global Assessment (PGA) of the Disease Activity
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Assessment method [6]
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Efficacy criterion Patient's global assessment (PGA) of the disease activity is a 0 to 10 numerical rating scale (NRS), with a lower score representing less disease activity.
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Timepoint [6]
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At baseline and week 13
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Secondary outcome [7]
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Number of Participants With Adverse Events (AEs)
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Assessment method [7]
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Safety criterion
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Timepoint [7]
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Through study completion, up to Week 28
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Eligibility
Key inclusion criteria
1. Diagnosis of primary Sjögren's Syndrome based on 2016 American College of Rheumatology-EULAR criteria
2. ESSDAI total score = 6 during screening, with at least 6 points scored within the 7 following domains: constitutional, lymphadenopathy, glandular, articular, cutaneous, hematologic and biologic,
3. Positive anti-Sjögren's Syndrome A (Ro) antibodies or anti-nuclear antibodies (ANA) = 1:320 or rheumatoid factor (RF) >20 IU/ml during screening period, measured in a central laboratory
4. Stimulated whole salivary flow rate > 0 mL/minute
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Minimum age
18
Years
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Maximum age
75
Years
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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. Prior administration within the timeframe described in the protocol of any of the following:
* Belimumab,
* Rituximab or other B cell depleting agents,
* Abatacept,
* Tumor necrosis factor inhibitors,
* Tocilizumab,
* Cyclophosphamide,
* Cyclosporine (except for eye drops), tacrolimus, sirolimus, mycophenolate mofetil (MMF), azathioprine, or leflunomide
* Janus kinase (JAK) inhibitors
2. Meeting any of the following conditions:
* Corticosteroids: > 10 mg/day oral prednisone (or equivalent) within 4 weeks prior to randomisation (W000); Any change or initiation of new dose of oral prednisone (or equivalent) within 4 weeks prior to randomisation (W000); Intramuscular, IV, or intra-articular corticosteroids within 4 weeks prior to randomisation (W000); Any change or initiation of new dose of topical corticosteroids within 2 weeks prior to randomisation (W000),
* Antimalarials: any change or initiation of new dose of antimalarials (e.g. chloroquine, hydroxychloroquine, quinacrine) within 16 weeks prior to randomisation (W000),
* Methotrexate: > 25 mg/week of methotrexate; any initiation or change of dose of methotrexate within 12 weeks prior to randomisation (W000); any change in route of administration within 4 weeks prior to randomisation (W000),
* Non-steroidal anti-inflammatory drugs (NSAIDs): Any change or initiation of new dose of regularly scheduled NSAIDs within 2 weeks prior to randomisation (W000),
* Cevimeline or pilocarpine and cyclosporine eye drops (Restasis) and lifitegrast: any increase or initiation of new doses within 2 weeks prior to randomisation (W000).
3. Secondary Sjögren's Syndrome
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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 administering the treatment/s
The people assessing the outcomes
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 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
3/08/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
9/05/2023
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Sample size
Target
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Accrual to date
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Final
48
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Queen Elizabeth Hospital Rheumatology Unit - Woodville
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Recruitment postcode(s) [1]
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5011 - Woodville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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United States of America
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State/province [2]
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Pennsylvania
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Country [3]
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France
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State/province [3]
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Bordeaux
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Country [4]
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France
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State/province [4]
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Le Kremlin-Bicêtre
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Country [5]
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France
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State/province [5]
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Paris
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Country [6]
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Germany
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State/province [6]
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Erlangen
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Country [7]
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Germany
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State/province [7]
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Freiburg
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Country [8]
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Hungary
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State/province [8]
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Debrecen
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Country [9]
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Hungary
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State/province [9]
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Gyula
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Country [10]
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Hungary
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State/province [10]
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Székesfehérvár
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Country [11]
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Spain
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State/province [11]
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Barcelona
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Country [12]
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Spain
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State/province [12]
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Santiago De Compostela
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Country [13]
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Spain
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State/province [13]
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Sevilla
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Country [14]
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United Kingdom
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State/province [14]
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Birmingham
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Country [15]
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United Kingdom
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State/province [15]
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Newcastle Upon Tyne
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Country [16]
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United Kingdom
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State/province [16]
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Southampton
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Funding & Sponsors
Primary sponsor type
Other
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Name
Institut de Recherches Internationales Servier
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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ADIR, a Servier Group company
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to assess the effect of multiple intravenous infusions of S95011 compared to placebo in reducing disease activity in patients with primary Sjögren's syndrome.
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Trial website
https://clinicaltrials.gov/study/NCT04605978
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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)?
Yes
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What data in particular will be shared?
Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data.
Access can be requested for all interventional clinical studies:
* used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US).
* where Servier is the Marketing Authorization Holder (MAH).
The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope.
In addition, access can be requested for all interventional clinical studies in patients:
* sponsored by Servier
* with a first patient enrolled as of 1 January 2004 onwards
* for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
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When will data be available (start and end dates)?
After Marketing Authorisation in EEA or US if the study is used for the approval.
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Available to whom?
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://clinicaltrials.servier.com/
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/78/NCT04605978/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/78/NCT04605978/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04605978