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临床试验/NCT03181893
NCT03181893已完成2 期

A PHASE 2 DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED STUDY TO EVALUATE THE EFFICACY, SAFETY, AND TOLERABILITY OF PF-06823859 IN ADULT SUBJECTS WITH DERMATOMYOSITIS

Pfizer40 个研究点 分布在 5 个国家目标入组 75 人开始时间: 2018年1月23日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
Pfizer
入组人数
75
试验地点
40
主要终点
Number of Participants With Vital Sign Abnormalities (Stage 3)

研究概览

简要总结

A Study looking at Investigational drug and Placebo administered to adult Patients with moderate to severe Dermatomyositis

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Treatment
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

Placebo ARM

Placebo Comparator

干预措施: Placebo Arm (Drug)

PF-06823859 ARM high

Experimental

干预措施: PF-06823859 high (Drug)

PF-06823859 ARM low

Experimental

干预措施: PF-06823859 low (Drug)

结局指标

主要结局

Number of Participants With Vital Sign Abnormalities (Stage 3)

时间窗: Baseline up to Week 40

Abnormality in vital signs: Sitting pulse rate \<40 beats per minute (bpm) to \>120 bpm, sitting diastolic blood pressure (DBP) \< 50 millimeter of mercury (mmHg), sitting systolic blood pressure (SBP) \<90 mmHg.

Change From Baseline in Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) Activity Score at Week 12 (Stage 1, Stage 2 and Amended Stage 2)

时间窗: Baseline and Week 12

The treatment effect was defined as the difference (mean chg from baseline at Week12 in the active treatment group minus that in the placebo group) in the mean change of CDASI activity score from baseline at Week 12. The score (range: 0-100) consists of the extent score (ES), Gottorn hands score (GHS), peringual score (PS) and allopecia score (AS). ES (range: 0-90) was obtained by summing up scores for the total erythema (ER \[0-45\], redness of the skin or mucous membranes), scaling (SC \[0-30\], peeling of the skin) and erosion/ulceration (EU \[0-15\], presence of the deeper wound). Total ER, SC and EU scores were calculated as a sum of the contributions from 15 individual areas of the body. GHS characterizes papules (swellings) on hand and is a sum of the papule's characterization score (0-6) and ulceration score (0-1). PS (0-2) characterizes abnormalities around nails. The AS (0-1) characterizes hair loss. Higher scores indicate greater disease severity.

Number of Participants With Electrocardiogram (ECG) Abnormalities (Stage 3)

时间窗: Baseline up to Week 40

ECG abnormalities criteria included: 1) QTc interval adjusted according to Fridericia formula (QTcF) (msec): \>450, \>480, \>500, increase from baseline \>=30, increase from baseline \>=60; 2) Pulse rate (PR) (msec): \>=300, change from baseline (Chg) \>=25% or 50%; 3) QT (msec): \>=500; 4) QRS (msec): \>=200, Chg \>=25% or 50%. Categories, with at least 1 participant having ECG abnormality in any of the reporting arms, were reported in this outcome measure.

Number of Participants With Clinically Significant Laboratory Abnormalities (Stage 3)

时间窗: Up to Week 40

Hemoglobin(HGB),hematocrit,erythrocytes(ery.),HDL cholesterol(chl.)\<0.8\*lower limit of normal(LLN);reticulocytes (ret.), ret./ery.(%)\<0.5\*LLN,\>1.5\*upper limit of normal (ULN);ery. mean corpuscular(EMC) volume,EMC HGB concentration,potassium,chloride,calcium,bicarbonate\<0.9\*LLN,\>1.1\*ULN;platelets\<0.5\*LLN,\>1.75\*ULN; leukocytes(leu.),glucose\<0.6\*LLN,\>1.5\*ULN;lymphocytes(lym.), lym./leu.(%),neutrophils (neu.), neu./leu.(%), protein,albumin\<0.8\*LLN,\>1.2\*ULN;basophils(bas.), bas./leu.(%), eosinophils(eos.), eos./leu., monocytes(mon.), mon./leu.(%), urate\>1.2\*ULN;bilirubin (total, direct,indirect)\>1.5\*ULN;aspartate/alanine aminotransferase,gamma glutamyl transferase,lactate dehydrogenase,alkaline phosphatase\>3.0\*ULN;urea nitrogen,creatinine,triglycerides, chl.\>1.3\*ULN; sodium \<0.95\*LLN,\>1.05\*ULN; creatine kinase \>2.0\*ULN;Urine: pH\<4.5,\>8;glucose, ketones,protein, HGB,urobilinogen,bilirubin,nitrite,leukocyte esterase\>=1;ery., leu.\>= 20;hyaline casts\>1;bacteria\>20.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAE) (Stage 3)

时间窗: Up to Week 40

Adverse event (AE) was any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. SAE was any untoward medical occurrence that at any dose resulted in any of following outcomes/deemed significant for any other reason: death; initial /prolonged inpatient hospitalization; life-threatening; persistent or significant disability/incapacity; congenital anomaly/birth defect and suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic. AEs included both serious (if occurred) and all non-serious adverse events. TEAEs are events between first dose of study drug and up to Week 40 that were absent before treatment or that worsened relative to pretreatment state.

次要结局

  • Number of Participants With TEAEs and SAEs (Stage 1 and Stage 2)(Up to Week 28)
  • Number of Participants With Clinically Significant Laboratory Abnormalities (Amended Stage 2)(Up to Week 40)
  • Number of Participants With ECG Abnormalities (Stage 1 and Stage 2)(Up to Week 28)
  • Change From Baseline in CDASI Activity Score at All Scheduled Timepoints Through Week 12 (Stage 3)(Baseline, Week 1, Week 4, Week 8 and Week 12)
  • Number of Participants With TEAEs and SAEs (Amended Stage 2)(Up to Week 40)
  • Number of Participants With Clinically Significant Laboratory Abnormalities (Stage 1 and Stage 2)(Up to Week 28)
  • Number of Participants With Vital Sign Abnormalities (Stage 1 and Stage 2)(Up to Week 28)
  • Number of Participants With ECG Abnormalities (Amended Stage 2)(Up to Week 40)
  • Change From Baseline in CDASI Activity Score at at All Scheduled Timepoints Through Week 12 (Stage 1, Stage 2 and Amended Stage 2)(Baseline, Week 1, Week 4, and Week 8 (except for Week 12 which is a primary outcome measure))
  • Absolute Values of CDASI Activity Score at All Scheduled Timepoints Through Week 12 (All Stages)(Baseline, Week 1, Week 4, Week 8 and Week 12)
  • Change From Baseline in the Core Set Measures (CSM) of the TIS (Global Disease Activity [PhGA] and Extramuscular Global Assessment [EmGA]) (Stage 3)(Baseline, Week 4, Week 8 and Week 12)
  • Absolute Values of CDASI Damage Score at All Scheduled Timepoints Through Week 12 (All Stages)(Baseline, Week 1, Week 4, Week 8 and Week 12)
  • Change From Baseline in the CSM of the TIS (PtGA) (Stage 3)(Baseline, Week 4, Week 8 and Week 12)
  • Change From Baseline in the CSM of the TIS (MMT8 and HAQ01-HAQ-DI) (Stage 3)(Week 4, Week 8 and Week 12)
  • Absolute Values for Total Improvement Score (TIS) at Week 12 and Intermediate Scheduled Time Points (Stage 3)(Week 4, Week 8 and Week 12)
  • Change From Baseline in the CSM of the TIS (Aldolase and Creatine Kinase) (Stage 3)(Baseline, Week 4, Week 8 and Week 12)
  • Number of Participants With Vital Sign Abnormalities (Amended Stage 2)(Up to Week 40)

研究者

发起方
Pfizer
申办方类型
Industry
责任方
Sponsor

研究点 (40)

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