A Study in Participants With Rheumatoid Arthritis on Background Methotrexate Therapy
NCT ID: NCT01185353
Last Updated: 2017-06-16
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2
301 participants
INTERVENTIONAL
2010-10-31
2014-03-31
Brief Summary
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Detailed Description
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* Screening period: 4 to 28-days
* Part A: a 12-week blinded, placebo controlled treatment period
* Part B: a 12-week blinded extension period
* Part C: an optional 52-week open-label extension period
* Part D: an additional optional 52-week open-label extension period
* Follow up period: 28 days
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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1 mg LY3009104 once daily
Administered orally once daily for initial 12 weeks followed by randomization to either 4 mg LY3009104 once daily or 2 mg LY3009104 twice daily for an additional 12 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 4 mg or 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
LY3009104
Administered orally
Methotrexate
Administered orally as background therapy
2 mg LY3009104 once daily
Administered orally once daily for 24 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 4 mg or 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
LY3009104
Administered orally
Methotrexate
Administered orally as background therapy
4 mg LY3009104 once daily
Administered orally once daily for 24 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 4 mg or 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
LY3009104
Administered orally
Methotrexate
Administered orally as background therapy
8 mg LY3009104 once daily
Administered orally once daily for 24 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
LY3009104
Administered orally
Methotrexate
Administered orally as background therapy
Placebo once daily
Placebo administered orally once daily for initial 12 weeks followed by randomization to either 4 mg LY3009104 once daily or 2 mg LY3009104 twice daily for an additional 12 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 4 mg or 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
Placebo
Administered orally
Methotrexate
Administered orally as background therapy
2 mg LY3009104 twice daily
(Not utilized in Part A) After 12 weeks treatment with 1 mg LY3009104 once daily or Placebo once daily in Part A, administered orally twice daily for 12 weeks. After 24 weeks of treatment participants will be eligible to participate in an open-label extension period (Part C). Part C: 4 mg or 8 mg administered orally once daily for 52 additional weeks. After 76 weeks of treatment participants will be eligible to participate in an additional open-label extension period (Part D). Part D: 4 mg administered orally once daily for 52 additional weeks.
LY3009104
Administered orally
Methotrexate
Administered orally as background therapy
Interventions
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LY3009104
Administered orally
Placebo
Administered orally
Methotrexate
Administered orally as background therapy
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Must regularly use methotrexate (MTX) for at least 12 weeks before your participation in this study
* Must have American College of Rheumatology (ACR) functional class I, II, or III
* Must have C-reactive protein (CRP) measurement \> 1.2 times upper limit of normal (ULN) or Erythrocyte Sedimentation Rate (ESR) \> ULN \[28 millimeters/hour (mm/hr)\]
* Have laboratory values that in the opinion of the investigator do not pose an unacceptable risk to the participants if study drug would be administered
* Must have venous access sufficient to allow blood sampling as per the protocol
* Must be reliable and willing to be available for the duration of the study and are willing to follow study procedures
* Must be able to read, understand, and give written informed consent approved by Lilly or its designee and the ethical review board (ERB) governing the site
* Male participants: agree to use 2 forms of highly effective methods of birth control with female partners of childbearing potential during the study
* If you are a woman and you could become pregnant during this study, you must talk to the study doctor about birth control. You are required to use 2 forms of highly effective methods of birth control to avoid getting pregnant during the study
* If you are a post-menopausal woman, you must be at least 45 years of age and have not menstruated for the last 12 months
* If you are a woman between 40 and 45 years of age, test negative for pregnancy, and have not menstruated during the last 12 months only, you must have an additional blood test
* For participants receiving corticosteroids, you must be on a dose not to exceed 10 mg of prednisone daily (or equivalent) and have been on the same dosing regimen for at least 6 weeks prior to randomization
* Part D only: have completed the 52 weeks (Week 24 to Week 76) of participation in Part C of the study without permanent study drug discontinuation and have not completed the Follow-Up Visit (approximately 28 days after the last dose of study drug)
Exclusion Criteria
* Must not be concomitantly using non-steroidal anti-inflammatory drugs (NSAIDS), unless you are on a stable dose within the last 4 weeks
* Must not have received any prior biologic disease modifying anti-rheumatic drug (DMARD) therapy \[such as Tumor necrosis factor-alpha (TNFα), interleukin (IL)-1, IL-6, T-cell or B-cell target therapies)
* Must not have used DMARDs other than methotrexate (MTX), hydroxychloroquine, or sulfasalazine within the last 8 weeks
* Must not have used leflunomide within the last 12 weeks and have not received cholestyramine to speed up the elimination of leflunomide from your body
* Must not have previously been randomized, completed or withdrawn from this study or any other study investigating LY3009104
* Must not have received prior treatment with an oral JAK inhibitor
* Must not have a current or recent (within the last 30 days) viral, bacterial, fungal, or parasitic infection
* Must not have had a serious infection (for example, pneumonia, cellulitis, or bone or joint infections) or atypical mycobacterial infection within the last 6 months
* Must not have had symptomatic herpes zoster or herpes simplex infection within the last 90 days or have a history of disseminated/complicated herpes zoster
* Must not have evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies
* Must not have evidence of hepatitis C virus (HCV) or active hepatitis B
* Must not have evidence or suspicion of active or latent tuberculosis (TB)
* Must not have another serious disorder or illness
* Must not be exposed to a live vaccine within the last 12 weeks
* Must not have donated more than 500 milliliters (mL) of blood within the last month
* Must not have had surgery on a joint that is to be assessed in the study within the last 2 months, or will require such during the study
* Must not be currently enrolled in, or discontinued within the last 30 days from a clinical trial involving an investigational drug or device or off-label use of a drug, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
* Presence of significant uncontrolled cerebro-cardiovascular \[for example (eg), myocardial infarction (MI), unstable angina (UA), unstable arterial hypertension, severe heart failure or cerebrovascular accident\], respiratory, hepatic, renal, gastrointestinal (GI), endocrine, hematologic or neuropsychiatric disorders, or abnormal laboratory values that in the opinion of the investigator pose an unacceptable risk to the participant if study drug would be administered
18 Years
75 Years
ALL
No
Sponsors
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Incyte Corporation
INDUSTRY
Eli Lilly and Company
INDUSTRY
Responsible Party
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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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Paradise Valley, Arizona, United States
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Peoria, Arizona, United States
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Covina, California, United States
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Santa Maria, California, United States
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Westlake Village, California, United States
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Aventura, Florida, United States
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Boca Raton, Florida, United States
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Daytona Beach, Florida, United States
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Gainesville, Florida, United States
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Jupiter, Florida, United States
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Lake Mary, Florida, United States
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Melbourne, Florida, United States
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Naples, Florida, United States
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Orlando, Florida, United States
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Palm Harbor, Florida, United States
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Vero Beach, Florida, United States
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South Bend, Indiana, United States
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Lexington, Kentucky, United States
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Columbia, Maryland, United States
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Flowood, Mississippi, United States
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St Louis, Missouri, United States
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Lincoln, Nebraska, United States
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Freehold, New Jersey, United States
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Toms River, New Jersey, United States
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Lake Success, New York, United States
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Middleburg Heights, Ohio, United States
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Toledo, Ohio, United States
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Oklahoma City, Oklahoma, United States
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Duncansville, Pennsylvania, United States
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Dallas, Texas, United States
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Houston, Texas, United States
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Osijek, , Croatia
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Zagreb, , Croatia
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Česká Lípa, , Czechia
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Hlučín, , Czechia
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Hostivice, , Czechia
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Hustopeče, , Czechia
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Prague, , Czechia
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Zlín, , Czechia
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Budapest, , Hungary
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Debrecen, , Hungary
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Kistarcsa, , Hungary
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Veszprém, , Hungary
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Ahmedabad, , India
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Hyderabaad, , India
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Pune, , India
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Trivandrum, , India
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Cuauhtémoc, , Mexico
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Guadalajara, , Mexico
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León, , Mexico
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Mexico City, , Mexico
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San Luis Potosí City, , Mexico
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Częstochowa, , Poland
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Elblag, , Poland
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Krakow, , Poland
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Poznan, , Poland
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Torun, , Poland
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Warsaw, , Poland
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Bacau, , Romania
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Bucharest, , Romania
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Cluj-Napoca, , Romania
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Galati, , Romania
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Iași, , Romania
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Kiev, , Ukraine
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Kyiv, , Ukraine
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Simferopol, , Ukraine
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Ternopil, , Ukraine
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Vinnytsia, , Ukraine
Countries
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References
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Taylor PC, Takeuchi T, Burmester GR, Durez P, Smolen JS, Deberdt W, Issa M, Terres JR, Bello N, Winthrop KL. Safety of baricitinib for the treatment of rheumatoid arthritis over a median of 4.6 and up to 9.3 years of treatment: final results from long-term extension study and integrated database. Ann Rheum Dis. 2022 Mar;81(3):335-343. doi: 10.1136/annrheumdis-2021-221276. Epub 2021 Oct 27.
Combe B, Balsa A, Sarzi-Puttini P, Tony HP, de la Torre I, Rogai V, Durand F, Witt S, Zhong J, Dougados M. Efficacy and safety data based on historical or pre-existing conditions at baseline for patients with active rheumatoid arthritis who were treated with baricitinib. Ann Rheum Dis. 2019 Aug;78(8):1135-1138. doi: 10.1136/annrheumdis-2018-214261. Epub 2019 Mar 6. No abstract available.
Peterfy C, DiCarlo J, Emery P, Genovese MC, Keystone EC, Taylor PC, Schlichting DE, Beattie SD, Luchi M, Macias W. MRI and Dose Selection in a Phase II Trial of Baricitinib with Conventional Synthetic Disease-modifying Antirheumatic Drugs in Rheumatoid Arthritis. J Rheumatol. 2019 Aug;46(8):887-895. doi: 10.3899/jrheum.171469. Epub 2019 Jan 15.
Taylor PC, Kremer JM, Emery P, Zuckerman SH, Ruotolo G, Zhong J, Chen L, Witt S, Saifan C, Kurzawa M, Otvos JD, Connelly MA, Macias WL, Schlichting DE, Rooney TP, de Bono S, McInnes IB. Lipid profile and effect of statin treatment in pooled phase II and phase III baricitinib studies. Ann Rheum Dis. 2018 Jul;77(7):988-995. doi: 10.1136/annrheumdis-2017-212461. Epub 2018 Feb 20.
Keystone EC, Genovese MC, Schlichting DE, de la Torre I, Beattie SD, Rooney TP, Taylor PC. Safety and Efficacy of Baricitinib Through 128 Weeks in an Open-label, Longterm Extension Study in Patients with Rheumatoid Arthritis. J Rheumatol. 2018 Jan;45(1):14-21. doi: 10.3899/jrheum.161161. Epub 2017 Aug 15.
Keystone EC, Taylor PC, Drescher E, Schlichting DE, Beattie SD, Berclaz PY, Lee CH, Fidelus-Gort RK, Luchi ME, Rooney TP, Macias WL, Genovese MC. Safety and efficacy of baricitinib at 24 weeks in patients with rheumatoid arthritis who have had an inadequate response to methotrexate. Ann Rheum Dis. 2015 Feb;74(2):333-40. doi: 10.1136/annrheumdis-2014-206478. Epub 2014 Nov 27.
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
I4V-MC-JADA
Identifier Type: OTHER
Identifier Source: secondary_id
CTRI/2011/06/001834
Identifier Type: REGISTRY
Identifier Source: secondary_id
13854
Identifier Type: -
Identifier Source: org_study_id
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