New drug aims to tame Sjogren's syndrome in major trial
NCT ID NCT05349214
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 study tests whether ianalumab, a biologic drug, can reduce disease activity and symptoms in people with active Sjogren's syndrome. About 506 adults with a recent diagnosis (within 7.5 years) and positive anti-Ro/SSA antibodies are randomly assigned to receive ianalumab or a placebo. The main goal is to see if the drug improves scores on a standard disease activity scale after 48 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ianalumab (a biologic drug given as an injection under the skin)
- What this could lead to
- If it works, this could provide a new treatment option to control disease activity and ease symptoms for people with active Sjogren's syndrome.
- What could go wrong
- This is a phase 3 trial, but results are not yet available. The drug may not prove more effective than placebo, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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506 people
The number who actually took part.
- Started
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Aug 2022
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Signed informed consent must be obtained prior to participation in the study * Women and men ≥ 18 years of age * Classification of Sjögren's syndrome according to the ACR/EULAR 2016 criteria * Time since diagnosis of Sjögren's of ≤ 7.5 years at screening * Positive anti-Ro/SSA antibody at screening * Patients negative for anti-Ro/SSA antibody are eligible, if they have a positive salivary gland biopsy confirmed by central expert review * Enrollment of anti-Ro/SSA-negative patients will be limited up to ≤10% of the study population * Screening ESSDAI score of ≥ 5 within the following 8 domains: constitutional, lymphadenopathy, glandular, articular, cutaneous, renal, hematological and biologic. * Stimulated whole salivary flow (sSF) rate of ≥ 0.05 mL/min at screening * Ability to communicate well with the Investigator, understand and agree to comply with the requirements of the study * Patients taking hydroxychloroquine (≤ 400 mg/day), methotrexate (≤ 25 mg/week) or azathioprine (≤ 150 mg/day) alone or in combination, are allowed to continue their medication, and must have been on a stable dose for at least 30 days prior to randomization. * Patients taking systemic corticosteroids have to be on a stable dose of ≤ 10 mg/day predniso(lo)ne or equivalent for at least 30 days before randomization. * Patients taking * disease-modifying antirheumatic drugs (DMARDs) other than specifically allowed in inclusion criterion #9 or * the following Traditional Chinese Medicines: Total glucoside of peony (TGP) or Tripterium glycosides (TG) must discontinue these medications at least 30 days prior to randomization, except for leflunomide, which has to be discontinued for 8 weeks prior to randomization unless a cholestyramine wash-out has been performed. Exclusion Criteria: * Presence of another autoimmune rheumatic disease that is active and constitutes the principal illness * Use of other investigational drugs within 5 half-lives of enrollment, or within 30 days or until the expected pharmacodynamic effect has returned to baseline, whichever is longer3. Prior treatment with ianalumab * Prior use of a B-cell depleting therapy other than ianalumab within 36 weeks prior to randomization or as long as B-cell count is less than the lower limit of normal or baseline value prior to receipt of previous B cell-depleting therapy (whichever is lower) * Prior treatment with any of the following: 1. Within 24 weeks prior to randomization: iscalimab (anti CD-40 mAb), belimumab , abatacept, anti-tumor necrosis factor alpha biologic agents, immunoglobulins plasmapheresis; 2. Within 12 weeks prior to randomization: i.v. or oral cyclophosphamide, mycophenolate mofetil, i.v. or oral cyclosporine A or any other immunosuppressants (e.g., JAK inhibitors or other kinase inhibitors) unless explicitly allowed by protocol * Use of corticosteroids (predniso(lo)ne or equivalent corticosteroid) at dose \>10 mg/day * Any one of the following laboratory values at screening: * Hemoglobin levels \< 8.0 g/dL * White blood cells (WBC) count \< 2.0 x 10E3/µL * Platelet count \< 80 x 10E3/µL * Absolute neutrophil count (ANC) \< 0.8 x 10E3/µL * Active viral, bacterial or other infections requiring systemic treatment at the time of screening or randomization, or history of recurrent clinically significant infection or of recurrent bacterial infections with encapsulated organisms * History of hypersensitivity to any of the study drugs or its excipients or to drugs of similar chemical classes (e.g., mAb of IgG1 class) or to any of the constituents of the study drug formulation (sucrose, L-histidine hydrochloride/ L-histidine, polysorbate 20) * History of major organ, hematopoietic stem cell or bone marrow transplant * Required regular use of medications known to cause dry mouth/eyes as a regular and major side effect, and which have not been on a stable dose for at least 30 days prior to Screening, or any anticipated change in the treatment regimen during the course of the study. * Use of topical ocular prescription medications (excluding artificial tears, gels, lubricants) that have not been on a stable dose for at least 90 days prior to randomization, or any anticipated change in the treatment regimen during the course of the study * Receipt of live/attenuated vaccine within a 4-week period prior to randomization * History of primary or secondary immunodeficiency, including a positive human immunodeficiency virus (HIV) test result * History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer or Sjögren's related lymphoma), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. * History of sarcoidosis * Any surgical, medical (e.g., uncontrolled hypertension, heart failure or diabetes mellitus), psychiatric or additional physical condition that the Investigator feels may jeopardize the patient in case of participation in this study * Chronic infection with hepatitis B (HBV) or hepatitis C (HCV) virus. Positive serology for hepatitis B surface antigen (HBsAg) excludes the subject. * HBsAg negative subjects who are hepatitis B core antibody (HBcAb) positive are also excluded unless all of the following criteria are met: 1. HBV DNA is negative 2. hepatitis B monitoring is implemented - in these subjects, monthly testing of HBsAg and HBV DNA must be performed while on study treatment and at least every 12 weeks after end of treatment for the entire duration of safety follow-up. 3. Antiviral prophylaxis must be implemented before the first administration of the study treatment, and continued up to 12 months after end of study treatment. If antiviral therapy cannot be given or if the patient is not willing to comply with the antiviral treatment requirement, the patient is not eligible for the study. * Hepatitis C: patients with positive hepatitis C antibody and HCV-RNA at screening are excluded. Chronic hepatitis C patients who have completed HCV anti-viral treatment must be HCV-RNA negative at least 12 weeks after treatment before randomization to be eligible. Cases of spontaneous HCV clearance should be discussed with sponsor before enrollment. * Evidence of active tuberculosis (TB) infection is exclusionary. Patient with previously treated TB and previously treated or newly diagnosed latent TB may be eligible. * Pregnant or nursing (lactating) women, * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while on study treatment and for 6 months after stopping of investigational medication. * Patients with a known history of non-compliance to medication, or who were unable or unwilling to complete PRO questionnaires, or who are unable or unwilling to use the device for collection of PROs. * United States (and other countries, if locally required): Sexually active males, unless they agree to use barrier protection during intercourse with a woman of childbearing potential, while taking study treatment. As condom use alone has a reported failure rate exceeding 1% per year, it is recommended that female partners of male study participants use a second method of birth control. Although ianalumab is not teratogenic and/or genotoxic, and not transferred to semen, male contraception is required, as requested by FDA. Globally, for all sexually active males, contraception should be used in accordance with locally approved prescribing information of concomitant medications administered.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advanced Medical Research
La Palma, California, 90623, United States
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Advanced Rheumatology of Houston
Spring, Texas, 77382, United States
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Arthritis Northwest PLLC
Spokane, Washington, 99216, United States
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Arthritis Osteoporosis Assoc of NM
Las Cruces, New Mexico, 88011, United States
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Arthritis and Osteoporosis
Charlotte, North Carolina, 28202, United States
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Augusta University Georgia
Augusta, Georgia, 30912, United States
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Bay Area Arthritis And Osteoporosis
Brandon, Florida, 33511, United States
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Clin Invest Specialists Inc
Orland Park, Illinois, 60467, United States
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Clinic of Robert Hozman
Skokie, Illinois, 60176, United States
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Clinical Investigation Specialists, Inc.
Wauconda, Illinois, 60084, United States
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First Outpatient Research Unit
San Antonio, Texas, 78229, United States
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GNP Research
Cooper City, Florida, 33024, United States
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North Georgia Rheumatology Group
Lawrenceville, Georgia, 30046, United States
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Novartis Investigative Site
CABA, Buenos Aires, C1405BCH, Argentina
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Novartis Investigative Site
Quilmes, Buenos Aires, 1878, Argentina
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Novartis Investigative Site
San Miguel Tucuman, Tucumán Province, T4000DPK, Argentina
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Novartis Investigative Site
Buenos Aires, 1646, Argentina
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Novartis Investigative Site
Buenos Aires, C1055AAF, Argentina
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Novartis Investigative Site
Buenos Aires, C1428DQG, Argentina
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Novartis Investigative Site
Maroochydore, Queensland, 4558, Australia
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Woodville South, South Australia, 5011, Australia
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Hobart, Tasmania, 7000, Australia
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Novartis Investigative Site
Salvador, Estado de Bahia, 40150 150, Brazil
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Curitiba, Paraná, 80030-110, Brazil
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São Paulo, São Paulo, 04266 010, Brazil
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Burgas, 8000, Bulgaria
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Plovdiv, 4002, Bulgaria
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Novartis Investigative Site
Sofia, 1606, Bulgaria
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Novartis Investigative Site
Vancouver, British Columbia, V5Z 1L7, Canada
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Sydney, Nova Scotia, B1P 1P3, Canada
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Toronto, Ontario, M5T 2S8, Canada
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Rimouski, Quebec, G5L 5T1, Canada
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Sherbrooke, Quebec, J1G 2E8, Canada
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Trois-Rivières, Quebec, G9A 3Y2, Canada
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Concepción, Biobio, 4070280, Chile
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Valdivia, Los Ríos Region, 5110683, Chile
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Santiago, RM, 7500588, Chile
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Hefei, Anhui, 230001, China
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Chongqing, Chongqing Municipality, 400010, China
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Nanjing, Jiangsu, 210008, China
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Nanchang, Jiangxi, 330006, China
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Pingxiang, Jiangxi, 337000, China
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Changchun, Jilin, 130021, China
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Taiyuan, Shanxi, 030001, China
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Chengdu, Sichuan, 610041, China
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Yinchuan, The Ningxia Hui Autonomous Reg, 750000, China
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Ürümqi, Xinjiang, 830001, China
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Hangzhou, Zhejiang, 310006, China
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Beijing, 100029, China
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Beijing, 100730, China
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Shanghai, 200011, China
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Shanghai, 200040, China
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Tianjin, 300052, China
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Xinxiang, 453099, China
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Medellín, Antioquia, 050001, Colombia
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Barranquilla, Atlántico, 080002, Colombia
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Bogota, Cundinamarca, 110221, Colombia
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Bucaramanga, Santander Department, 680003, Colombia
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Angers, 49933, France
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Brest, 29200, France
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Le Kremlin-Bicêtre, 94275, France
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Le Mans, 72000, France
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Strasbourg, 67000, France
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Cologne, North Rhine-Westphalia, 50937, Germany
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Dresden, Saxony, 01307, Germany
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Berlin, 13125, Germany
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Hanover, 30625, Germany
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Herne, 44649, Germany
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Athens, 115 21, Greece
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Athens, 115 27, Greece
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Székesfehérvár, Fejér, 8000, Hungary
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Debrecen, Hajdu Bihar Megye, 4032, Hungary
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Eger, 3300, Hungary
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Gyula, 5700, Hungary
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Szeged, 6725, Hungary
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Ahmedabad, Gujarat, 380013, India
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Ahmedabad, Gujarat, 380015, India
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Bangalore, Karnataka, 560 002, India
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Pune, Maharashtra, 411001, India
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New Delhi, 110029, India
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Kfar Saba, 4428164, Israel
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Ramat Gan, 5265601, Israel
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Ancona, AN, 60126, Italy
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Milan, MI, 20100, Italy
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Salerno, SA, 84131, Italy
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Udine, UD, 33100, Italy
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Naples, 80131, Italy
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Nagoya, Aichi-ken, 455-8530, Japan
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Nagoya, Aichi-ken, 4578510, Japan
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Nagoya, Aichi-ken, 4578511, Japan
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Kitakyushu, Fukuoka, 8078556, Japan
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Sapporo, Hokkaido, 060-8648, Japan
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Sapporo, Hokkaido, 0608543, Japan
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Yokohama, Kanagawa, 245-8575, Japan
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Kuwana, Mie-ken, 511-0061, Japan
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Sasebo, Nagasaki, 857-1195, Japan
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Kurashiki, Okayama-ken, 7100824, Japan
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Bunkyo Ku, Tokyo, 1138431, Japan
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Chuo Ku, Tokyo, 104-8560, Japan
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Itabashi-ku, Tokyo, 1738610, Japan
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Meguro-ku, Tokyo, 152-8902, Japan
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Shinjuku-ku, Tokyo, 1608582, Japan
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Culiacán, Sinaloa, 80000, Mexico
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Mérida, Yucatán, 97070, Mexico
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México, 07029, Mexico
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Poznan, Greater Poland Voivodeship, 61-397, Poland
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Krakow, Lesser Poland Voivodeship, 30-727, Poland
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Wroclaw, Lower Silesian Voivodeship, 52-416, Poland
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Warsaw, 00-874, Poland
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Wroclaw, 50367, Poland
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Cluj-Napoca, Cluj, 400006, Romania
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Brasov, 500283, Romania
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Bucharest, 010825, Romania
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Novartis Investigative Site
Bucharest, 011172, Romania
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Novartis Investigative Site
Bratislava, 811 08, Slovakia
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Novartis Investigative Site
Košice, 040 11, Slovakia
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Novartis Investigative Site
Partizánske, 958 01, Slovakia
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Novartis Investigative Site
Zvolen, 960 01, Slovakia
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Panorama, Western Cape, 7500, South Africa
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Stellenbosch, Western Cape, 7600, South Africa
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Santander, Cantabria, 39008, Spain
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Novartis Investigative Site
Vigo, Pontevedra, 36214, Spain
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Novartis Investigative Site
Barcelona, 08041, Spain
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Novartis Investigative Site
Córdoba, 14004, Spain
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Novartis Investigative Site
Madrid, 28009, Spain
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Valencia, 46026, Spain
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Stockholm, SE, 113 65, Sweden
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Kaohsiung City, 81346, Taiwan
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Novartis Investigative Site
Kaohsiung City, 83301, Taiwan
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Novartis Investigative Site
Taichung, 40447, Taiwan
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Novartis Investigative Site
Taichung, 407219, Taiwan
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Novartis Investigative Site
Doncaster, DN2 5LT, United Kingdom
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Novartis Investigative Site
Leeds, LS1 3EX, United Kingdom
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Novartis Investigative Site
Liverpool, L9 7AL, United Kingdom
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Novartis Investigative Site
Newcastle upon Tyne, NE1 4LP, United Kingdom
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Novartis Investigative Site
Swindon, SN3 6BB, United Kingdom
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On Site Clinical Solutions Llc
Charlotte, North Carolina, 28202, United States
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Prolato Clinical Research Center
Houston, Texas, 77054, United States
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Providence Medical Foundation
Fullerton, California, 92835, United States
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RAO Research LLC
Oklahoma City, Oklahoma, 73116, United States
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Ramesh C Gupta MD Memphis TN
Memphis, Tennessee, 38119, United States
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Sarasota Arthritis Res Ctr
Sarasota, Florida, 34239, United States
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St Lawrence Health System
Potsdam, New York, 13676, United States
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Tufts School of Dental Medicine
Boston, Massachusetts, 02111, United States
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University of Kansas Hospital
Kansas City, Kansas, 66160, United States
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West Tennessee Research Institute
Jackson, Tennessee, 38305, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New hope for Sjögren's fatigue: acupuncture and nerve zaps join exercise in clinical trial
- Rare disease pregnancy study pulled before it began
- New Sjögren's drug shows promise in small study