Systemic sclerosis & Raynaud's

Efficacy and Safety of Lenabasum, a Cannabinoid Type 2 Receptor Agonist, in a Phase 3 Randomized Trial in Diffuse Cutaneous Systemic Sclerosis

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

A benefit of lenabasum in dcSSc was not demonstrated.

Study context

Population
Patients with diffuse cutaneous systemic sclerosis (dcSSc) on background treatments, including immunosuppressive therapies (IST)randomized 1:1:1
Participants
365 patients
Comparison
Lenabasum 20 mg or 5 mg twice daily vs placebo, added to background treatments including IST
Primary endpoint
ACR combined response index in dcSSc (CRISS), lenabasum 20 mg twice a day vs placebo
Follow-up
Week 52
Methodological detailsphase 3, multinational, double-blind, placebo-controlled
  • Phase 3
  • Multinational
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

CRISS score

Lenabasum 20 mg

0.888

Placebo

0.887

P = 0.4972

Further findings

OutcomeLenabasum 20 mgPlaceboP value
Change in mRSS · week 52Lenabasum 20 mg vs Placebo · MMRM−6.7−8.1P = 0.1183

Prespecified analyses: background mycophenolate and IST for ≤1 year

Higher CRISS scores, greater improvement in mRSS and lower decline in FVC in patients on background mycophenolate and those taking IST for ≤1 year

Deaths and serious or severe AEs related to lenabasum

No deaths or excess in serious or severe adverse events related to lenabasum

Original publication

Efficacy and Safety of Lenabasum, a Cannabinoid Type 2 Receptor Agonist, in a Phase 3 Randomized Trial in Diffuse Cutaneous Systemic Sclerosis. Arthritis Rheumatol. Published 15 June 2023. doi:10.1002/art.42510

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