Maraviroc in Rheumatoid Arthritis

NCT ID: NCT00427934

Last Updated: 2014-11-05

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2008-10-31

Brief Summary

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The purpose of this study is to evaluate whether maraviroc, an investigational drug given with methotrexate (MTX) is safe and effective in the treatment of rheumatoid arthritis in adult patients.

Detailed Description

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Following a planned interim analysis in the POC component on 21 August 2008 by the internal DMC (Data Monitoring Committee) of study A4001056, the trial was discontinued due to lack of efficacy. All participating investigators/country offices and monitors were notified on 22 August 2008 to cease patient enrollment. The DMC indicated that maraviroc was well tolerated in the Rheumatoid Arthritis patients and there were no safety concerns in the study. The termination date of this trial was 07 October 2008 when the last patient last visit occurred.

Conditions

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Arthritis, Rheumatoid

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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2

Group Type PLACEBO_COMPARATOR

Maraviroc Placebo

Intervention Type DRUG

Placebo tablets to match active drug. Two tablets are administered by mouth twice a day (BID) for 12 weeks.

1

This study was divided into two components: safety/pharmacokinetic (PK) and proof-of-concept (POC). In the safety/PK component either 150 mg or 300 mg tablets of maraviroc was administered twice a day (BID) to 16 rheumatoid arthritis subjects for 4 weeks.

Group Type EXPERIMENTAL

Maraviroc

Intervention Type DRUG

300 mg (2- 150 mg tablets) are administered by mouth twice a day (BID) for 12 weeks.

Interventions

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Maraviroc

300 mg (2- 150 mg tablets) are administered by mouth twice a day (BID) for 12 weeks.

Intervention Type DRUG

Maraviroc Placebo

Placebo tablets to match active drug. Two tablets are administered by mouth twice a day (BID) for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must be legal age of consent
* Must have active rheumatoid arthritis based upon the American College of Rheumatology (ACR) 1987 (Revised Criteria); minimum disease criteria required for entry into the efficacy component of the study
* Must meet ACR 1991 Revised Criteria for Global Functional Status in RA, Class I, II, or III
* Must be receiving methotrexate for at least 12 weeks duration and on a stable dose for 4 weeks.

Exclusion Criteria

* Diagnosed with any other inflammatory arthritis or a secondary non-inflammatory arthritis that would interfere with disease activity assessments.
* Subject receiving prior treatment with certain medications for rheumatoid arthritis
* Tuberculosis and/or a positive tuberculin reaction
* Significant trauma or major surgery within 2 months
* History of alcohol and/or drug abuse outside of a defined period of abstinence
* History of or a finding at screening of postural hypotension
* Any condition that would affect the oral absorption of the drug
* History of cancer and in remission less than 3 years or Grade III-IV congestive heart failure
* Having an infection of human immunodeficiency virus (HIV), Hepatitis B or C or evidence of any active infection
* Abnormalities of clinical or laboratory assessments completed at the screening visit such as elevated liver enzymes, decreased hemoglobin or an abnormal ECG
* Having a positive chemokine receptor 5 (CCR5) delta 32 mutation
* Requiring the use of certain medications
* Lactating or pregnant women or subjects have reproductive potential unwilling to use an adequate method of birth control
* Chronic or recent serious or life-threatening infection; severe , progressive and/or uncontrollable renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological disease within 12 weeks of the first dose.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Pfizer

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer Investigational Site

Huntington Beach, California, United States

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San Francisco, California, United States

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Hamden, Connecticut, United States

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Meriden, Connecticut, United States

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New Haven, Connecticut, United States

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New Haven, Connecticut, United States

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Daytona Beach, Florida, United States

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Port Orange, Florida, United States

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Savannah, Georgia, United States

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Savannah, Georgia, United States

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Moline, Illinois, United States

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Madisonville, Kentucky, United States

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Kalamazoo, Michigan, United States

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Kalamazoo, Michigan, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Syracuse, New York, United States

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Hickory, North Carolina, United States

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Hickory, North Carolina, United States

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Minot, North Dakota, United States

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Duncansville, Pennsylvania, United States

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Maroochydore, Queensland, Australia

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Woodville, South Australia, Australia

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Hobart, Tasmania, Australia

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Berlin, , Germany

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Berlin, , Germany

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Leipzig, , Germany

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Hyderabad, Andhra Pradesh, India

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Bangalore, Karnataka, India

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Bangalore, Karnataka, India

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Genova, , Italy

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Pavia, , Italy

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Guadalajara, Jalisco, Mexico

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Guadalajara, Jalisco, Mexico

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Coimbra, , Portugal

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Lisbon, , Portugal

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Lisbon, , Portugal

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Santiago de Compostela, A Coruña, Spain

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Barcelona, Barcelona, Spain

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Madrid, Madrid, Spain

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Seville, Sevilla, Spain

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Dnipropetrovsk, , Ukraine

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Kharkiv, , Ukraine

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Simferopol, , Ukraine

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Countries

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United States Australia Germany India Italy Mexico Portugal Spain Ukraine

References

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Fleishaker DL, Garcia Meijide JA, Petrov A, Kohen MD, Wang X, Menon S, Stock TC, Mebus CA, Goodrich JM, Mayer HB, Zeiher BG. Maraviroc, a chemokine receptor-5 antagonist, fails to demonstrate efficacy in the treatment of patients with rheumatoid arthritis in a randomized, double-blind placebo-controlled trial. Arthritis Res Ther. 2012 Jan 17;14(1):R11. doi: 10.1186/ar3685.

Reference Type DERIVED
PMID: 22251436 (View on PubMed)

Related Links

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Other Identifiers

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A4001056

Identifier Type: -

Identifier Source: org_study_id

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