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Oral CF101 Tablets and Methotrexate Treatment in Rheumatoid Arthritis Patients
This study is ongoing, but not recruiting participants.
First Received: November 8, 2007   Last Updated: February 2, 2009   History of Changes
Sponsored by: Can-Fite BioPharma
Information provided by: Can-Fite BioPharma
ClinicalTrials.gov Identifier: NCT00556894
  Purpose

This trial will test the hypothesis that the addition of CF101, a novel anti-inflammatory agent, will improve the clinical condition of patients with rheumatoid arthritis who still have active joint inflammation despite taking methotrexate for at least 6 months.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: CF101
Phase II

MedlinePlus related topics: Rheumatoid Arthritis
Drug Information available for: Methotrexate
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Finding Study of the Safety and Efficacy of Daily CF101 Administered Orally, When Added to Weekly Methotrexate, in Patients With Active Rheumatoid Arthritis

Further study details as provided by Can-Fite BioPharma:

Primary Outcome Measures:
  • ACR20 [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • ACR 20/50/70, ITT and Evaluable Population, Last Observation Carried Disease Activity Score (DAS28) Change from baseline at each visit in the efficacy parameters [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 230
Study Start Date: February 2008
Estimated Study Completion Date: February 2009
Estimated Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
CF101 0.1 mg
Drug: CF101
orally q12h
2: Experimental
CF101 1 mg
Drug: CF101
orally q12h
3: Placebo Comparator
Placebo
Drug: CF101
orally q12h

Detailed Description:

This will be a multi-center, randomized, double-blind, parallel-group, placebo-controlled, dose-finding study in which patients with active RA despite receiving methotrexate for at least 6 months (at unchanged doses for >=2 months) will be randomized to the addition of either CF101 0.1 mg, CF101 1 mg, or placebo given orally q12h for 12 weeks. Screening examinations will occur within 1 month prior to dosing. Washout of other disease-modifying antirheumatic drugs (DMARDs) (with the exception of hydroxychloroquine), including biological agents, will occur prior to dosing; if washout is necessary, patients must re-qualify for inclusion following the washout. Doses of nonsteroidal anti-inflammatory drugs (NSAIDS) and corticosteroids must be stable for >=1 month prior to dosing and remain so during protocol participation. Disease activity will be assessed using swollen and tender joint counts, physician and patient global assessments (by visual analog scale, VAS), patient reported pain (by VAS), a Health Assessment Questionnaire (HAQ) Disability Index (DI), Westergren erythrocyte sedimentation rate (ESR, Screening, Weeks 0 and12), and C-reactive protein (CRP) levels. Assessments will take place at Screening, Baseline (Week 0), and at Weeks 2, 4, 8, and 12.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males and females ages 18-75 years
  • Meet the criteria of the American College of Rheumatology for RA (Arnett FC et al. Arthritis Rheum 1988;31:315-324; refer to Appendix 1. diagnostic criteria for Rheumatoid Arthritis)
  • Not bed- or wheelchair-bound
  • Active RA, as indicated by the presence of (a) >=6 swollen joints (28 joint count); AND (b) >=6 tender joints (28 joint count); AND either: (c) Westergren ESR of >=28 mm/hour; OR (d) CRP level above the upper limit of normal for the central reference laboratory
  • Treatment with weekly oral or parenteral methotrexate for >=6 months prior to baseline
  • Methotrexate route of administration has been unchanged for >=2 months prior to baseline
  • Dose of methotrexate has been stable at 15-25 mg/week for >=2 months, and is expected to remain stable throughout the study; the stable dose of methotrexate may alternatively be 10-12.5 mg/week if documented toxicity has precluded a higher dose
  • If taking hydroxychloroquine or chloroquine, administration duration has been for >=3 months and dose has been stable for >=2 months prior to baseline
  • If taking a nonsteroidal anti-inflammatory agent (NSAID), dose has been stable for at least 1 month prior to baseline, and will remain unchanged during protocol participation
  • If taking an oral corticosteroid, dose is <10 mg/day prednisone or equivalent, has been stable for at least 1 month prior to the stabilization period, and will remain stable through the stabilization and entire treatment and follow-up period
  • Absence of clinically significant findings, such as interstitial pneumonitis or active pulmonary infection, on chest X-ray taken within 6 months prior to screening
  • In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the Investigator and to participate in, and to comply with, the requirements of the entire protocol
  • Negative screening serum pregnancy test for female patients of childbearing potential
  • Females of childbearing potential must utilize, throughout the course of the trial, 2 methods of contraception deemed adequate by the Investigator (for example, oral contraceptive pills plus a barrier method)
  • All aspects of the protocol explained and written informed consent obtained

Exclusion Criteria:

  • Receipt of any of the following for at least a 1 month stabilization period prior to dosing: sulfasalazine, oral or injectable gold, azathioprine, minocycline, penicillamine, anakinra
  • Receipt of etanercept for at least a 6 week period prior to dosing
  • Receipt of cyclosporine, infliximab or adalimumab for at least a 2 month period prior to dosing
  • Receipt of leflunomide for at least a 2 month period prior to screening, unless patient has undergone cholestyramine washout at least 1 month prior to dosing
  • Receipt of cyclophosphamide for at least a 6 month period prior to dosing
  • Receipt of rituximab at any previous time
  • Participation in a previous trial CF101 trial
  • Use of oral corticosteroids >10 mg of prednisone, or equivalent, per day
  • Change in NSAID dose level for 1 month prior to dosing
  • Change in oral corticosteroid dose level during the 1 month prior to, or during, the stabilization period vChange in hydroxychloroquine or chloroquine dose level during the 2 months prior to, or during, the stabilization period
  • Receipt of parenteral or intra-articular corticosteroids during the 1 month prior to, or during, the stabilization period
  • Presence or history of uncontrolled asthma
  • Presence or history of uncontrolled arterial hypertension or symptomatic hypotension
  • Significant cardiac arrhythmia or conduction block, congestive heart failure, or any other evidence of clinically significant heart disease; other clinically significant findings on screening electrocardiogram (ECG)
  • Hemoglobin level <9.0 gm/dL at the screening visit
  • Platelet count <125,000/mm3 at the screening visit
  • White blood cell count <3000/mm3 at the screening visit
  • Serum creatinine level outside the central laboratory's normal limits at the screening visit
  • Liver aminotransferase (ALT and/or AST) levels greater than 1.25 times the central laboratory's upper limit of normal at the screening visit
  • Known or suspected immunodeficiency or human immunodeficiency virus positivity
  • Pregnancy, lactation, or inadequate contraception as judged by the Investigator
  • Participation in another investigational drug or vaccine trial concurrently or within 30 days prior to screening
  • History of drug or alcohol dependence
  • History of serious drug or iodine allergy or sensitivity
  • History of malignancy within the past 5 years (excluding excised basal or squamous cell carcinoma of the skin)
  • Diagnosis of Parkinson's Disease
  • Significant acute or chronic medical or psychiatric illness that, in the judgment of the Investigator, could compromise patient safety, limit the patient's ability to complete the study, and/or compromise the objectives of the study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00556894

Locations
Bulgaria
Clinic of Rheumatology at MHAT 'Sveti Ivan Rilski'
Sofia, Bulgaria, 1612
Clinic of internal diseases at NMTH 'Tzar Boris Treti'
Sofia, Bulgaria
Clinic of Rheumatology at MHAT 'Sveti Georgi'
Plovdiv, Bulgaria, 4002
Second Clinic of Internal Diseases at MHAT 'Stara Zagora'
Stara Zagora, Bulgaria, 6000
Clinic of Rheumatology at MHAT 'Sveta Marina' - Varna
Varna, Bulgaria, 9010
Israel
Rambam Medical Center
Haifa, Israel, 31096
Meir Medical Center
Kfar-Saba, Israel, 44281
Barzilai Medical Center
Ashkelon, Israel, 78278
Hadassah Har-Hazofim Medical Center
Jerusalem, Israel
Poland
Samodzielny Publiczny Szpital Kliniczny Nr 1 P.A.M. w Szczecinie
Szczecin, Poland, 71252
Wojewodzki Zespol Reumatologiczny w Sopocie
Sopot, Poland, 81967
Niepubliczny Zaklad Opieki Zdrowotnej
Lublin, Poland, 20607
Wojewodzki Szpital Zespolony w Elblagu
Elblag, Poland, 82300
Niepubliczny Zaklad Opieki Zdrowotnej "NASZ LEKARZ"
Torun, Poland, 87100
Serbia
Institute of Rheumatology - Belgrade
Belgrade, Serbia, 11000
Institute of Rheumatology - Belgrade
Belgrade, Serbia, 11000
Institute of Rheumatology - Belgrade
Belgrade, Serbia, 11000
Institute for Prevention, Treatment, and Rehabilitation of Rheumatoid and Cardiovascular Diseases Niska Banja
Niska Banja, Serbia, 18205
Ukraine
O.O. Bogomolets National Medical University
Kiev, Ukraine, 04053
National Scientific Centre of AMS of Ukraine
Kiev, Ukraine, 03680
City Clinical Hospital N12
Kiev, Ukraine, 01103
Vinnitsya Regional Clinical Hospital
Vinnycia, Ukraine, 21018
Central Municipal Clinical Hospital nº1
Donetsk, Ukraine, 83114
Kyiv Central Municipal Hospital
Kiev, Ukraine, 01023
Sponsors and Collaborators
Can-Fite BioPharma
Investigators
Study Director: Michael H Silverman, MD BioStrategics Consulting Ltd
  More Information

No publications provided

Responsible Party: Can-Fite BioPharma Ltd ( Michael H Silverman, MD )
Study ID Numbers: CF101-203RA
Study First Received: November 8, 2007
Last Updated: February 2, 2009
ClinicalTrials.gov Identifier: NCT00556894     History of Changes
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Antimetabolites
Autoimmune Diseases
Immunologic Factors
Joint Diseases
Arthritis, Rheumatoid
Rheumatic Diseases
Folic Acid Antagonists
Immunosuppressive Agents
Folic Acid
Signs and Symptoms
Musculoskeletal Diseases
Arthritis
Connective Tissue Diseases
Methotrexate
Antirheumatic Agents

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

ClinicalTrials.gov processed this record on May 07, 2009