CClinicalTrials.gg
Active, not recruitingNCT06741969DAFFODILUpdated Sep 25, 2026

Nipocalimab in Moderate to Severe Sjogren's Disease

A Phase 3 interventional study of Nipocalimab and Placebo in Sjogrens Syndrome, sponsored by Janssen Research & Development, LLC. Active, not recruiting at 254 sites in 28 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Janssen Research & Development, LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
655
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the clinical efficacy and safety of nipocalimab in participants with moderate to severe Sjogren's disease (SjD).

Read the detailed description

This clinical development program for nipocalimab in SjD includes 2 identical double blind, placebo-controlled studies to evaluate the efficacy, safety, and tolerability of nipocalimab in participants greater than or equal to (>=) 18 years of age with moderate to severe SjD.

02

Conditions studied

  • Sjogrens Syndrome

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Keywords

  • Sjogrens Disease
03

In context

Sjogren's Syndrome

371 studies on the registry are indexed under Sjogren's Syndrome; 104 are open to participants now.

This study's enrollment of 655 is above the median of 50 across 244 interventional studies indexed under Sjogren's Syndrome.

Browse Sjogren's Syndrome studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 912 studies on the registry; 76 are open to participants now.

Of its 278 completed or terminated interventional studies of FDA-regulated products, 131 (47%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Inclusion Criteria:-

  • Medically stable on the basis of physical examination, medical history, vital signs, clinical laboratory tests, and 12-lead electrocardiogram (ECG) performed at screening
  • Meets criteria for diagnosis of SjD by the 2016 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) classification criteria
  • Seropositive for antibodies to Ro/SSA (Ro60 and/or Ro52) at screening
  • Total ClinESSDAI score greater than or equal to (>=) 5 at screening
  • Participants of childbearing potential must have a negative highly sensitive serum (beta-hCG) pregnancy test at screening and a negative urine pregnancy test at Week 0 prior to randomization

Exclusion Criteria:

  • Has a history of severe, progressive and/or uncontrolled hepatic, gastrointestinal, renal, pulmonary, cardiovascular, psychiatric, neurological or musculoskeletal disorder, hypertension, and/or any other medical or uncontrolled autoimmune disorder or clinically significant abnormalities in screening laboratory
  • Known allergies, hypersensitivity, or intolerance to nipocalimab or its excipients or excipients used in the placebo formulation
  • Has any confirmed or suspected clinical immunodeficiency syndrome not related to treatment of his/her SjD or has a family history of congenital or hereditary immunodeficiency
  • Has shown a previous severe immediate hypersensitivity reaction, such as anaphylaxis, to therapeutic proteins (for example [e.g.], monoclonal antibodies, intravenous immunoglobulin)
  • Has any unstable or progressive manifestation of SjD that is likely to warrant escalation in therapy beyond permitted background medications
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
655 participants (actual)

Study arms

  • Experimental
    Nipocalimab

    Participants will receive nipocalimab subcutaneously (SC) along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an open-label long-term extension (OLE) phase, where they will continue to receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study.

    Drug: Nipocalimab · Drug: Standard of care treatment

  • Placebo comparator
    Placebo

    Participants will receive placebo subcutaneously along with standard of care treatments. At the Week 48 visit, eligible participants from both studies will have the option to enter an OLE phase, where they will receive nipocalimab until Week 143 or until the study intervention is discontinued and participants opt to withdraw from the study.

    Drug: Placebo · Drug: Standard of care treatment

Interventions

  • DrugNipocalimab

    Nipocalimab SC.

    Also known as: JNJ-80202135, JNJ-86507083, M281

  • DrugPlacebo

    Placebo SC.

  • DrugStandard of care treatment

    Protocol-defined topical and systemic standard of care background treatments.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Clinical European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (ClinESSDAI) Score at Week 48

    ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD. The ClinESSDAI includes 11 domains divided into 3-4 activity levels, where zero represents no activity and low, medium, and high scores can vary in numerical value depending on the domain being measured. A higher score represents worse disease symptoms.

    Time frame: Baseline to Week 48

Secondary outcomes

  1. Improvement from Baseline in Minimal Clinically Important Improvement (MCII) in ClinESSDAI Score at Week 48

    The ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with Sjogren's syndrome.

    Time frame: Baseline to Week 48

  2. Improvement from Baseline in ClinESSDAI Score at Week 48 in Participants with High Immunoglobulin (IgG) Levels at Baseline

    ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD.

    Time frame: Baseline to Week 48

  3. Change from Baseline in ClinESSDAI Score at Week 8

    ClinESSDAI is a validated tool used in clinical studies to measure the systemic disease activity in participants with SjD.

    Time frame: Baseline to Week 8

  4. Change from Baseline in Stimulated Salivary Flow Rate at Week 48

    Stimulated salivary flow is considered a reliable and objective method to evaluate glandular function in SjD patients.

    Time frame: Baseline to Week 48

  5. Change from Baseline in Sjogren's Symptoms Dryness Score at Week 48

    Participants will be asked to report the worst severity of their dryness symptoms on a 0 to 10 numeric rating scale (NRS), with score 0 indicating "No \[specific symptom\]" and score 10 indicating "Severe \[specific symptom\]". Higher scores reflect greater symptom severity. Change from baseline in Sjogren's Symptoms dryness score at Week 48 for US, US reference regions, and other non-US regions will be reported.

    Time frame: Baseline to Week 48

  6. Change from Baseline in Sjogren's Symptoms Joint Pain Score at Week 48

    Participants will be asked to report the worst severity of their joint pain symptoms on a 0 to 10 numeric rating scale (NRS), with score 0 indicating "No \[specific symptom\]" and score 10 indicating "Severe \[specific symptom\]". Higher scores reflect greater symptom severity. Change from baseline in Sjogren's Symptoms joint pain score at Week 48 for US, US reference regions, and other non-US regions will be reported.

    Time frame: Baseline to Week 48

  7. Change from Baseline in EULAR Sjogren's Syndrome Patient Reported Index (ESSPRI) Score At Week 48

    ESSPRI is a participant-reported assessment of the severity of dryness, fatigue, and pain associated with primary Sjogren's Syndrome. Participants are asked to rate the severity of dryness, fatigue, and pain on a 0 to 10 NRS, with score 0 indicating "No \[specific symptom\]" and score 10 indicating "Severe \[specific symptom\]". A global score, calculated as the mean of the 3 domain scores, ranges from 0 to 10, with higher scores reflecting greater (worse) symptom severity. Change from baseline in Sjogren's Symptoms score at Week 48 for EU, UK \& EU reference regions will be reported.

    Time frame: Baseline to Week 48

  8. Change from Baseline in Functional Assessment of Chronic Illness Therapy Fatigue (FACIT) Fatigue Score at Week 48

    FACIT-Fatigue version 4.0 is a 13-item questionnaire that assesses participant-reported fatigue and its impact upon daily activities and function over the past 7 days. Participants will be asked to answer each question using a 5-point Likert scale (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; and 4=Very much). FACIT-Fatigue has a total score range from 0 to 52, with 0 being the worst possible score and 52 the best.

    Time frame: Baseline to Week 48

07

Study locations

254 sites
  • Advanced Clinical Research Center
    Chula Vista, California 91910, United States
  • Providence Medical Foundation
    Fullerton, California 92835, United States
  • Arthritis & Osteoporosis Medical Center - La Palma
    La Palma, California 90623, United States
  • NovaMed Research
    Monterey Park, California 91754, United States
  • Medvin Clinical Research San Leandro
    San Leandro, California 94578, United States
  • Providence Saint John s Health Center
    Santa Monica, California 90404, United States
  • Solace Clinical Research California
    Tustin, California 92780, United States
  • Inland Rheumatology Clinical Trials Inc.
    Upland, California 91786, United States
  • Denver Arthritis Clinic
    Denver, Colorado 80230, United States
  • Clinical Research of West Florida Inc
    Clearwater, Florida 33765, United States
  • UF Health Rheumatology
    Jacksonville, Florida 32256, United States
  • Suncoast Clinical Research
    New Port Richey, Florida 34652, United States
  • Sarasota Arthritis Center
    Sarasota, Florida 34239, United States
  • BioResearch Partner
    South Miami, Florida 33143, United States
  • Immunology and Rheumatology Research Associates LLC
    Suwanee, Georgia 30024, United States
  • Clinical Investigation Specialists - Clinic of Robert Hozman
    Skokie, Illinois 60076, United States
  • Willow Rheumatology and Wellness PLLC
    Willowbrook, Illinois 60527, United States
  • University of Iowa Hospital and Clinics
    Iowa City, Iowa 52242, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Clinical Research Institute of Michigan, LLC
    Saint Clair Shores, Michigan 48081, United States
  • St. Paul Rheumatology P A
    Eagan, Minnesota 55123, United States
  • AARA Clinical Research- Kansas City Physicians Partners
    Kansas City, Missouri 64151, United States
  • Arthritis Rheumatic And Back Disease Associates
    Voorhees Township, New Jersey 08043, United States
  • NYU Langone Health - Clinical and Translational Science Institute
    New York, New York 10016, United States
  • Pioneer Clinical Research NY
    New York, New York 10016, United States
  • Joint and Muscle Research Institute
    Charlotte, North Carolina 28204, United States
  • Atrium Health SouthPark Rheumatology
    Charlotte, North Carolina 28211, United States
  • Onsite Clinical Solutions
    Salisbury, North Carolina 28144, United States
  • Wright State Physicians Health Center
    Fairborn, Ohio 45324, United States
  • OMRF Rheumatology Center of Excellence
    Oklahoma City, Oklahoma 73104, United States
  • Rheumatology Associates of Oklahoma
    Oklahoma City, Oklahoma 73116, United States
  • Altoona Center For Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • Clinical Research Philadelphia
    Philadelphia, Pennsylvania 19114, United States
  • Low Country Rheumatology PA
    Summerville, South Carolina 29486, United States
  • West Tennessee Research Institute
    Jackson, Tennessee 38305, United States
  • AARA Clinical Research - Murfreesboro Medical Clinic
    Murfreesboro, Tennessee 37128, United States
  • Amarillo Premier Research
    Amarillo, Texas 79124, United States
  • Texas Rheumatology Research Institute LLC
    Plano, Texas 75024, United States
  • Fort Bend Rheumatology Associates PLLC
    Sugar Land, Texas 77479, United States
  • Advanced Rheumatology of Houston
    The Woodlands, Texas 77382, United States
  • Alpine Research TC LLC
    Layton, Utah 84041, United States
  • Tidewater Clinical Research
    Chesapeake, Virginia 23320, United States
  • Overlake Arthritis and Osteoporosis Center
    Bellevue, Washington 98004, United States
  • Instituto Medico De Alta Complejidad (IMAC)
    Buenos Aires, B1643CRO, Argentina
  • Centro de Investigacion San Miguel CISM
    Buenos Aires, B1663GJE, Argentina
  • Mautalen Salud e Investigacion
    CABA, C1128AAF, Argentina
  • Centro Medico del Dr. Javier Gerardo Tartaglione
    Cdad Autonoma de Buenos Aires, C1123AAO, Argentina
  • Centro de Investigacion en Enfermedades Reumaticas CIER
    Ciudad de Buenos Aires, C1055, Argentina
  • Centro Medico Barrio Parque. Swiss Medical Group
    Ciudad de Buenos Aires, C1414, Argentina
  • Cosultorios Reumatologógicos Pampa
    Ciudad de Buenos Aires, C1428, Argentina
  • Cer Instituto Medico
    Quilmes, B1878DVB, Argentina
  • MR Medicina Reumatologica
    San Fernando, B1646GHP, Argentina
  • Centro de Investigaciones Medicas Tucuman
    San Miguel de Tucumán, T4000AXL, Argentina
  • Medizinische Universitaet Graz
    Graz, 8036, Austria
  • SCRI CCCIT gem GmbH
    Salzburg, 5020, Austria
  • LK Weinviertel Stockerau
    Stockerau, 2000, Austria
  • Medizinische Universitaet Wien
    Vienna, 1090, Austria
  • Wiener Gesundheitsverbund Klinik Hietzing
    Vienna, 1130, Austria
  • Instituto D Or de Pesquisa e Ensino 1
    Brasília, 70390 700, Brazil
  • Ceti - Centro de Estudos Em Terapias Inovadoras
    Curitiba, 80030 110, Brazil
  • Hospital De Clinicas De Porto Alegre
    Porto Alegre, 90035 903, Brazil
  • Hospital Moinhos de Vento
    Porto Alegre, 90035-001, Brazil
  • LMK Servicos Medicos S S
    Porto Alegre, 90480 000, Brazil
  • Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto
    Ribeirão Preto, 14048 900, Brazil
  • SER - Servicos Especializados em Reumatologia da Bahia
    Salvador, 40150 150, Brazil
  • IDOR - Regional Bahia
    Salvador, 41253-190, Brazil
  • Funfarme Sjrp
    São José do Rio Preto, 15090-000, Brazil
  • Hospital Samaritano de Sao Paulo
    São Paulo, 01243 020, Brazil
  • CEPIC Centro Paulista de Investigacao Clinica e Servicos Medicos
    São Paulo, 04266 010, Brazil
  • Hospital Das Clinicas Da Faculdade De Medicina Da USP
    São Paulo, 05403 000, Brazil
  • CEDOES Centro de Pesquisa Clinica e Diagnostico do Espirito Santo Ltda
    Vitória, 29055 450, Brazil
  • UMHAT Kaspela
    Plovdiv, 4001, Bulgaria
  • Medical Center Artmed
    Plovdiv, 4002, Bulgaria
  • Medical Center Teodora
    Rousse, 7003, Bulgaria
  • Lyulin Multi Profile Hospital For Active Medical Treatment
    Sofia, 1336, Bulgaria
  • Diagnostic-Consultative Center (DCC) Aleksandrovska
    Sofia, 1431, Bulgaria
  • St Ivan Rilski University Multiprofile Hospital For Active Treatment
    Sofia, 1431, Bulgaria
  • Military Medical Academy Multiprofile Hospital for Active Treatment Sofia
    Sofia, 1606, Bulgaria
  • Diagnostic Consultative Center - DCC Equita EOOD
    Varna, 9000, Bulgaria
  • MHAT 'St. Marina' EAD
    Varna, 9010, Bulgaria
  • Dr Sabeen Anwar Medicine Professional Corporation
    Windsor, Ontario N8X 1T3, Canada
  • Hospital Regional de Rimouski
    Rimouski, Quebec G5L 5T1, Canada
  • Centre de Recherche Musculo Squelettique
    Trois-Rivières, Quebec G9A 3X2, Canada
  • Beiijing Friendship Hospital, Capital Medical University
    Beijing, 100050, China
  • Peking University Third Hospital
    Beijing, 100191, China
  • Xiangya Hospital Central South University
    Changsha, 410008, China
  • Changzhou No 2 Peoples Hospital
    Changzhou, 213164, China
  • West China Hospital Sichuan University
    Chengdu, 610041, China
  • Dazhou Central Hospital
    Dazhou, 635002, China
  • First Affiliated Hospital of Gannan Medical University
    Ganzhou, 341006, China
  • Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
    Guangzhou, 510275, China
  • The Affiliated Hospital of Guizhou Medical University
    Guiyang, 550004, China
  • The Second Affiliated Hospital of Zhejiang University College of Medicine
    Hangzhou, 311608, China
  • Anhui Provincial Hospital
    Hefei, 230001, China
  • Shandong Provincial Hospital
    Jinan, 250021, China
  • Jinhua municipal central hospital
    Jinhua, 321013, China
  • Linyi City People Hospital
    Linyi, 276002, China
  • The First Affiliated Hospital of NanChang University
    Nanchang, 330019, China
  • Affiliated Hospital of North Sichuan Medical College
    Nanchong, 637503, China
  • Zhongda Hospital Southeast University
    Nanjing, 210009, China

Showing the first 100 of 254 sites across 28 countries.

08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and site details
1 update, last Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Minor edits only
    + 2 other changes: verification date and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06741969
Lead sponsor
Janssen Research & Development, LLC
Responsible party
Sponsor
First posted
Dec 19, 2024
Start date
Dec 4, 2024
Primary completion
Jan 1, 2028 (estimated)
Completion
May 18, 2029 (estimated)
Last update
Sep 25, 2026

Study contacts

Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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