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CompletedNCT05436652Updated May 11, 2025

A Trial of Prednisolone in Combination With SPI-62 or Placebo in Subjects With Polymyalgia Rheumatica (PMR)

A Phase 2 interventional study of SPI-62 and SPI-62 matched placebo in Polymyalgia Rheumatica, sponsored by Sparrow Pharmaceuticals. Completed at 10 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-11.

Sponsored by Sparrow Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This will be a single-blind, placebo-controlled phase 2 trial to compare prednisolone effects with and without SPI-62 in participants with PMR.

Read the detailed description

This will be a single-blind, placebo-controlled phase 2 trial to compare prednisolone effects with and without SPI-62 in participants with PMR. Up to 6 cohorts of 12 participants could be recruited (12 to 72 participants). Each participant who provides consent and meets all inclusion and exclusion criteria will participate in 3 periods: a screening period up to 28 days (Day -28 to Day-1), a 4-week treatment period (Day 1 to Day 28) and a follow up Period (Day 29 to Day 56). During the 4-week treatment period for the first cohort, all participants will receive prednisolone 10mg per day for 4-weeks plus SPI-62 for 2-weeks and matching placebo for 2-weeks. For cohorts 2 through 6, the dose of prednisolone co-administered with SPI-62 could be adjusted. For cohorts 5 and 6, the dose of SPI-62 could be adjusted.

02

Conditions studied

  • Polymyalgia Rheumatica

Keywords

  • polymyalgia rheumatica
  • PMR
  • Steroids
  • Prednisolone
  • glucocorticoid
  • glucocorticoids
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Written informed consent
  • Diagnosis of PMR according to EULAR/ACR classification criteria
  • Absence of PMR relapse based on symptoms and acute phase markers
  • Daily oral prednisolone 10mg dose that will have been stable for at least 1-week at the Baseline visit and is expected to remain stable during the treatment period

Exclusion criteria

Exclusion Criteria:

  • Any contraindication for prednisolone administration.
  • A diagnosis or any clinical features of giant cell arteritis.
  • Any autoimmune disease (e.g., late-onset rheumatoid arthritis) other than PMR.
  • Use of medications for treatment of PMR within specified intervals prior to the Baseline Visit other than oral prednisolone.
  • Use of other medications likely to interfere with trial assessments.
  • History or diagnosis of endogenous hypercortisolism.
  • Any current or prior medical condition, medical or surgical therapies, or clinical trial participation expected to interfere with the conduct of the trial or the evaluation of its results.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
Single (Participant)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    SPI-62

    Active drug / placebo by mouth each morning for up to 4 weeks + standard of care 10mg prednisolone. Each participant will receive both placebo and active drug but will be blinded to the sequence of active drug and placebo.

    Drug: SPI-62 · Drug: SPI-62 matched placebo · Drug: Prednisolone 10mg

  • Experimental
    SPI-62 + additional prednisolone

    Active drug / placebo by mouth each morning for up to 4 weeks + standard of care 10mg prednisolone + additional prednisolone or placebo. Each participant will receive both placebo and active drug but will be blinded to the sequence of active drug and placebo.

    Drug: SPI-62 · Drug: SPI-62 matched placebo · Drug: Prednisolone 10mg · Drug: Additional prednisolone · Drug: Additional prednisolone matched placebo

Interventions

  • DrugSPI-62

    11β hydroxysteroid dehydrogenase type 1 (HSD-1) inhibitor

  • DrugSPI-62 matched placebo

    Inactive tablets identical in appearance to SPI-62 tablets

  • DrugPrednisolone 10mg

    Standard of care prednisolone

  • DrugAdditional prednisolone

    Over encapsulated prednisolone

  • DrugAdditional prednisolone matched placebo

    Inactive capsules identical in appearance to over encapsulated prednisolone

05

What researchers measure

Primary outcomes

  1. Erythrocyte sedimentation rate

    Time frame: Baseline to Day 28

  2. C-reactive protein

    Time frame: Baseline to Day 28

  3. Plasma fibrinogen

    Time frame: Baseline to Day 28

06

Study locations

10 sites
  • Universitätsmedizin Berlin, Medizinische Klinik mit Schwerpunkt Rheumatologie und klinische Immunologie
    Berlin, Germany
  • Internistische Praxisgemeinschaft Rheumatologie Nephrologie
    Erlangen, Germany
  • Hamburger Rheuma Forschungszentrum II im MVZ für Rheumatologie und Autoimmunmedizin
    Hamburg, Germany
  • Katholische Kliniken Rhein-Ruhr am Marien Hospital, Universitätsklinik der Ruhr-Universität
    Herne, Germany
  • Universitätsmedizin der Johannes Gutenberg Universität Mainz
    Mainz, Germany
  • Praxis Prof. Dr. med. Herbert Kellner
    Munich, Germany
  • NovaReuma
    Białystok, Poland
  • The University of Gdańsk
    Gdansk, Poland
  • MICS Centrum Medyczne Warszawa
    Warszawa, Poland
  • Dolnośląski Szpital Specjalistyczny im. T. Marciniaka
    Wrocław, Poland
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT05436652
Lead sponsor
Sparrow Pharmaceuticals
Responsible party
Sponsor
First posted
Jun 29, 2022
Start date
Jul 22, 2022
Primary completion
Apr 25, 2025
Completion
Apr 25, 2025
Last update
May 11, 2025

Study contacts

David Katz
study chair · Sparrow Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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