Trial Outcomes & Findings for Safety, Tolerability, and Efficacy of JBT-101 in Subjects With Dermatomyositis (NCT NCT02466243)
NCT ID: NCT02466243
Last Updated: 2023-01-19
Results Overview
The CDASI is a validated outcome measure that systematically quantifies cutaneous DM disease activity, In the CDASI, DM skin disease activity is scored from 0 to 100 based on the physician's evaluation of erythema, scale, and erosion or ulceration at 15 anatomic locations as well as alopecia, Gottron's sign or papules on the hands, and periungual changes. A 5-point or greater decrease in the CDASI activity score indicates clinically relevant improvement based on statistical analysis using a receiver operating characteristic curve to maximize sensitivity and specificity
TERMINATED
PHASE2
22 participants
Part A: 84-day treatment period (Change from the Baseline CDSAI score at Day 84)
2023-01-19
Participant Flow
Participant milestones
| Measure |
JBT-101
Part A: JBT-101 20 mg capsule once a day on Days 1-28, then 20 mg capsule twice a day on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
JBT-101: Part A: 20 mg once daily on Days 1-28, then 20 mg twice daily on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
|
Placebo
Part A: Placebo capsule once a day on Days 1-28, then placebo capsule twice a day on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
Placebo: Part A: Once daily on Days 1-28, then twice daily on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
|
|---|---|---|
|
Part A Treatment Period (Double Blind)
STARTED
|
11
|
11
|
|
Part A Treatment Period (Double Blind)
COMPLETED
|
11
|
11
|
|
Part A Treatment Period (Double Blind)
NOT COMPLETED
|
0
|
0
|
|
Part B Open-label Treatment Period
STARTED
|
11
|
10
|
|
Part B Open-label Treatment Period
COMPLETED
|
0
|
0
|
|
Part B Open-label Treatment Period
NOT COMPLETED
|
11
|
10
|
Reasons for withdrawal
| Measure |
JBT-101
Part A: JBT-101 20 mg capsule once a day on Days 1-28, then 20 mg capsule twice a day on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
JBT-101: Part A: 20 mg once daily on Days 1-28, then 20 mg twice daily on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
|
Placebo
Part A: Placebo capsule once a day on Days 1-28, then placebo capsule twice a day on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
Placebo: Part A: Once daily on Days 1-28, then twice daily on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
|
|---|---|---|
|
Part B Open-label Treatment Period
Adverse Event
|
1
|
0
|
|
Part B Open-label Treatment Period
Withdrawal by Subject
|
0
|
2
|
|
Part B Open-label Treatment Period
Sponsor Decision
|
8
|
6
|
|
Part B Open-label Treatment Period
Missing
|
2
|
2
|
Baseline Characteristics
Safety, Tolerability, and Efficacy of JBT-101 in Subjects With Dermatomyositis
Baseline characteristics by cohort
| Measure |
JBT-101
n=11 Participants
Part A: JBT-101 20 mg capsule once a day on Days 1-28, then 20 mg capsule twice a day on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
JBT-101: Part A: 20 mg once daily on Days 1-28, then 20 mg twice daily on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
|
Placebo
n=11 Participants
Part A: Placebo capsule once a day on Days 1-28, then placebo capsule twice a day on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
Placebo: Part A: Once daily on Days 1-28, then twice daily on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
|
Total
n=22 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
53.1 years
STANDARD_DEVIATION 9.31 • n=5 Participants
|
52.5 years
STANDARD_DEVIATION 10.44 • n=7 Participants
|
52.8 years
STANDARD_DEVIATION 9.66 • n=5 Participants
|
|
Sex: Female, Male
Female
|
10 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
3 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
8 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
19 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race
White
|
11 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
|
Race
Black or African American
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Part A: 84-day treatment period (Change from the Baseline CDSAI score at Day 84)Population: modified intent-to-treat population LS mean (SE) at Day 84
The CDASI is a validated outcome measure that systematically quantifies cutaneous DM disease activity, In the CDASI, DM skin disease activity is scored from 0 to 100 based on the physician's evaluation of erythema, scale, and erosion or ulceration at 15 anatomic locations as well as alopecia, Gottron's sign or papules on the hands, and periungual changes. A 5-point or greater decrease in the CDASI activity score indicates clinically relevant improvement based on statistical analysis using a receiver operating characteristic curve to maximize sensitivity and specificity
Outcome measures
| Measure |
Lenabasum
n=11 Participants
lenabasum 20 mg BID
|
Placebo
n=11 Participants
Placebo BID
|
|---|---|---|
|
Change in Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) From Baseline in Part A.
|
-8.0 CDASI Activity Score
Standard Error 8.16
|
-5.5 CDASI Activity Score
Standard Error 5.56
|
PRIMARY outcome
Timeframe: Part A: to Day 84Population: Safety Population
Number of participants with treatment emergent adverse events were assessed as a measure of safety and tolerability
Outcome measures
| Measure |
Lenabasum
n=11 Participants
lenabasum 20 mg BID
|
Placebo
n=11 Participants
Placebo BID
|
|---|---|---|
|
Number of Participants With Treatment Emergent Adverse Events as a Measure of Safety and Tolerability
Any TEAE
|
11 Participants
|
8 Participants
|
|
Number of Participants With Treatment Emergent Adverse Events as a Measure of Safety and Tolerability
Any serious TEAE
|
0 Participants
|
0 Participants
|
|
Number of Participants With Treatment Emergent Adverse Events as a Measure of Safety and Tolerability
Any TEAE leading to discontinuation
|
0 Participants
|
0 Participants
|
|
Number of Participants With Treatment Emergent Adverse Events as a Measure of Safety and Tolerability
Any severe TEAE
|
0 Participants
|
0 Participants
|
|
Number of Participants With Treatment Emergent Adverse Events as a Measure of Safety and Tolerability
No TEAE
|
0 Participants
|
3 Participants
|
SECONDARY outcome
Timeframe: Part A: 84-day treatment periodPopulation: modified intent to treat population
LS mean (SE) change from baseline to Week 6 (Day 84) for lenabasum vs. placebo using a mixed model repeated measures analysis The CDASI is a validated outcome measure that systematically quantifies cutaneous DM disease activity and damage, In the CDASI, the Damage Score is scored from 0 to 32 based on the physician's evaluation of poikiloderma and calcinosis. 0 representing no damage and 32 representing the greatest level of damage.
Outcome measures
| Measure |
Lenabasum
n=11 Participants
lenabasum 20 mg BID
|
Placebo
n=11 Participants
Placebo BID
|
|---|---|---|
|
Change in Patient-reported Outcomes From Baseline at 84 Days for Part A
|
-5.5 CDASI Damage Score
Standard Error 5.56
|
-8.0 CDASI Damage Score
Standard Error 8.16
|
Adverse Events
JBT-101
Placebo
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
JBT-101
n=11 participants at risk
Part A: JBT-101 20 mg capsule once a day on Days 1-28, then 20 mg capsule twice a day on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
JBT-101: Part A: 20 mg once daily on Days 1-28, then 20 mg twice daily on Days 29-84.
Part B: JBT-101 20 mg twice daily on Days 1 - 365 of the OLE.
|
Placebo
n=11 participants at risk
Part A: Placebo capsule once a day on Days 1-28, then placebo capsule twice a day on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
Placebo: Part A: Once daily on Days 1-28, then twice daily on Days 29-84.
Part B: Placebo twice daily on Days 1 - 365 of the OLE.
|
|---|---|---|
|
Gastrointestinal disorders
Diarrhoea
|
27.3%
3/11 • Number of events 3 • 84 days
|
9.1%
1/11 • Number of events 2 • 84 days
|
|
Gastrointestinal disorders
Dry mouth
|
36.4%
4/11 • Number of events 4 • 84 days
|
9.1%
1/11 • Number of events 1 • 84 days
|
|
Gastrointestinal disorders
Dyspepsia
|
18.2%
2/11 • Number of events 2 • 84 days
|
0.00%
0/11 • 84 days
|
|
Gastrointestinal disorders
Nausea
|
9.1%
1/11 • Number of events 1 • 84 days
|
18.2%
2/11 • Number of events 2 • 84 days
|
|
General disorders
Fatigue
|
9.1%
1/11 • Number of events 1 • 84 days
|
27.3%
3/11 • Number of events 3 • 84 days
|
|
Infections and infestations
Upper respiratory tract infection
|
0.00%
0/11 • 84 days
|
18.2%
2/11 • Number of events 2 • 84 days
|
|
Injury, poisoning and procedural complications
Fall
|
18.2%
2/11 • Number of events 3 • 84 days
|
0.00%
0/11 • 84 days
|
|
Metabolism and nutrition disorders
Increased appetite
|
18.2%
2/11 • Number of events 2 • 84 days
|
9.1%
1/11 • Number of events 1 • 84 days
|
|
Nervous system disorders
Dizziness
|
45.5%
5/11 • Number of events 8 • 84 days
|
18.2%
2/11 • Number of events 2 • 84 days
|
|
Nervous system disorders
Headache
|
18.2%
2/11 • Number of events 2 • 84 days
|
0.00%
0/11 • 84 days
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place