A Study to Understand How the Study Medicine (PF-06823859) Works in People With Active Idiopathic Inflammatory Myopathies [Dermatomyositis (DM) and Polymyositis (PM)]

Pfizer

Status and phase: Enrolling; Phase 3

Conditions: Myositis

Treatments: Drug: PF-06823859; Drug: Placebo

Study type: Interventional

Funder types: Industry

Identifiers

NCT05895786

2022-502739-20-00 (Registry Identifier)

C0251006

Details and patient eligibility

About

The purpose of the study is to understand how the study medicine PF-06823859 works in people with idiopathic inflammatory myopathies (DM and PM). These disorders cause inflammation that weakens the muscles that are important for movement and may also cause skin rash in people with DM.

This study is seeking participants who:

• Are 18 years of age or older or minimum legal adult age as defined per local regulation, whichever is greater

• Have active DM or active PM.

• Are receiving a stable dose of 1 corticosteroid taken by mouth and/or 1 traditional immunosuppressant.

  • Note: Corticosteroids and immunosuppressants are medicines that help reduce inflammation and may signal to the immune system not to attack the body.

Dermatomyositis (DM) is a rare disease that causes muscle inflammation that results in muscle weakness and low muscle stamina. Patients with DM have a characteristic skin rash. Polymyositis (PM) is a rare disease that involves mainly muscle inflammation resulting in muscle weakness, that can sometimes be painful. Patients with DM and PM may have trouble going up the steps, walking or getting to a standing position.

Some of the participants will receive the study medicine (PF-06823859) and some will receive placebo (which is similar to study medicine but contains no medicine in it).

The study medicine or placebo will be given as an intravenous (IV) infusion (directly into the veins), which takes about1 hour; every 4 weeks from Day 1 to Week 48 of the study. Both PF-06823859 and placebo and will be given at the study site.

The study will compare the experiences of people receiving study medication to those of the people who do not. This will help to see if PF-06823859 is safe and effective.

Participants will take part in this study for about 13 months. During this time, participants will have 15 study visits. These visits will be performed at the study site.

Enrollment: 270 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male or female adults (≥18 years old or minimum legal adult age as defined per local regulation, whichever is greater)

• Active dermatomyositis (DM) or polymyositis (PM) with age of onset

  • 18 years old.

• Must be receiving a stable dose of standard of care (SOC) background medications at the time of enrollment.

Exclusion criteria

• Myositis due to non-Idiopathic inflammatory myopathies (non-IIM)
• Existing diagnosis of inclusion body myositis (IBM)
• Presence of immune-mediated necrotizing myositis (IMNM)
• Myositis with end-stage organ involvement
• Active bacterial, viral or fungal infections or hospitalizations for serious infections within 60 days prior to enrollment
• History of recurrent bacterial, viral, fungal, mycobacterial or other infections
• Clinically significant finding on a chest x-ray
• Have cancer or a history of cancer within 5 years of screening
• Significant current or prior disease conditions that may interfere with the response to or safety of the study medicine, including but not limited to:
• history of major organ transplant
• acute coronary syndrome or any history of significant cerebrovascular disease within 24 weeks of screening
• preexisting demyelinating disorder such as multiple sclerosis, or other severe neurological disorder
• major surgery within 4 weeks of screening, or scheduled to occur during the study, excluding diagnostic surgery
• previous treatment with total lymphoid irradiation
• history of any lymphoproliferative disorder such as Epstein Barr Virus, history of lymphoma, leukemia, or symptoms of current lymphatic or lymphoid disease
• Clinically significant depression, suicidal ideation, or previous history of suicidal behaviors
• Other medical or laboratory abnormality that may increase the risk of study participation
• Previous administration with an investigational product (drug or vaccine) within 30 days or of the first dose of study medicine
• Current use or incomplete appropriate washout period of any prohibited medication(s) or known exposure to anti-interferon beta (PF-06823859) or any type of anti-interferon beta therapy
• Prior SOC medication that does not fulfill the criteria
• Certain laboratory results from screening assessments that may interfere with study participation.
• Investigator site staff directly involved in the conduct of the study and their family members, site staff and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

270 participants in 2 patient groups, including a placebo group

PF-06823859

Experimental group

Description:

Participants will receive PF-06823859 via intravenous infusion every 4 weeks.

Treatment:

Drug: PF-06823859

Placebo

Placebo Comparator group

Description:

Participants will receive placebo via intravenous infusion every 4 weeks.

Treatment:

Drug: Placebo