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Nipocalimab in moderate to severe Sjogren's disease

A randomized, placebo-controlled, double-blind, multicenter phase 3 protocol to assess the efficacy and safety of nipocalimab in adults with moderate to severe Sjogren's disease (SjD)

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14534389
Enrollment
600
Registered
2024-12-31
Start date
2025-03-27
Completion date
Unknown
Last updated
2025-09-08

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

Conditions

Sjogrens Syndrome Musculoskeletal Diseases

Interventions

Participants will be randomly assigned via an online tool to one of the 2 identical studies (conducted under this single protocol). The study will consist of: 1. Screening period (up to Week 6) 2.

Sponsors

Janssen Research & Development, LLC
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Medically stable on the basis of physical examination, medical history, vital signs, 12-lead electrocardiogram (ECG) and clinical laboratory tests performed at screening 2. Meets criteria for diagnosis of SjD by the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) classification criteria 3. Seropositive for antibodies to Ro/SSA at screening 4. Total ClinESSDAI score greater than or equal to (>=) 5 at screening 5. Participants of childbearing potential must have a negative highly sensitive serum (beta-hCG) pregnancy test at screening and a negative urine pregnancy test at Week 0 prior to randomization

Exclusion criteria

Exclusion criteria: 1. Has a history of severe, progressive and/or uncontrolled hepatic, gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension, and/or any other medical or uncontrolled autoimmune disorder or clinically significant abnormalities in screening laboratory 2. Known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients or excipients used in the placebo formulation 3. Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her SjD or has a family history of congenital or hereditary immunodeficiency 4. Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis, to therapeutic proteins (for example [e.g.], monoclonal antibodies, intravenous immunoglobulin) 5. Has any unstable or progressive manifestation of SjD that is likely to warrant escalation in therapy beyond permitted background medications

Design outcomes

Primary

MeasureTime frame
Change from Baseline in Clinical European League Against Rheumatism Sjogren’s Syndrome Disease Activity Index (ClinESSDAI) Score at Week 48.

Secondary

MeasureTime frame
1. Minimal Clinically Important Improvement is measured using ClinESSDAI Score from Baseline to Week 48 2. Systemic disease activity in Participants with High Immunoglobulin (IgG) Levels at Baseline is measured using ClinESSDAI Score from baseline to Week 48 3. Systemic disease activity is measured ClinESSDAI Score from Baseline to Week 8 4. Glandular function change is measured using Stimulated Salivary Flow Rate from Baseline in at Week 48 5. Dryness symptoms will be measured using the Sjogren’s Symptoms Dryness Score from Baseline to Week 48 6. Joint pain will be measured using the Sjogren’s Symptoms Joint Pain Score from Baseline to Week 48 7. Severity of dryness, fatigue and pain associated with primary Sjogren’s Syndrome will be measured using the EULAR Sjogren’s Syndrome Patient Reported Index (ESSPRI) Score from Baseline to Week 48 8. Fatigue is measured using the Functional Assessment of Chronic Illness Therapy Fatigue (FACIT) Fatigue Score from Baseline to Week 48

Countries

Argentina, Austria, Brazil, Bulgaria, China, Denmark, France, Germany, Hungary, Italy, Japan, Mexico, Poland, Portugal, Romania, Spain, Taiwan, United Kingdom

Contacts

Public ContactFarrah Reid
JanssenUKregistryQueries@its.jnj.com-

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026