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Title: Study of Sibeprenlimab Treatment for Adults with Sjögren's Disease Using Subcutaneous Injections

Fast replyInvestigationalNo placebo
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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial focuses on evaluating a new treatment for Sjögren's Disease, an autoimmune condition that primarily affects the body's moisture-producing glands, causing symptoms like dry eyes and dry mouth. The study will test a medication called sibeprenlimab (also known as VIS649) given as an injection under the skin, compared to a placebo, in addition to patients' regular treatments.

The purpose of this research is to determine how well sibeprenlimab works in treating Sjögren's Disease symptoms compared to placebo after 28 weeks of treatment. During the study, participants will receive either sibeprenlimab or placebo through subcutaneous injections. The maximum single dose will be 400 mg, with treatment continuing for up to 52 weeks.

Throughout the study, researchers will monitor various aspects of the disease, including changes in tear and saliva production, fatigue levels, and overall disease activity. The study will also track how well participants tolerate the medication by monitoring their health and any side effects that may occur. Participants may continue taking certain background medications they were already using, such as hydroxychloroquine, methotrexate, leflunomide, or azathioprine, as long as their doses have been stable.

The research process

The trial runs in 5 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Initial qualification

    You will be evaluated for Sjögren's disease according to specific medical criteria

    Your blood will be tested for anti-Ro antibodies and IgG levels

    Your salivary flow rate will be measured

  2. Step 2

    Treatment assignment

    You will be randomly assigned to receive either sibeprenlimab or a placebo

    The treatment will be given through subcutaneous injection (under the skin)

    Neither you nor your doctor will know which treatment you are receiving

  3. Step 3

    Background medication review

    If you are taking any of these medications, the dose must remain stable for at least 30 days:

    - Prednisone or prednisolone (up to 10 mg per day)

    - Hydroxychloroquine (up to 400 mg per day)

    - Methotrexate (up to 25 mg per week)

    - Leflunomide (up to 20 mg daily)

    - Azathioprine (up to 150 mg per day)

  4. Step 4

    Treatment period

    The treatment will continue for 28 weeks

    Regular assessments will include:

    - Disease activity measurements

    - Physical examinations

    - Laboratory tests

    - Monitoring of side effects

    - Measurements of tear and saliva production

    - Assessment of fatigue and quality of life

  5. Step 5

    Final evaluation

    At week 28, final assessments will be conducted to evaluate:

    - Changes in disease activity

    - Improvements in symptoms

    - Overall response to treatment

    - Safety and side effects of the treatment

Who can join the trial?

13 criteria

  • Must sign an informed consent form before participating in the study
  • Age must be between 18 and 75 years
  • Must meet the 2016 ACR/EULAR criteria for Sjögren's disease diagnosis
  • Must test positive for anti-Ro52 and/or anti-Ro60 antibodies during screening (these are specific proteins in blood that indicate immune system activity)
  • Must have an ESSDAI score of 5 or higher during screening (ESSDAI measures disease activity, excluding lung and nervous system symptoms)
  • Must have a stimulated saliva flow rate of at least 0.05 mL per minute during screening
  • Must have blood IgG levels above 900 mg/dL (IgG is an antibody that helps fight infections)
  • If taking corticosteroids, must be on a stable dose of 10 mg or less per day of prednisone/prednisolone for at least 30 days before study start
  • May be taking certain medications if on stable doses for at least 30 days before study start:
    • Hydroxychloroquine (up to 400 mg/day)
    • Methotrexate (up to 25 mg/week)
    • Leflunomide (up to 20 mg daily)
    • Azathioprine (up to 150 mg/day)
    • Must be able to communicate well with the study team and follow study requirements

Who cannot join the trial?

15 criteria

  • People younger than 18 years old
  • People with active tuberculosis (an infectious bacterial disease affecting the lungs)
  • History of lymphoma (cancer of the lymphatic system) or other cancers in the past 5 years
  • Severe or uncontrolled infections
  • Current pregnancy or breastfeeding
  • Significant heart, liver, or kidney disease
  • Recent vaccination with live vaccines (within 30 days before study start)
  • Treatment with other experimental medications within 3 months
  • Known allergic reactions to similar medications
  • Uncontrolled diabetes (high blood sugar levels)
  • Active hepatitis B or C (viral infections affecting the liver)
  • Presence of HIV infection (human immunodeficiency virus)
  • Severe mental health conditions that could interfere with the study
  • Drug or alcohol abuse within the past year
  • Previous participation in a clinical trial within 30 days
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Investigated drugs

Sibeprenlimab is an investigational medication administered by injection under the skin (subcutaneously) that is being studied for the treatment of Sjögren's Disease. It is designed to target specific components of the immune system that may be involved in causing inflammation and symptoms associated with Sjögren's Disease. This medication is being tested to see if it can help reduce disease activity and improve symptoms when added to patients' existing treatments.

What is already known about the treatment

Sibeprenlimab - A novel investigational biologic medication administered through subcutaneous injection, currently being studied in Phase 2 clinical trials for the treatment of Sjögren's disease, an autoimmune disorder. This monoclonal antibody is designed to target specific immune system components involved in the inflammatory processes characteristic of Sjögren's disease, with the aim of reducing disease activity as measured by the ESSDAI (EULAR Sjögren's Syndrome Disease Activity Index). The medication represents a new therapeutic approach in autoimmune disease management, being evaluated for its efficacy and safety when used alongside standard background treatments.

Investigated diseases

Sjögren's syndrome - A chronic autoimmune disorder where the body's immune system attacks its own moisture-producing glands, particularly those that produce tears and saliva. The condition typically causes dry eyes and dry mouth, but can also affect other parts of the body including joints, muscles, and internal organs. People with Sjögren's syndrome often experience fatigue, joint pain, and swelling of the salivary glands. The condition can develop on its own (primary Sjögren's) or occur alongside other autoimmune disorders (secondary Sjögren's). Over time, the ongoing inflammation can lead to dysfunction of various organs and tissues.
Trial detailsLast updated 2 Oct 2026
Age18+ yearsPhasePhase IITrial ID2024-516295-14-00Protocol code417-201-00042Estimated enrolment84 patientsSponsorOtsuka Pharmaceutical Development & Commercialization Inc.

sourced from the EU Clinical Trials Register and site verification

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On this site, “treatment” means an investigational medicine being studied in a clinical trial. Its safety and efficacy for the use being studied have not yet been confirmed, some participants may receive a placebo or a comparator medicine, and taking part does not guarantee any health benefit. The decision to take part is made by the doctor at the research site. This site is for information only and does not replace medical advice.

This service is not affiliated with the European Commission, the EMA, or the official CTIS system. Most information comes from publicly available international clinical-trial registries, supplemented by data from academic sites, national regulators and commercial sponsors. On this site, “treatment” and “therapy” mean a medicine being tested in a clinical trial. Its safety and effectiveness in the use being studied are not yet confirmed, some participants may receive a placebo or a comparator, and taking part does not guarantee a health benefit. The doctor at the research site decides who can take part. This site provides information, not medical advice. Certain content and visual elements on this website have been generated or enhanced using artificial intelligence (AI).