- |||||||||| Orencia (abatacept) / BMS, Actemra IV (tocilizumab) / Roche, JW Pharma
Review, Journal: Sjögren's syndrome: Old and new therapeutic targets. (Pubmed Central) - Aug 7, 2021 Abatacept and belimumab, already licensed for the treatment of RA and lupus respectively, as well combination regimens of both rituximab and belimumab hold some promise in alleviation of SS-specific complaints, but data from large controlled trials are awaited...While targeting of cathepsin-S (Petesicatib), inducible costimulator of T cells ligand (prezalumab), and lymphotoxin beta receptor (baminercept) failed to fulfil the primary outcome measures, preliminary results from two randomized placebo controlled trials on CD40 blockade (Iscalimab) and B-cell activating factor receptor (Ianalumab) inhibition resulted in significant reduction of SS disease activity, with a favorable so far safety profile. Results from administration of other kinase inhibitors, a transmembrane activator and calcium-modulator and cytophilin ligand interactor TACI fusion protein (RC18), as well as low dose recombinant interleukin-2 to expand T-regulatory cells are currently awaited.
- |||||||||| Orencia (abatacept) / BMS
Biomarker, Clinical, Journal, IO Biomarker: Blocking T cell co-stimulation in primary Sjögren's syndrome: rationale, clinical efficacy and modulation of peripheral and salivary gland biomarkers. (Pubmed Central) - Nov 1, 2020 Despite a clear biological effect on downstream B cell activation has been observed in patients treated with CTLA-4-Ig (abatacept) and with monoclonal antibodies targeting CD40 and ICOSL, the clinical efficacy of this approach has so far yielded mixed results; while the anti-CD40 monoclonal antibody iscalimab showed significant improvement in systemic disease activity compared to placebo, two large RCTs with abatacept and a phase IIa RCT with an anti-ICOSL monoclonal antibody (prezalumab) failed to reach their primary endpoints. Although the discrepancies between biological and clinical efficacy of targeting T cell co-stimulation on pSS remain unresolved, several factors including drug bioavailability and receptor occupancy, patient stratification based on T-cell related biomarkers and the choice of study outcome are likely to play an important role and form the basis for further work towards the quest for a disease-modifying biologic therapy in pSS.
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
A Phase 2a Study of MEDI5872 (AMG557), a Fully Human Anti-ICOS Ligand Monoclonal Antibody in Patients with Primary Sjögren’s Syndrome (Hall B5) - Oct 7, 2019 - Abstract #ACRARHP2019ACR_3471; P2a Although the discrepancies between biological and clinical efficacy of targeting T cell co-stimulation on pSS remain unresolved, several factors including drug bioavailability and receptor occupancy, patient stratification based on T-cell related biomarkers and the choice of study outcome are likely to play an important role and form the basis for further work towards the quest for a disease-modifying biologic therapy in pSS. In patients with active pSS, despite decreasing the level of RF, MEDI5872 210 mg did not achieve consistent improvement of clinical or other biomarker measures of disease activity.
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Trial completion: A Phase 2a, Randomized, Placebo Controlled, Study to Evaluate the Safety and Efficacy of AMG 557/MEDI5872 in Primary Sj (clinicaltrials.gov) - Sep 6, 2018 P2a, N=32, Completed, AMG 557 showed safety and potential efficacy, supporting further evaluation of the clinical efficacy of ICOSL blockade in patients with SLE. Active, not recruiting --> Completed
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Trial completion date, Trial primary completion date: A Phase 2a, Randomized, Placebo Controlled, Study to Evaluate the Safety and Efficacy of AMG 557/MEDI5872 in Primary Sj (clinicaltrials.gov) - Mar 3, 2018 P2a, N=32, Active, not recruiting, Active, not recruiting --> Completed Trial completion date: Aug 2018 --> Aug 2018 | Trial primary completion date: Feb 2018 --> Jan 2018
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Enrollment closed, Enrollment change: A Phase 2a, Randomized, Placebo Controlled, Study to Evaluate the Safety and Efficacy of AMG 557/MEDI5872 in Primary Sj (clinicaltrials.gov) - Nov 27, 2017 P2a, N=32, Active, not recruiting, Trial completion date: Aug 2018 --> Aug 2018 | Trial primary completion date: Feb 2018 --> Jan 2018 Recruiting --> Active, not recruiting | N=42 --> 32
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Trial completion: Safety Study of AMG 557 in Subjects With Lupus Arthritis (clinicaltrials.gov) - Apr 21, 2016 P1, N=20, Completed, Phase classification: P2 --> P2a | Trial primary completion date: Feb 2017 --> Jul 2017 Active, not recruiting --> Completed
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Enrollment closed, Enrollment change: Safety Study of AMG 557 in Subjects With Lupus Arthritis (clinicaltrials.gov) - Jul 21, 2015 P1, N=20, Active, not recruiting, Not yet recruiting --> Recruiting Recruiting --> Active, not recruiting | N=40 --> 20
- |||||||||| prezalumab (AMG 557) / Amgen, AstraZeneca
Trial initiation date, Trial primary completion date: A Phase 2a, Randomized, Placebo Controlled, Study to Evaluate the Safety and Efficacy of AMG 557/MEDI5872 in Primary Sj (clinicaltrials.gov) - Jun 11, 2015 P2, N=42, Not yet recruiting, Recruiting --> Active, not recruiting | N=40 --> 20 Initiation date: Jan 2015 --> May 2015 | Trial primary completion date: Mar 2015 --> Feb 2017
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