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NCT03627065

A Study of INCB050465 in Primary Sjögren's Syndrome

Completed Phase 2 Results posted Last updated 13 August 2021
What this trial tests

Phase 2 trial testing Parsaclisib in Primary Sjögren's Syndrome in 10 participants. Completed in 2 January 2020.

Timeline
28 February 2019
Primary endpoint
7 December 2019
2 January 2020

Quick facts

Lead sponsorIncyte Corporation
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date28 February 2019
Primary completion7 December 2019
Estimated completion2 January 2020
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Incyte Corporation — full company profile →

Who can join

18 and older, any sex, with Primary Sjögren's Syndrome. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Proportion of Participants With a 1 Point or Greater Change on the Salivary Gland Ultrasound (SGUS) Score for Parotid and Submandibular Glands Primary · Week 4 and Week 12

The SGUS is a combination of the scores of the 4 salivary glands (2 parotid and 2 submandibular) each gland is scored on a 5-point scale (0 to 4; 4 being more severe), with the maximum total score being 16.

Week 4
GroupValue95% CI
Parsaclisib0
Week 12
GroupValue95% CI
Parsaclisib0
Change From Baseline in Salivary CXCL13 Levels Secondary · Baseline, Week 4 and Week 12

To assess the impact of parsaclisib on salivary CXCL13.

Week 4
GroupValue95% CI
Parsaclisib0.96± 0.1
Week 12
GroupValue95% CI
Parsaclisib1.98± 1.4
Number of Participants With Treatment-emergent Adverse Events Secondary · Up to 21 weeks

Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.

GroupValue95% CI
Parsaclisib4
Change in Whole Salivary Flow Secondary · Baseline, Weeks 4, 8, and 12

Defined as change in stimulated and unstimulated whole salivary flow from baseline

Mean change in stimulated salivary flow Week 4
GroupValue95% CI
Parsaclisib0.07± 0.152
Mean change in stimulated salivary flow Week 8
GroupValue95% CI
Parsaclisib-0.05± 0.129
Mean change in stimulated salivary flow Week 12
GroupValue95% CI
Parsaclisib-0.05± 0.144
Mean change in unstimulated salivary flow Week 4
GroupValue95% CI
Parsaclisib0.03± 0.046
Mean change in unstimulated salivary flow Week 8
GroupValue95% CI
Parsaclisib0.07± 0.109
Mean change in unstimulated salivary flow Week 12
GroupValue95% CI
Parsaclisib0.04± 0.082
Change in EULAR Sjögren's Syndrome Disease Activity Index Secondary · Week 12

Defined as change in ESSDAI. The ESSDAI is a physician-assessed disease activity index for primary Sjögren's syndrome developed by the EULAR consortium. It consists of 44 items in 12 organ-specific 'domains' contributing to disease activity (constitutional, lymphadenopathy, articular, muscular, cutaneous, glandular, pulmonary, renal, peripheral nervous system, central nervous system, hematological, biological). Each domain is assessed for activity level (i.e., no, low, moderate, high) and assigned a numerical score based on pre-determined weighting of each individual domain. An overall score i

Mean Change at Week 4
GroupValue95% CI
Parsaclisib-0.3± 2.92
Mean Change at Week 8
GroupValue95% CI
Parsaclisib-2.0± 4.12
Mean Change at Week 12
GroupValue95% CI
Parsaclisib-5.3± 4.15
Change in EULAR Sjögren's Syndrome Patient Reported Index Secondary · Weeks 4, 8, and 12

Defined as Change in ESSPRI. EULAR Sjogren's Syndrome Patient-Reported Index (ESSPRI) Score is defined as the change in score between baseline (Week -1) and Week 12. The ESSPRI is a patient-reported, subjective symptom index for primary Sjögren's syndrome developed by the EULAR consortium. It consists of three questions covering the cardinal symptoms of Sjögren's syndrome: dryness, fatigue and pain (articular and/or muscular). Each domain scored on scale of 0-10 (0 =no symptom at all and 10 = worst symptom imaginable), and an overall score is calculated as the mean of the three individual doma

Mean Change at Week 4
GroupValue95% CI
Parsaclisib-1.9± 2.26
Mean Change at Week 8
GroupValue95% CI
Parsaclisib-2.0± 1.93
Mean Change at Week 12
GroupValue95% CI
Parsaclisib-1.8± 1.98
Change in Symptom Scores for Dryness Secondary · Weeks 4, 8, and 12.

Defined as change in symptom scores for dryness of eyes, mouth, and vagina. The dryness questionnaire will ask participants to rate the dryness of eyes, mouth, or vagina (female participants only) with 24-hour recall using an 11-point numerical rating system ranging from 0 (no dryness) to 10

Change in Symptom Score for eye dryness at Week 4
GroupValue95% CI
Parsaclisib-2.6± 2.96
Change in Symptom Score for eye dryness at Week 8
GroupValue95% CI
Parsaclisib-2.4± 2.07
Change in Symptom Score for eye dryness at Week 12
GroupValue95% CI
Parsaclisib-2.4± 2.64
Change in Symptom Score for mouth dryness at Week 4
GroupValue95% CI
Parsaclisib-2.8± 2.64
Change in Symptom Score for mouth dryness at Week 8
GroupValue95% CI
Parsaclisib-2.1± 2.41
Change in Symptom Score for mouth dryness at Week 12
GroupValue95% CI
Parsaclisib-3.6± 2.99
Change in Symptom Score for vaginal dryness at Week 4
GroupValue95% CI
Parsaclisib-1.3± 3.20
Change in Symptom Score for vaginal dryness at Week 8
GroupValue95% CI
Parsaclisib-2.3± 3.50
Patient Global Impression of Change Questionnaire Secondary · Baseline, Weeks 4, 8, and 12

Defined as proportions of participants in each PGIC category. The PGIC asks a single question regarding how the patient is feeling since beginning new therapy. The questionnaire uses a 7-point scale (from 1 to 7), ranging from "very much improved, 1" to "very much worse, 7

Baseline
GroupValue95% CI
Parsaclisib0
Parsaclisib0
Parsaclisib0
Parsaclisib9
Week 4
GroupValue95% CI
Parsaclisib0
Parsaclisib0
Parsaclisib0
Parsaclisib3
Week 8
GroupValue95% CI
Parsaclisib0
Parsaclisib0
Parsaclisib0
Parsaclisib2
Week 12
GroupValue95% CI
Parsaclisib0
Parsaclisib0
Parsaclisib0
Parsaclisib2
Change in PROMIS Fatigue Short Form Secondary · Weeks 4, 8, and 12

Defined as change in PROMIS Fatigue short form. The PROMIS fatigue short form includes 7 items with a rating scale of 1 to 5, 1 being no fatigue and 5 being severe fatigue. The recall period is 7 days.

Change in Score at Week 4
GroupValue95% CI
Parsaclisib-2.6± 4.03
Change in Score at Week 8
GroupValue95% CI
Parsaclisib-1.9± 2.79
Change in Score at Week 12
GroupValue95% CI
Parsaclisib-1.7± 2.87
Female Participants Only : Change in Female Sexual Function Index Secondary · Weeks 4, 8, and 12

Defined as change in FSFI. The FSFI is a brief, self-report measure of female sexual function (female participants only). The questionnaire contains 19 item sexual functioning questionnaire to rate sexual function between 2.0 and 36.0, where 2.0 is low sexual function and 36.0 is high sexual function. Difference in FSFI scores are reported.

Change in Functional Index at Week 4
GroupValue95% CI
Parsaclisib1.8± 3.19
Change in Functional Index at Week 8
GroupValue95% CI
Parsaclisib2.8± 4.76
Change in Functional Index at Week 12
GroupValue95% CI
Parsaclisib1.3± 1.83
Change in European Quality of Life 5 Dimensions Questionnaire Secondary · Weeks 4, 8, and 12

Defined as change in EQ-5D. The EQ-5D is a standardized measure of health status. It consists of 5 questions, each with a 5-item rating scale plus a visual analog scale rating from 1 to 100 for overall health status. Higher score represents more severe symptoms.

Change in EQ5D at week 4
GroupValue95% CI
Parsaclisib7.2± 17.34
Change in EQ5D at week 8
GroupValue95% CI
Parsaclisib0.7± 28.05
Change in EQ5D at week 12
GroupValue95% CI
Parsaclisib-6.4± 22.49
Percentage Change in Whole Salivary Flow Secondary · Baseline, Weeks 4, 8, and 12

Defined as change and percent change in stimulated and unstimulated whole salivary flow from baseline

Percent change in stimulated salivary flow Week 4
GroupValue95% CI
Parsaclisib17.57± 36.225
Percent change in stimulated salivary flow Week 8
GroupValue95% CI
Parsaclisib-10.59± 32.874
Percent change in stimulated salivary flow Week 12
GroupValue95% CI
Parsaclisib-16.07± 41.754
Percent change in unstimulated salivary flow Week 4
GroupValue95% CI
Parsaclisib228.10± 282.634
Percent change in unstimulated salivary flow Week 8
GroupValue95% CI
Parsaclisib307.56± 601.557
Percent change in unstimulated salivary flow Week 12
GroupValue95% CI
Parsaclisib281.12± 541.333

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 21 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Parsaclisib
Serious: 0/10 (0%)
Deaths: 0/10
Other adverse events (10 terms — click to expand)

ReactionSystemParsaclisib
ArthralgiaMusculoskeletal and connective tissue disorders
Dental cariesGastrointestinal disorders
FallInjury, poisoning and procedural complications
Gastroesophageal reflux diseaseGastrointestinal disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
NeurodermatitisSkin and subcutaneous tissue disorders
Oral candidiasisInfections and infestations
PruritusSkin and subcutaneous tissue disorders
ToothacheGastrointestinal disorders

Data from ClinicalTrials.gov NCT03627065 adverse events section.

Sponsor's own description

The purpose of this study is to assess the impact of parsaclisib on the signs and symptoms of Sjögren's syndrome (SS).

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting PI3K in cancer: mechanisms and advances in clinical trials.
    Yang J, Nie J, Ma X, Wei Y, et al · · 2019 · cited 1142× · PMID 30782187 · DOI 10.1186/s12943-019-0954-x
  2. PI3K inhibitors are finally coming of age.
    Vanhaesebroeck B, Perry MWD, Brown JR, André F, et al · · 2021 · cited 353× · PMID 34127844 · DOI 10.1038/s41573-021-00209-1
  3. Current State of Knowledge on Primary Sjögren's Syndrome, an Autoimmune Exocrinopathy.
    Parisis D, Chivasso C, Perret J, Soyfoo MS, et al · · 2020 · cited 114× · PMID 32698400 · DOI 10.3390/jcm9072299
  4. The Future of Targeted Treatment of Primary Sjögren's Syndrome: A Focus on Extra-Glandular Pathology.
    Zeng W, Zhou X, Yu S, Liu R, et al · · 2022 · cited 12× · PMID 36430611 · DOI 10.3390/ijms232214135
  5. Emerging treatment for Sjögren's disease: a review of recent phase II and III trials.
    Fox RI, Fox CM, McCoy SS. · · 2023 · cited 9× · PMID 37127914 · DOI 10.1080/14728214.2023.2209720
  6. Recent advances in the search for a targeted immunomodulatory therapy for primary Sjögren's syndrome.
    Leverenz DL, St Clair EW. · · 2019 · cited 9× · PMID 31508200 · DOI 10.12688/f1000research.19842.1

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