A Study for Patients With Rheumatoid Arthritis on Methotrexate (MTX) With an Inadequate Response to TNFα Inhibitor Therapy

NCT ID: NCT00689728

Last Updated: 2018-12-06

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2010-05-31

Brief Summary

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The purpose of this study is to explore whether LY2127399 is effective in relieving signs and symptoms of rheumatoid arthritis (RA) in patients with a history of inadequate response or intolerance to at least 1 Tumor Necrosis Factor-Alpha (TNFα) inhibitor therapy. Examples of these TNFα inhibitor therapies that are currently on the market include Enbrel® (etanercept), Remicade® (infliximab), and Humira® (adalimumab).

Detailed Description

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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

TRIPLE

Participants Caregivers Investigators

Study Groups

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30 milligram (mg) LY2127399

Double-blind Treatment: 30 mg LY2127399 administered as a single intravenous (IV) infusion over 30 minutes at 0, 3, and 6 weeks.

Rescue: At Week 16 primary endpoint, participants without at least 20% improvement in either tender or swollen joint counts based on 28 joints, could receive an additional (unblinded) 30 minute infusion of LY2127399 80 mg or remain on initial randomized treatment up to Week 24.

Follow-up: Optional visits beyond Week 24, if needed, to assess safety including B cell count recovery.

Group Type EXPERIMENTAL

LY2127399

Intervention Type BIOLOGICAL

LY2127399 will be administered as a single IV infusion over 30 minutes.

80 mg LY2127399

Double-blind Treatment: 80 mg LY2127399 administered as a single IV infusion over 30 minutes at 0, 3, and 6 weeks.

Rescue: At Week 16 primary endpoint, participants without at least 20% improvement in either tender or swollen joint counts based on 28 joints, could receive an additional (unblinded) 30 minute infusion of LY2127399 80 mg or remain on initial randomized treatment up to Week 24.

Follow-up: Optional visits beyond Week 24, if needed, to assess safety including B cell count recovery.

Group Type EXPERIMENTAL

LY2127399

Intervention Type BIOLOGICAL

LY2127399 will be administered as a single IV infusion over 30 minutes.

Placebo

Double-blind Treatment: Placebo comparator administered as a single IV infusion over 30 minutes at 0, 3, and 6 weeks.

Rescue: At Week 16 primary endpoint, participants without at least 20% improvement in either tender or swollen joint counts based on 28 joints could receive an additional (unblinded) 30 minute infusion of LY2127399 80 mg or remain on same initial randomized treatment up to Week 24.

Follow-Up: Optional visits beyond Week 24, if needed, to assess safety including B cell count recovery.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered as a single IV infusion over 30 minutes.

Interventions

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LY2127399

LY2127399 will be administered as a single IV infusion over 30 minutes.

Intervention Type BIOLOGICAL

Placebo

Placebo will be administered as a single IV infusion over 30 minutes.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have given written informed consent approval
* Women must not be at risk to become pregnant during study participation
* Diagnosis of Rheumatoid Arthritis
* Active Rheumatoid Arthritis
* Current, regular use of Methotrexate, at a stable dose
* Have been on at least 1 biologic tumor necrosis factor-alpha (TNFα) inhibitor therapy and either failed or were intolerant to treatment
* Other criteria to be reviewed by study doctor

Exclusion Criteria

* Use of excluded medications (reviewed by study doctor)
* Have medical findings which, in the opinion of the study doctor, put patient at an unacceptable risk for participation in the study
* Have had recent or ongoing infection which, in the opinion of the study doctor put patient at an unacceptable risk for participation
* Evidence of tuberculosis
* Have systemic inflammatory condition other than rheumatoid arthritis (RA), such as juvenile RA, seronegative spondyloarthropathy, Crohn's disease, ulcerative colitis, or psoriatic arthritis.
* Other criteria to be reviewed by study doctor
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Birmingham, Alabama, United States

Site Status

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Mesa, Arizona, United States

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Palm Desert, California, United States

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Riverside, California, United States

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Santa Maria, California, United States

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Upland, California, United States

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Jupiter, Florida, United States

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Vero Beach, Florida, United States

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Zephyrhills, Florida, United States

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Baltimore, Maryland, United States

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St Louis, Missouri, United States

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Hickory, North Carolina, United States

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Middleburg Heights, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Orangeburg, South Carolina, United States

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Memphis, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Mesquite, Texas, United States

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Buenos Aires, , Argentina

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Caba, , Argentina

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San Juan, , Argentina

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San Miguel de Tucumán, , Argentina

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Vienna, , Austria

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Liège, , Belgium

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Campinas, , Brazil

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Curitiba, , Brazil

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Goiânia, , Brazil

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Porto Alegre, , Brazil

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Setor Oeste/Goiania, , Brazil

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Winnipeg, Manitoba, Canada

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Hamilton, Ontario, Canada

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Kitchener, Ontario, Canada

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Göttingen, , Germany

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Hildesheim, , Germany

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Vogelsang, , Germany

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Chihuahua City, , Mexico

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Cuernavaca, , Mexico

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Guadalajara, , Mexico

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Monterrey, , Mexico

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Morelia, , Mexico

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Lublin, , Poland

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Torun, , Poland

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Warsaw, , Poland

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San Juan, , Puerto Rico

Site Status

Countries

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United States Argentina Austria Belgium Brazil Canada Germany Mexico Poland Puerto Rico

References

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Genovese MC, Fleischmann RM, Greenwald M, Satterwhite J, Veenhuizen M, Xie L, Berclaz PY, Myers S, Benichou O. Tabalumab, an anti-BAFF monoclonal antibody, in patients with active rheumatoid arthritis with an inadequate response to TNF inhibitors. Ann Rheum Dis. 2013 Sep 1;72(9):1461-8. doi: 10.1136/annrheumdis-2012-202775. Epub 2012 Dec 25.

Reference Type DERIVED
PMID: 23268367 (View on PubMed)

Other Identifiers

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H9B-MC-BCDG

Identifier Type: OTHER

Identifier Source: secondary_id

11351

Identifier Type: -

Identifier Source: org_study_id

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