New drug aims to stop Flare-Ups in rare autoimmune disease
NCT ID NCT05662241
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called obexelimab to see if it can prevent flare-ups in people with IgG4-related disease, a rare condition where the immune system attacks the body's own tissues. About 194 adults with active disease will receive either the drug or a placebo. The main goal is to measure how long it takes for a flare to occur over one year.
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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194 people
The number who actually took part.
- Started
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Jan 2023
- Expected to finish
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Feb 2029
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 years and older
- 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: 1. Males and females, ≥ 18 years of age 2. Clinical diagnosis of IgG4-RD 3. Patients must meet the 2019 ACR/EULAR Classification Criteria for IgG4-RD 4. Patients must have active IgG4-RD signs/symptoms (i.e., flare) that require the initiation of GC therapy or the increase in background long-term GC therapy 5. Other inclusion criteria apply Exclusion Criteria: 1. Has disease in only 1 organ system whose primary manifestation is fibrosis 2. Has received prednisone equivalent given orally at a dose greater than 60 mg/day within the 4 weeks prior to screening or during screening 3. Has received a non-biologic, disease-modifying anti-rheumatological drug or immunosuppressive agent other than GCs within the 2 weeks prior to screening 4. Has received an investigational treatment or direct medical intervention on another clinical study within 12 weeks or \< 5 half-lives of the investigational treatment, whichever is shorter, prior to screening 5. Has received live vaccine or live therapeutic infectious agent within the 2 weeks prior to screening 6. Active tuberculosis or high risk for tuberculosis; hepatitis C infection in absence of curative treatment; evidence of hepatitis B infection 7. Use of B cell depleting or targeting agents within 6 months of randomization 8. Other exclusion criteria apply
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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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Ajou University Hospital
Suwon, 206, South Korea
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Artus Health Centre
Vancouver, British Columbia, Canada
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Azienda Ospedaliera Universitaria Meyer Istituto di Ricovero e Cura a Carattere Scientifico
Florence, Italy
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Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
Brescia, 25123, Italy
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Center for Clinical Research (Nova Scotia Health)
Halifax, Nova Scotia, Canada
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Centre Hospitalier Universitaire de Sherbrooke CHUS
Sherbrooke, Quebec, Canada
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Centro de Alta Especialidad En Reumatologia E Investigacion Del Potosi SC
San Luis Potosí City, Mexico
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Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, Taiwan
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Chinese PLA General Hospital
Beijing, Beijing Municipality, China
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Emory Univeristy
Atlanta, Georgia, 30322, United States
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Fujita Health University Hospital
Shinjuku-Ku, Japan
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GI PROS Research - Dedicated Research Facility
Naples, Florida, 34102, United States
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Hacettepe University Faculty of Medicine
Altındağ, Ankara, 06230, Turkey (Türkiye)
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Haut-Lévèque Hospital Usn Building South Hospital Group
Pessac, Bordeaux, 33604, France
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Hiroshima University Hospital
Hiroshima, Japan
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Hospital Italiano de Buenos Aires
Buenos Aires, Argentina
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Hospital Universitario Ramón y Cajal
Madrid, Madrid, 28034, Spain
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Hospital Universitario Virgen del Rocio
Seville, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, 08025, Spain
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Hospital of University of Occupational and Environmental Health
Kitakyushu, Fukuoka, 807-8555, Japan
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Hôpital Beaujon
Paris, France
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Hôpital de la Pitié Salpétrière
Paris, France
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Hôpitaux Universitaires de Marseille Timone
Saint-Pierre, Marseille, 13005, France
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Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, Mexico City, Mexico
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John Radcliffe Hospital
Oxford, United Kingdom
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Kagawa University Hospital
Hiragi, Kagawa-ken, Japan
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Kanazawa Medical University Hospital
Kokura, Fukuoka, Japan
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Kanazawa University Hospital
Kanazawa, Ishikawa-ken, Japan
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Kansai Medical University Hospital
Hirakata, Japan
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Keio University Hospital
Shinjuku-Ku, Tokyo, Japan
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Kita-Harima Medical Center
Ono, Japan
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LMU Klinikum der Universität München
München, Bavaria, Germany
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Linkou Chang Gung Memorial Hospital
Taoyuan, 333, Taiwan
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Marmara University Pendik Training and Research Hospital
Pendik, Istanbul, Turkey (Türkiye)
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Nagaoka Red Cross Hospital
Nagaoka, Japan
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Nagasaki University Hospital
Nagasaki, Japan
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Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. Prof. Dr hab. Med. Eleonory Reicher
Warsaw, Masovian Voivodeship, Poland
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Osaka Metropolitan University Hospital
Osaka, Osaka, Japan
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Ospedale San Giovanni Bosco
Turin, Piedmont, 10128, Italy
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Ospedale San Raffaele S.r.l. - PPDS
Milan, Italy
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
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Peking University First Hospital
Beijing, Beijing Municipality, China
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Renji Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, China
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Sapporo Medical University Hospital
Sapporo, Japan
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Seoul National University Hospital
Seoul, Seoul, 03080, South Korea
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Shanxi Bethune Hospital
Taiyuan, Shanxi, China
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Shinshu University Hospital
Matsumoto, Nagano, 390-8621, Japan
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St. Marianna University Hospital
Kawasaki, Japan
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Stanford Medicine
Stanford, California, 94305, United States
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Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy
Bydgoszcz, Poland
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Taipei Veterans General Hospital
Taipei, Taiwan
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Tazuke Kofukai Medical Research Institute Kitano Hospital
Osaka, Japan
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The Institute of Medical Science, The University of Tokyo Hospital
Minato-ku, Tokyo, Japan
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The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
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Tokyo Medical Center Hospital
Meguro City, Japan
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Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
Bunkyō-Ku, Tokyo, Japan
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Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wuhai, Hubei, China
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Toyama University Hospital
Toyama, Toyama, Japan
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University of Verona
Verona, 37134, Italy
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Universitätsklinikum Ulm
Ulm, Germany
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Vall d'Hebron University Hospital
Barcelona, 08035, Spain
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West China Hospital of Sichuan University
Chengdu, Sichuan, China
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Yantai Yuhuangding Hospital
Yantai, Shandong, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Investigational drug AMG 335 offered to adults with IgG4-Related disease
- Can inhaled cell vesicles soothe damaged lungs in autoimmune disease?
- Can engineered immune cells tame a stubborn autoimmune disease?
- New drug aims to stop IgG4 disease relapses without Long-Term steroids
- Experimental CAR-T injection aims to tame autoimmune diseases
- Scientists investigate immune cell role in rare IgG4 disease