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A Study Evaluating the Effects of GLPG3667 Given as Oral Treatment for up to 24 Weeks in Adults With Dermatomyositis (GALARISSO)

Primary Purpose

Dermatomyositis

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GLPG3667
Placebo
Sponsored by
Galapagos NV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dermatomyositis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Participant has probable or definite DM in accordance with the ACR/EULAR criteria for at least 3 months. Participant with DM diagnosed in the 3 years prior to screening must have undergone cancer screening (according to local standard of care or applicable guidelines) within 1 year prior to screening. Note: The evidence of cancer screening must be documented. Participant must present objective evidence of active disease as defined by fulfilling 1 of the criteria below (as confirmed by the sponsor): DM rash as defined by modified-Cutaneous Dermatomyositis Disease Area and Severity Index Activity Score (m-CDASI-A) ≥ 6 at screening, or Creatine kinase (CK) > 4x upper limit of normal (ULN) at screening, or muscle biopsy evidence of active disease within 3 months prior to screening (defined as presence of active inflammation in muscle biopsy), or muscle magnetic resonance imaging showing active inflammation (edema) of the proximal skeletal muscles within 3 months prior to screening, or electromyography showing acute changes, such as spontaneous activity and myopathic changes not explained by other diseases within 3 months prior to screening, or any other clinical evidence of active disease as confirmed by the steering committee. Participant has reduced muscle strength (defined as Manual Muscle Test-8 < 142/150) and at least 2 additional abnormal core set measurements out of the following 5 at screening: Physician's Global Disease Activity score > 2/10 cm on the visual analog scale (VAS), Patient's Global Disease Activity score > 2/10 cm on VAS, extra-muscular disease activity > 2/10 cm on VAS, Health Assessment Questionnaire-Disability Index score > 0.25, elevated muscle enzymes (e.g. aldolase, CK, ALT, AST, and lactate dehydrogenase) with at least 1 muscle enzyme > 1.5x ULN. Participant previously demonstrated failure to or intolerance to first-line treatment (defined as oral corticosteroid[s] and at least 1 other immunosuppressant/ hydroxychloroquine) OR active disease despite treatment with first-line drugs. Currently, the participant is receiving maximum 2 treatments for DM (oral corticosteroid[s] and/or allowed immunosuppressant[s]/hydroxychloroquine) for at least 3 months and is on a stable dose (defined as no change in dose, type of administration, or dose regimen) for at least 4 weeks prior to screening and during screening within maximum allowed doses as specified in the study protocol. Note: Participants receiving 1 or no concomitant treatment for DM are also eligible. Key Exclusion Criteria: Participant has cancer-associated myositis (defined as myositis diagnosed within 2 years of cancer diagnosis with the exception of basal cell carcinoma, squamous cell carcinoma of the skin, or in situ uterine cervical carcinoma that has been excised and cured). Note: At least 1 year for basal cell carcinoma and squamous cell carcinoma or 5 years for in situ uterine cervical carcinoma must have passed since the excision. Participant has other causes of myositis (e.g. connective tissue disease) associated DM, polymyositis, juvenile DM, inclusion body myositis, or necrotizing idiopathic inflammatory myopathies (with or without rash) with the exception of overlap with secondary Sjogren's syndrome. Participant has permanent muscle weakness due to muscle damage (e.g. participant is wheelchair bound or has significant muscle atrophy on magnetic resonance imaging [MRI]) or a non-DM cause (drug-induced myopathy, including glucocorticoid-induced myopathy as primary cause of muscle weakness), according to investigator's judgement. Participant has taken any prohibited therapies within the defined washout periods before screening, and during screening as listed in the study protocol.

Sites / Locations

  • HonorHealth NeurologyRecruiting
  • Inland Rheumatology Clinical Trials, Inc.Recruiting
  • Omega Research ConsultantsRecruiting
  • St. Paul RheumatologyRecruiting
  • Altoona Center for Clinical Research, P.C.Recruiting
  • Arthritis & Osteoporosis ClinicRecruiting
  • UZ LeuvenRecruiting
  • DCC Focus 5 - MEOH OODRecruiting
  • Polyclinic BonifarmRecruiting
  • Solmed PolyclinicRecruiting
  • Revmatologicky UstavRecruiting
  • CHU de Nice Hôpital Pasteur 2Recruiting
  • Groupe Hospitalier Pitie-SalpetriereRecruiting
  • CHU Strasbourg - Hôpital HautepierreRecruiting
  • Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)Recruiting
  • Ospedale San MarcoRecruiting
  • Fondazione IRCCS CA' Granda Ospedale Maggiore PoliclinicoRecruiting
  • Ospedale San RaffaeleRecruiting
  • Azienda Ospedaliero Universitaria PisanaRecruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCSRecruiting
  • Nova Reuma Spolka PartnerskaRecruiting
  • Centrum Medyczne PlejadyRecruiting
  • Zespol Poradni Specjalistycznych ReumedRecruiting
  • Klinika Ambroziak ESTEDERMRecruiting
  • Spitalul Clinic "Sf. Maria"Recruiting
  • Spitalul Clinic ColentinaRecruiting
  • Sc Medaudio-Optica SRLRecruiting
  • Hospital Universitari de BellvitgeRecruiting
  • Hospital Universitari Vall d'HebronRecruiting
  • Hospital Universitario Fundacion Jimenez DiazRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

GLPG3667

Placebo

Arm Description

Participants will receive GLPG3667 dose A orally once daily for 24 weeks.

Participants will receive placebo matching to GLPG3667 orally once daily for 24 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants With at Least Minimal Improvement at Week 24 According to the American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) Criteria
Minimal improvement per ACR/EULAR was defined as total improvement score [TIS] of ≥ 20 points. The TIS is a score derived from the evaluation of the results from 6 core set measurements (CSMs) of myositis disease activity: Physician's Global Disease Activity Assessment; Patient's Global Disease Activity Assessment; Muscle Manual Test-8 (MMT-8); Health Assessment Questionnaire-Disability Index (HAQ-DI); Enzymes (aldolase, creatine kinase [CK], alanine aminotransferase [ALT], aspartate aminotransferase [AST], and lactate dehydrogenase [LDH]); and Extra-muscular disease activity. The TIS is a scale from 0 to 100 that allows for the discrimination between minimal, moderate and major responders depending on their improvement in the combined 6 CSM.

Secondary Outcome Measures

Change From Baseline in Modified-Cutaneous DM Disease Area and Severity Index Activity Score (m-CDASI-A) at Week 24
The CDASI is a clinician-scored single page instrument that separately measures activity (m-CDASI-A) and damage (m-CDASI-D) in the skin of DM participants. The m-CDASI-A consists of 3 activity measures (erythema, scale, and erosion/ulceration) assessed over 15 body areas along with the activity of Gottron's papules on hands and activity of periungual changes and alopecia. m-CDASI-A ranges from 0-100. Higher scores indicate more disease activity.
Change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 24
The HAQ-DI is a generic rather than a disease-specific instrument, comprised of 8 sections: dressing, arising, eating, walking, hygiene, reach, grip, and activities. There are 2 or 3 questions for each section. Scoring within each section is from 0 [without any difficulty] to 3 [unable to do]. For each section the score given to that section is the worst score within the section. The 8 scores of the 8 sections are summed and divided by 8.
Change from baseline in the manual muscle test (MMT-8) at Week 24
MMT-8 is a set of 8 designated muscles, 7 of them being tested bilaterally (potential score 0-140). Axial (neck flexors) testing is included, so that potential maximum MMT-8 score = 150.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (SAEs), and TEAEs Leading to Treatment Discontinuation
Maximum Plasma Concentration (Cmax) of GLPG3667
Area Under the Plasma Concentration-Time Curve (AUC) of GLPG3667
Plasma Trough Concentration (Ctrough) at Steady State of GLPG3667

Full Information

First Posted
January 13, 2023
Last Updated
October 18, 2023
Sponsor
Galapagos NV
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1. Study Identification

Unique Protocol Identification Number
NCT05695950
Brief Title
A Study Evaluating the Effects of GLPG3667 Given as Oral Treatment for up to 24 Weeks in Adults With Dermatomyositis
Acronym
GALARISSO
Official Title
A Randomized, Double-blind, Placebo-controlled, Multi-center Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Orally Administered GLPG3667 Once Daily for 24 Weeks in Adult Subjects With Dermatomyositis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 27, 2023 (Actual)
Primary Completion Date
March 2025 (Anticipated)
Study Completion Date
March 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galapagos NV

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of orally administered GLPG3667 once daily for 24 weeks in adult participants with dermatomyositis (DM).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dermatomyositis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
62 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GLPG3667
Arm Type
Experimental
Arm Description
Participants will receive GLPG3667 dose A orally once daily for 24 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo matching to GLPG3667 orally once daily for 24 weeks.
Intervention Type
Drug
Intervention Name(s)
GLPG3667
Intervention Description
GLPG3667 capsules will be administered per dose and schedule specified in the arm description.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matching to GLPG3667 capsules will be administered per schedule specified in the arm description.
Primary Outcome Measure Information:
Title
Percentage of Participants With at Least Minimal Improvement at Week 24 According to the American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) Criteria
Description
Minimal improvement per ACR/EULAR was defined as total improvement score [TIS] of ≥ 20 points. The TIS is a score derived from the evaluation of the results from 6 core set measurements (CSMs) of myositis disease activity: Physician's Global Disease Activity Assessment; Patient's Global Disease Activity Assessment; Muscle Manual Test-8 (MMT-8); Health Assessment Questionnaire-Disability Index (HAQ-DI); Enzymes (aldolase, creatine kinase [CK], alanine aminotransferase [ALT], aspartate aminotransferase [AST], and lactate dehydrogenase [LDH]); and Extra-muscular disease activity. The TIS is a scale from 0 to 100 that allows for the discrimination between minimal, moderate and major responders depending on their improvement in the combined 6 CSM.
Time Frame
Week 24
Secondary Outcome Measure Information:
Title
Change From Baseline in Modified-Cutaneous DM Disease Area and Severity Index Activity Score (m-CDASI-A) at Week 24
Description
The CDASI is a clinician-scored single page instrument that separately measures activity (m-CDASI-A) and damage (m-CDASI-D) in the skin of DM participants. The m-CDASI-A consists of 3 activity measures (erythema, scale, and erosion/ulceration) assessed over 15 body areas along with the activity of Gottron's papules on hands and activity of periungual changes and alopecia. m-CDASI-A ranges from 0-100. Higher scores indicate more disease activity.
Time Frame
Week 24
Title
Change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 24
Description
The HAQ-DI is a generic rather than a disease-specific instrument, comprised of 8 sections: dressing, arising, eating, walking, hygiene, reach, grip, and activities. There are 2 or 3 questions for each section. Scoring within each section is from 0 [without any difficulty] to 3 [unable to do]. For each section the score given to that section is the worst score within the section. The 8 scores of the 8 sections are summed and divided by 8.
Time Frame
Week 24
Title
Change from baseline in the manual muscle test (MMT-8) at Week 24
Description
MMT-8 is a set of 8 designated muscles, 7 of them being tested bilaterally (potential score 0-140). Axial (neck flexors) testing is included, so that potential maximum MMT-8 score = 150.
Time Frame
Week 24
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (SAEs), and TEAEs Leading to Treatment Discontinuation
Time Frame
Baseline (Day 1) up to Week 24
Title
Maximum Plasma Concentration (Cmax) of GLPG3667
Time Frame
Week 4
Title
Area Under the Plasma Concentration-Time Curve (AUC) of GLPG3667
Time Frame
Week 4
Title
Plasma Trough Concentration (Ctrough) at Steady State of GLPG3667
Time Frame
Week 2 predose until Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Participant has probable or definite DM in accordance with the ACR/EULAR criteria for at least 3 months. Participant with DM diagnosed in the 3 years prior to screening must have undergone cancer screening (according to local standard of care or applicable guidelines) within 1 year prior to screening. Note: The evidence of cancer screening must be documented. Participant must present objective evidence of active disease as defined by fulfilling 1 of the criteria below (as confirmed by the sponsor): DM rash as defined by modified-Cutaneous Dermatomyositis Disease Area and Severity Index Activity Score (m-CDASI-A) ≥ 6 at screening, or Creatine kinase (CK) > 4x upper limit of normal (ULN) at screening, or muscle biopsy evidence of active disease within 3 months prior to screening (defined as presence of active inflammation in muscle biopsy), or muscle magnetic resonance imaging showing active inflammation (edema) of the proximal skeletal muscles within 3 months prior to screening, or electromyography showing acute changes, such as spontaneous activity and myopathic changes not explained by other diseases within 3 months prior to screening, or any other clinical evidence of active disease as confirmed by the steering committee. Participant has reduced muscle strength (defined as Manual Muscle Test-8 < 142/150) and at least 2 additional abnormal core set measurements out of the following 5 at screening: Physician's Global Disease Activity score > 2/10 cm on the visual analog scale (VAS), Patient's Global Disease Activity score > 2/10 cm on VAS, extra-muscular disease activity > 2/10 cm on VAS, Health Assessment Questionnaire-Disability Index score > 0.25, elevated muscle enzymes (e.g. aldolase, CK, ALT, AST, and lactate dehydrogenase) with at least 1 muscle enzyme > 1.5x ULN. Participant previously demonstrated failure to or intolerance to first-line treatment (defined as oral corticosteroid[s] and at least 1 other immunosuppressant/ hydroxychloroquine) OR active disease despite treatment with first-line drugs. Currently, the participant is receiving maximum 2 treatments for DM (oral corticosteroid[s] and/or allowed immunosuppressant[s]/hydroxychloroquine) for at least 3 months and is on a stable dose (defined as no change in dose, type of administration, or dose regimen) for at least 4 weeks prior to screening and during screening within maximum allowed doses as specified in the study protocol. Note: Participants receiving 1 or no concomitant treatment for DM are also eligible. Key Exclusion Criteria: Participant has cancer-associated myositis (defined as myositis diagnosed within 2 years of cancer diagnosis with the exception of basal cell carcinoma, squamous cell carcinoma of the skin, or in situ uterine cervical carcinoma that has been excised and cured). Note: At least 1 year for basal cell carcinoma and squamous cell carcinoma or 5 years for in situ uterine cervical carcinoma must have passed since the excision. Participant has other causes of myositis (e.g. connective tissue disease) associated DM, polymyositis, juvenile DM, inclusion body myositis, or necrotizing idiopathic inflammatory myopathies (with or without rash) with the exception of overlap with secondary Sjogren's syndrome. Participant has permanent muscle weakness due to muscle damage (e.g. participant is wheelchair bound or has significant muscle atrophy on magnetic resonance imaging [MRI]) or a non-DM cause (drug-induced myopathy, including glucocorticoid-induced myopathy as primary cause of muscle weakness), according to investigator's judgement. Participant has taken any prohibited therapies within the defined washout periods before screening, and during screening as listed in the study protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Galapagos Medical Information
Phone
+3215342900
Email
medicalinfo@glpg.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Galapagos Study Director
Organizational Affiliation
Galapagos NV
Official's Role
Study Director
Facility Information:
Facility Name
HonorHealth Neurology
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
Individual Site Status
Recruiting
Facility Name
Inland Rheumatology Clinical Trials, Inc.
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Individual Site Status
Recruiting
Facility Name
Omega Research Consultants
City
DeBary
State/Province
Florida
ZIP/Postal Code
32713
Country
United States
Individual Site Status
Recruiting
Facility Name
St. Paul Rheumatology
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55104
Country
United States
Individual Site Status
Recruiting
Facility Name
Altoona Center for Clinical Research, P.C.
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Individual Site Status
Recruiting
Facility Name
Arthritis & Osteoporosis Clinic
City
Waco
State/Province
Texas
ZIP/Postal Code
76710
Country
United States
Individual Site Status
Recruiting
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
DCC Focus 5 - MEOH OOD
City
Sofia
ZIP/Postal Code
1463
Country
Bulgaria
Individual Site Status
Recruiting
Facility Name
Polyclinic Bonifarm
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Individual Site Status
Recruiting
Facility Name
Solmed Polyclinic
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Individual Site Status
Recruiting
Facility Name
Revmatologicky Ustav
City
Praha 2
ZIP/Postal Code
12850
Country
Czechia
Individual Site Status
Recruiting
Facility Name
CHU de Nice Hôpital Pasteur 2
City
Nice
ZIP/Postal Code
6001
Country
France
Individual Site Status
Recruiting
Facility Name
Groupe Hospitalier Pitie-Salpetriere
City
Paris cedex 13
ZIP/Postal Code
75651
Country
France
Individual Site Status
Recruiting
Facility Name
CHU Strasbourg - Hôpital Hautepierre
City
Strasbourg cedex
ZIP/Postal Code
67091
Country
France
Individual Site Status
Recruiting
Facility Name
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
City
Brescia
ZIP/Postal Code
25123
Country
Italy
Individual Site Status
Recruiting
Facility Name
Ospedale San Marco
City
Catania
ZIP/Postal Code
95123
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
City
Milano
ZIP/Postal Code
20122
Country
Italy
Individual Site Status
Recruiting
Facility Name
Ospedale San Raffaele
City
Milano
ZIP/Postal Code
20132
Country
Italy
Individual Site Status
Recruiting
Facility Name
Azienda Ospedaliero Universitaria Pisana
City
Pisa
ZIP/Postal Code
56100
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
City
Roma
ZIP/Postal Code
168
Country
Italy
Individual Site Status
Recruiting
Facility Name
Nova Reuma Spolka Partnerska
City
Bialystok
ZIP/Postal Code
15-707
Country
Poland
Individual Site Status
Recruiting
Facility Name
Centrum Medyczne Plejady
City
Krakow
ZIP/Postal Code
30-363
Country
Poland
Individual Site Status
Recruiting
Facility Name
Zespol Poradni Specjalistycznych Reumed
City
Lublin
ZIP/Postal Code
20-607
Country
Poland
Individual Site Status
Recruiting
Facility Name
Klinika Ambroziak ESTEDERM
City
Warsawa
ZIP/Postal Code
02-953
Country
Poland
Individual Site Status
Recruiting
Facility Name
Spitalul Clinic "Sf. Maria"
City
Bucharest
ZIP/Postal Code
11172
Country
Romania
Individual Site Status
Recruiting
Facility Name
Spitalul Clinic Colentina
City
Bucuresti
ZIP/Postal Code
20215
Country
Romania
Individual Site Status
Recruiting
Facility Name
Sc Medaudio-Optica SRL
City
Râmnicu Vâlcea
ZIP/Postal Code
240762
Country
Romania
Individual Site Status
Recruiting
Facility Name
Hospital Universitari de Bellvitge
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
8035
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Fundacion Jimenez Diaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study Evaluating the Effects of GLPG3667 Given as Oral Treatment for up to 24 Weeks in Adults With Dermatomyositis

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