A Study of PRN1008 in Patients With Pemphigus

NCT ID: NCT03762265

Last Updated: 2023-08-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-08

Study Completion Date

2021-12-17

Brief Summary

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This was a Phase 3 randomized, parallel-group, double-blind, placebo-controlled trial (blinded treatment \[BT\] period) followed by an open-label extension \[OLE\] period intended to evaluate the efficacy and safety of oral PRN1008 in moderate to severe pemphigus. After completing the open-label extension period, eligible participants might continue in a long term extension (LTE) Period of 48 weeks.

Detailed Description

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A total of 131 male or female participants with newly diagnosed or relapsing moderate to severe pemphigus (pemphigus vulgaris \[PV\] or pemphigus foliaceus \[PF\]) were enrolled in the trial worldwide.

The trial would last 68 weeks (approximately 17 months) for each participant. For participants eligible to enroll in the LTE, the trial might last up to 116 weeks.

Participants were randomized at Day 1, using a 1:1 ratio to receive PRN1008 or placebo twice per day, by relapsing/newly diagnosed disease history (newly diagnosed defined as within 6 months of screening).

Conditions

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Pemphigus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo Then Rilzabrutinib

In BT period, participants received placebo orally twice daily (BID) up to 37 weeks along with sponsor-provided corticosteroids (CS). After at least two weeks of control of disease activity (CDA; no new lesions and established lesions begin to heal), based on protocol-specified clinical criteria, investigators could decrease the CS dose to a minimum of 5 milligrams (mg) prednisone/prednisolone per day from Week 29 to Week 37. Post completion of BT period, eligible participants received rilzabrutinib 400 mg BID up to Week 61 in OLE period and those who were eligible after OLE period completion, continued the same treatment until Week 109 in LTE period according to protocol-specified criteria.

Group Type PLACEBO_COMPARATOR

Rilzabrutinib

Intervention Type DRUG

Pharmaceutical form: Tablet Route of administration: Oral

Placebo

Intervention Type DRUG

Pharmaceutical form: Tablet Route of administration: Oral

Rilzabrutinib Then Rilzabrutinib

In BT period, participants received rilzabrutinib 400 mg orally BID up to 37 weeks along with sponsor-provided CS. After at least two weeks of CDA (no new lesions and established lesions begin to heal), based on protocol-specified clinical criteria, investigators could decrease the CS dose to a minimum of 5 mg prednisone/prednisolone per day from Week 29 to Week 37. Post completion of BT period, eligible participants received rilzabrutinib 400 mg BID up to Week 61 in OLE period and those who were eligible after OLE period completion, continued the same treatment until Week 109 in LTE period according to protocol-specified criteria.

Group Type EXPERIMENTAL

Rilzabrutinib

Intervention Type DRUG

Pharmaceutical form: Tablet Route of administration: Oral

Interventions

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Rilzabrutinib

Pharmaceutical form: Tablet Route of administration: Oral

Intervention Type DRUG

Placebo

Pharmaceutical form: Tablet Route of administration: Oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female participants, aged 18 to 80 years old with moderate to severe, newly diagnosed or relapsing PV or PF, with a clinical presentation and histopathology consistent with PV or PF.
* Positive circulating anti-desmoglein 1 (anti-dsg1) or 3 autoantibody titer.
* At screening, pemphigus disease area index score of at least 9 points for relapsing participants or at least 15 points for newly diagnosed participants.
* Adequate hematologic, hepatic, and renal function.
* Effective means of contraception.

Exclusion Criteria

* Suspected paraneoplastic pemphigus and other forms of pemphigus that were not PV or PF.
* Previous use of a Bruton tyrosine kinase inhibitor.
* Pregnant or lactating women.
* Electrocardiogram clinically significant abnormalities.
* A history of malignancy of any type within 5 years before Day 1, other than surgically excised non-melanoma skin cancers or in situ cervical cancer.
* Use of immunologic response modifiers as concomitant medication and with the washout period.
* Use of proton pump inhibitor drugs such as omeprazole and esomeprazole within 3 days of Day 1.
* Concomitant use of known strong-to-moderate inducers or inhibitors of cytochrome P450 3A (CYP3A) within 3 days or 5 half-lives (whichever is longer) of Day 1
* Use of CYP3A-sensitive substrate drugs.
* Had received any investigational drug within the 30 days before Day 1.
* History of drug abuse within the previous 12 months.
* Alcoholism or excessive alcohol use.
* Any other clinically significant disease, condition or medical history that, in the opinion of the Investigator, would interfere with participant safety, trial evaluations, and/or trial procedures.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Principia Biopharma, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Central Recruiting (Principia Biopharma)

Boca Raton, Florida, United States

Site Status

Central Recruiting (Principia Biopharma)

Coral Gables, Florida, United States

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Central Recruiting (Principia Biopharma)

Atlanta, Georgia, United States

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Central Recruiting (Principia Biopharma)

Ann Arbor, Michigan, United States

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Central Recruiting (Principia Biopharma)

Ann Arbor, Michigan, United States

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Central Recruiting (Principia Biopharma)

Rochester, Minnesota, United States

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Central Recruiting (Principia Biopharma)

Albuquerque, New Mexico, United States

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Central Recruiting (Principia Biopharma)

New York, New York, United States

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Central Recruiting (Principia Biopharma)

New York, New York, United States

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Central Recruiting (Principia Biopharma)

Chapel Hill, North Carolina, United States

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Central Recruiting (Principia Biopharma)

Durham, North Carolina, United States

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Central Recruiting (Principia Biopharma)

Cleveland, Ohio, United States

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Central Recruiting (Principia Biopharma)

Austin, Texas, United States

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Central Recruiting (Principia Biopharma)

Murray, Utah, United States

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Central Recruiting (Principia Biopharma)

Buenos Aires, , Argentina

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Central Recruiting (Principia Biopharma)

Buenos Aires, , Argentina

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Central Recruiting (Principia Biopharma)

San Nicolás, , Argentina

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Central Recruiting (Principia Biopharma)

Fremantle, Western Australia, Australia

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Central Recruiting (Principia Biopharma)

Melbourne, , Australia

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Central Recruiting (Principia Biopharma)

Sydney, , Australia

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Central Recruiting (Principia Biopharma)

Campinas, , Brazil

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Central Recruiting (Principia Biopharma)

Campo Grande, , Brazil

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Central Recruiting (Principia Biopharma)

Ribeirão Preto, , Brazil

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Central Recruiting (Principia Biopharma)

Pleven, , Bulgaria

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Central Recruiting (Principia Biopharma)

Plovdiv, , Bulgaria

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Central Recruiting (Principia Biopharma)

Sofia, , Bulgaria

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Central Recruiting (Principia Biopharma)

Winnipeg, Manitoba, Canada

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Central Recruiting (Principia Biopharma)

Osijek, , Croatia

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Central Recruiting (Principia Biopharma)

Zagreb, , Croatia

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Central Recruiting (Principia Biopharma)

Bobigny, , France

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Central Recruiting (Principia Biopharma)

Bordeaux, , France

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Central Recruiting (Principia Biopharma)

Lille, , France

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Central Recruiting (Principia Biopharma)

Pierre-Bénite, , France

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Central Recruiting (Principia Biopharma)

Rouen, , France

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Central Recruiting (Principia Biopharma)

Toulouse, , France

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Central Recruiting (Principia Biopharma)

Berlin, , Germany

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Central Recruiting (Principia Biopharma)

Dresden, , Germany

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Central Recruiting (Principia Biopharma)

Düsseldorf, , Germany

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Central Recruiting (Principia Biopharma)

Erlangen, , Germany

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Central Recruiting (Principia Biopharma)

Heidelberg, , Germany

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Central Recruiting (Principia Biopharma)

Kiel, , Germany

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Central Recruiting (Principia Biopharma)

Lübeck, , Germany

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Central Recruiting (Principia Biopharma)

Münster, , Germany

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Central Recruiting (Principia Biopharma)

Athens, , Greece

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Central Recruiting (Principia Biopharma)

Ioannina, , Greece

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Central Recruiting (Principia Biopharma)

Larissa, , Greece

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Central Recruiting (Principia Biopharma)

Thessaloniki, , Greece

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Central Recruiting (Principia Biopharma)

Thessaloniki, , Greece

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Central Recruiting (Principia Biopharma)

Beersheba, , Israel

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Central Recruiting (Principia Biopharma)

Haifa, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Central Recruiting (Principia Biopharma)

Brescia, , Italy

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Central Recruiting (Principia Biopharma)

Catania, , Italy

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Central Recruiting (Principia Biopharma)

Florence, , Italy

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Milan, , Italy

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Padua, , Italy

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Parma, , Italy

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Rome, , Italy

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Torino, , Italy

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Gdansk, , Poland

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Central Recruiting (Principia Biopharma)

Krakow, , Poland

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Central Recruiting (Principia Biopharma)

Lublin, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Central Recruiting (Principia Biopharma)

Wroclaw, , Poland

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Central Recruiting (Principia Biopharma)

Belgrade, , Serbia

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Central Recruiting (Principia Biopharma)

Novi Sad, , Serbia

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Central Recruiting (Principia Biopharma)

Barcelona, , Spain

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Central Recruiting (Principia Biopharma)

Barcelona, , Spain

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Central Recruiting (Principia Biopharma)

Barcelona, , Spain

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Central Recruiting (Principia Biopharma)

Córdoba, , Spain

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Central Recruiting (Principia Biopharma)

Madrid, , Spain

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Central Recruiting (Principia Biopharma)

Pamplona, , Spain

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Central Recruiting (Principia Biopharma)

Dalin, , Taiwan

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Central Recruiting (Principia Biopharma)

Kaohsiung City, , Taiwan

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Central Recruiting (Principia Biopharma)

Taipei, , Taiwan

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Central Recruiting (Principia Biopharma)

Fatih, , Turkey (Türkiye)

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Central Recruiting (Principia Biopharma)

Istanbul, , Turkey (Türkiye)

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Central Recruiting (Principia Biopharma)

Istanbul, , Turkey (Türkiye)

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Central Recruiting (Principia Biopharma)

Konyaalti, , Turkey (Türkiye)

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Central Recruiting (Principia Biopharma)

Merkez, , Turkey (Türkiye)

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Central Recruiting (Principia Biopharma)

Dnipro, , Ukraine

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Central Recruiting (Principia Biopharma)

Dnipro, , Ukraine

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Central Recruiting (Principia Biopharma)

Kyiv, , Ukraine

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Central Recruiting (Principia Biopharma)

Lviv, , Ukraine

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Central Recruiting (Principia Biopharma)

Zaporizhzhya, , Ukraine

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Central Recruiting (Principia Biopharma)

London, , United Kingdom

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Countries

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United States Argentina Australia Brazil Bulgaria Canada Croatia France Germany Greece Israel Italy Poland Serbia Spain Taiwan Turkey (Türkiye) Ukraine United Kingdom

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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PRN1008-012

Identifier Type: OTHER

Identifier Source: secondary_id

2018-002261-19

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EFC17092

Identifier Type: -

Identifier Source: org_study_id

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