Brodalumab (AMG 827) in Rheumatoid Arthritis (RA) Participants With Inadequate Response to Methotrexate

NCT ID: NCT00950989

Last Updated: 2021-12-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

252 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-30

Study Completion Date

2011-02-11

Brief Summary

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Study in participants with RA who have an inadequate response to methotrexate.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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Autoimmune Diseases Musculoskeletal Diseases Joint Diseases Arthritis Connective Tissue Diseases Arthritis, Rheumatoid Rheumatic Diseases

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

Placebo on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

3 single SC injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Methotrexate

Intervention Type DRUG

Two methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.

folic acid

Intervention Type DIETARY_SUPPLEMENT

at least 5 mg per week

Brodalumab 70 mg

70 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).

Group Type EXPERIMENTAL

Brodalumab

Intervention Type DRUG

3 single subcutaneous (SC) injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Methotrexate

Intervention Type DRUG

Two methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.

folic acid

Intervention Type DIETARY_SUPPLEMENT

at least 5 mg per week

Brodalumab 140 mg

140 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexateand folic acid supplementation (at least 5 mg per week).

Group Type EXPERIMENTAL

Brodalumab

Intervention Type DRUG

3 single subcutaneous (SC) injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Methotrexate

Intervention Type DRUG

Two methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.

folic acid

Intervention Type DIETARY_SUPPLEMENT

at least 5 mg per week

Brodalumab 210 mg

210 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).

Group Type PLACEBO_COMPARATOR

Brodalumab

Intervention Type DRUG

3 single subcutaneous (SC) injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Methotrexate

Intervention Type DRUG

Two methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.

folic acid

Intervention Type DIETARY_SUPPLEMENT

at least 5 mg per week

Interventions

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Brodalumab

3 single subcutaneous (SC) injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Intervention Type DRUG

Placebo

3 single SC injections at day 1 and weeks 1, 2, 4, 6, 8, and 10

Intervention Type DRUG

Methotrexate

Two methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.

Intervention Type DRUG

folic acid

at least 5 mg per week

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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AMG 827

Eligibility Criteria

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Inclusion Criteria

* Active RA for least 6 months
* Current RA defined as ≥ 6 swollen joints (out of 66 joints examined) and ≥ 8 tender/painful joints (out of 68 joints examined) at screening and baseline (swollen and tender/painful joint count must not include distal interphalangeal joints) and at least 1 of the following at screening: Erythrocyte sedimentation rate ≥ 28 mm or C-reactive protein \> 15 mg/L
* At least 1 of the following at screening: Rheumatoid factor positive or Anti-cyclic citrullinated peptide antibody positive
* Currently taking methotrexate for ≥ 12 weeks and on a stable dose of methotrexate at 15 to 25 mg weekly for ≥ 4 weeks at day -1.

Exclusion Criteria

* Prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening
* Class IV RA
* Felty's syndrome
* Presence of serious infection
* Significant concurrent medical conditions
* Pregnant or breast feeding
* Significant Laboratory abnormalities
* Any disease-modifying anti-rheumatic drug (DMARD) other than methotrexate within 28 days
* Leflunomide or live vaccines within 3 months
* Previous use of any experimental or commercially available biologic DMARD
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Countries

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Bulgaria Canada Czechia Hungary Latvia Mexico Poland United Kingdom United States

References

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Pavelka K, Chon Y, Newmark R, Lin SL, Baumgartner S, Erondu N. A study to evaluate the safety, tolerability, and efficacy of brodalumab in subjects with rheumatoid arthritis and an inadequate response to methotrexate. J Rheumatol. 2015 Jun;42(6):912-9. doi: 10.3899/jrheum.141271. Epub 2015 Apr 15.

Reference Type BACKGROUND
PMID: 25877498 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20090061

Identifier Type: -

Identifier Source: org_study_id