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Safety and Efficacy of ACZ885 in Adult Patients With Established Rheumatoid Arthritis
This study is ongoing, but not recruiting participants.
Sponsored by: Novartis
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00504595
  Purpose

This study will assess the safety, efficacy, and response to treatment using the American College of Rheumatology criteria of 20% improvement in symptoms (ACR20) and to investigate a potential biomarker profile in adult patients with established rheumatoid arthritis


Condition Intervention Phase
Rheumatoid Arthritis
Drug: ACZ885
Drug: Placebo
Phase I
Phase II

MedlinePlus related topics: Rheumatoid Arthritis
Drug Information available for: Immunoglobulins Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A 12-Week, Phase II, Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Response to Treatment (ACR20) and to Determine a Biomarker Profile in Adult Patients With Established Rheumatoid Arthritis Responding to ACZ885 (Anti-Interleukin-1beta Monoclonal Antibody) as Compared to Healthy Subjects Exposed to ACZ885

Further study details as provided by Novartis:

Primary Outcome Measures:
  • Response to treatment (ACR20) in adult patients with established rheumatoid arthritis(RA) Potential biomarker profile for ACZ885 responders versus non-responders [ Time Frame: at 6 and 12 weeks ]

Secondary Outcome Measures:
  • Potential biomarker profile for ACZ885 Efficacy of ACZ885 by assessing the response to treatment Efficacy of ACZ885 by assessing the response to treatment using the Simplified Disease Index [ Time Frame: at 6 and 12 weeks ]

Estimated Enrollment: 80
Study Start Date: May 2007
Estimated Study Completion Date: June 2008
Arms Assigned Interventions
1: Experimental
ACZ885
Drug: ACZ885
2: Placebo Comparator
Placebo
Drug: Placebo

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

RA patients:

  • Male and female patients aged 18 - 75 years (inclusive).
  • Body weight between 50 and 100 kg (inclusive).
  • Post menopausal or surgically sterile female patients are allowed. Female patients of child-bearing potential may participate if they are already on a stable dose of methotrexate. Additional birth control details to be provided at screening. Male patients must use an effective contraception method during the study and at least for 2 months following the completion/discontinuation of the study.
  • Diagnosis of RA, classified by American Rheumatism Association 1987 revised criteria. Disease duration of at least 6 months is essential.
  • Functional status class I, II or III classified according to the American College of Rheumatology 1991 revised criteria.
  • Active disease evaluation (≥ 6 tender and ≥ 6 swollen joints)
  • Prior treatment with 1-3 disease-modifying anti-rheumatic drugs (DMARDs) - Patients should have failed at least 1 DMARD but should not be deemed "refractory to all therapies". It is expected that patients are on a current treatment with methotrexate ≤ 25 mg/week and with the current dose stable for at least 3 months, however patients who did not tolerate MTX may also be considered. All patients will take folic acid 1 mg daily, or 5 mg weekly post MTX dose, to minimize toxicity, according to local guidelines. In addition to methotrexate, patients may be on either a stable dose of non-steroidal anti-inflammatory drugs (NSAIDs) and/or a stable dose of oral corticosteroids (prednisone or equivalent ≤ 10 mg daily) for at least 4 weeks prior to randomization. Patients who failed any DMARDs will be allowed.
  • Negative purified protein derivative (PPD) tuberculin skin test reaction (PPD 5 tuberculin units or as according to local standard practice).

Exclusion Criteria:

RA patients:

  • Previous treatment with anti-TNF-α or anti IL-1 therapy (or other biological therapy), immunosuppressive agents such as cyclosporine, mycophenolate or tacrolimus. The following washout period will be required for such patients to be eligible to participate in the trial.

    1. 2 months washout prior to screening for etanercept or adalimumab
    2. 3 months washout prior to screening for infliximab
    3. 3 months washout prior to screening for rituximab
    4. 1 month washout prior to screening for cyclosporine, mycophenolate and tacrolimus.
  • If patient has been discontinued from other DMARDs (disease modifying antirheumatic drugs) for lack of efficacy or toxicity, the patient should be at least 1 month off the agent.
  • Patients with congestive heart failure, QT prolongation syndrome or poorly controlled diabetes mellitus. Patients with a history of QTc prolongation will be excluded.
  • Patients who have received intra-articular or systemic corticosteroid injections having been required for treatment of acute RA flare (not being part of a regular therapeutic regimen) within 4 weeks prior to randomization.
  • Exclusion criteria 2-6 of the Health Volunteer section also applies here.

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00504595

Locations
Russian Federation
Novartis Investigative site
Moscow, Russian Federation
Spain
Novartis investigative site
Barcelona, Spain
Switzerland
Novartis Investigative site
Bern, Switzerland
Turkey
Novartis investigative site
Istanbul, Turkey
Sponsors and Collaborators
Novartis
Investigators
Principal Investigator: Novartis Investigator site
  More Information

Responsible Party: Novartis ( External Affairs )
Study ID Numbers: CACZ885A2207
Study First Received: July 19, 2007
Last Updated: June 9, 2008
ClinicalTrials.gov Identifier: NCT00504595  
Health Authority: Spain: Spanish Agency of Medicines

Keywords provided by Novartis:
Rheumatoid Arthritis

Study placed in the following topic categories:
Antibodies, Monoclonal
Antibodies
Autoimmune Diseases
Musculoskeletal Diseases
Joint Diseases
Arthritis
Connective Tissue Diseases
Arthritis, Rheumatoid
Healthy
Rheumatic Diseases
Immunoglobulins

Additional relevant MeSH terms:
Immune System Diseases

ClinicalTrials.gov processed this record on January 16, 2009