A Study of Nipocalimab in Participants With Active Idiopathic Inflammatory Myopathies

NCT ID: NCT05379634

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-05

Study Completion Date

2026-09-16

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of Nipocalimab versus placebo in participants with active idiopathic inflammatory myopathies (IIM).

Detailed Description

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Conditions

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Myositis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Nipocalimab

Participants will receive Nipocalimab at Week 0 (Baseline) and then every 2 weeks (Q2W) up to Week 50 during double-blind period. Participants on glucocorticoids (GC) at baseline will receive a stable dose of oral GC (prednisone or equivalent) from 4 weeks prior to the first administration of study intervention to Week 0. No changes in GC doses are allowed between Week 0 and Week 24. From Week 24 to Week 44, GC doses will be tapered. No changes to GC doses will be allowed from Week 44 to Week 52. Eligible participants will enter long-term extension (LTE) period and continue receiving Nipocalimab starting from Week 52 up to Week 98 and will be followed up to Week 106.

Group Type EXPERIMENTAL

Nipocalimab

Intervention Type DRUG

Nipocalimab will be administered intravenously in double-blind period and LTE period.

Glucocorticoids

Intervention Type DRUG

Prednisone or equivalent will be administered orally as Glucocorticoid.

Placebo

Participants will receive Nipocalimab matching placebo at Week 0 (Baseline) and then Q2W up to Week 50 during double-blind period. Participants on GC at baseline will receive a stable dose of oral GC (prednisone or equivalent) from 4 weeks prior to the first administration of study intervention to Week 0. No changes in GC doses are allowed between Week 0 and Week 24. From Week 24 to Week 44, GC doses will be tapered. No changes to GC doses will be allowed from Week 44 to Week 52. Eligible participants will enter LTE period and will receive Nipocalimab treatment Q2W starting from Week 52 up to Week 98 and will be followed up to Week 106.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Nipocalimab matching placebo will be administered intravenously in double-blind period.

Glucocorticoids

Intervention Type DRUG

Prednisone or equivalent will be administered orally as Glucocorticoid.

Interventions

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Nipocalimab

Nipocalimab will be administered intravenously in double-blind period and LTE period.

Intervention Type DRUG

Placebo

Nipocalimab matching placebo will be administered intravenously in double-blind period.

Intervention Type OTHER

Glucocorticoids

Prednisone or equivalent will be administered orally as Glucocorticoid.

Intervention Type DRUG

Other Intervention Names

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JNJ-80202135 JNJ-86507083

Eligibility Criteria

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Inclusion Criteria

* Disease classification criteria: Participant meets the diagnostic criteria of probable or definite idiopathic inflammatory myopathies (IIM) based on 2017 The European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for adult IIM at least 6 weeks prior to first administration of the study intervention
* If a participant is on regular or as needed treatment with low potency topical glucocorticoids (GC) that are allowed in the study or topical tacrolimus (TAC) to treat skin lesions, the dose and frequency should be stable for greater than or equal to (\>=) 4 weeks prior to first administration of the study intervention as well as maintained at the same dose until Week 52 of the study
* Antibody positivity criteria: Any 1 of the myositis-specific antibodies (MSAs) positive: dermatomyositis (DM): anti-Mi-2 (Mi-2/nucleosome remodeling and deacetylase \[NuRD\] complex), anti-transcription intermediary factor 1-Gamma (TIF1-Gamma), anti- nuclear matrix protein 2 (NXP-2), anti-small ubiquitin-like modifier-1 activating enzyme; anti- antimelanoma differentiation-associated gene 5 (MDA-5) antibodies. Or immune-mediated necrotizing myopathy (IMNM): anti- signal recognition particle (SRP) and anti- 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) antibodies. Or anti-synthetase syndrome (ASyS): anti- histidyl- ribonucleic acid \[tRNA\] synthetase (Jo-1), anti- threonyl-tRNA synthetase (PL7), anti- alanyl-tRNA synthetase (PL12), anti- isoleucyl-tRNA synthetase (OJ), and anti- glycyl-tRNA synthetase (EJ) antibodies. If all MSAs are negative or more than 1 MSA is positive within different subtypes (defined by the central laboratory) at screening, the tests should be repeated during the screening period. If the same results are observed at retesting, the participant should not be enrolled in the study

Exclusion Criteria

* Has a juvenile myositis diagnosis and now \>=18 years old
* Has cancer-associated myositis defined as cancer diagnosis within 3 years of myositis diagnosis except for cervical carcinoma in situ and non-melanoma skin cancer (squamous cell carcinoma, basal cell carcinoma of the skin)
* Has comorbidities (example, asthma, chronic obstructive pulmonary disease \[COPD\]) which have required 3 or more courses of oral GC within 1 year prior to screening
* Has a history of primary immunodeficiency or secondary immunodeficiency not related to the treatment of the participants IIM
* Has experienced myocardial infarction (MI), unstable ischemic heart disease, or stroke within 12 weeks of screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Arizona Arthritis and Rheumatology Research PLLC

Phoenix, Arizona, United States

Site Status

HonorHealth Neurology

Scottsdale, Arizona, United States

Site Status

Attune Health Autoimmune and Inflamation Care and Research

Beverly Hills, California, United States

Site Status

University of California Irvine Medical Center

Orange, California, United States

Site Status

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

FM Clinical Research, LLC South Florida Neurology Associates, P. A.

Boca Raton, Florida, United States

Site Status

Integral Rheumatology And Immunology Specialists

Plantation, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

The Brigham and Women's Hospital, Inc.

Boston, Massachusetts, United States

Site Status

Clinical Research Institute of Michigan, LLC

Saint Clair Shores, Michigan, United States

Site Status

Wexner Medical Center at the Ohio State University

Columbus, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

University of Pennsylvania - Perelman School of Medicine

Philadelphia, Pennsylvania, United States

Site Status

ACME Research Arthritis and Osteoporosis Center

Orangeburg, South Carolina, United States

Site Status

Nervie and Muscle Center of Texas

Houston, Texas, United States

Site Status

University of Texas at Houston Medical School

Houston, Texas, United States

Site Status

Lawson Health Research / London Health Sciences Center Research

London, Ontario, Canada

Site Status

AMIR Research

Montreal, Quebec, Canada

Site Status

Revmatologicky ustav

Prague, , Czechia

Site Status

Hospital Pasteur

Nice, , France

Site Status

Hôpital Pitié-Salpétrière

Paris, , France

Site Status

Nouvel Hopital Civil

Strasbourg, , France

Site Status

Charite Universitaetsmedizin Berlin

Berlin, , Germany

Site Status

Klinikum der Universitaet Muenchen

München, , Germany

Site Status

Immanuel Klinik Rüdersdorf

Rüdersdorf Bei Berlin, , Germany

Site Status

Orszagos Mozgasszervi Intezet ORFI Campus

Budapest, , Hungary

Site Status

Debreceni Egyetem

Debrecen, , Hungary

Site Status

A.O. Universitaria Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status

IRCSS Ospedale San Raffaele Turro

Milan, , Italy

Site Status

Fondazione IRCCS Policlinico San Matteo

Pavia, , Italy

Site Status

Fondazione Policlinico Universitario A Gemelli IRCCS

Roma, , Italy

Site Status

National Hospital Organization Kyushu Medical Center

Fukuoka, , Japan

Site Status

Fukushima Medical University Hospital

Fukushima, , Japan

Site Status

St Marianna University Hospital

Kanagawa, , Japan

Site Status

National Hospital Organization Osaka Minami Medical Center

Kawachi-Nagano, , Japan

Site Status

Tokushukai Chiba-Nishi General Hospital

Matsudo-shi, , Japan

Site Status

Shinshu University Hospital

Matsumoto, , Japan

Site Status

Tohoku University Hospital

Sendai, , Japan

Site Status

St. Luke's International Hospital

Tokyo, , Japan

Site Status

Nippon Medical School Hospital

Tokyo, , Japan

Site Status

Centro Integral en Reumatologia S A de C V

Guadalajara, , Mexico

Site Status

Centro de Estudios de Investigacion Basica y Clinica, S.C.

Guadalajara, , Mexico

Site Status

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran

Mexico City, , Mexico

Site Status

CITER Centro de Investigacion y Tratamiento de las Enfermedades Reumaticas S A de C V

México, , Mexico

Site Status

Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy

Bydgoszcz, , Poland

Site Status

Narodowy Instytut Geriatrii Reumatologii i Rehabilitacji im prof dr hab med Eleonory Reicher

Warsaw, , Poland

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Ajou University Hospital

Suwon, , South Korea

Site Status

Hosp. Univ. de Bellvitge

Barcelona, , Spain

Site Status

Hosp. Univ. de La Paz

Madrid, , Spain

Site Status

Hosp. Univ. Marques de Valdecilla

Santander, , Spain

Site Status

Western General Hospital

Edinburgh, , United Kingdom

Site Status

University College London Hospitals NHSFT

London, , United Kingdom

Site Status

Salford Royal Hospital

Salford, , United Kingdom

Site Status

Countries

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Netherlands United States Canada Czechia France Germany Hungary Italy Japan Mexico Poland South Korea Spain United Kingdom

Other Identifiers

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80202135IIM2001

Identifier Type: OTHER

Identifier Source: secondary_id

2023-505314-20-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CR109210

Identifier Type: -

Identifier Source: org_study_id