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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05270668
Registration number
NCT05270668
Ethics application status
Date submitted
27/02/2022
Date registered
8/03/2022
Titles & IDs
Public title
Phase 2 Safety and Efficacy Study of Tulisokibart (MK-7240/PRA023) in Subjects With Systemic Sclerosis Associated With Interstitial Lung Disease (SSc-ILD) (MK-7240-007)
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Scientific title
A Double Blind, Randomized, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-7240/PRA023 in Subjects With Systemic Sclerosis Associated With Interstitial Lung Disease (SSc-ILD)
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Secondary ID [1]
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PR200-104
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Secondary ID [2]
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7240-007
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Universal Trial Number (UTN)
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Trial acronym
ATHENA-SSc-ILD
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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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Interstitial Lung Disease
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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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 - Tulisokibart
Diagnosis / Prognosis - Companion diagnostic ( CDx)
Treatment: Drugs - Placebo
Experimental: Tulisokibart - Tulisokibart IV administered by IV infusion
Placebo comparator: Placebo - Placebo administered by IV infusion
Treatment: Drugs: Tulisokibart
Tulisokibart administered at timepoints as directed by the protocol
Diagnosis / Prognosis: Companion diagnostic ( CDx)
CDx+ or CDx-
Treatment: Drugs: Placebo
Placebo
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Diagnosis / Prognosis
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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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Number of Participants who Experience an Adverse Event (AE)
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Assessment method [1]
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An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. The number of participants who experience an AE will be reported.
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Timepoint [1]
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Up to Week 50
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Primary outcome [2]
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Number of Participants who Experience a Serious Adverse Event (SAE)
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Assessment method [2]
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An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. The number of participants who experience an SAE will be reported.
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Timepoint [2]
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Up to Week 50
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Primary outcome [3]
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Number of Participants who Discontinue due to an AE
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Assessment method [3]
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An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. The number of participants who discontinue due to an AE will be reported.
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Timepoint [3]
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Up to Week 50
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Primary outcome [4]
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Change from Baseline in the Annual Rate of Change in Forced Vital Capacity (FVC) at Week 50
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Assessment method [4]
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FVC, as measured in milliliters by spirometry, is the amount of air forcibly exhaled from the lungs after taking the deepest breath possible.
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Timepoint [4]
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Baseline and up to Week 50
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Secondary outcome [1]
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Change from Baseline in FVC at Week 50
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Assessment method [1]
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FVC, as measured in milliliters by spirometry, is the amount of air forcibly exhaled from the lungs after taking the deepest breath possible.
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Timepoint [1]
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Baseline and Week 50
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Secondary outcome [2]
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Change from Baseline in High-Resolution Computer Tomography (HRCT) Quantitative Interstitial Lung Disease - Whole Lung (QILD-WL) at Week 50
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Assessment method [2]
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QILD-WL will be measured as percent lung involvement using HRCT.
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Timepoint [2]
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Baseline and Week 50
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Secondary outcome [3]
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Percentage of Participants with an Improvement in the Revised Composite Response Index in Systemic Sclerosis (CRISS) Score at Week 50
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Assessment method [3]
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The Revised CRISS is a two-step process designed to evaluate the likelihood of improvement in early SSc. The first step assesses worsening or incident cases of internal organ involvement (scleroderma renal crisis, pulmonary arterial hypertension, congestive heart failure, ILD, severe gastrointestinal dysmotility requiring parenteral or enteral nutrition, and digital ischemia requiring hospitalization, gangrene, or amputation). The second step assesses changes from baseline in five core set measures: modified Rodnan skin score (mRSS), percent predicted forced vital capacity (FVC%), health assessment questionnaire-disability index (HAQ-DI), patient (PGA), and physician (PhGA) global assessments.
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Timepoint [3]
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Baseline and Week 50
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Secondary outcome [4]
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Change from Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 50
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Assessment method [4]
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HAQ is an instrument to assess physical function. It consists of 20 questions, covering eight types of activities. For each question, scores range from 0 to 3 (0 = without any difficulty; 1 = with some difficulty; 2 = with much difficulty or with assistance; 3 = unable to do). HAQ Disability Index (HAQ-DI) score is the average of the highest score in each of the eight categories.
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Timepoint [4]
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Baseline and Week 50
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Secondary outcome [5]
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Change from Baseline in Living with Pulmonary Fibrosis (L-PF) Quality of Life (QoL) Outcome at Week 50
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Assessment method [5]
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The L-PF is a questionnaire designed to assess the quality of life of patients with pulmonary fibrosis. It contains 44 questions (items) split into two modules, 23 which assess symptoms (including shortness of breath, cough, and fatigue) and 21 which assess impacts to quality of life. Individual items are scored on a 5-point scale (0 = Not at All to 4 = Extremely). Overall scores range from 0 to 100 with higher scores indicating a greater impairment.
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Timepoint [5]
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Baseline and Week 50
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Eligibility
Key inclusion criteria
* Has confirmed diagnosis of systemic sclerosis with onset of disease = 5 years ago.
* Has diffuse cutaneous scleroderma
* Has systemic sclerosis related interstitial lung disease confirmed by HRCT
* FVC = 45% of predicted normal
* Diffusing capacity of lung for carbon monoxide (DLCO)= 45% of predicted normal
* If on background therapy, meets stable dosing requirements for nintedanib, mycophenolate mofetil (MMF), methotrexate (MTX) OR azathioprine, and corticosteroids
* Women of childbearing potential are eligible to participate if not pregnant or breastfeeding and either willing to use an acceptable contraceptive method or sexually abstinent
* Able to provide written informed consent and understand and comply with the requirements of the study
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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
* Has an airway obstruction per pulmonary function test (PFT) or clinically significant pulmonary arterial hypertension
* Has current clinical diagnosis of another inflammatory connective tissue disease
* Has any active infections, a serious infection within the past 3 months, or chronic bacterial infection
* Is a current smoker or smoking within 6 months of screening
* Has any concomitant medical conditions that, in the opinion of the investigator, might place them in unacceptable risk for participation in the study
* Meets the protocol criteria for important laboratory exclusion criteria
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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
Recruiting
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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
13/07/2022
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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
30/12/2028
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Actual
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Sample size
Target
152
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA,VIC
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Recruitment hospital [1]
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Royal Adelaide Hospital ( Site 4050) - Adelaide
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Recruitment hospital [2]
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St Vincents Hospital Melbourne ( Site 4051) - Melbourne
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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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3065 - Melbourne
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Colorado
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Leeds
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Prometheus Biosciences, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
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Address
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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 safety and efficacy of tulisokibart in participants with SSc-ILD.
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Trial website
https://clinicaltrials.gov/study/NCT05270668
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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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Prometheus Biosciences
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Clinical Trials Call Center
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Contact person for public queries
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Toll Free Number
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Phone
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1-888-577-8839
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Email
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[email protected]
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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?
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
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When will data be available (start and end dates)?
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Available to whom?
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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: http://engagezone.msd.com/ds_documentation.php
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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/NCT05270668