Skip to content

A study evaluating the safety and effectiveness of SIR9900 compared with placebo in adults with VEXAS syndrome

A Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy and Safety of SIR9900 in Patients with VEXAS Syndrome (SIVEX)

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626001126303
Enrollment
110
Registered
2026-09-10
Start date
2026-09-21
Completion date
2027-05-31
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to evaluate the safety and effectiveness of SIR9900 in adults with VEXAS syndrome. Participants will be randomly assigned to receive either SIR9900 or a matching placebo in addition to their standard medical care. The study will compare whether treatment with SIR9900 improves disease activity and clinical outcomes while remaining safe and well tolerated. Information collected during the study will help determine whether SIR9900 may be a potential treatment option for people with VEXAS syndrome.

Interventions

Participants will be randomised to receive SIR9900 20 mg, SIR9900 30 mg, or matching placebo orally once daily, together with permitted background treatment. Double-blind treatment will continue for up to 24 weeks, after which eligible participants may enter an open-label treatment period through Week 48. Treatment adherence is assessed at scheduled study visits using study treatment records. For this study, standard care consists of protocol-permitted background glucocorticoid treatment managed

Participants will be randomised to receive SIR9900 20 mg, SIR9900 30 mg, or matching placebo orally once daily, together with permitted background treatment. Double-blind treatment will continue for up to 24 weeks, after which eligible participants may enter an open-label treatment period through Week 48. Treatment adherence is assessed at scheduled study visits using study treatment records. For this study, standard care consists of protocol-permitted background glucocorticoid treatment managed by the Investigator according to the participant’s clinical needs and the study protocol.

Sponsors

Sironax USA, Inc.
Lead SponsorCommercial sector/Industry

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Adults aged 18 years or older. Genetically confirmed VEXAS syndrome. Active disease meeting the protocol-defined eligibility criteria. Stable background treatment, if applicable. Able and willing to provide written informed consent and comply with study procedures.

Exclusion criteria

Prohibited concomitant medications include hypomethylating agents; non-glucocorticoid anti-inflammatory and haematological support therapies; antiplatelet therapy other than permitted low-dose aspirin; other investigational therapies; CYP1A2 substrates with a narrow therapeutic window; strong CYP3A inhibitors or inducers; strong CYP2C8 inhibitors; and non-prescription or herbal products with clinically relevant interaction potential.

Outcome results

None listed

Source: ANZCTR · Data processed: Sep 19, 2026