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Assess Pharmacokinetics of ARRY-371797 in Rheumatoid Arthritis Patients, and the Potential Interactions With Methotrexate and Food

This study is currently recruiting participants.
Verified by Array BioPharma, September 2008

Sponsored by: Array BioPharma
Information provided by: Array BioPharma
ClinicalTrials.gov Identifier: NCT00729209
  Purpose

Randomized, double-blind, placebo-controlled study to assess the pharmacokinetics, safety, and efficacy of ARRY-371797 given to patients with Rheumatoid Arthritis who are also on stable doses of methotrexate.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: Placebo
Drug: ARRY-371797 100mg, Q12h
Drug: ARRY-371797 200mg, Q12h
Phase I

MedlinePlus related topics:   Rheumatoid Arthritis   

ChemIDplus related topics:   Methotrexate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Other, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Pharmacokinetics Study
Official Title:   A Phase 1b, Randomized, Placebo-Controlled, Double-Blind Study to Assess the Pharmacokinetics, Safety and Efficacy of ARRY-371797 in Patients With Rheumatoid Arthritis (RA) Receiving Stable Doses of Methotrexate (MTX)

Further study details as provided by Array BioPharma:

Primary Outcome Measures:
  • Evaluate the pharmacokinetics of ARRY-371797 in RA patients, and the potential interactions with MTX [ Time Frame: Duration of study ] [ Designated as safety issue: No ]
  • Evaluate the effect of food on the pharmacokinetics of ARRY-371797 in RA patients in combination with MTX [ Time Frame: Duration of study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Evaluate the safety of ARRY-371797 administered in RA patients concomitantly treated with stable doses of MTX [ Time Frame: Duration of study ] [ Designated as safety issue: Yes ]
  • Evaluate the anti-inflammatory effects of two doses of ARRY-371797 compared to placebo over 28 days measured by the Patient's Assessment of Arthritis Pain (100 mm visual analog scale [VAS]) [ Time Frame: Duration of study ] [ Designated as safety issue: No ]
  • Evaluate the bone resorption effects of two doses of ARRY-371797 compared to placebo over 28 days as measured by urinary N-Telopeptide Cross-Links (NTx) [ Time Frame: Duration of study ] [ Designated as safety issue: No ]
  • Evaluate, at the discretion of Array BioPharma, additional PD biomarkers of inflammatory response to ARRY-371797 in combination with MTX [ Time Frame: Duration of study ] [ Designated as safety issue: No ]

Estimated Enrollment:   30
Study Start Date:   July 2008
Estimated Study Completion Date:   January 2009
Estimated Primary Completion Date:   January 2009 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
ARRY-371797 100mg, Q12h
Drug: ARRY-371797 100mg, Q12h
ARRY-371797 100mg, Q12h
3: Placebo Comparator
Placebo
Drug: Placebo
Placebo comparator
2: Experimental
ARRY-371797 200mg, Q12h
Drug: ARRY-371797 200mg, Q12h
ARRY-371797 200mg, Q12h

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Diagnosed with RA at least 3 months prior to the Screening visit based upon the American College of Rheumatology (ACR) 1987 Revised Criteria,, fulfilling at least 4 of the following 7 criteria. The first 4 must have been present for at least 6 weeks:

    1. Morning stiffness in and around any joint for more than 1 hour;
    2. Soft tissue swelling of 3 or more joint areas;
    3. Swelling of the proximal interphalangeal (PIP), metacarpophalangeal (MCP), or wrist joints;
    4. Symmetrical joint swelling;
    5. Rheumatoid nodules;
    6. Serum rheumatoid factor positive;
    7. Radiographic erosions and/or periarticular osteopenia in hand and/or wrist joints.
  • On a stable weekly dose of MTX (10 - 25 mg/week inclusively; either oral or parenteral) for ≥ 6 weeks (calculated from Day 1) at the time of randomization and is willing to continue on this regimen for the duration of this study;
  • On a stable dose of folate (≥ 5 mg weekly ) for ≥ 6 weeks at the time of randomization and is willing to continue on this regimen for the duration of this study;
  • Minimum current level of disease activity characterized by:

    a. C-reactive protein (CRP) ≥ 0.8 mg/dL (8 mg/L)

  • Meets the ACR 1991 Revised Criteria for Global Functional Status in RA, Class I, II, or III
  • Completed a 4-week washout period (calculated from Day -7) if treated with any of the following therapies:

    1. DMARDs - hydrochloroquine or chloroquine (plaquinil), auranofin (oral gold), injectable gold (aurothioglucose or aurothiomalate), sulfasalazine, or d-penicillamine;
    2. Immunosuppressive/Immunomodulatory therapies - azathioprine, cyclosporine, minocycline, or PROSORBA® device/column;
    3. Participation in another clinical trial within 4 weeks of screening;
    4. Other - herbal medications, immunization with any live virus vaccination (e.g., FluMist), intra-articular, intramuscular, or intravenous corticosteroids
  • Completed washout period of any experimental therapy for RA (within or outside a clinical trial setting) within 8 weeks of screening unless reviewed and approved by the Sponsor;
  • Patients may continue on stable background therapy for RA (doses should be stable for at least 6 weeks prior to the first dose of study drug, unless the patient stops due to documented disease improvement, with Sponsor approval), only if it is included in the following list:

    1. Non-investigational NSAIDs or COX-2 inhibitors;
    2. Low-dose oral corticosteroids (≤ 10 mg prednisone or equivalent per day);
    3. Opioid analgesics (≤ 30 mg oral morphine or equivalent per day)
    4. Acetaminophen (paracetamol) ≤ 2600 mg/day (2.6 g/day);
    5. Aspirin if taken for non-arthritic reasons (≤ 325 mg/day).

Exclusion Criteria:

  • Diagnosis of any other inflammatory or non-inflammatory arthritis (e.g. spondyloarthritis; fibromyalgia, psoriatic arthritis, crystal-proven gout) that may interfere with disease activity assessments and/or clinically apparent osteoarthritis which would affect subsequent efficacy measures;
  • Has received any of the following prior treatments:

    1. Within 4 weeks of first dose of study drug: anakinra (Kineret®), etanercept (Enbrel®);
    2. Within 8 weeks of first dose of study drug: infliximab (Remicade®), adalimumab (Humira®), leflunomide (Arava®);
    3. At any time: rituximab (Rituxan®), alemtuzab (CamPath®), any experimental B cell targeting agents;
  • Presenting with any of the following:

    1. Any condition possibly affecting oral dug absorption (e.g., gastrectomy or clinically significant diabetic gastroenteropathy);
    2. Any clinically significant skin rash at Screening and/or within the past 3 months;
    3. A documented oral temperature ≥ 37.5˚C (99.5˚F) at Screening;
    4. An infection with human immunodeficiency virus (HIV) or hepatitis B or C at Screening;
    5. Any clinically significant active infection including herpes lesions;
    6. A confirmed screening QTc interval > 450 ms (either Bazett or Fredericia corrected will be assessed; if either one is > 450 ms the patient is not eligible).
  • Requiring prohibited concomitant medications while on study, including potent CYP3A inhibitors, potent CYP3A inducers, DMARDs, and biologic response modifiers (BRMs)
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00729209

Locations
United States, Alabama
Clinic for Rheumatic Diseases     Recruiting
      Tuscaloosa, Alabama, United States, 35406
      Contact: Kris Coss     205-750-0030     crd_coss@hotmail.com    
      Principal Investigator: Richard Jones, MD            
United States, Arizona
Sun Valley Arthritis Center, Ltd     Recruiting
      Peoria, Arizona, United States, 85381
      Contact: J. Tuber     623-825-5591 ext 237     jtuber@svacltd.com    
      Principal Investigator: Joy Schectman, MD            
United States, Arkansas
Woodland International Research Group     Recruiting
      Little Rock, Arkansas, United States, 72211
      Contact: Carol Witham     501-221-8681     carol@woodlandintlresearchgrp.com    
      Principal Investigator: George Konis, DO            
United States, Illinois
NUCATS Institute, Northwestern University     Recruiting
      Chicago, Illinois, United States, 60611
      Contact: Barbara Ferry     312-503-0792     b-ferry@northwestern.edu    
      Principal Investigator: Eric Ruderman, MD            
United States, Oklahoma
Lynn Health Sciences Institute     Recruiting
      Oklahoma City, Oklahoma, United States, 73112
      Contact: Natacha Arledge     405-602-3957     narledge@lhsi.net    
      Principal Investigator: Larry Willis, MD            
United States, South Carolina
Palmetto Clinical Trial Services     Not yet recruiting
      Greenville, South Carolina, United States, 29601
      Contact: Kim Williams     864-527-2307     kwilliams@palmettoclinical.com    
      Principal Investigator: Josette Johnson, MD            
United States, Texas
Metroplex Clinical Research Center     Recruiting
      Dallas, Texas, United States, 75219
      Contact: Sara Hibbard     214-424-0400     shibbard@mcrcdallas.com    
      Principal Investigator: Ray Fleischmann, MD            

Sponsors and Collaborators
Array BioPharma
  More Information


Responsible Party:   Array BioPharma ( Farran Peterson, Clinical Program Manager )
Study ID Numbers:   ARRAY-797-103
First Received:   August 4, 2008
Last Updated:   September 16, 2008
ClinicalTrials.gov Identifier:   NCT00729209
Health Authority:   United States: Food and Drug Administration

Study placed in the following topic categories:
Folic Acid
Autoimmune Diseases
Musculoskeletal Diseases
Joint Diseases
Arthritis
Connective Tissue Diseases
Arthritis, Rheumatoid
Methotrexate
Rheumatic Diseases

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Immunologic Factors
Immune System Diseases
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Reproductive Control Agents
Folic Acid Antagonists
Abortifacient Agents, Nonsteroidal
Immunosuppressive Agents
Pharmacologic Actions
Therapeutic Uses
Abortifacient Agents
Antirheumatic Agents
Dermatologic Agents
Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on September 22, 2008




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