A Safety and Efficacy Study of LymphoStat-B™ (Monoclonal Anti-BLyS Antibody) in Subjects With Rheumatoid Arthritis (RA)

NCT ID: NCT00071812

Last Updated: 2013-08-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

283 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Study Completion Date

2005-12-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of 3 different doses of belimumab, administered in addition to standard therapy, in patients with rheumatoid arthritis (RA).

Detailed Description

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The purpose of this study is to evaluate the safety and efficacy of three different doses of belimumab (1 mg/kg, 4 mg/kg, and 10 mg/kg), administered in addition to standard therapy, compared to placebo plus standard therapy in patients with RA. All patients were to be dosed on Days 0, 14, and 28, then every 28 days for the remainder of 24 weeks. Patients completing the 24-week period could enter a 24-week open-label extension; belimumab patients received the same dose or were switched to 10 mg/kg at the investigator's discretion and former placebo patients received belimumab 10 mg/kg.

Conditions

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Arthritis, Rheumatoid

Keywords

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RA

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo plus SOC

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo IV plus standard therapy (SOC) for RA; placebo administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, placebo patients who opted to participate received belimumab 10 mg/kg IV plus SOC every 28 days for an additional 24 weeks.

Belimumab 1 mg/kg plus SOC

Group Type EXPERIMENTAL

Belimumab 1 mg/kg

Intervention Type DRUG

Belimumab 1 mg/kg IV plus standard therapy (SOC) for RA; belimumab 1 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate either continued on the same dose of belimumab or may have been switched to belimumab 10 mg/kg at the investigator's discretion for an additional 24 weeks.

Belimumab 4 mg/kg plus SOC

Group Type EXPERIMENTAL

Belimumab 4 mg/kg

Intervention Type DRUG

Belimumab 4 mg/kg IV plus standard therapy (SOC) for RA; belimumab 4 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate either continued on the same dose of belimumab or may have been switched to belimumab 10 mg/kg at the investigator's discretion for an additional 24 weeks.

Belimumab 10 mg/kg plus SOC

Group Type EXPERIMENTAL

Belimumab 10 mg/kg

Intervention Type DRUG

Belimumab 10 mg/kg IV plus standard therapy (SOC) for RA; belimumab 10 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate continued on the same dose of belimumab (10 mg/kg) for an additional 24 weeks.

Interventions

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Belimumab 1 mg/kg

Belimumab 1 mg/kg IV plus standard therapy (SOC) for RA; belimumab 1 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate either continued on the same dose of belimumab or may have been switched to belimumab 10 mg/kg at the investigator's discretion for an additional 24 weeks.

Intervention Type DRUG

Belimumab 4 mg/kg

Belimumab 4 mg/kg IV plus standard therapy (SOC) for RA; belimumab 4 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate either continued on the same dose of belimumab or may have been switched to belimumab 10 mg/kg at the investigator's discretion for an additional 24 weeks.

Intervention Type DRUG

Belimumab 10 mg/kg

Belimumab 10 mg/kg IV plus standard therapy (SOC) for RA; belimumab 10 mg/kg administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, patients who opted to participate continued on the same dose of belimumab (10 mg/kg) for an additional 24 weeks.

Intervention Type DRUG

Placebo

Placebo IV plus standard therapy (SOC) for RA; placebo administered on Days 0, 14, 28, and every 28 days thereafter through 24 weeks in the double-blind period. In the open-label extension period, placebo patients who opted to participate received belimumab 10 mg/kg IV plus SOC every 28 days for an additional 24 weeks.

Intervention Type DRUG

Other Intervention Names

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LymphoStat-B® BENLYSTA® LymphoStat-B® BENLYSTA® LymphoStat-B® BENLYSTA®

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of RA for at least 1 year
* Failed at least 1 disease modifying anti-rheumatic drug (DMARD) due to toxicity or lack of efficacy. These drugs must include 1 or more of the following: methotrexate, parenteral gold, sulfasalazine, leflunomide, and tumor necrosis factor-alpha (TNFα) inhibitors (infliximab, etanercept or adalimumab)
* Active RA disease of at least moderate disease activity
* Be on a stable RA treatment regimen for at least the past 60 days (for DMARDS); if on non-steroidal anti-inflammatory drugs (NSAIDs) or steroids these must be at a stable dose for the last 30 days

Exclusion Criteria

* Received a non-FDA approved investigational agent within the last 28 days
* Currently receiving or received within the last 60 days the following: TNFα-inhibitors (infliximab, etanercept, adalimumab) or interleukin-1 receptor antagonist (anakinra)
* Currently receiving or received within the last 6 months the following: anti-CD20 antibody (rituximab) or cyclophosphamide
* Steroid injection into any joint within the last 30 days
* History of hypogammaglobulinemia or immunoglobulin A (IgA) deficiency
* History of chronic infection that has been active within last 6 months, or herpes zoster within last 90 days, or any infection requiring hospitalization or intravenous medication within last 60 days
* Human immunodeficiency virus (HIV), Hepatitis-B, Hepatitis-C
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Human Genome Sciences Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Arizona Arthritis Research

Paradise Valley, Arizona, United States

Site Status

University of Arizona

Tucson, Arizona, United States

Site Status

Scripps Clinic

La Jolla, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Wallace Rheumatic Disease Center

Los Angeles, California, United States

Site Status

Stanford University School of Medicine

Palo Alto, California, United States

Site Status

Boling Clinical Trials

Rancho Cucamonga, California, United States

Site Status

UCDMC

Sacramento, California, United States

Site Status

Arthritis Care Center, Inc.

San Jose, California, United States

Site Status

Arthritis Associates & Osteoporosis Center Of Colorado Springs

Colorado Springs, Colorado, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Arthritis and Rheumatic Disease Specialties

Aventura, Florida, United States

Site Status

Rheumatology Associates of Central Florida

Orlando, Florida, United States

Site Status

Tampa Medical Group, P.A.

Tampa, Florida, United States

Site Status

Radiant Research Boise

Boise, Idaho, United States

Site Status

Institute of Arthritis and Research

Idaho Falls, Idaho, United States

Site Status

Northwestern University Medical School

Chicago, Illinois, United States

Site Status

Rheumatology Associates

Chicago, Illinois, United States

Site Status

Rockford Clinic

Rockford, Illinois, United States

Site Status

Medical Specialists

Munster, Indiana, United States

Site Status

Kentuckiana Center for Better Bone and Joint Health

Louisville, Kentucky, United States

Site Status

Ochsner Clinic Foundation

Baton Rouge, Louisiana, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

The Osteoporosis and Arthritis Clinical Trial Center

Cumberland, Maryland, United States

Site Status

Center for Rhematology and Bone Research

Wheaton, Maryland, United States

Site Status

Tufts - New England Medical Center

Boston, Massachusetts, United States

Site Status

The University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Arthritis Center of Nebraska

Lincoln, Nebraska, United States

Site Status

Arthritis and Osteoporosis Center

Concord, New Hampshire, United States

Site Status

Strafford Medical Associates, P.A.

Dover, New Hampshire, United States

Site Status

The Center For Rheumatology

Albany, New York, United States

Site Status

SUNY-Downstate Medical Center

Brooklyn, New York, United States

Site Status

North Shore University Hospital

Manhasset, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Arthritis Clinic and Carolina Bone and Joint

Charlotte, North Carolina, United States

Site Status

Wake Forest University School of Medicine

Winston-Salem, North Carolina, United States

Site Status

Stat Research, Inc.

Dayton, Ohio, United States

Site Status

McBride Clinic

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma Medical Research Foundation

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma Center For Arthritis Therapy & Research

Tulsa, Oklahoma, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh School of Medicine & ASPH

Pittsburgh, Pennsylvania, United States

Site Status

Rheumatic Disease Associates

Willow Grove, Pennsylvania, United States

Site Status

Arthritis Centers of Texas

Dallas, Texas, United States

Site Status

Research Associates of North Texas

Dallas, Texas, United States

Site Status

UT Southwestern Medical Center at Dallas

Dallas, Texas, United States

Site Status

Houston Institute for Clinical Research

Houston, Texas, United States

Site Status

Texas Research Center

Sugar Land, Texas, United States

Site Status

Arthritis and Rheumatic Diseases Clinic

Morgan, Utah, United States

Site Status

Arthritis Clinic of Northern Virginia, P.C.

Arlington, Virginia, United States

Site Status

Edmonds Rheumatology Associates

Edmonds, Washington, United States

Site Status

Evergreen Clinical Reserach

Edmonds, Washington, United States

Site Status

Arthritis Northwest Rheumatology

Spokane, Washington, United States

Site Status

Rheumatology Northwest Clinical Trials

Yakima, Washington, United States

Site Status

Rheumatic Disease Center

Glendale, Wisconsin, United States

Site Status

Gundersen Clinic, Ltd.

La Crosse, Wisconsin, United States

Site Status

The Medical College of Wisconsin , Inc

Milwaukee, Wisconsin, United States

Site Status

Marshfield Medical Research Foundation

Wausau, Wisconsin, United States

Site Status

Countries

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United States

References

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Stohl W, Merrill JT, McKay JD, Lisse JR, Zhong ZJ, Freimuth WW, Genovese MC. Efficacy and safety of belimumab in patients with rheumatoid arthritis: a phase II, randomized, double-blind, placebo-controlled, dose-ranging Study. J Rheumatol. 2013 May;40(5):579-89. doi: 10.3899/jrheum.120886. Epub 2013 Apr 1.

Reference Type DERIVED
PMID: 23547209 (View on PubMed)

Other Identifiers

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LBRA01

Identifier Type: -

Identifier Source: org_study_id