Sjögren's disease & overlap diseases

Efficacy and safety of remibrutinib, a selective potent oral BTK inhibitor, in Sjögren’s syndrome: results from a randomised, double-blind, placebo-controlled phase 2 trial

Ann Rheum DisPublished Randomised controlled trial

Primary result · Change from baseline in ESSDAIResult — go to the resultΔESSDAI −2.86

Authors' conclusion

These data show preliminary efficacy and favourable safety of remibrutinib in a phase 2 trial for SjS.

Study context

Population
Patients with moderate-to-severe Sjögren's syndrome (SjS) fulfilling 2016 ACR/EULAR criteria, anti-Ro/SSA positive, EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) ≥ 5 and EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI) ≥ 5
Comparison
Remibrutinib 100 mg once or twice daily vs placebo for 24 weeks
Primary endpoint
Change from baseline in ESSDAI
Follow-up
Week 24
Methodological detailsphase 2, double-blind, placebo-controlled
  • Phase 2
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

24 weeks

ΔESSDAI

−2.86

P = 0.003

Secondary outcomes

Change from baseline in ESSPRI · 24 weeks

No treatment effect observed in ESSPRI score (ΔESSPRI; p=0.663)
0.17

Unstimulated salivary flow (exploratory) · 24 weeks

Trend towards improvement with remibrutinib vs placebo

Blood gene expression and serum protein abundance (exploratory)

Significant changes induced by remibrutinib vs placebo

Original publication

Efficacy and safety of remibrutinib, a selective potent oral BTK inhibitor, in Sjögren’s syndrome: results from a randomised, double-blind, placebo-controlled phase 2 trial. Ann Rheum Dis. Published 15 February 2024. doi:10.1136/ard-2023-224691

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