Efficacy Study of MM-093 in Rheumatoid Arthritis Patients on Methotrexate (MTX)

NCT ID: NCT00105976

Last Updated: 2008-07-11

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

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-02-28

Brief Summary

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The purpose of this clinical study is to see if an experimental drug, called MM-093, is safe and effective in the treatment of rheumatoid arthritis. MM-093 is a genetically engineered version of a naturally occurring protein called alpha fetoprotein (AFP). Adults normally have very small amounts of AFP in their bloodstream. However, during pregnancy, AFP levels in both the mother and the fetus are much higher than normal. It has been observed that women with RA (Rheumatoid Arthritis) have fewer symptoms during pregnancy, particularly during the third trimester. At this time, the levels of AFP in the blood of the mother and fetus are the highest. This observation led researchers to begin examining AFP as a possible treatment for RA.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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MM-093

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged 18-80 years
* Meet ACR (American College of Rheumatology) criteria for RA
* Have active RA consisting of 6 or more swollen and 6 or more tender joints
* Have RA for at least 6 months
* Had disease onset after 16 years old
* Currently being treated with a stable, well-tolerated dose of MTX (10 to 25 mg) given once weekly for at least 6 consecutive weeks prior to the screening visit
* Currently being treated with folic acid
* Willing to remain on a constant, once-weekly dose of MTX and folic/folinic acid throughout the duration of the study.
* Understand, sign, and date the written voluntary informed consent form at the screening visit prior to any protocol-specific procedures being performed.
* Be able and willing to comply with study visits and procedures per protocol.
* Sexually active men must agree to use a medically acceptable form of contraception during the study and continue for 4 weeks after the last dose of study drug.
* Women of childbearing potential must use a medically acceptable means of birth control during the study and for 4 weeks after the last dose
* Must be able to store study drug in a refrigerator at home

Exclusion Criteria

* Use of any B-cell depleting therapy in the last 6 months
* Use of Leflunomide or Humira in the last 3 months
* Use of any investigational drug or biologic agent in the last 2 months
* Use of Remicade in the last 2 months
* Use of cyclosporine, sulphasalazine, auranofin, intramuscular gold, azathioprine, D-penicillamine or tacrolimus within the last 6 weeks
* Use of more than 10 mg/day of prednisone or equivalent in the last 4 weeks
* Use of intra-articular corticosteroid injection in the last 4 weeks
* Use of a bolus IM/IV (intramuscular/intravenous) treatment with corticosteroids (\>20 mg prednisone or equivalent) in the last 4 weeks
* Use of Enbrel in the last 4 weeks
* Use of Kineret in the last 2 weeks
* Current use of more than 1 NSAID (non-steroidal anti-inflammatory drug) or dose of NSAID greater than the maximum recommended dose in the product information
* Cancer, or a history of cancer (other than successfully resected cutaneous basal and squamous cell carcinoma) within 5 years before the screening visit.
* Any condition for which participation in this study is judged by the physician to be detrimental to the patient, such as history of significant or unstable cardiac, pulmonary, gastrointestinal, neurological, or psychiatric disease, or a DMARD (Disease-Modifying Anti-Rheumatic Drug)-related severe, potentially life-threatening AE (Adverse Event).
* Significant ongoing infection requiring systemic antibiotic, antifungal, antiviral, or any anti-mycobacterial therapy.
* Autoimmune or connective tissue disorder other than rheumatoid arthritis (e.g. systemic lupus erythematosis, scleroderma or psoriatic arthritis).
* Grade 2 or above leukopenia (i.e. white blood cells \< 3000/mm3 \[SI units: \< 3.0 x 10\^9/L\]).
* Thrombocytopenia or thrombocytosis (platelets \< 125,000/mm3 or ≥ 1,000,000/mm3 \[SI units: \< 125 x 10\^9/L or ≥ 1,000 x 10\^9/L\]), respectively.
* Grade 2 or above liver function abnormality (i.e. total bilirubin \> 1.5 x the upper limit of normal; or aspartate aminotransferase \[AST/SGOT\] or alanine aminotransferase \[ALT/SGPT\] \> 2.5 x upper limit of normal).
* Renal disease (including serum creatinine level \> 1.5 x the upper limit of normal).
* Any history of immunodeficiency syndromes or infection with human immunodeficiency virus (HIV), or a history of hepatitis C or chronic hepatitis B.
* Pregnant or breastfeeding women or women planning to become pregnant during the study or within 4 weeks after the last dose of study drug.
* Any major surgery, including joint surgery, within 3 months before screening visit.
* Scheduled elective surgery during study participation.
* Participated in any previous clinical trial using MM-093 or have any prior exposure to MM-093.
* History of severe hypersensitivity to goat, sheep or cow milk or products derived from goat, sheep or cow milk (patients who are lactose intolerant are not excluded).
* Any other condition that the investigator feels would jeopardize the integrity of the study (e.g. a CTCAE \[Common Terminology Criteria for Adverse Events\] grade 2 or above clinical finding or laboratory result).
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merrimack Pharmaceuticals

INDUSTRY

Sponsor Role lead

Locations

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University of Alabama

Birmingham, Alabama, United States

Site Status

Montgomery Rheumatology Associates

Montgomery, Alabama, United States

Site Status

Arizona Arthritis Research, PLC

Paradise Valley, Arizona, United States

Site Status

ArthroCare, Arthritis Care and Research, Inc.

Phoenix, Arizona, United States

Site Status

Radiant Research

Scottsdale, Arizona, United States

Site Status

Arthritis Medical Center of the Central Coast

Santa Maria, California, United States

Site Status

Boling Clinical Trials

Upland, California, United States

Site Status

National Jewish Medical and Research Center

Denver, Colorado, United States

Site Status

Denver Arthritis Clinic

Denver, Colorado, United States

Site Status

New England Research Associates

Bridgeport, Connecticut, United States

Site Status

Arthritis and Rheumatic Disease Specialties

Aventura, Florida, United States

Site Status

Renstar Medical Research

Ocala, Florida, United States

Site Status

International Medical Research

Ormond Beach, Florida, United States

Site Status

Sarasota Arthritis Research Center

Sarasota, Florida, United States

Site Status

Center for Arthritis and Rheumatic Diseases

South Miami, Florida, United States

Site Status

Coeur d'Alene Arthritis Clinic

Coeur d'Alene, Idaho, United States

Site Status

Illinois Bone and Joint Institute

Morton Grove, Illinois, United States

Site Status

The Arthritis Center

Springfield, Illinois, United States

Site Status

Deerbrook Medical Associates

Vernon Hills, Illinois, United States

Site Status

Rheumatology Associates, PC

Indianapolis, Indiana, United States

Site Status

Wichita Clinic

Wichita, Kansas, United States

Site Status

Rx Trials, Inc.

Columbia, Maryland, United States

Site Status

Arthritis Center of Nebraska

Lincoln, Nebraska, United States

Site Status

Arthritis Center of Reno

Reno, Nevada, United States

Site Status

Arthritis, Osteoporosis & Musculoskeletal Disease Center

Concord, New Hampshire, United States

Site Status

Arthritis Health Associates

Syracuse, New York, United States

Site Status

Asheville Rheumatology and Osteoporosis Research Associates, Inc

Asheville, North Carolina, United States

Site Status

Arthritis Clinic and Carolina Bone and Joint PA

Charlotte, North Carolina, United States

Site Status

CARE Center

Raleigh, North Carolina, United States

Site Status

North Carolina Arthritis and Allergy Care Center

Raleigh, North Carolina, United States

Site Status

Veterans Administration Research Services

Cincinnati, Ohio, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Rheumatic Disease Associates

Willow Grove, Pennsylvania, United States

Site Status

The Arthritis Group

Memphis, Tennessee, United States

Site Status

Austin Rheumatology Research

Austin, Texas, United States

Site Status

Houston Institute for Clinical Research

Houston, Texas, United States

Site Status

Arthritis and Osteoporosis Clinic

Waco, Texas, United States

Site Status

University of Utah Division of Rheumatology

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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MM-093-01-200

Identifier Type: -

Identifier Source: org_study_id