ClinicalTrials.gg
CompletedNCT05669014Updated Aug 25, 2026Results posted

A Phase 2 Proof of Concept Study to Evaluate the Efficacy and Safety of Daxdilimab in Participants With Dermatomyositis (DM) or Anti-synthetase Inflammatory Myositis (ASIM)

A Phase 2 interventional study of Daxdilimab and Placebo in Idiopathic Inflammatory Myositis, sponsored by Amgen. Completed at 9 sites in 6 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by Amgen · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The primary efficacy objective:

To evaluate the effect of daxdilimab compared with placebo in reducing disease activity at Week 24.

The secondary efficacy objectives include:

  1. To evaluate the effect of daxdilimab compared with placebo in reducing disease activity at Week 24.
  2. To evaluate the effect of daxdilimab compared with placebo on skin symptoms at Week 24.
  3. To evaluate the effect of daxdilimab on decreasing the use of corticosteroid at Week 24.

Other secondary objectives include:

  1. To characterize the pharmacokinetics (PK) and immunogenicity of daxdilimab in participants.
  2. To evaluate the safety and tolerability of daxdilimab in participants.
Read the detailed description

The study will enroll participants with 2 idiopathic inflammatory myositis populations:

  • Population 1 or dermatomyositis (DM): participants with DM with definite or probable myositis according to the American College of Rheumatology/European League Against Rheumatism 2017 (ACR/EULAR 2017) criteria and a DM rash.
  • Population 2 or anti-synthetase inflammatory myositis (ASIM): participants with ASIM with definite or probable myositis according to ACR/EULAR 2017 criteria and a positive ASIM associated antibody.

Participants will be randomized by population in a 1:1 ratio and receive investigational product (IP) daxdilimab or placebo by subcutaneous injection.

The estimated total study duration will be up to 36 weeks (up to 60 weeks for those participants who entered the open-label extension prior to amendment 2.)

Acquired from Horizon in 2024.

02

Conditions studied

  • Idiopathic Inflammatory Myositis

Keywords

  • Anti-synthetase syndrome
  • Myositis
  • Polymyositis
03

In context

Myositis

215 studies on the registry are indexed under Myositis; 100 are open to participants now.

This study's enrollment of 12 is below the median of 30 across 141 interventional studies indexed under Myositis.

Browse Myositis studies →

Lead sponsor

Amgen is the lead sponsor of 1,047 studies on the registry; 52 are open to participants now.

Of its 246 completed or terminated interventional studies of FDA-regulated products, 166 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Adult men or women 18 and ≤ 75 years of age at the time of signing the (ICF).
  2. A diagnosis of definite or probable myositis according to American College of Rheumatology/European League Against Rheumatism 2017 (ACR/EULAR 2017) criteria:

    1. Population 1: DM

      • Diagnosis of DM with DM rash current or historical, or
    2. Population 2: ASIM

      • Anti-histidyl tRNA synthetase-(Anti-Jo-1) antibodies must be positive during screening by central laboratory testing, or
      • One of following antibodies must be positive by historical testing: directed against anti-alanyl- (anti-PL-12), anti-threonyl-(anti PL-7), anti-asparaginyl-(anti-KS), anti-glycyl-(anti-EJ), anti-isoleucyl-(anti-OJ), anti-phenylalanyl-transfer RNA synthetase-(anti-ZO), anti-tyrosil-YRS(HA).
  3. Currently active myositis with all the following (a, b, and c) during screening:

    1. Manual Muscle Testing (MMT 8) score \< 142
    2. At least 2 other abnormal core set measures (CSM) from the following list:

      • Patient global disease activity (PtGDA) ≥ 2 cm in a 10 cm visual analog scale (VAS)
      • Physician's Global Disease Activity (PhGDA) ≥ 2 cm in a 10 cm VAS
      • Extramuscular activity ≥ 2cm in a 10 cm VAS
      • At least one muscle enzyme 1.5 times (ULN)
      • Health assessment questionnaire-disability index (HAQ-DI) ≥ 0.5
    3. Global muscle damage score ≤ 5 on a 10 cm VAS on the myositis damage index (MDI).
  4. Participants should be on stable standard of care therapy if tolerated; if they are not able to tolerate it or have failed standard of care, medications should have a washed out period.
  5. Participants should be willing to taper dose per protocol when stable or improving.

Exclusion Criteria:

  1. Any condition that, in the opinion of the investigator or sponsor, would interfere with the evaluation of product (IP) or interpretation of participant safety or study results.
  2. Weight > 160 kg (352 pounds) at screening.
  3. Breastfeeding or pregnant women or women who intend to become pregnant anytime from signing the ICF through 6 months after receiving the last dose of IP.
  4. History of cardiac disease including unstable angina, myocardial infarction, congestive heart failure within 6 months prior to randomization; arrhythmia requiring active therapy, except for clinically insignificant extra systoles, or minor conduction abnormalities; or presence of clinically meaningful abnormality on (ECG) if, in the opinion of the Investigator, it would increase the risk of study participation.
  5. History of cancer within the past 5 years except cutaneous basal cell or squamous cell carcinoma treated with curative therapy.
  6. Any underlying condition that in the opinion of the Investigator significantly predisposes the participant to infection (eg. ).
  7. Known history of a primary immunodeficiency or an underlying condition, such as known (HIV) infection, or a positive result for HIV infection per central laboratory.
  8. All participants will undergo testing for virus serology as defined in the protocol.
  9. Active tuberculosis (TB), or a positive interferon gamma (IFN-γ) release assay (IGRA) test at screening, unless documented history of appropriate treatment for active or latent TB according to local guidelines.
  10. Any severe herpes virus family infection (including Epstein-Barr virus, cytomegalovirus [CMV]) at any time prior to randomization.
  11. Opportunistic infection requiring hospitalization or parenteral antimicrobial treatment within 2 years prior to randomization.
  12. Significant organ system involvement or myositis damage (global muscle damage score > 5 on a 10 cm VAS scale on the MDI) that poses risks in the study or impedes assessments.
  13. Diagnosis of immune-mediated necrotizing myopathy (IMNM) [(positive 3-hydroxy-3-methylglutaryl-coenzyme A reductase (anti-HMGR), anti-signal recognition particle (anti- SRP), or antibody negative)], inclusion body myositis (IBM) (including positive anti-cytosolic 5'-nucleotidase 1A (anti cN1A), or drug-induced myositis.
  14. Current musculoskeletal, joint, or inflammatory disease, including significant joint contractures or calcinosis that in the opinion of the investigator, could interfere with the muscle strength assessments and confound the disease activity assessments.
  15. Wheelchair bound participants.
  16. Current inflammatory skin disease other than DM or ASIM that, in the opinion of the investigator, could interfere with the inflammatory skin assessments or confound the disease activity assessments.
  17. Severe interstitial lung disease where respiratory symptoms limit participant function or progressive pulmonary fibrosis.
  18. Myositis in overlap with another connective tissue disease that precludes the accurate assessment of a treatment response (for example, difficulty in assessing muscle strength in a scleroderma patient with associated myositis).
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Daxdilimab

    Daxdilimab will be administered by subcutaneous (SC) injection during the 24-week treatment period followed by an 8-week safety follow up. Prior to amendment 2 participants could enter an open-label extension period from weeks 24-48. For those participants already in the open-label extension, they will stop dosing and enter the safety follow up.

    Drug: Daxdilimab

  • Placebo comparator
    Placebo

    Matching placebo will be administered by SC injection during the 24-week treatment period followed by an 8-week safety follow up. Prior to amendment 2 participants could enter an open-label extension period from weeks 24-48 and receive daxdilimab. For those participants already in the open-label extension, they will stop dosing and enter the safety follow up.

    Drug: Daxdilimab · Drug: Placebo

Interventions

  • Participants will be administered daxdilimab by subcutaneous (SC) injection.

    Also known as: HZN-7734

  • DrugPlacebo

    Participants will be administered identically matching placebo by SC injection.

06

What researchers measure

Primary outcomes

  1. Mean Total Improvement Score (TIS) at Week 24

    Total improvement score was derived from standardized clinical response criteria which was calculated by sum of improvement scores of 6 core set measures (CSMs) included physician global disease activity (PhGDA), patient global disease activity (PtGDA), manual muscle testing 8 (MMT8) bilateral, health assessment questionnaire-disability index (HAQ-DI), extramuscular global assessment (EGA), and laboratory muscle enzymes (LME). Total improvement score was ranged from 0 to 100, where higher scores indicated greater improvement. The TIS improvement categories are defined as minimal (TIS greater than or equal to \[≥\]20), moderate (TIS ≥40) and major improvement (TIS ≥60). Mean TIS at week 24 was reported in this outcome measure.

    Time frame: At Week 24

Secondary outcomes

  1. Percentage of Participants With Improvement of TIS ≥ 40 and Without Deterioration at 2 Consecutive Visits at 24 Weeks

    The percentage of participants who achieved moderate improvement (TIS ≥ 40), and do not experience confirmed disease deterioration at two consecutive visits through Week 24 were reported. Confirmed deterioration is defined as any of the following occurred at two consecutive visits compared with baseline: (i) Worsening of PhGDA by ≥ 2 cm and worsening of MMT8 by ≥ 20%, or (ii) Worsening of EGA by ≥ 2 cm, or (iii) Worsening of ≥ 3 of 5 core set measures (excluding laboratory enzymes) by ≥ 30%.

    Time frame: Up to Week 24

  2. Percentage of Participants With Improvement of TIS ≥ 20 and Without Deterioration at 2 Consecutive Visits at 24 Weeks

    The percentage of participants who achieved minimal improvement (TIS ≥ 20), and do not experience confirmed disease deterioration at two consecutive visits through Week 24 were reported. Confirmed deterioration is defined as any of the following occurred at two consecutive visits compared with baseline: (i) Worsening of PhGDA by ≥ 2 cm and worsening of MMT8 by ≥ 20%, or (ii) Worsening of EGA by ≥ 2 cm, or (iii) Worsening of ≥ 3 of 5 core set measures (excluding laboratory enzymes) by ≥ 30%.

    Time frame: Up to Week 24

  3. Change in the Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) Activity Score From Baseline (Day 1) to Week 24

    The CDASI activity score used to assess the severity of cutaneous DM and detect the improvement in disease activity. The CDASI activity score evaluates erythema, scale, and erosion/ulceration across 15 different body areas including the presence and severity of Gottron's papules on the hands, periungual changes and alopecia. The CDASI activity score ranges from 0 to 100 and higher scores indicate greater disease severity. A negative change from baseline indicates a reduction in disease severity.

    Time frame: From Baseline (Day 1) to Week 24

  4. Percentage of Participants With Clinically Meaningful Oral Corticosteroid (OCS) Reduction at Week 24

    The percentage of participants who received OCS dose ≥ 10 milligram per day (mg/day) of prednisone or equivalent at baseline and who achieved a clinically meaningful reduction in oral corticosteroid dose either: a 25% reduction or an OCS dose of 7.5 mg/day of prednisone or equivalent at Week 24 were reported.

    Time frame: Up to Week 24

  5. Serum Concentration of Daxdilimab During Stage I

    Mean concentrations of DAX were reported. Values below the lower limit of quantitation (LLOQ) were set to zero before calculation of the descriptive statistics. If the calculated mean concentration from observed values was less than the LLOQ of the assay, the mean value was set to " below the limit of quantification (BLQ)".

    Time frame: Stage I: Day 1 (predose and 2 hours postdose), predose on Weeks 4, 8, 12, 16, and any time on Week 24

  6. Serum Concentration of Daxdilimab During Stage II

    Mean concentrations of DAX were reported. Values below the lower limit of quantitation (LLOQ) were set to zero before calculation of the descriptive statistics.

    Time frame: Stage II: Predose on Week 36 and Week 48

  7. Number of Participants Who Developed Anti-drug Antibodies (ADA)

    Number of participants who developed ADAs were reported. The ADA status was summarized by the categories included; ADA prevalence: ADA positive observed at least once during the trial (baseline included); Only baseline positive: ADA positive observed at baseline but not observed at any post-baseline; Only post-baseline positive (treatment-induced): ADA positive not observed at baseline but observed at least once post-baseline; Both baseline and post-baseline positive: ADA positive observed at both baseline and at least once post-baseline; Incidence (treatment emergent ADA): ADA positive post-baseline only or boosted their pre-existing ADA titer (≥ 4-fold increase) during the trial period.

    Time frame: Up to Week 56

  8. Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious AEs (TESAEs), and Treatment-emergent AEs of Special Interest (TEAESIs) During Stage I

    An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. If an AE occurs on or after the first dose of trial intervention, the AE was considered as a TEAE. An SAE is defined as any untoward medical occurrence that, at any dose results in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect. An AESI is an AE of scientific or medical concern specific to the trial intervention that requires ongoing monitoring and prompt communication by the investigator. AESIs in this trial were hypersensitivity reaction, including anaphylaxis, herpes zoster infection, severe viral infection/reactivation (CTCAE Grade 3 or higher), opportunistic infection, and malignancy (except non-melanoma skin cancer).

    Time frame: From first dose of trial intervention in stage I, to first dose of trial intervention in stage II or study end for non-stage II participants; median (min, max) duration was 24 (3, 34) weeks

  9. Number of Participants Who Experienced TEAEs, TESAEs, and TEAESIs During Stage II

    An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. If an AE occurs on or after the first dose of trial intervention, the AE was considered as a TEAE. An SAE is defined as any untoward medical occurrence that, at any dose results in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect. An AESI is an AE of scientific or medical concern specific to the trial intervention that requires ongoing monitoring and prompt communication by the investigator. AESIs in this trial were hypersensitivity reaction, including anaphylaxis, herpes zoster infection, severe viral infection/reactivation (CTCAE Grade 3 or higher), opportunistic infection, and malignancy (except non-melanoma skin cancer).

    Time frame: From first dose of trial intervention in stage II to study end; median (min, max) duration was 24 (18, 33) weeks

07

Results

Posted Aug 25, 2026

Participant flow

A total of 12 participants with dermatomyositis (DM) or anti-synthetase inflammatory myositis (ASIM) were enrolled at 9 centers in Brazil, Czech Republic, Mexico, Spain, United Kingdom and United States between December 2023 and July 2025.

Stage I (Day 1 to Week 24)
Participant flow — Stage I (Day 1 to Week 24)
MilestoneDM: Placebo/Daxdilimab (DAX) 300 Milligrams (mg) OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Started453
Completed332
Not completed121
Withdrew: Participant decision121
Stage II (Week 24 to Week 48)
Participant flow — Stage II (Week 24 to Week 48)
MilestoneDM: Placebo/Daxdilimab (DAX) 300 Milligrams (mg) OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Started332
Completed322
Not completed010
Withdrew: Lost to follow-up010

Outcome measures

PrimaryMean Total Improvement Score (TIS) at Week 24

Total improvement score was derived from standardized clinical response criteria which was calculated by sum of improvement scores of 6 core set measures (CSMs) included physician global disease activity (PhGDA), patient global disease activity (PtGDA), manual muscle testing 8 (MMT8) bilateral, health assessment questionnaire-disability index (HAQ-DI), extramuscular global assessment (EGA), and laboratory muscle enzymes (LME). Total improvement score was ranged from 0 to 100, where higher scores indicated greater improvement. The TIS improvement categories are defined as minimal (TIS greater than or equal to \[≥\]20), moderate (TIS ≥40) and major improvement (TIS ≥60). Mean TIS at week 24 was reported in this outcome measure.

Time frame:
At Week 24
Reported as:
Mean · Score on a scale
Mean Total Improvement Score (TIS) at Week 24
Score on a scaleDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Mean Total Improvement Score (TIS) at Week 2428.75 ± 18.3120.00 ± 15.2161.25 ± 12.37
SecondaryPercentage of Participants With Improvement of TIS ≥ 40 and Without Deterioration at 2 Consecutive Visits at 24 Weeks

The percentage of participants who achieved moderate improvement (TIS ≥ 40), and do not experience confirmed disease deterioration at two consecutive visits through Week 24 were reported. Confirmed deterioration is defined as any of the following occurred at two consecutive visits compared with baseline: (i) Worsening of PhGDA by ≥ 2 cm and worsening of MMT8 by ≥ 20%, or (ii) Worsening of EGA by ≥ 2 cm, or (iii) Worsening of ≥ 3 of 5 core set measures (excluding laboratory enzymes) by ≥ 30%.

Time frame:
Up to Week 24
Reported as:
Number · Percentage of participants
Percentage of Participants With Improvement of TIS ≥ 40 and Without Deterioration at 2 Consecutive Visits at 24 Weeks
Percentage of participantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Percentage of Participants With Improvement of TIS ≥ 40 and Without Deterioration at 2 Consecutive Visits at 24 Weeks25.00.0100.0
SecondaryPercentage of Participants With Improvement of TIS ≥ 20 and Without Deterioration at 2 Consecutive Visits at 24 Weeks

The percentage of participants who achieved minimal improvement (TIS ≥ 20), and do not experience confirmed disease deterioration at two consecutive visits through Week 24 were reported. Confirmed deterioration is defined as any of the following occurred at two consecutive visits compared with baseline: (i) Worsening of PhGDA by ≥ 2 cm and worsening of MMT8 by ≥ 20%, or (ii) Worsening of EGA by ≥ 2 cm, or (iii) Worsening of ≥ 3 of 5 core set measures (excluding laboratory enzymes) by ≥ 30%.

Time frame:
Up to Week 24
Reported as:
Number · Percentage of participants
Percentage of Participants With Improvement of TIS ≥ 20 and Without Deterioration at 2 Consecutive Visits at 24 Weeks
Percentage of participantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Percentage of Participants With Improvement of TIS ≥ 20 and Without Deterioration at 2 Consecutive Visits at 24 Weeks50.066.7100.0
SecondaryChange in the Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) Activity Score From Baseline (Day 1) to Week 24

The CDASI activity score used to assess the severity of cutaneous DM and detect the improvement in disease activity. The CDASI activity score evaluates erythema, scale, and erosion/ulceration across 15 different body areas including the presence and severity of Gottron's papules on the hands, periungual changes and alopecia. The CDASI activity score ranges from 0 to 100 and higher scores indicate greater disease severity. A negative change from baseline indicates a reduction in disease severity.

Time frame:
From Baseline (Day 1) to Week 24
Reported as:
Mean · Score on a scale
Change in the Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) Activity Score From Baseline (Day 1) to Week 24
Score on a scaleDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Change in the Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) Activity Score From Baseline (Day 1) to Week 243.0 ± 11.5-7.3 ± 6.2-2.5 ± 2.1
SecondaryPercentage of Participants With Clinically Meaningful Oral Corticosteroid (OCS) Reduction at Week 24

The percentage of participants who received OCS dose ≥ 10 milligram per day (mg/day) of prednisone or equivalent at baseline and who achieved a clinically meaningful reduction in oral corticosteroid dose either: a 25% reduction or an OCS dose of 7.5 mg/day of prednisone or equivalent at Week 24 were reported.

Time frame:
Up to Week 24
Reported as:
Number · Percentage of participants
Percentage of Participants With Clinically Meaningful Oral Corticosteroid (OCS) Reduction at Week 24
Percentage of participantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
Percentage of Participants With Clinically Meaningful Oral Corticosteroid (OCS) Reduction at Week 2466.7100.00.0
SecondarySerum Concentration of Daxdilimab During Stage I

Mean concentrations of DAX were reported. Values below the lower limit of quantitation (LLOQ) were set to zero before calculation of the descriptive statistics. If the calculated mean concentration from observed values was less than the LLOQ of the assay, the mean value was set to " below the limit of quantification (BLQ)".

Time frame:
Stage I: Day 1 (predose and 2 hours postdose), predose on Weeks 4, 8, 12, 16, and any time on Week 24
Reported as:
Mean · nanograms/milliliter (ng/mL)
Serum Concentration of Daxdilimab During Stage I
nanograms/milliliter (ng/mL)PK Analysis: Stage I - DM: DAX 300 mgPK Analysis: Stage I - ASIM: DAX 300 mg
Day 1 PredoseNA ± NANA ± NA
Day 1 Postdose142.63 ± 139.78323.93 ± 265.21
Week 46008.00 ± 2323.705476.67 ± 2837.84
Week 87320.00 ± 3487.938765.00 ± 7403.41
Week 125835.00 ± 5352.8010720.00 ± 7325.63
Week 166255.00 ± 3709.1012475.00 ± 7106.42
Week 245620.00 ± 1394.7411820.00 ± 8457.00
SecondarySerum Concentration of Daxdilimab During Stage II

Mean concentrations of DAX were reported. Values below the lower limit of quantitation (LLOQ) were set to zero before calculation of the descriptive statistics.

Time frame:
Stage II: Predose on Week 36 and Week 48
Reported as:
Mean · ng/mL
Serum Concentration of Daxdilimab During Stage II
ng/mLPK Analysis: Stage II - DM: Placebo/DAX 300 mg OLPK Analysis: Stage II - DM: DAX 300 mg/DAX 300 mg OLPK Analysis: Stage II - ASIM: DAX 300 mg/DAX 300 mg OL
Week 3612970.0 ± 12670.77965.0 ± 6837.78950.0 ± 594.0
Week 485524.0 ± 8381.913100.0 ± NA7845.0 ± 9411.6
SecondaryNumber of Participants Who Developed Anti-drug Antibodies (ADA)

Number of participants who developed ADAs were reported. The ADA status was summarized by the categories included; ADA prevalence: ADA positive observed at least once during the trial (baseline included); Only baseline positive: ADA positive observed at baseline but not observed at any post-baseline; Only post-baseline positive (treatment-induced): ADA positive not observed at baseline but observed at least once post-baseline; Both baseline and post-baseline positive: ADA positive observed at both baseline and at least once post-baseline; Incidence (treatment emergent ADA): ADA positive post-baseline only or boosted their pre-existing ADA titer (≥ 4-fold increase) during the trial period.

Time frame:
Up to Week 56
Reported as:
Count of participants · Participants
Number of Participants Who Developed Anti-drug Antibodies (ADA)
ParticipantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
ADA detected (positive) on trial: ADA prevalence000
Only baseline positive000
Only post-baseline positive000
Both baseline and post-baseline positive000
Incidence (treatment-emergent ADA)000
SecondaryNumber of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious AEs (TESAEs), and Treatment-emergent AEs of Special Interest (TEAESIs) During Stage I

An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. If an AE occurs on or after the first dose of trial intervention, the AE was considered as a TEAE. An SAE is defined as any untoward medical occurrence that, at any dose results in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect. An AESI is an AE of scientific or medical concern specific to the trial intervention that requires ongoing monitoring and prompt communication by the investigator. AESIs in this trial were hypersensitivity reaction, including anaphylaxis, herpes zoster infection, severe viral infection/reactivation (CTCAE Grade 3 or higher), opportunistic infection, and malignancy (except non-melanoma skin cancer).

Time frame:
From first dose of trial intervention in stage I, to first dose of trial intervention in stage II or study end for non-stage II participants; median (min, max) duration was 24 (3, 34) weeks
Reported as:
Count of participants · Participants
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious AEs (TESAEs), and Treatment-emergent AEs of Special Interest (TEAESIs) During Stage I
ParticipantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
TEAEs342
TESAEs110
TEAESIs010
SecondaryNumber of Participants Who Experienced TEAEs, TESAEs, and TEAESIs During Stage II

An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. If an AE occurs on or after the first dose of trial intervention, the AE was considered as a TEAE. An SAE is defined as any untoward medical occurrence that, at any dose results in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect. An AESI is an AE of scientific or medical concern specific to the trial intervention that requires ongoing monitoring and prompt communication by the investigator. AESIs in this trial were hypersensitivity reaction, including anaphylaxis, herpes zoster infection, severe viral infection/reactivation (CTCAE Grade 3 or higher), opportunistic infection, and malignancy (except non-melanoma skin cancer).

Time frame:
From first dose of trial intervention in stage II to study end; median (min, max) duration was 24 (18, 33) weeks
Reported as:
Count of participants · Participants
Number of Participants Who Experienced TEAEs, TESAEs, and TEAESIs During Stage II
ParticipantsDM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OL
TEAEs212
TESAEs000
TEAESIs001

Adverse events

Collected over Stage I: Mortality from randomization, AEs from 1st dose of trial intervention in stage I, both to 1st dose of trial intervention in stage II or study end for non-stage II participants; both median (min, max) duration was 24 (3, 34) weeks. Stage II: Mortality/AE: 1st dose of trial intervention in stage II to study end; median (min, max) duration was 24 (18, 33) weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Stage I - DM: Placebo0/4 (0%)1/4 (25%)3/4 (75%)
Stage I - DM: DAX 300 mg0/5 (0%)1/5 (20%)4/5 (80%)
Stage I - ASIM: DAX 300 mg0/3 (0%)0/3 (0%)2/3 (66.7%)
Stage II - DM: Placebo/DAX 300 mg OL0/3 (0%)0/3 (0%)2/3 (66.7%)
Stage II - DM: DAX 300 mg/DAX 300 mg OL0/3 (0%)0/3 (0%)1/3 (33.3%)
Stage II - ASIM: DAX 300 mg/DAX 300 mg OL0/2 (0%)0/2 (0%)2/2 (100%)
Most frequent serious events
Most frequent serious events
EventStage I - DM: PlaceboStage I - DM: DAX 300 mgStage I - ASIM: DAX 300 mgStage II - DM: Placebo/DAX 300 mg OLStage II - DM: DAX 300 mg/DAX 300 mg OLStage II - ASIM: DAX 300 mg/DAX 300 mg OL
MyositisMusculoskeletal and connective tissue disorders1/40/50/30/30/30/2
Rib fractureInjury, poisoning and procedural complications0/41/50/30/30/30/2
Road traffic accidentInjury, poisoning and procedural complications0/41/50/30/30/30/2
Sternal fractureInjury, poisoning and procedural complications0/41/50/30/30/30/2
Subdural haematomaInjury, poisoning and procedural complications0/41/50/30/30/30/2
Wrist fractureInjury, poisoning and procedural complications0/41/50/30/30/30/2
Most frequent other events
Showing 10 of 36
Most frequent other events
EventStage I - DM: PlaceboStage I - DM: DAX 300 mgStage I - ASIM: DAX 300 mgStage II - DM: Placebo/DAX 300 mg OLStage II - DM: DAX 300 mg/DAX 300 mg OLStage II - ASIM: DAX 300 mg/DAX 300 mg OL
Injection site erythemaGeneral disorders0/40/52/30/30/31/2
DiarrhoeaGastrointestinal disorders2/40/50/30/30/30/2
Oral herpesInfections and infestations0/40/50/30/30/31/2
Upper respiratory tract infectionInfections and infestations0/41/50/30/30/31/2
DermatomyositisMusculoskeletal and connective tissue disorders0/40/50/30/30/31/2
Abdominal distensionGastrointestinal disorders0/40/51/30/30/30/2
Abdominal painGastrointestinal disorders0/40/51/30/30/30/2
NauseaGastrointestinal disorders0/40/51/31/30/30/2
VomitingGastrointestinal disorders0/40/50/31/30/30/2
Adverse drug reactionGeneral disorders0/40/50/30/31/30/2

Baseline characteristics

Full Analysis Set (FAS): All randomized participants who received any dose of trial intervention in the trial.

Age, Continuous
Age, Continuous(Years)DM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OLTotal
Mean44.3 ± 5.350.2 ± 11.645.3 ± 13.347.0 ± 9.9
Sex: Female, Male
Sex: Female, Male(Participants)DM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OLTotal
Female34310
Male1102
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)DM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OLTotal
Hispanic or Latino1416
Not Hispanic or Latino3126
Unknown or Not Reported0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)DM: Placebo/DAX 300 mg OLDM: DAX 300 mg/DAX 300 mg OLASIM: DAX 300 mg/DAX 300 mg OLTotal
White35311
Other1001
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Study locations

9 sites
  • Advanced Research Center, Inc.
    Anaheim, California 92805-5854, United States
  • Centro Mineiro de Pesquisa - CMiP
    Juiz de Fora, Minas Gerais 36010-570, Brazil
  • LMK Servicos Medicos SS
    Porto Alegre, Rio Grande do Sul 90480-000, Brazil
  • Revmatologicky ustav
    Prague, Praha, Hlavní Mesto 128 00, Czechia
  • Unidad de Investigacion de las Enfermedades Reumaticas S.A. De C.V.
    Mexico City, Mexico
  • Accelerium, S. de R.L. de C.V. - PPDS
    Monterrey, 64000, Mexico
  • Hospital Quironsalud Infanta Luisa
    Seville, 41010, Spain
  • Aintree University Hospital - NWCRN - PPDS
    Liverpool, Merseyside L9 7AL, United Kingdom
  • Western General Hospital Edinburgh - PPDS
    Edinburgh, Midlothian EH4 2XU, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.

Data sharing details ↗ · www.amgen.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05669014
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Dec 30, 2022
Start date
Dec 4, 2023
Primary completion
Jul 2, 2025
Completion
Jul 2, 2025
Results posted
Aug 25, 2026
Last update
Aug 25, 2026

Study contacts

MD
study director · Amgen

Oversight

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

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Daxdilimab

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