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Trial · NCT04988087

A Study to Evaluate the Safety, Tolerability and Efficacy of MHV370 in Participants With Sjogren's Syndrome (SjS) or Mixed Connective Tissue Disease (MCTD)

NCT04988087, Phase 2, Terminated, Novartis Pharmaceuticals; results first posted 2024-07-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Safety, Tolerability and Efficacy of MHV370 in Participants With Sjogren's Syndrome (SjS) or Mixed Connective Tissue Disease (MCTD). Trials, record NCT04988087. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04988087

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Trial

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

Title
A Study to Evaluate the Safety, Tolerability and Efficacy of MHV370 in Participants With Sjogren's Syndrome (SjS) or Mixed Connective Tissue Disease (MCTD)
NCT number
NCT04988087
Status
Terminated
Phases
Phase 2
Enrollment
30 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Sjogren Syndrome, Mixed Connective Tissue Disease
Interventions
MHV370, Placebo
First posted
2021-08-03
Last updated
2024-10-09
Other registries' IDs
eudract:2020-004937-19
Results first posted
2024-07-08

Source ClinicalTrials.gov

Registered outcomes20

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

ListOutcomeTime frameDescription
PrimarySjS Participants: Change From Baseline in Eular Sjögren's Disease Activity Index (ESSDAI) After 24 Weeks of TreatmentBaseline, Week 24
The ESSDAI is an established disease outcome measure for Sjögren's syndrome that classifies disease activity in 3-4 levels according to their severity (i.e., no, low, moderate, high), over each of 12 organ-specific domains. These scores are then summed across the 12 domains in a weighted manner to provide the total score. The score range is 0 - 123, where a higher ESSDAI score indicates more severe symptoms. A negative change score from baseline indicates improvement.
PrimaryMCTD Participants: Change From Baseline in Physician's Global Assessment Scale (PhGA) After 24 Weeks of TreatmentBaseline, Week 24
The physician's global assessment scale is 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 score from baseline indicates improvement. Only participants with evaluable records are included.
SecondarySjS and MCTD Participants: Maximum Observed Plasma Concentrations (Cmax) of MHV370 at Steady Statepre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
Cmax is the maximum (peak) observed plasma concentration of MHV370 after single dose administration. Pharmacokinetic (PK) parameters were calculated based on MHV370 plasma concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method with a lower limit of quantification of 1.0 ng/mL. Cmax was determined using non-compartmental methods.
SecondarySjS and MCTD Participants: Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours (AUC0-6h) of MHV370pre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
The AUC from time zero to the 6-hours post-dose sampling time. Pharmacokinetic (PK) parameters were calculated based on MHV370 plasma concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method with a lower limit of quantification of 1.0 ng/mL. AUClast was determined using non-compartmental methods.
SecondarySjS and MCTD Participants: Time to Reach Maximum Plasma Concentrations (Tmax) of MHV370 at Steady Statepre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
Tmax is the time to reach maximum (peak) plasma concentration of MHV370 after single dose administration. Pharmacokinetic (PK) parameters were calculated based on MHV370 plasma concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method with a lower limit of quantification of 1.0 ng/mL. Tmax was determined using non-compartmental methods.
SecondarySjS and MCTD Participants: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) ScaleBaseline, Weeks 4, 8, 12, 20 and 24
The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F v4) is a short, 13-item patient-reported measure, 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 is measured on a 5-point Likert scale (0 = not at all, 1 = a little bit, 2 = somewhat, 3 = quite a bit, 4 = very much). To score the FACIT-fatigue, all items are summed to create a single fatigue score with a range from 0 to 52, where a higher FACIT-F score indicates more severe symptoms. A negative change score from baseline indicates improvement.
SecondarySjS and MCTD Participants: Change From Baseline in Physician Global Assessment (PhGA)Baseline, Weeks 4, 8, 12, 20 and 24
The physician's global assessment scale is 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 score from baseline indicates improvement.
SecondarySjS Participants: Change From Baseline in Eular Sjögren's Syndrome Disease Activity Index (ESSDAI)Baseline, Weeks 4, 8, 12, 20 and 24
The ESSDAI is an established disease outcome measure for Sjögren's syndrome that classifies disease activity in 3-4 levels according to their severity (i.e., no, low, moderate, high), over each of 12 organ-specific domains. These scores are then summed across the 12 domains in a weighted manner to provide the total score. The score range is 0 - 123, where a higher ESSDAI score indicates more severe symptoms. A negative change score from baseline indicates improvement.
SecondarySjS Participants: Change From Baseline in Eular Sjögren's Syndrome Patient Reported Index (ESSPRI)baseline, weeks 4, 8, 12, 20 and 24
The ESSPRI is an established disease outcome measure for Sjögren's syndrome. The ESSPRI is a patient-reported, subjective symptom index which consists of three questions covering the cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). The participant can assess severity of symptoms they experience on a single numerical scale of 0-10 (0 =no symptom at all and 10 = worst symptom imaginable) for each of the three domains. The overall ESSPRI score is calculated as the mean of the three individual domains where all domains carry the same weight. Minimum score can be 0 and maximum score can be 10, where a higher ESSPRI score indicates more severe symptoms. A negative change score from baseline indicates improvement.
SecondarySjS Participants: Change From Baseline to the Salivary Flow RateBaseline, Weeks 4, 12 and 24
Unstimulated whole salivary fluid secretions were collected over 5 minutes from participants. All assessments were performed at a fixed time of the day to minimize fluctuations related to the circadian rhythm of salivary flow and composition. Participants were instructed not to eat, drink or smoke for 90 minutes before the assessment. The start time and end time of saliva collection were recorded to calculate the salivary flow rate per minute. Only participants with evaluable records are included.

Outcomes20

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSjS Participants: Change From Baseline in Eular Sjögren's Disease Activity Index (ESSDAI) After 24 Weeks of TreatmentBaseline, Week 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. The data includes only participants who completed Week 24. Only participants with evaluable records are included.
Score on scaleMEAN
PRIMARYMCTD Participants: Change From Baseline in Physician's Global Assessment Scale (PhGA) After 24 Weeks of TreatmentBaseline, Week 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. The data includes only participants who completed Week 24. Only participants with evaluable records are included.
Score on scaleMEDIAN
SECONDARYSjS and MCTD Participants: Maximum Observed Plasma Concentrations (Cmax) of MHV370 at Steady Statepre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
The pharmacokinetic (PK) analysis set included participants with at least one available valid (i.e., not flagged for exclusion) PK concentration measurement, who received MHV370 and with no protocol deviations with impact on PK data. Only participants with evaluable records are included.
ng/mLMEAN
SECONDARYSjS and MCTD Participants: Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours (AUC0-6h) of MHV370pre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
The pharmacokinetic (PK) analysis set included participants with at least one available valid (i.e., not flagged for exclusion) PK concentration measurement, who received MHV370 and with no protocol deviations with impact on PK data. Only participants with evaluable records are included.
ng*h/mLMEAN
SECONDARYSjS and MCTD Participants: Time to Reach Maximum Plasma Concentrations (Tmax) of MHV370 at Steady Statepre-dose, 0.5, 1, 2 ,4 and 6 hours after dosing at week 4
The pharmacokinetic (PK) analysis set included participants with at least one available valid (i.e., not flagged for exclusion) PK concentration measurement, who received MHV370 and with no protocol deviations with impact on PK data. Only participants with evaluable records are included.
hoursMEDIAN
SECONDARYSjS and MCTD Participants: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) ScaleBaseline, Weeks 4, 8, 12, 20 and 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. Data from participants who have discontinued treatment early are regarded as missing after the treatment discontinuation. Only participants with evaluable records are included.
Score on scaleMEAN
SECONDARYSjS and MCTD Participants: Change From Baseline in Physician Global Assessment (PhGA)Baseline, Weeks 4, 8, 12, 20 and 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. Data from participants who have discontinued treatment early are regarded as missing after the treatment discontinuation. Only participants with evaluable records are included.
Score on scaleMEAN
SECONDARYSjS Participants: Change From Baseline in Eular Sjögren's Syndrome Disease Activity Index (ESSDAI)Baseline, Weeks 4, 8, 12, 20 and 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. Only participants with evaluable records are included.
Score on scaleMEAN
SECONDARYSjS Participants: Change From Baseline in Eular Sjögren's Syndrome Patient Reported Index (ESSPRI)baseline, weeks 4, 8, 12, 20 and 24
The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data. Only participants with evaluable records are included.
Score on scaleMEAN
SECONDARYSjS Participants: Change From Baseline to the Salivary Flow RateBaseline, Weeks 4, 12 and 24The pharmacodynamic (PD) analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD/efficacy data.mL/minMEAN

Results by group107

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

OutcomeGroupCategoryValueSpreadUnits
SjS Participants: Change From Baseline in Eular Sjögren's Disease Activity Index (ESSDAI) After 24 Weeks of TreatmentPlacebo - SjS-4.39Standard Error 2.41Score on scale
MCTD Participants: Change From Baseline in Physician's Global Assessment Scale (PhGA) After 24 Weeks of TreatmentMHV370 200mg - MCTD-62.00Full Range -62.00 to -62.00Score on scale
SjS and MCTD Participants: Maximum Observed Plasma Concentrations (Cmax) of MHV370 at Steady StateMHV370 200mg - SjS278Standard Deviation 85.7ng/mL
SjS and MCTD Participants: Maximum Observed Plasma Concentrations (Cmax) of MHV370 at Steady StateMHV370 200mg - MCTD194ng/mL
SjS and MCTD Participants: Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours (AUC0-6h) of MHV370MHV370 200mg - SjS1060Standard Deviation 462ng*h/mL
SjS and MCTD Participants: Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours (AUC0-6h) of MHV370MHV370 200mg - MCTD742ng*h/mL
SjS and MCTD Participants: Time to Reach Maximum Plasma Concentrations (Tmax) of MHV370 at Steady StateMHV370 200mg - SjS1.50Full Range 1.00 to 4.00hours
SjS and MCTD Participants: Time to Reach Maximum Plasma Concentrations (Tmax) of MHV370 at Steady StateMHV370 200mg - MCTD2.00hours
SjS and MCTD Participants: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) ScaleMHV370 200mg - SjSWeek 40.13Standard Deviation 3.271Score on scale
SjS and MCTD Participants: Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) ScalePlacebo - SjSWeek 4-1.58Standard Deviation 6.052Score on scale

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMHV370 200mg - SjS12
Overall StudySTARTEDPlacebo - SjS14
Overall StudySTARTEDMHV370 200mg - MCTD2
Overall StudySTARTEDPlacebo - MCTD2
Overall StudyCOMPLETEDMHV370 200mg - SjS0
Overall StudyCOMPLETEDPlacebo - SjS4
Overall StudyCOMPLETEDMHV370 200mg - MCTD1
Overall StudyCOMPLETEDPlacebo - MCTD0
Overall StudyNOT COMPLETEDMHV370 200mg - SjS12
Overall StudyNOT COMPLETEDPlacebo - SjS10

Adverse events415

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disorderssjs_MHV012
otherAnaemiaBlood and lymphatic system disorderssjs_Placebo114
otherAnaemiaBlood and lymphatic system disordersMCTD_MHV02
otherAnaemiaBlood and lymphatic system disordersMCTD_Placebo02
otherAnaemiaBlood and lymphatic system disordersTotal130
otherIron deficiency anaemiaBlood and lymphatic system disorderssjs_MHV012
otherIron deficiency anaemiaBlood and lymphatic system disorderssjs_Placebo114
otherIron deficiency anaemiaBlood and lymphatic system disordersMCTD_MHV02
otherIron deficiency anaemiaBlood and lymphatic system disordersMCTD_Placebo02
otherIron deficiency anaemiaBlood and lymphatic system disordersTotal130

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitysjs_MHV012
Total, all-cause mortalitysjs_Placebo014
Total, all-cause mortalityMCTD_MHV02
Total, all-cause mortalityMCTD_Placebo02
Total, all-cause mortalityTotal030
Total, other adverse eventssjs_MHV1212
Total, other adverse eventssjs_Placebo1214
Total, other adverse eventsMCTD_MHV12
Total, other adverse eventsMCTD_Placebo22
Total, other adverse eventsTotal2730

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
40747756DERIVEDPubMed
40787733DERIVEDPubMed

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.

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

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