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A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of IgPro20 in Adults With Dermatomyositis (DM)

A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of IgPro20 (Subcutaneous Immunoglobulin, Hizentra®) in Adults With Dermatomyositis (DM) - The RECLAIIM Study

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04044690
Acronym
RECLAIIM
Enrollment
134
Registered
2019-08-05
Start date
2019-10-21
Completion date
2024-12-02
Last updated
2025-12-09

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

Conditions

Dermatomyositis

Brief summary

This is a phase 3, multicenter, randomized, placebo-controlled, double-blind study of IgPro20 (subcutaneous Ig) treatment in adult subjects with dermatomyositis (DM). The primary objective of this study is to assess the efficacy of IgPro20 subcutaneous (SC) doses in comparison to placebo in adult subjects with DM, as measured by responder status based on Total Improvement Score (TIS) assessments.

Interventions

human immunoglobulin G administered subcutaneously

DRUGPlacebo

contains 2% human albumin, similar excipients as IgPro20 (Hizentra), same volume, same duration, administered subcutaneously

Sponsors

CSL Behring
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Male or female subjects ≥ 18 years of age * Diagnosis of at least probable idiopathic inflammatory myopathies (IIM) per European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Classification Criteria which includes confirmation of dermatomyositis (DM) rash/manifestation, disease activity defined by presence of DM rash / manifestation or an objective disease activity measure * Disease severity defined by Physician global activity visual analog scale (VAS) with a minimum value of 2.0 cm on a 10 cm scale and MMT-8 ≤ 142 or CDASI total activity score ≥ 14. * Corticosteroid daily dose less than that or equal to 20 mg prednisolone equivalent

Exclusion criteria

* Cancer-associated myositis * Evidence of active malignant disease or malignancies diagnosed within the previous 5 years * Physician Global Damage score ≥ 3, or clinically relevant improvement between Screening Visit and Baseline

Design outcomes

Primary

MeasureTime frameDescription
Responder RateAt Week 25A responder was defined as a participant with a TIS \>= 20 points at Week 25 and at least 1 of the previous scheduled visits (Week 17 or 21), who completes 24 weeks of randomized IMP treatment without the use of rescue corticosteroid treatment. The TIS was a sum response criterion which incorporates 6 weighted international myositis assessment and clinical studies (IMACS) core set measures (CSMs) including Physician and Patient Global Disease Activity (PGA), Manual Muscle Testing-8 (MMT-8), Health Assessment Questionnaire, Muscle Enzyme, and Extramuscular Global Activity (EGA). Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points, respectively on the TIS. Percentage of responders at Week 25 based on TIS are reported here. Multiple imputation (MI) was used to impute missing values for participants who discontinued due to the military activities in Ukraine.

Secondary

MeasureTime frameDescription
Mean Changes From Baseline in MMT-8From Baseline to Week 25The MMT-8 was a set of 8 designated muscles which were tested bilaterally (potential score ranging from 0 to 150): 7 biaxial muscles with a potential score 0 to 140 and 1 axial (neck flexors) with a potential score of 0 to 10. Improvement is documented with an increase in score. LS means were estimated using a MMRM including treatment, visit, the interaction between treatment and visit, and region as fixed effects, baseline MMT-8 as a continuous covariate and participant as a random effect.
Mean Changes From Baseline in Cutaneous Dermatomyositis Disease Area and Severity Index Total Activity Score (CDASI-A)From Baseline to Week 25The CDASI in its modified version 2 (V2) is a validated tool of skin disease activity (3 items) and damage (3 items) assessment. Scores range from 0-100 for activity and from 0-32 for damage. Improvement is documented with a decrease in score. LS means were estimated using a MMRM including treatment, visit, the interaction between treatment and visit, region, and baseline MMT-8 (\<=142 points vs \>142 points) as fixed effects, baseline CDASI-A as a continuous covariate, and participants as a random effect.
Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%At Week 25Reduction in corticosteroid dose.
Period 1: Mean TIS at Each VisitAt Week 5, 9, 13, 17, 21, and 25The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points on the TIS.
Period 2: Mean TIS at Each VisitWeek 25, 29, 33, 37, 41, 45, 49, and 53The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points on the TIS.
Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsAt Week 5, 9, 13, 17, 21, and 25Participants were considered and reported in more than one category (TIS \>= 20, \>= 40 and \>= 60 Points).
Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25, 29, 33, 37, 41, 45, 49, and 53Participants were considered and reported in more than one category (TIS \>= 20, \>= 40 and \>= 60 Points).
Period 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISUp to Week 25The observation was censored if no improvement was observed before the intake of rescue/increased doses of oral corticosteroids in SP1 or before the end of the period.
Period 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISUp to Week 53The observation was censored if no improvement was observed before the intake of rescue/increased doses of oral corticosteroids in SP1 or before the end of the period.
Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIFrom Baseline to Week 25Individual CSMs included following: Myositis Disease Activity Assessment Tool (MDAAT) Physician global disease activity (PGDA), PGA assessment, MMT-8, health assessment questionnaire-disability index (HAQ-DI), and MDAAT-EGA. Higher values were associated with a better state of health for the MMT-8 (range 0 -150) assessment, while lower values were associated with a better state of health for: MDAAT-PGDA (range 0 -100), PGA (range 0-100), HAQ-DI (range 0-3), MDAAT-EGA (range 0 -100), and CDASI-A (range 0-100).
Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIFrom Week 25 to Week 53Individual CSMs included following: MDAAT-PGDA, PGA assessment, MMT-8, HAQ-DI, and MDAAT extramacular global assessment. Higher values were associated with a better state of health for the MMT-8 (range 0 -150) assessment, while lower values were associated with a better state of health for: MDAAT-PGDA (range 0 -100), PGA (range 0-100), HAQ-DI (range 0-3), MDAAT-EGA (range 0 -100), and CDASI-A (range 0-100).
Period 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceUp to Week 25The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment Visual Analog Scale (VAS) worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)
Period 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceUp to Week 25The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)
Period 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceFrom Week 25 up to Week 53The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)
Period 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceFrom Week 25 up to Week 53The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)
Time to Meeting DOW for the First TimeUp to Week 53The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The observation was censored if no DOW was observed before the intake of rescue treatment or before the end of the period.
Mean TISAt Week 25The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100; higher the score, better the condition), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points, respectively on the TIS. Least squares (LS) means were estimated using a mixed model repeated measures (MMRM) including treatment, visit, the interaction between treatment and visit, region, and baseline MMT-8 (\<=142 points vs \>142 points) as fixed effects, participant as a random effect.
Percentage of Participants Meeting DOW and Receiving Rescue Steroid TreatmentUp to Week 25The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The percentage of participants meeting DOW and who received rescue steroid treatment are reported here.
Number of Participants Who Start Oral Corticosteroid Dose TaperUp to Week 25
Percentage of Participants Who Start Oral Corticosteroid Dose TaperUp to Week 25
Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Up to Week 25 and 52
Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Up to Week 25 and 52
Percentage of Participants Receiving Rescue Corticosteroid TreatmentUp to Week 25
Percentage of Participants Whose Rescue Corticosteroid Treatment is TaperedUp to Week 25
Time to First Intake of Rescue Corticosteroid TreatmentUp to Week 25The observation was censored if no Rescue was observed before the last day of the last week with IMP intake or before the end of the period.
Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)From Baseline to Week 13 and 25EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.
Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LFrom Baseline to Week 13 and 25EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.
Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LFrom Week 25 to 41 and 53EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having no reduction, at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.
Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LFrom Week 25 to 41 and 53EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having no reduction, at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsUp to 5 years
Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskUp to 5 years
Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskUp to 5 years
Number of Participants Meeting DOW and Receiving Rescue Steroid TreatmentUp to Week 25The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The Number of participants meeting DOW and who received rescue steroid treatment are reported here.

Countries

Argentina, Belgium, France, Germany, Hungary, Italy, Japan, Mexico, Poland, Russia, Spain, Switzerland, Ukraine, United States

Participant flow

Recruitment details

This study was conducted from 21 October 2019 to 02 December 2024.

Pre-assignment details

A total of 199 participants were screened, and 65 of these were screen failures. A total of 134 were randomized in the study. This study consisted of 3 study periods (SP): SP1 (from Baseline to Week 25), SP2 (from Week 25 to 56) and SP3 (from Week 56 to approximately 5 years, study drug reimbursement was planned until drug becomes commercially available or if there is no longer benefit from the study drug). However, the study was terminated early.

Participants by arm

ArmCount
IgPro20
Participants received IgPro20 SC infusions weekly for 24 weeks in Period 1.
67
Placebo
Participants received matching placebo SC infusions weekly for 24 weeks in Period 1.
67
Total134

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 1Adverse Event42
Period 1Death11
Period 1Lack of Efficacy11
Period 1Other: Unspecified10
Period 1Physician Decision01
Period 1Protocol Deviation20
Period 1Site Terminated by Sponsor01
Period 1Study Terminated by Sponsor01
Period 1Withdrawal by Subject25
Period 2Adverse Event01
Period 2Death10
Period 2Lack of Efficacy01
Period 2Lost to Follow-up01
Period 2Other: Unspecified11
Period 2Physician Decision02
Period 2Site Terminated by Sponsor13
Period 2Study Terminated by Sponsor83
Period 2Withdrawal by Subject55
Period 3Missing02
Period 3Site Terminated by Sponsor12
Period 3Study Terminated by Sponsor2418

Baseline characteristics

CharacteristicPlaceboTotalIgPro20
Age, Continuous49.1 years
STANDARD_DEVIATION 14.02
50.3 years
STANDARD_DEVIATION 14.96
51.5 years
STANDARD_DEVIATION 15.86
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants29 Participants14 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
49 Participants100 Participants51 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants5 Participants2 Participants
Race/Ethnicity, Customized
Race
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Asian
10 Participants20 Participants10 Participants
Race/Ethnicity, Customized
Race
Black or African American
1 Participants4 Participants3 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Other
6 Participants12 Participants6 Participants
Race/Ethnicity, Customized
Race
White
50 Participants98 Participants48 Participants
Sex: Female, Male
Female
51 Participants98 Participants47 Participants
Sex: Female, Male
Male
16 Participants36 Participants20 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
1 / 671 / 671 / 560 / 550 / 361 / 34
other
Total, other adverse events
41 / 6733 / 6725 / 5633 / 5521 / 3617 / 34
serious
Total, serious adverse events
3 / 675 / 672 / 563 / 555 / 367 / 34

Outcome results

Primary

Responder Rate

A responder was defined as a participant with a TIS \>= 20 points at Week 25 and at least 1 of the previous scheduled visits (Week 17 or 21), who completes 24 weeks of randomized IMP treatment without the use of rescue corticosteroid treatment. The TIS was a sum response criterion which incorporates 6 weighted international myositis assessment and clinical studies (IMACS) core set measures (CSMs) including Physician and Patient Global Disease Activity (PGA), Manual Muscle Testing-8 (MMT-8), Health Assessment Questionnaire, Muscle Enzyme, and Extramuscular Global Activity (EGA). Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points, respectively on the TIS. Percentage of responders at Week 25 based on TIS are reported here. Multiple imputation (MI) was used to impute missing values for participants who discontinued due to the military activities in Ukraine.

Time frame: At Week 25

Population: Analysis was performed on the modified intent-to-treat (mITT) analysis set. The mITT analysis set comprises all participants who underwent study screening procedures, were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP or the lack of any post randomization efficacy data lead to the exclusion of the participant from the mITT.

ArmMeasureValue (NUMBER)
IgPro20Responder Rate64.3 percentage of participants
PlaceboResponder Rate61.6 percentage of participants
p-value: 0.37100895% CI: [0.551, 2.309]Regression, Logistic
Secondary

Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at Risk

Time frame: Up to 5 years

Population: Period 1: SAF: All randomized participants who received any IMP, analyzed by actual treatment. Period 2: SAF-EX: Participants from SAF who completed 24 weeks in Period 1 and received any IMP in Period 2. Period 3: SAF-P3: Participants from SAF-EX who completed 52 weeks in Periods 1 and 2 and received any IMP after Week 52.

ArmMeasureGroupValue (NUMBER)
IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate2.145 TEAEs per year
IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.393 TEAEs per year
IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild9.151 TEAEs per year
PlaceboAnnualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate1.162 TEAEs per year
PlaceboAnnualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.161 TEAEs per year
PlaceboAnnualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild4.035 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.067 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild4.011 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate0.843 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild4.332 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate2.239 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.110 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.117 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild2.442 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate0.606 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskModerate1.390 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskMild2.157 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of Mild, Moderate, and Severe TEAEs Per Time at RiskSevere0.096 TEAEs per year
Secondary

Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at Risk

Time frame: Up to 5 years

Population: Period 1: SAF: All randomized participants who received any IMP, analyzed by actual treatment. Period 2: SAF-EX: Participants from SAF who completed 24 weeks in Period 1 and received any IMP in Period 2. Period 3: SAF-P3: Participants from SAF-EX who completed 52 weeks in Periods 1 and 2 and received any IMP after Week 52.

ArmMeasureGroupValue (NUMBER)
IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs6.327 TEAEs per year
IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs11.725 TEAEs per year
IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.214 TEAEs per year
PlaceboAnnualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs0.936 TEAEs per year
PlaceboAnnualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs5.359 TEAEs per year
PlaceboAnnualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.226 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs1.348 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs4.922 TEAEs per year
Period 2 Sequence A: IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.067 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs2.166 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs6.718 TEAEs per year
Period 2 Sequence B: Placebo / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.110 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs0.195 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs3.165 TEAEs per year
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.137 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskTEAEs3.644 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskSerious TEAEs0.288 TEAEs per year
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Annualized Rate of TEAEs, Related TEAEs and Serious TEAEs Per Time at RiskRelated TEAEs0.240 TEAEs per year
Secondary

Mean Changes From Baseline in Cutaneous Dermatomyositis Disease Area and Severity Index Total Activity Score (CDASI-A)

The CDASI in its modified version 2 (V2) is a validated tool of skin disease activity (3 items) and damage (3 items) assessment. Scores range from 0-100 for activity and from 0-32 for damage. Improvement is documented with a decrease in score. LS means were estimated using a MMRM including treatment, visit, the interaction between treatment and visit, region, and baseline MMT-8 (\<=142 points vs \>142 points) as fixed effects, baseline CDASI-A as a continuous covariate, and participants as a random effect.

Time frame: From Baseline to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (LEAST_SQUARES_MEAN)
IgPro20Mean Changes From Baseline in Cutaneous Dermatomyositis Disease Area and Severity Index Total Activity Score (CDASI-A)-10.6 score on a scale
PlaceboMean Changes From Baseline in Cutaneous Dermatomyositis Disease Area and Severity Index Total Activity Score (CDASI-A)-5.3 score on a scale
p-value: 0.00164795% CI: [-8.72, -1.82]MMRM
Secondary

Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASI

Individual CSMs included following: Myositis Disease Activity Assessment Tool (MDAAT) Physician global disease activity (PGDA), PGA assessment, MMT-8, health assessment questionnaire-disability index (HAQ-DI), and MDAAT-EGA. Higher values were associated with a better state of health for the MMT-8 (range 0 -150) assessment, while lower values were associated with a better state of health for: MDAAT-PGDA (range 0 -100), PGA (range 0-100), HAQ-DI (range 0-3), MDAAT-EGA (range 0 -100), and CDASI-A (range 0-100).

Time frame: From Baseline to Week 25

Population: Analysis was performed on the mITT analysis set. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMMT-8: Week 2510.8 score on a scaleStandard Deviation 16.71
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-PGDA: Week 25-21.2 score on a scaleStandard Deviation 19.86
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-EGA: Week 25-17.4 score on a scaleStandard Deviation 22.54
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIPGA: Week 25-13.0 score on a scaleStandard Deviation 26.52
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIHAQ - DI: Week 25-0.195 score on a scaleStandard Deviation 0.4627
IgPro20Mean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASICDASI-A: Week 25-11.5 score on a scaleStandard Deviation 10.85
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIHAQ - DI: Week 25-0.172 score on a scaleStandard Deviation 0.4801
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMMT-8: Week 2515.2 score on a scaleStandard Deviation 24.02
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIPGA: Week 25-16.8 score on a scaleStandard Deviation 20.57
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-PGDA: Week 25-21.8 score on a scaleStandard Deviation 18.64
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASICDASI-A: Week 25-7.9 score on a scaleStandard Deviation 8.91
PlaceboMean Changes From Baseline in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-EGA: Week 25-13.9 score on a scaleStandard Deviation 17.67
Secondary

Mean Changes From Baseline in MMT-8

The MMT-8 was a set of 8 designated muscles which were tested bilaterally (potential score ranging from 0 to 150): 7 biaxial muscles with a potential score 0 to 140 and 1 axial (neck flexors) with a potential score of 0 to 10. Improvement is documented with an increase in score. LS means were estimated using a MMRM including treatment, visit, the interaction between treatment and visit, and region as fixed effects, baseline MMT-8 as a continuous covariate and participant as a random effect.

Time frame: From Baseline to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (LEAST_SQUARES_MEAN)
IgPro20Mean Changes From Baseline in MMT-88.9 score on a scale
PlaceboMean Changes From Baseline in MMT-811.3 score on a scale
p-value: 0.73099495% CI: [-10.15, 5.33]MMRM
Secondary

Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASI

Individual CSMs included following: MDAAT-PGDA, PGA assessment, MMT-8, HAQ-DI, and MDAAT extramacular global assessment. Higher values were associated with a better state of health for the MMT-8 (range 0 -150) assessment, while lower values were associated with a better state of health for: MDAAT-PGDA (range 0 -100), PGA (range 0-100), HAQ-DI (range 0-3), MDAAT-EGA (range 0 -100), and CDASI-A (range 0-100).

Time frame: From Week 25 to Week 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-PGDA: Week 53-8.5 score on a scaleStandard Deviation 17.13
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIHAQ - DI: Week 53-0.106 score on a scaleStandard Deviation 0.2587
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMMT-8: Week 537.1 score on a scaleStandard Deviation 11.32
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-EGA: Week 53-0.9 score on a scaleStandard Deviation 12.38
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIPGA: Week 53-3.3 score on a scaleStandard Deviation 20.94
IgPro20Mean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASICDASI-A: Week 53-0.8 score on a scaleStandard Deviation 7.52
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-PGDA: Week 53-15.5 score on a scaleStandard Deviation 18.74
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIPGA: Week 53-9.0 score on a scaleStandard Deviation 23.87
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIHAQ - DI: Week 53-0.162 score on a scaleStandard Deviation 0.4477
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASICDASI-A: Week 53-5.3 score on a scaleStandard Deviation 9.7
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMDAAT-EGA: Week 53-11.5 score on a scaleStandard Deviation 18.21
PlaceboMean Changes From Week 25 in Individual CSMs (Except Muscle Enzymes) and CDASIMMT-8: Week 537.9 score on a scaleStandard Deviation 13.44
Secondary

Mean TIS

The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100; higher the score, better the condition), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points, respectively on the TIS. Least squares (LS) means were estimated using a mixed model repeated measures (MMRM) including treatment, visit, the interaction between treatment and visit, region, and baseline MMT-8 (\<=142 points vs \>142 points) as fixed effects, participant as a random effect.

Time frame: At Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (LEAST_SQUARES_MEAN)
IgPro20Mean TIS32.24 score on a scale
PlaceboMean TIS30.78 score on a scale
p-value: 0.36093995% CI: [-6.651, 9.57]MMRM
Secondary

Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)

EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.

Time frame: From Baseline to Week 13 and 25

Population: Analysis was performed on the mITT analysis set. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified timepoint.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: More than 2 level improvement1 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: More than 2 level improvement1 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: At least 1 level improvement10 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: At least 1 level improvement16 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: At least 2 level improvement5 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: More than 2 level improvement2 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: More than 2 level improvement0 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: More than 2 level improvement0 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: At least 1 level improvement9 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: At least 1 level improvement16 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: At least 2 level improvement2 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: At least 2 level improvement1 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: At least 1 level improvement15 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: At least 2 level improvement1 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: At least 2 level improvement2 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: At least 1 level improvement15 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: More than 2 level improvement1 Participants
IgPro20Number of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: At least 2 level improvement2 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: At least 1 level improvement13 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: At least 2 level improvement2 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Self-Care: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: At least 1 level improvement15 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: At least 2 level improvement3 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: At least 1 level improvement15 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: At least 1 level improvement14 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: At least 2 level improvement3 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Mobility: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Self-Care: At least 1 level improvement15 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Usual Activities: At least 2 level improvement3 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: At least 1 level improvement13 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 25: Usual Activities: At least 2 level improvement1 Participants
PlaceboNumber of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EuroQoL 5-Dimension Questionnaire (EQ-5D-5L)Week 13: Mobility: At least 2 level improvement0 Participants
Secondary

Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L

EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having no reduction, at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.

Time frame: From Week 25 to 41 and 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified category.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: More than 2 level improvement0 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 2 level improvement1 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 2 level improvement3 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 1 level improvement10 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: No Reduction29 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 1 level improvement10 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: More than 2 level improvement0 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: No Reduction32 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 1 level improvement5 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: More than 2 level improvement0 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: No Reduction23 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 1 level improvement13 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 2 level improvement1 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: More than 2 level improvement1 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: No Reduction24 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 1 level improvement8 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 2 level improvement2 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 2 level improvement3 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: More than 2 level improvement0 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: No Reduction33 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 1 level improvement2 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 2 level improvement2 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: More than 2 level improvement0 Participants
IgPro20Number of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: No Reduction21 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 1 level improvement11 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: More than 2 level improvement1 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 2 level improvement1 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: No Reduction25 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: No Reduction28 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 1 level improvement7 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: No Reduction23 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: More than 2 level improvement1 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: No Reduction31 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 1 level improvement10 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 1 level improvement9 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 2 level improvement1 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: No Reduction22 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 2 level improvement2 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: No Reduction31 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 1 level improvement8 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 1 level improvement10 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: More than 2 level improvement0 Participants
PlaceboNumber of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 2 level improvement1 Participants
Secondary

Number of Participants Meeting DOW and Receiving Rescue Steroid Treatment

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The Number of participants meeting DOW and who received rescue steroid treatment are reported here.

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
IgPro20Number of Participants Meeting DOW and Receiving Rescue Steroid Treatment0 Participants
PlaceboNumber of Participants Meeting DOW and Receiving Rescue Steroid Treatment2 Participants
Secondary

Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%

Time frame: Up to Week 25 and 52

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = all participants with oral concomitant corticosteroid treatment at Week 1 who were part of mITT Ex.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 25%16 Participants
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 50%11 Participants
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 75%3 Participants
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 25%19 Participants
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 50%17 Participants
IgPro20Number of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 75%12 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 50%14 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 25%14 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 25%17 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 50%8 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 75%9 Participants
PlaceboNumber of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 75%3 Participants
Secondary

Number of Participants Who Start Oral Corticosteroid Dose Taper

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT. Here, overall number of participants analyzed (N) = participants with oral concomitant corticosteroid treatment at Week 1.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
IgPro20Number of Participants Who Start Oral Corticosteroid Dose Taper19 Participants
PlaceboNumber of Participants Who Start Oral Corticosteroid Dose Taper19 Participants
Secondary

Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L

EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.

Time frame: From Baseline to Week 13 and 25

Population: Analysis was performed on the mITT analysis set. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified category.

ArmMeasureGroupValue (NUMBER)
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : More than 2 level improvement1.8 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : More than 2 level improvement1.9 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : At least 1 level improvement28.1 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : At least 1 level improvement15.8 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : At least 2 level improvement5.3 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : At least 1 level improvement19.2 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : More than 2 level improvement3.5 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : At least 2 level improvement9.6 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : At least 1 level improvement28.1 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : At least 2 level improvement1.8 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : At least 2 level improvement1.8 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : At least 1 level improvement3.8 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : At least 1 level improvement26.3 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : At least 2 level improvement1.9 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : At least 2 level improvement3.5 percentage of participants
IgPro20Percentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : More than 2 level improvement1.8 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : At least 2 level improvement3.6 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : At least 1 level improvement29.2 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : At least 1 level improvement31.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : At least 1 level improvement29.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : At least 1 level improvement27.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : At least 2 level improvement5.5 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Usual Activities : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : At least 2 level improvement6.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Mobility : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : At least 2 level improvement6.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Self-Care : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : At least 2 level improvement5.2 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 25: Usual Activities : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : At least 1 level improvement27.3 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : At least 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Mobility : More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 13: Self-Care : At least 1 level improvement23.6 percentage of participants
Secondary

Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L

EQ-5D-5L was assessed across 5 levels, with participants selecting the option that best described their health on that day, ranging from no problems to unable to walk, wash/dress, or perform usual activities. Out of total participants of each arm, only participants having no reduction, at least 1 Level, 2 Levels, and more than 2 Levels of improvement from baseline in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5L are reported in this outcome measure.

Time frame: From Week 25 to 41 and 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified category.

ArmMeasureGroupValue (NUMBER)
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: No Reduction52.5 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 2 level improvement2.1 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: No Reduction68.1 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 1 level improvement21.3 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: More than 2 level improvement2.1 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 1 level improvement0.6 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: No Reduction60.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 1 level improvement20.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 2 level improvement6.4 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: No Reduction82.5 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 2 level improvement2.1 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 2 level improvement5.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 1 level improvement25.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 1 level improvement5.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 2 level improvement5.0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: No Reduction61.7 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: No Reduction48.9 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 2 level improvement7.5 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: More than 2 level improvement0 percentage of participants
IgPro20Percentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 1 level improvement27.7 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 1 level improvement22.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: No Reduction59.5 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: No Reduction62.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 1 level improvement17.8 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: At least 2 level improvement2.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Mobility: More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: No Reduction20.0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 1 level improvement20.0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: At least 2 level improvement2.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Self-Care: More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: No Reduction68.9 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: No Reduction67.6 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: At least 2 level improvement2.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 41: Usual Activities: More than 2 level improvement0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: More than 2 level improvement2.7 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Mobility: At least 1 level improvement18.9 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: No Reduction62.2 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 1 level improvement29.7 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Self-Care: At least 2 level improvement2.7 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 1 level improvement27.0 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: At least 2 level improvement5.4 percentage of participants
PlaceboPercentage of Participants Having no Reduction in Levels, at Least 1 Level, 2 Levels, and More Than 2 Levels of Improvement From Week 25 in Mobility, Self-care, and Usual Activities Domains of EQ-5D-5LWeek 53: Usual Activities: More than 2 level improvement0 percentage of participants
Secondary

Percentage of Participants Meeting DOW and Receiving Rescue Steroid Treatment

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The percentage of participants meeting DOW and who received rescue steroid treatment are reported here.

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (NUMBER)
IgPro20Percentage of Participants Meeting DOW and Receiving Rescue Steroid Treatment0 percentage of participants
PlaceboPercentage of Participants Meeting DOW and Receiving Rescue Steroid Treatment3.1 percentage of participants
Secondary

Percentage of Participants Receiving Rescue Corticosteroid Treatment

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (NUMBER)
IgPro20Percentage of Participants Receiving Rescue Corticosteroid Treatment1.5 percentage of participants
PlaceboPercentage of Participants Receiving Rescue Corticosteroid Treatment9.2 percentage of participants
Secondary

Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%

Reduction in corticosteroid dose.

Time frame: At Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (NUMBER)
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%23.2 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%20.2 percentage of participants
p-value: 0.33534795% CI: [0.52, 2.766]Regression, Logistic
Secondary

Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%

Time frame: Up to Week 25 and 52

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = all participants with oral concomitant corticosteroid treatment at Week 1 who were part of mITT Ex.

ArmMeasureGroupValue (NUMBER)
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 25%40.0 percentage of participants
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 50%27.5 percentage of participants
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 75%7.5 percentage of participants
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 25%47.5 percentage of participants
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 50%42.5 percentage of participants
IgPro20Percentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 75%30.0 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 50%35.9 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 25%35.9 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 25%43.6 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 50%20.5 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 52: Reduction >= 75%23.1 percentage of participants
PlaceboPercentage of Participants Who Are Able to Reduce the Oral Corticosteroid Dose by >= 25%, >= 50%, >= 75%Week 25: Reduction >= 75%7.7 percentage of participants
Secondary

Percentage of Participants Whose Rescue Corticosteroid Treatment is Tapered

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT. Here, overall number of participants analyzed (N) = participants receiving oral rescue corticosteroid treatment up to Week 25.

ArmMeasureValue (NUMBER)
IgPro20Percentage of Participants Whose Rescue Corticosteroid Treatment is Tapered0 percentage of participants
PlaceboPercentage of Participants Whose Rescue Corticosteroid Treatment is Tapered100.0 percentage of participants
Secondary

Percentage of Participants Who Start Oral Corticosteroid Dose Taper

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT. Here, overall number of participants analyzed (N) = participants with oral concomitant corticosteroid treatment at Week 1.

ArmMeasureValue (NUMBER)
IgPro20Percentage of Participants Who Start Oral Corticosteroid Dose Taper41.3 percentage of participants
PlaceboPercentage of Participants Who Start Oral Corticosteroid Dose Taper39.6 percentage of participants
Secondary

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEs

Time frame: Up to 5 years

Population: Period 1: Safety analysis set (SAF): All randomized participants who received any IMP, analyzed by actual treatment. Period 2: SAF extended (SAF-EX): Participants from SAF who completed 24 weeks in Period 1 and received any IMP in Period 2. Period 3: SAF for SP3 (SAF-P3): Participants from SAF-EX who completed 52 weeks in Periods 1 and 2 and received any IMP after Week 52.

ArmMeasureGroupValue (NUMBER)
IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs82.1 percentage of participants
IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs4.5 percentage of participants
IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs52.2 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs25.4 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs67.2 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs7.5 percentage of participants
Period 2 Sequence A: IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs69.6 percentage of participants
Period 2 Sequence A: IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs17.9 percentage of participants
Period 2 Sequence A: IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs3.6 percentage of participants
Period 2 Sequence B: Placebo / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs5.5 percentage of participants
Period 2 Sequence B: Placebo / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs43.6 percentage of participants
Period 2 Sequence B: Placebo / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs74.5 percentage of participants
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs75.0 percentage of participants
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs13.9 percentage of participants
Period 3 Sequence A: IgPro20/ IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs13.9 percentage of participants
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsTEAEs76.5 percentage of participants
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsRelated TEAEs20.6 percentage of participants
Period 3 Sequence B: Placebo / IgPro20 / IgPro20Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Related TEAEs and Serious TEAEsSerious TEAEs20.6 percentage of participants
Secondary

Period 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TIS

The observation was censored if no improvement was observed before the intake of rescue/increased doses of oral corticosteroids in SP1 or before the end of the period.

Time frame: Up to Week 53

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureGroupValue (MEDIAN)
IgPro20Period 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 20 Points31.0 days
IgPro20Period 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 40 Points112.0 days
IgPro20Period 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 60 Points308.0 days
PlaceboPeriod 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 40 Points137.0 days
PlaceboPeriod 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 20 Points32.0 days
PlaceboPeriod 1 and 2: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points Improvement on the TISTIS >= 60 Points336.0 days
Secondary

Period 1: Mean TIS at Each Visit

The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points on the TIS.

Time frame: At Week 5, 9, 13, 17, 21, and 25

Population: Analysis was performed on the mITT analysis set. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
IgPro20Period 1: Mean TIS at Each VisitWeek 523.22 score on a scaleStandard Deviation 16.387
IgPro20Period 1: Mean TIS at Each VisitWeek 932.54 score on a scaleStandard Deviation 18.132
IgPro20Period 1: Mean TIS at Each VisitWeek 1337.68 score on a scaleStandard Deviation 17.267
IgPro20Period 1: Mean TIS at Each VisitWeek 1741.00 score on a scaleStandard Deviation 16.926
IgPro20Period 1: Mean TIS at Each VisitWeek 2143.56 score on a scaleStandard Deviation 17.112
IgPro20Period 1: Mean TIS at Each VisitWeek 2540.20 score on a scaleStandard Deviation 20.093
PlaceboPeriod 1: Mean TIS at Each VisitWeek 2136.67 score on a scaleStandard Deviation 21.882
PlaceboPeriod 1: Mean TIS at Each VisitWeek 520.97 score on a scaleStandard Deviation 16.684
PlaceboPeriod 1: Mean TIS at Each VisitWeek 1735.44 score on a scaleStandard Deviation 21.458
PlaceboPeriod 1: Mean TIS at Each VisitWeek 926.67 score on a scaleStandard Deviation 17.924
PlaceboPeriod 1: Mean TIS at Each VisitWeek 2540.21 score on a scaleStandard Deviation 21.812
PlaceboPeriod 1: Mean TIS at Each VisitWeek 1331.68 score on a scaleStandard Deviation 20.705
Secondary

Period 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > Twice

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment Visual Analog Scale (VAS) worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
IgPro20Period 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceMore Than Twice0 Participants
IgPro20Period 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceAt Least Once2 Participants
IgPro20Period 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceAt Least Twice0 Participants
PlaceboPeriod 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceMore Than Twice0 Participants
PlaceboPeriod 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceAt Least Once3 Participants
PlaceboPeriod 1: Number of Participants Meeting Definition of Worsening (DOW) at Least Once, Twice, or > TwiceAt Least Twice0 Participants
Secondary

Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 Points

Participants were considered and reported in more than one category (TIS \>= 20, \>= 40 and \>= 60 Points).

Time frame: At Week 5, 9, 13, 17, 21, and 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureGroupValue (NUMBER)
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 20 Points47.7 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 40 Points16.9 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 60 Points1.5 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 20 Points63.1 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 40 Points32.3 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 60 Points9.2 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 20 Points73.8 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 40 Points36.9 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 60 Points13.8 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 20 Points75.4 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 40 Points44.6 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 60 Points15.4 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 20 Points73.4 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 40 Points53.1 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 60 Points18.8 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 20 Points64.1 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 40 Points45.3 percentage of participants
IgPro20Period 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 60 Points17.2 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 40 Points33.3 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 20 Points47.7 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 20 Points57.8 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 40 Points15.4 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 60 Points15.9 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 5: TIS >= 60 Points1.5 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 40 Points34.4 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 20 Points56.3 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 60 Points12.7 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 40 Points26.6 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 17: TIS >= 60 Points15.6 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 9: TIS >= 60 Points4.7 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 40 Points39.7 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 20 Points60.9 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 21: TIS >= 20 Points60.3 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 40 Points31.3 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 20 Points65.1 percentage of participants
PlaceboPeriod 1: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 13: TIS >= 60 Points10.9 percentage of participants
Secondary

Period 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > Twice

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureGroupValue (NUMBER)
IgPro20Period 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once3.1 percentage of participants
IgPro20Period 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 percentage of participants
IgPro20Period 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 percentage of participants
PlaceboPeriod 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once4.6 percentage of participants
PlaceboPeriod 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 percentage of participants
PlaceboPeriod 1: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 percentage of participants
Secondary

Period 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TIS

The observation was censored if no improvement was observed before the intake of rescue/increased doses of oral corticosteroids in SP1 or before the end of the period.

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureGroupValue (MEDIAN)
IgPro20Period 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 60 PointsNA days
IgPro20Period 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 20 Points31.0 days
IgPro20Period 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 40 Points112.0 days
PlaceboPeriod 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 60 PointsNA days
PlaceboPeriod 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 20 Points32.0 days
PlaceboPeriod 1: Time to First Achieving TIS >= 20, >= 40, and >= 60 Points on the TISTIS >= 40 Points112.0 days
Secondary

Period 2: Mean TIS at Each Visit

The TIS was a sum response criterion which incorporates 6 weighted IMACS CSMs including Physician and PGA, MMT-8, Health Assessment Questionnaire, Muscle Enzyme, and EGA. A total improvement score (range 0 to 100), determined by summing scores for each CSM, was based on improvement in and relative weight of each CSM. Thresholds for minimal, moderate, and major improvement were \>= 20, \>= 40, and \>= 60 points on the TIS.

Time frame: Week 25, 29, 33, 37, 41, 45, 49, and 53

Population: Analysis was performed on the mITT analysis set extended (mITT-Ex) that comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex. Here, overall number of participants analyzed (N) = participants evaluable for this outcome measure, and number analyzed (n) = participants with evaluable data for each specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
IgPro20Period 2: Mean TIS at Each VisitWeek 2540.09 score on a scaleStandard Deviation 19.547
IgPro20Period 2: Mean TIS at Each VisitWeek 2945.05 score on a scaleStandard Deviation 19.931
IgPro20Period 2: Mean TIS at Each VisitWeek 3344.66 score on a scaleStandard Deviation 19.346
IgPro20Period 2: Mean TIS at Each VisitWeek 3747.81 score on a scaleStandard Deviation 18.805
IgPro20Period 2: Mean TIS at Each VisitWeek 4150.49 score on a scaleStandard Deviation 18.255
IgPro20Period 2: Mean TIS at Each VisitWeek 4550.89 score on a scaleStandard Deviation 19.018
IgPro20Period 2: Mean TIS at Each VisitWeek 4951.63 score on a scaleStandard Deviation 17.844
IgPro20Period 2: Mean TIS at Each VisitWeek 5350.32 score on a scaleStandard Deviation 15.886
PlaceboPeriod 2: Mean TIS at Each VisitWeek 5354.26 score on a scaleStandard Deviation 15.022
PlaceboPeriod 2: Mean TIS at Each VisitWeek 2538.08 score on a scaleStandard Deviation 22.658
PlaceboPeriod 2: Mean TIS at Each VisitWeek 4151.68 score on a scaleStandard Deviation 15.943
PlaceboPeriod 2: Mean TIS at Each VisitWeek 2942.74 score on a scaleStandard Deviation 20.057
PlaceboPeriod 2: Mean TIS at Each VisitWeek 4950.51 score on a scaleStandard Deviation 16.01
PlaceboPeriod 2: Mean TIS at Each VisitWeek 3346.23 score on a scaleStandard Deviation 18.258
PlaceboPeriod 2: Mean TIS at Each VisitWeek 4552.94 score on a scaleStandard Deviation 15.078
PlaceboPeriod 2: Mean TIS at Each VisitWeek 3748.49 score on a scaleStandard Deviation 17.071
Secondary

Period 2: Number of Participants Meeting DOW at Least Once, Twice, or > Twice

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)

Time frame: From Week 25 up to Week 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
IgPro20Period 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once2 Participants
IgPro20Period 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 Participants
IgPro20Period 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 Participants
PlaceboPeriod 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once1 Participants
PlaceboPeriod 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 Participants
PlaceboPeriod 2: Number of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 Participants
Secondary

Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 Points

Participants were considered and reported in more than one category (TIS \>= 20, \>= 40 and \>= 60 Points).

Time frame: Week 25, 29, 33, 37, 41, 45, 49, and 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex.

ArmMeasureGroupValue (NUMBER)
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 20 Points85.2 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 40 Points56.4 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 60 Points20.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 20 Points87.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 40 Points64.8 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 60 Points31.5 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 20 Points80.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 40 Points57.4 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 60 Points22.2 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 20 Points82.7 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 40 Points57.7 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 60 Points28.8 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 20 Points84.3 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 40 Points64.7 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 60 Points37.3 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 20 Points80.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 40 Points64.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 60 Points40.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 20 Points80.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 40 Points68.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 60 Points36.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 20 Points78.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 40 Points56.0 percentage of participants
IgPro20Period 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 60 Points30.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 40 Points66.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 20 Points77.8 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 20 Points84.6 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 40 Points48.1 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 20 Points70.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 25: TIS >= 60 Points18.5 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 40 Points73.1 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 20 Points84.9 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 20 Points72.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 40 Points54.7 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 41: TIS >= 60 Points30.8 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 29: TIS >= 60 Points22.6 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 40 Points58.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 20 Points90.6 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 20 Points84.3 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 40 Points64.2 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 53: TIS >= 60 Points24.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 33: TIS >= 60 Points24.5 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 40 Points66.7 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 20 Points88.5 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 49: TIS >= 60 Points22.0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 40 Points67.3 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 45: TIS >= 60 Points31.4 percentage of participants
PlaceboPeriod 2: Percentage of Participants Achieving TIS ≥ 20, ≥ 40 and ≥ 60 PointsWeek 37: TIS >= 60 Points25.0 percentage of participants
Secondary

Period 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > Twice

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.)

Time frame: From Week 25 up to Week 53

Population: Analysis was performed on the mITT-Ex analysis set. The mITT-Ex comprised all participants in mITT who completed the first 24 weeks of SP1 and received any amount of the IMP in SP2. The documented failure to take any amount of randomized IMP in SP2 led to the exclusion of the participant from mITT-Ex.

ArmMeasureGroupValue (NUMBER)
IgPro20Period 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once3.6 percentage of participants
IgPro20Period 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 percentage of participants
IgPro20Period 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Once1.9 percentage of participants
PlaceboPeriod 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceAt Least Twice0 percentage of participants
PlaceboPeriod 2: Percentage of Participants Meeting DOW at Least Once, Twice, or > TwiceMore Than Twice0 percentage of participants
Secondary

Time to First Intake of Rescue Corticosteroid Treatment

The observation was censored if no Rescue was observed before the last day of the last week with IMP intake or before the end of the period.

Time frame: Up to Week 25

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (MEDIAN)
IgPro20Time to First Intake of Rescue Corticosteroid TreatmentNA days
PlaceboTime to First Intake of Rescue Corticosteroid TreatmentNA days
Secondary

Time to Meeting DOW for the First Time

The DOW consists of meeting 1 of the following criteria on 2 consecutive visits at least 2 weeks apart: PGA Assessment VAS worsening \>= 2 cm\* and MMT-8 worsening \>= absolute 10%, or EGA worsening \>= 2 cm on the MDAAT VAS, or Any 3 of 6 CSM worsening by \>= absolute 20%. (\*If baseline PGA VAS is 8 to 10, then any worsening on Physician Global VAS was acceptable as long as MMT-8 criterion was met.) The observation was censored if no DOW was observed before the intake of rescue treatment or before the end of the period.

Time frame: Up to Week 53

Population: Analysis was performed on the mITT analysis set. The mITT analysis set comprises all participants who underwent study screening procedures and were randomized to receive any amount of randomized IMP. The documented failure to take any amount of randomized IMP, or the lack of any post-randomization efficacy data, led to the exclusion of the participant from the mITT.

ArmMeasureValue (MEDIAN)
IgPro20Time to Meeting DOW for the First TimeNA days
PlaceboTime to Meeting DOW for the First TimeNA days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026