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Trial · NCT04035668

A Phase 2 Study to Evaluate the Safety and Efficacy of LOU064 in Patients With Moderate to Severe Sjögren's Syndrome

NCT04035668, Phase 2, Terminated, Novartis Pharmaceuticals; results first posted 2022-12-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 2 Study to Evaluate the Safety and Efficacy of LOU064 in Patients With Moderate to Severe Sjögren's Syndrome. Trials, record NCT04035668. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04035668

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase 2 Study to Evaluate the Safety and Efficacy of LOU064 in Patients With Moderate to Severe Sjögren's Syndrome
NCT number
NCT04035668
Status
Terminated
Phases
Phase 2
Enrollment
73 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Sjögren Syndrome
Interventions
Remibrutinib, Placebo
First posted
2019-07-29
Last updated
2023-01-30
Other registries' IDs
eudract:2018-004387-54
Results first posted
2022-12-20

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Baseline, Week 24
ESSDAI is a validated disease outcome measure for Sjögren's Syndrome. The instrument contains 12 organ-specific domains contributing to disease activity: constitutional, lymphadenopathy, glandular, articular, cutaneous, pulmonary, renal, muscular, peripheral nervous system, central nervous system, hematological and biological. For each domain, features of disease activity were scored according to their severity. These scores were summed across the 12 domains in a weighted manner to provide the total score. ESSDAI total score ranges from 0 to 123 with higher values indicating more disease activity. A negative change from baseline indicates improvement. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in ESSDAI for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryChange From Baseline in ESSDAI Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16 and Week 20
ESSDAI is a validated disease outcome measure for Sjögren's Syndrome. The instrument contains 12 organ-specific domains contributing to disease activity: constitutional, lymphadenopathy, glandular, articular, cutaneous, pulmonary, renal, muscular, peripheral nervous system, central nervous system, hematological and biological. For each domain, features of disease activity were scored according to their severity. These scores were summed across the 12 domains in a weighted manner to provide the total score. ESSDAI total score ranges from 0 to 123 with higher values indicating more disease activity. A negative change from baseline indicates improvement. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in ESSDAI for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryChange From Baseline in EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24
ESSPRI is an established disease outcome measure for Sjögren's Syndrome. It consists of three domains of dryness, pain, and fatigue. The patient can assess the severity of symptoms they experience on a single 0-10 numerical scale for each of the three domains. The ESSPRI score is defined as the mean of scores from the three scales: (dryness + pain +fatigue) /3. ESSPRI total score ranges from 0 to 10 with higher values indicating more disease symptoms. A negative change from baseline indicates improvement. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in ESSPRI for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryChange From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F) Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24
FACIT-F v4 is a short, 13-item, easy-to-administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue was measured on a 5-point Likert scale (0 = not at all, 1 = a little bit, 2 = somewhat, 3 = quite a bit, 4 = very much). FACIT-F total score ranges from 0 to 52 with higher values indicating higher quality of life (less fatigue). A positive change from baseline is a favorable outcome. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in FACIT-F for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryChange From Baseline in EuroQual 5 Dimensions (EQ-5D) VAS Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24
EQ-5D is a standardized instrument that measures the health-related quality of life. The EQ-5D consists of a descriptive system and a visual analog scale (VAS).The EQ-5D VAS records the patient's self-rated health on a vertical visual analogue scale with 0 representing 'Worst imaginable Health State' and 100 'Best imaginable Health State'. A positive change from baseline is a favorable outcome. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in EQ-5D VAS score for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryChange From Baseline in Physician Global Assessment Scale (PhGA) Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24
The physician's global assessment scale was used for the Investigator to rate the disease activity of their patient using 100 mm visual analog scale (VAS) ranging from "no disease activity" (0) to "maximal disease activity" (100). A negative change from baseline indicates improvement. The baseline value is defined as the last assessment performed prior to administration of the first dose of study treatment. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in PhGA score for all post-baseline time points up to Week 24. Values estimated from the model are presented in this table.
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEsFrom first dose of study treatment up 30 days after last dose (Week 29)
Number of participants with TEAEs and serious TEAEs, including changes from baseline in vital signs, electrocardiograms and laboratory results qualifying and reported as TEAEs. TEAEs are defined as adverse events that started after the first dose of study medications or adverse events present prior to start of double-blind treatment but increased in severity. The number of participants in each category is reported in the table.
SecondaryMaximum Observed Blood Concentration (Cmax) of Remibrutinib at Week 4pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 4
Remibrutinib was determined in whole blood by a validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method with a lower limit of quantification (LLOQ) of 1.0 ng/mL. Pharmacokinetic (PK) parameters were calculated based on remibrutinib blood concentrations by using the actual recorded sampling times and non-compartmental methods with Phoenix WinNonlin (version 8 or higher). Concentrations below the LLOQ were treated as zero. Cmax is defined as the maximum (peak) observed blood concentration following a dose.
SecondaryMaximum Observed Blood Concentration (Cmax) of Remibrutinib at Week 24pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 24
Remibrutinib was determined in whole blood by a validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method with a lower limit of quantification (LLOQ) of 1.0 ng/mL. Pharmacokinetic (PK) parameters were calculated based on remibrutinib blood concentrations by using the actual recorded sampling times and non-compartmental methods with Phoenix WinNonlin (version 8 or higher). Concentrations below the LLOQ were treated as zero. Cmax is defined as the maximum (peak) observed blood concentration following a dose.
SecondaryTime to Reach Maximum Observed Blood Concentration (Tmax) of Remibrutinib at Week 4pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 4
Remibrutinib was determined in whole blood by a validated LC-MS/MS method with a LLOQ of 1.0 ng/mL. Pharmacokinetic (PK) parameters were calculated based on remibrutinib blood concentrations by using the actual recorded sampling times and non-compartmental methods with Phoenix WinNonlin (version 8 or higher). Concentrations below the LLOQ were treated as zero. Tmax is defined as the time to reach maximum (peak) blood concentration following a dose.

Outcomes17

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Baseline, Week 24Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in ESSDAI Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16 and Week 20Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F) Total Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in EuroQual 5 Dimensions (EQ-5D) VAS Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Physician Global Assessment Scale (PhGA) Score Over TimeBaseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20 and Week 24Participants in the Full Analysis Set (FAS) with a valid assessment for the outcome measure. FAS included all participants who were randomized in the study.score on scaleLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEsFrom first dose of study treatment up 30 days after last dose (Week 29)Safety Analysis Set defined as participants who received at least one dose of the study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaximum Observed Blood Concentration (Cmax) of Remibrutinib at Week 4pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 4
Participants in the PK Analysis Set (PKS) with a valid value for the outcome measure. PKS is defined as participants with at least one available valid PK concentration measurement, who received any study drug, and with no protocol deviations that impact PK data.
ng/mLMEAN
SECONDARYMaximum Observed Blood Concentration (Cmax) of Remibrutinib at Week 24pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 24
Participants in the PK Analysis Set (PKS) with a valid value for the outcome measure. PKS is defined as participants with at least one available valid PK concentration measurement, who received any study drug, and with no protocol deviations that impact PK data.
ng/mLMEAN
SECONDARYTime to Reach Maximum Observed Blood Concentration (Tmax) of Remibrutinib at Week 4pre-dose, 0.5, 1, 2, 3 and 4 hours post-dose at Week 4
Participants in the PK Analysis Set (PKS) with a valid value for the outcome measure. PKS is defined as participants with at least one available valid PK concentration measurement, who received any study drug, and with no protocol deviations that impact PK data.
hoursMEDIAN

Results by group169

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Remibrutinib 100 mg qd-4.70Standard Error 0.78score on scale
Change From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Remibrutinib 100 mg Bid-3.70Standard Error 0.80score on scale
Change From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Any Remibrutinib-4.20Standard Error 0.56score on scale
Change From Baseline in EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) Total Score at Week 24Placebo-1.34Standard Error 0.74score on scale
Change From Baseline in ESSDAI Total Score Over TimeRemibrutinib 100 mg qdWeek 2-1.68Standard Error 0.52score on scale
Change From Baseline in ESSDAI Total Score Over TimeRemibrutinib 100 mg BidWeek 2-1.05Standard Error 0.52score on scale
Change From Baseline in ESSDAI Total Score Over TimeAny RemibrutinibWeek 2-1.37Standard Error 0.37score on scale
Change From Baseline in ESSDAI Total Score Over TimePlaceboWeek 2-0.37Standard Error 0.55score on scale
Change From Baseline in ESSDAI Total Score Over TimeRemibrutinib 100 mg qdWeek 4-2.57Standard Error 0.60score on scale
Change From Baseline in ESSDAI Total Score Over TimeRemibrutinib 100 mg BidWeek 4-2.54Standard Error 0.62score on scale

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRemibrutinib 100 mg Bid24
Overall StudySTARTEDRemibrutinib 100 mg qd25
Overall StudySTARTEDPlacebo24
Overall StudyCOMPLETEDRemibrutinib 100 mg Bid17
Overall StudyCOMPLETEDRemibrutinib 100 mg qd17
Overall StudyCOMPLETEDPlacebo21
Overall StudyNOT COMPLETEDRemibrutinib 100 mg Bid7
Overall StudyNOT COMPLETEDRemibrutinib 100 mg qd8
Overall StudyNOT COMPLETEDPlacebo3

Adverse events135

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLeukopeniaBlood and lymphatic system disordersRemibrutinib 100 mg Bid024
otherLeukopeniaBlood and lymphatic system disordersRemibrutinib 100 mg qd025
otherLeukopeniaBlood and lymphatic system disordersAny Remibrutinib049
otherLeukopeniaBlood and lymphatic system disordersPlacebo324
otherLeukopeniaBlood and lymphatic system disordersTotal373
otherLymphopeniaBlood and lymphatic system disordersRemibrutinib 100 mg Bid024
otherLymphopeniaBlood and lymphatic system disordersRemibrutinib 100 mg qd025
otherLymphopeniaBlood and lymphatic system disordersAny Remibrutinib049
otherLymphopeniaBlood and lymphatic system disordersPlacebo324
otherLymphopeniaBlood and lymphatic system disordersTotal373

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRemibrutinib 100 mg Bid024
Total, all-cause mortalityRemibrutinib 100 mg qd025
Total, all-cause mortalityAny Remibrutinib049
Total, all-cause mortalityPlacebo024
Total, all-cause mortalityTotal073
Total, other adverse eventsRemibrutinib 100 mg Bid1524
Total, other adverse eventsRemibrutinib 100 mg qd1225
Total, other adverse eventsAny Remibrutinib2749
Total, other adverse eventsPlacebo1724
Total, other adverse eventsTotal4473

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37932009DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04035668

GET https://conductscience.org/api/trials/v1/NCT04035668/results?page=2