ISIS 104838, an Inhibitor of Tumor Necrosis Factor, for Active Rheumatoid Arthritis

NCT ID: NCT00048321

Last Updated: 2022-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-01-01

Study Completion Date

2003-02-01

Brief Summary

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ISIS 104838 is an antisense oligonucleotide drug that reduces the production of a specific protein called tumor necrosis factor (TNF-alpha), a substance that contributes to joint pain and swelling in rheumatoid arthritis. ISIS 104838 works by blocking TNF-alpha messenger RNA, the "instruction" molecule that is required for the production of TNF-alpha protein. This trial will assess the safety and efficacy of ISIS 1048383 by subcutaneous injection, administered by 3 different dosing regimens for 3 months, versus placebo. Approximately 160 TNF-alpha inhibitor-naïve rheumatoid arthritis patients will be evaluated at 32 sites in the U.S. and Canada.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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ISIS 104838

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age \>/= 18 years.
2. Rheumatoid arthritis for \>/= 6 months.
3. Active disease as defined by \>/= 6 swollen and \>/= 9 tender joints, AND an abnormal C-reactive protein or Westergren Erythrocyte Sedimentation Rate lab test, OR Morning Stiffness \>/= 1 hour.
4. Use of at least one DMARD, and ability to discontinue any current DMARD.

Exclusion Criteria

1. Onset of rheumatoid arthritis before the 16th birthday.
2. Wheelchair or bed-bound functional level.
3. No previous infliximab or etanercept treatment, or investigational therapy (not placebo) with other TNF-alpha inhibitors.
4. Prednisone \> 10 mg per day or more than one nonsteroidal anti-inflammatory drug.
5. Patients with an active infection, a history of tuberculosis, multiple sclerosis, other poorly controlled medical illness, or a malignancy within the last 5 years.
6. Patients who require intravenous heparin therapy or with a history of a bleeding problem.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ionis Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Locations

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Birmingham, Alabama, United States

Site Status

Paradise Valley, Arizona, United States

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Los Angeles, California, United States

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Rancho Cucamonga, California, United States

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Fort Lauderdale, Florida, United States

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Palm Harbor, Florida, United States

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Sarasota, Florida, United States

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Tampa, Florida, United States

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Decatur, Georgia, United States

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Chicago, Illinois, United States

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Wichita, Kansas, United States

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Louisville, Kentucky, United States

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Greenbelt, Maryland, United States

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Fall River, Massachusetts, United States

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Lansing, Michigan, United States

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St Louis, Missouri, United States

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Albuquerque, New Mexico, United States

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Mayfield, Ohio, United States

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Duncansville, Pennsylvania, United States

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Willow Grove, Pennsylvania, United States

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Amarillo, Texas, United States

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Carrollton, Texas, United States

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Dallas, Texas, United States

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Lubbock, Texas, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Victoria, British Columbia, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Burel SA, Machemer T, Baker BF, Kwoh TJ, Paz S, Younis H, Henry SP. Early-Stage Identification and Avoidance of Antisense Oligonucleotides Causing Species-Specific Inflammatory Responses in Human Volunteer Peripheral Blood Mononuclear Cells. Nucleic Acid Ther. 2022 Dec;32(6):457-472. doi: 10.1089/nat.2022.0033. Epub 2022 Aug 17.

Reference Type DERIVED
PMID: 35976085 (View on PubMed)

Related Links

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http://www.centerwatch.com

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Other Identifiers

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ISIS 104838-CS7

Identifier Type: -

Identifier Source: org_study_id

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