Effects of MEDI-522 On Disease Activity and Progression of Joint Damage in Patients With Active Rheumatoid Arthritis Suboptimally Responding to Methotrexate

NCT ID: NCT00069017

Last Updated: 2007-11-27

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-09-30

Study Completion Date

2006-04-30

Brief Summary

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To compare, as a preliminary analysis, the effects of MEDI-522 versus placebo at 6 months on disease activity (ACR20) and progression of structural joint damage.

Detailed Description

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To compare, as a preliminary analysis, the effects of subcutaneously administered MEDI-522 versus placebo at 6 months on disease activity and progression of structural joint damage in patients with rheumatoid arthritis (RA), who have active disease despite ongoing treatment with methotrexate (MTX) with or without hydroxychloroquine (HCQ) and/or sulfasalazine (SSZ).

Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

MEDI-522 - 4 mg/kg of MEDI-522 (N=200)

Group Type ACTIVE_COMPARATOR

MEDI-522

Intervention Type BIOLOGICAL

MEDI-522 is formulated in a sterile isotonic solution of 10 mM histidine-HCl at pH 6 containing 100 mg of MEDI-522 protein at a concentration of 100 mg/mL.

2

Placebo (N=100)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo for MEDI-522 contains 10 mM histidine-HCl at pH 6, 0.1% Tween-80, 1.5% Mannitol, 4.3 µg/mL Vitamin B12, and 2 µg/mL D\&C Yellow #10.

Interventions

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MEDI-522

MEDI-522 is formulated in a sterile isotonic solution of 10 mM histidine-HCl at pH 6 containing 100 mg of MEDI-522 protein at a concentration of 100 mg/mL.

Intervention Type BIOLOGICAL

Placebo

Placebo for MEDI-522 contains 10 mM histidine-HCl at pH 6, 0.1% Tween-80, 1.5% Mannitol, 4.3 µg/mL Vitamin B12, and 2 µg/mL D\&C Yellow #10.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

7. Willing to forego other forms of experimental treatment during study through Study Day 364
8. Able and willing to complete assessment questionnaires.
9. Willing to participate in study through Study Day 413.

Exclusion Criteria

Patients must have none of the following:

1. Severe active RA, which in the opinion of the investigator currently requires an alternative form of therapy
2. Acute illness at the start of the study
3. Evidence of significant active infection, such as fever greater than or equal to 38.0°C (100.5°F)
4. Known or suspected infection with human immunodeficiency virus (HIV) or other evidence of clinically significant immune deficiencies
5. Evidence of active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection, such as positive HBsAg or positive anti-hepatitis C antibody
6. Insulin-dependent diabetes mellitus that is recent-onset or unstable
7. Evidence of active or latent tuberculosis, which may include a positive PPD skin test result (greater than or equal to 10 mm induration), unless appropriate INH prophylaxis for tuberculosis previously given; a chest X-ray possibly consistent with tuberculosis; or household contact with a patient with active tuberculosis
8. A medical history or evidence of clinically important chronic infection, recurrent (3 or more) infections in the past 6 months requiring antibiotics, or an infection in the past month requiring systemic antibiotics
9. Receipt of any investigational drug therapy, except MEDI-522, within 3 months prior to study randomization (use of licensed agents for indications not listed in the package insert is permitted)
10. Current or any past therapy with anti-TNF biologic antagonists including etanercept, infliximab, and adalimumab
11. Current therapy with cyclosporin A, leflunomide, cyclophosphamide, azathioprine, gold salts, d-penicillamine, mycophenylate mofetil, minocycline or anakinra. These drugs must have been discontinued at least 4 weeks prior to study randomization.
12. Prednisone or equivalent at \>10 mg per day orally in the 8 weeks before study randomization. Intraarticular, periarticular, or other forms of parenteral injection of corticosteroids are also not permitted in the 8 weeks prior to study randomization.
13. History of allergic disease or reactions likely to be exacerbated by any component of MEDI-522
14. History of gastrointestinal bleeding (i.e., stool positive for occult blood or overt bleeding) within the previous 6 months
15. Known bleeding disorder or significant risk of clinically important abnormal bleeding due to anticoagulant therapy with warfarin or heparin
16. Elective surgery planned during the study period through Study Day 413
17. Cardiovascular disease that is unstable, such as recent-onset angina, or angina with increasing frequency or severity, or recent myocardial infarction (within past 1 year without definitive corrective surgery such as coronary bypass graft or angioplasty)
18. Neurological disease, such as multiple sclerosis, previous stroke, clinically significant cerebrovascular disease, or other forms of organic brain disease that is clinically significant
19. Pulmonary, hepatic, renal, or hematological disease that is unstable and progressive, or clinically severe
20. Pregnancy (all females, unless surgically sterile or at least one year post-menopausal, must have a negative urine pregnancy test on Study Day 0, prior to dosing)
21. Nursing mother
22. History of alcohol or drug abuse within past 2 years
23. Evidence on physical examination of rheumatoid or other types of vasculitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedImmune LLC

INDUSTRY

Sponsor Role lead

Locations

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The University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Sun Valley Arthritis Center

Glendale, Arizona, United States

Site Status

Arizona Research & Education

Phoenix, Arizona, United States

Site Status

University of Arizona

Tucson, Arizona, United States

Site Status

Fayetteville Diagnostic Clinic, Ltd.

Fayetteville, Arkansas, United States

Site Status

Thornton Hospital

La Jolla, California, United States

Site Status

Boling Clinical Trials

Rancho Cucamonga, California, United States

Site Status

Pacific Arthritis Center Medical Group

Santa Maria, California, United States

Site Status

Arthritis and Rheumatic Disease Specialty

Aventura, Florida, United States

Site Status

Centre for Rheumatology, Immunology & Arthritis

Fort Lauderdale, Florida, United States

Site Status

Ocala Rheumatology Research Center

Ocala, Florida, United States

Site Status

Sarasota Arthritis Research Center

Sarasota, Florida, United States

Site Status

Sanford S. Hartman

Decatur, Georgia, United States

Site Status

Center for Rheumatology and Bone Research

Wheaton, Maryland, United States

Site Status

RIMA

St Louis, Missouri, United States

Site Status

Arthritis Consultants, Inc.

St Louis, Missouri, United States

Site Status

Rheumatology Associates of New Jersey

Teaneck, New Jersey, United States

Site Status

The Center for Rheumatology

Albany, New York, United States

Site Status

Health Research Institute

Oklahoma City, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma Center for Arthritis Therapy and Research Inc.

Tulsa, Oklahoma, United States

Site Status

Amarillo Center for Clinical Research

Amarillo, Texas, United States

Site Status

Radiant Research

Dallas, Texas, United States

Site Status

Arthritis & Osteoporosis Associates, LLP

Lubbock, Texas, United States

Site Status

University of Utah Medical Hospital

Salt Lake City, Utah, United States

Site Status

The Physician's Clinic of Spokane

Spokane, Washington, United States

Site Status

Rheumatology Northwest/Clinical Trials Northwest

Yakima, Washington, United States

Site Status

Gundersen Clinic Ltd.

La Crosse, Wisconsin, United States

Site Status

University of Wisconsin Hospital & Clinics

Madison, Wisconsin, United States

Site Status

Richmond Health Science Center

Richmond, British Columbia, Canada

Site Status

Manitoba Clinic

Winnipeg, Manitoba, Canada

Site Status

Arthritis Centre

Winnipeg, Manitoba, Canada

Site Status

Centre Inflammatory Arthritis Disease Studies

Winnipeg, Manitoba, Canada

Site Status

Charlton Medical Center

Hamilton, Ontario, Canada

Site Status

MAC Research, Inc.

Hamilton, Ontario, Canada

Site Status

K-W Musculoskeletal Research, Inc.

Kitchener, Ontario, Canada

Site Status

The Arthritis Program Research Group Inc.

Newmarket, Ontario, Canada

Site Status

Ottawa General Hospital

Ottawa, Ontario, Canada

Site Status

Rheumatic Disease Center of Montreal

Montreal, Quebec, Canada

Site Status

Midtown Medical Center

Saskatoon, Saskatchewan, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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MI-CP100

Identifier Type: -

Identifier Source: org_study_id