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

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What is this study about?

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.

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 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 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 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 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 Study?

  • 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 Study?

  • 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

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
CENTRUM MEDYCZNE REUMA PARK Warsaw Poland
Spitalul Clinic Judetean De Urgenta Cluj Cluj Napoca Romania
Gyncentrum Sp. z o.o. Katowice Poland

Other Sites

Site Name City Country Status
Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher Warsaw Poland
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Diagnostics And Consultation Center Convex Ltd. Sofia Bulgaria
Saint Maria Hospital Bucharest Romania
Lukmed 2 Sp. z o.o. Siedlce Poland
Reumed Sp. z o.o. Lublin Poland
MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH Hamburg Germany
Medcenter Nova Clinic Ltd. Varna Bulgaria
Medaudio-Optica S.R.L. Ramnicu Valcea Romania
Asklepieion Voulas General Hospital Voula Greece
University Multiprofile Hospital For Active Treatment Saint Georgi EAD Plovdiv Bulgaria
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy Bydgoszcz Poland
Etg Neuroscience Sp. z o.o. Warsaw Poland
Medical Center Excelsior OOD Sofia Bulgaria
Med Polonia Sp. z o.o. Poznan Poland
Spitalul Clinic Colentina Bucuresti Bucharest Romania
Pratia S.A. Skorzewo Poland
Hospital General Universitario De Castellon Castello De La Plana Spain
Medical Center – University Of Freiburg Freiburg Im Breisgau Germany
Twoja Przychodnia Poznańskie Centrum Medyczne Sp. z o.o. Poznan Poland
Medicover GmbH Oldenburg In Holstein Germany
Olympion Therapeftirio General Clinic Of Patras S.A. Patras Greece
Hmjjzfau Urphwujfmlurw Mciiahk Dm Vureqzmsmp Santander Spain
Symcpjk Cojudbsn Syjfhj Timisoara Romania
Popipxllv Beuyi Kiskqkzduti Slqxj Wroclaw Poland
Mmybggmqh Irulfrswsn Ckjukkws Spaddeju Sqv z oqvy Warsaw Poland
Lcygg Ggecgpq Hkdohkkl Of Ayvexr Athens Greece
Mqlbrfebz Mjrujek goosb Munich Germany
Phhafaqw Phiojuyl Lpjjabzd Pwix Dw Haq Mxl Povuv Hhqkvk Poznan Poland
Klhr Sxn z otvu Wołomin Poland
Uuvetingnz Hqugbcom Cqpzqdk Cologne Germany
Kcgvdmon dpr Ukgrsgsibtcc Mggakwmu Ant Munich Germany
Mbhorne Czqcgh Mbxyavthbg Pntcmj Ouo Pleven Bulgaria

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Bulgaria Bulgaria
Not recruiting
15.04.2025
Germany Germany
Not recruiting
15.04.2025
Greece Greece
Not recruiting
15.04.2025
Poland Poland
Not recruiting
15.04.2025
Romania Romania
Not recruiting
15.04.2025
Spain Spain
Not recruiting
15.04.2025

Trial locations

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.

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 ID:
2024-516295-14-00
Protocol code:
417-201-00042
Trial Phase:
Therapeutic exploratory (Phase II)

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