Acthar Gel in Participants With Pulmonary Sarcoidosis

NCT ID: NCT03320070

Last Updated: 2023-02-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-21

Study Completion Date

2021-11-15

Brief Summary

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The purpose of this study is to find out if Acthar Gel is safe and effective to treat pulmonary sarcoidosis.

Participants will be randomly assigned (like flipping a coin) to receive a shot under their skin of Acthar Gel or a matching placebo gel that has no drug in it. They will receive their assigned shot twice a week for 24 weeks.

All participants who complete the 24-week treatment period will be eligible to receive Acthar Gel for 24 more weeks, even if they were originally in the placebo group.

Detailed Description

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Conditions

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Sarcoidosis, Pulmonary

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Acthar Gel in DBT Then Acthar Gel in OLE

Participants received Acthar Gel as a 1 milliliter (mL) injection under the skin, twice weekly, for 24 weeks in the double-blind treatment (DBT) phase. Participants, who chose to continue into the optional OLE phase, then received Acthar Gel as a 1 mL injection under the skin, twice weekly, for another 24 weeks in the optional open-label extension (OLE) phase.

Group Type EXPERIMENTAL

Acthar Gel

Intervention Type DRUG

Acthar Gel for subcutaneous (SC) injection (80 units per 1 mL)

Placebo in DBT Then Acthar Gel in OLE

Participants received Acthar Gel matching placebo as a 1 mL injection under the skin, twice weekly, for 24 weeks in the DBT phase. Participants, who chose to continue into the optional OLE phase, then received Acthar Gel as a 1 mL injection under the skin, twice weekly, for another 24 weeks in the optional OLE phase.

Group Type EXPERIMENTAL

Acthar Gel

Intervention Type DRUG

Acthar Gel for subcutaneous (SC) injection (80 units per 1 mL)

Placebo

Intervention Type DRUG

Placebo gel for SC injection

Interventions

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Acthar Gel

Acthar Gel for subcutaneous (SC) injection (80 units per 1 mL)

Intervention Type DRUG

Placebo

Placebo gel for SC injection

Intervention Type DRUG

Other Intervention Names

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H.P. Acthar Gel Repository Corticotropin Injection Matching Placebo

Eligibility Criteria

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Inclusion Criteria

* Has biopsy-confirmed sarcoidosis meeting American Thoracic Society criteria ≥ 1 year at screening (Visit 1)
* Has protocol-defined symptomatic pulmonary disease
* Has been receiving a stable prednisone dose between 5 mg and 40 mg (or equivalent) for pulmonary sarcoidosis, for at least 4 weeks before screening, or a stable dose of another disease-modifying anti-sarcoidosis drug for at least 3 months before screening
* Has lung function within protocol-defined parameters

Exclusion Criteria

* Has at least a 10% change in forced vital capacity (FVC) on spirometry between Visits 1 and 2
* Has pulmonary arterial hypertension requiring treatment
* Has been treated with antitumor necrosis factor-α antibody within the past 3 months
* Has any pulmonary condition that requires treatment, therefore impeding corticosteroid tapering
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mallinckrodt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Team Leader

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

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UAB Lung Health Center

Birmingham, Alabama, United States

Site Status

David Geffen School of Medicine

Los Angeles, California, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

University of Florida Division of Pulmonary, Critical Care, and Sleep Medicine

Gainesville, Florida, United States

Site Status

University of Miami Miller School of Medicine

Miami, Florida, United States

Site Status

Central Florida Pulmonary Group PA

Orlando, Florida, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Laporte County Institute For Clinical Research

Michigan City, Indiana, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Howard County Center for Lung and Sleep Medicine, LLC

Columbia, Maryland, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Valley Medical Group

Ridgewood, New Jersey, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

American Health Research Inc

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Clinical Research of Gastonia

Gastonia, North Carolina, United States

Site Status

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Temple Lung Center

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Berks Schuylkill Respiratory Specialists, Ltd

Wyomissing, Pennsylvania, United States

Site Status

VitaLink Research - Anderson

Anderson, South Carolina, United States

Site Status

Medical University of South Carolina - PPDS

Charleston, South Carolina, United States

Site Status

Clinical Research of Charleston

Mt. Pleasant, South Carolina, United States

Site Status

Clinical Research of Rock Hill

Rock Hill, South Carolina, United States

Site Status

VitaLink Research - Spartanburg

Spartanburg, South Carolina, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at Tyler

Tyler, Texas, United States

Site Status

Countries

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United States

References

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Mirsaeidi M, Baughman RP, Sahoo D, Tarau E. Results From a Phase 4, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Repository Corticotropin Injection for the Treatment of Pulmonary Sarcoidosis. Pulm Ther. 2023 Jun;9(2):237-253. doi: 10.1007/s41030-023-00222-2. Epub 2023 Apr 19.

Reference Type DERIVED
PMID: 37072607 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MNK14344100

Identifier Type: -

Identifier Source: org_study_id

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