A Clinical Trial to Study the Effects of Revamilast in Patients With Rheumatoid Arthritis

NCT ID: NCT01430507

Last Updated: 2012-12-28

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

406 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2012-12-31

Brief Summary

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Rheumatoid arthritis (RA) is a systemic autoimmune and chronic inflammatory disease that causes progressive damage to joints of the body, affecting the functional capacity. Effective management of patients with RA requires a multidisciplinary approach. Despite the various combinations, there is a significant population of RA patients who are not responding to these combinations or showing inadequate response to methotrexate alone. Hence, there is a need for a unique combination of drugs targeting different pathological process to yield the best results in those patients where prognosis is poor. Combination of revamilast with first line therapy like methotrexate could provide better treatment options to a larger population of RA patients having moderate to severe disease and who are inadequately controlled on one or the other DMARDs.

This is randomized, double-blind, placebo-controlled, parallel group study. The study will include patients with active RA receiving stable and maximum tolerated dose of MTX.

Patients will be recruited after providing written informed consent. After screening and run in period (single blind placebo for 4 weeks), patients will be randomized (meeting randomization criteria) in 1:2:2:2 ratios to receive either one of three doses (Low, Medium and High) of revamilast or placebo along with MTX.

The primary objective of the study is to determine the percentage of patients achieving ACR20 response at 12 weeks. Secondary objectives include determining percentage of patients with ACR50 and ACR70 response, change in DAS-28 score, change in serum CRP and ESR values and frequency and use of rescue medication.

During the treatment period, there will be 5 further study visits at week 2, week 4, week 8, week 12, for efficacy, safety and tolerability assessment and visit at week 14 will be follow up visit.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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Anti-inflammatory drugs, DMARD

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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Medium Dose

Medium Dose Revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

Tablet, Medium dose, Once daily for 12 weeks

High Dose

High Dose Revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

Tablet, High dose, Once daily for 12 weeks

Placebo

Matching Placebo in Triple Dummy Format

Group Type PLACEBO_COMPARATOR

Placebo Comparator

Intervention Type DRUG

Matching Placebo in triple dummy format, Tablet, Once daily for 12 weeks

Low dose

Low dose Revamilast

Group Type EXPERIMENTAL

Revamilast

Intervention Type DRUG

Tablet, Low dose, Once daily for 12 weeks

Interventions

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Revamilast

Tablet, Low dose, Once daily for 12 weeks

Intervention Type DRUG

Revamilast

Tablet, Medium dose, Once daily for 12 weeks

Intervention Type DRUG

Revamilast

Tablet, High dose, Once daily for 12 weeks

Intervention Type DRUG

Placebo Comparator

Matching Placebo in triple dummy format, Tablet, Once daily for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female ≥18 to ≤ 65 years of age
2. Documented history of RA; diagnosed according to the revised American College of Rheumatology criteria (ACR)
3. Active RA defined as patients with:

* 6 swollen joint counts
* 6 tender/painful joint counts, and

* At least two of the three following criteria:

* Rheumatoid Factor positive or Anti CCP positive
* CRP ≥1.2 times upper limit of normal reference range or ESR \>28 mm/hr
* Morning stiffness lasting \>45 min for at least last4 weeks
4. DAS-28 CRP values ≥ 4.5 at screening (visit 1)
5. Patients must have been on stable (15 mg to 25 mg) or maximum tolerated dose of MTX for at least 12 weeks prior to screening
6. The patient's written informed consent to participate in the study
7. Female participants must have a negative serum pregnancy test at screening visit.
8. Males must agree to use barrier while on study medication and for 90 days after taking the last dose of study medication
9. Must meet the following laboratory criteria:

* Hemoglobin ≥ 9 g/dL
* White blood cell (WBC) count; ≥3.0 X 109/L
* Platelet count ≥ 100,000 /L (100 X 109/L)
* Serum creatinine \<1.5 mg/dL (or 133mol/L)
* Total bilirubin \<2.0 mg/dL
* AST \& ALT\<1.5 times upper limit of normal

Exclusion Criteria

1. Diagnosis of RA prior to 16 years of age (Juvenile RA)
2. Non-degenerative joint diseases or other joint diseases that could interfere with the evaluation of RA
3. Patients with any other autoimmune rheumatic disorders with the exception of Sjogren's syndrome.
4. Patients with first degree relative with immune deficiency
5. History of infection with human immunodeficiency virus and/or active hepatitis B or C
6. Severe disabling arthritis leaving the patient eligible for surgical intervention, or incapacitated and prostrated patients
7. Patients with a history of drug or alcohol abuse or chronic smoking
8. Uncontrolled diabetes mellitus
9. Concurrent diseases that might interfere with the conduct of the study,
10. ECG abnormalities judged by the investigator to be clinically significant
11. History of using any other test drug, one month before the beginning of this trial
12. Women who are pregnant or breast-feeding or on hormonal therapy
13. Patients who in the Investigator's opinion might not be suitable for the study.
14. Patients with a life expectancy of less than 1 year
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glenmark Pharmaceuticals S.A.

INDUSTRY

Sponsor Role collaborator

Glenmark Pharmaceuticals Ltd. India

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr Lalit Lakhwani

Role: STUDY_DIRECTOR

Glenmark Pharamceuticals SA

Locations

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Advance Rheumatology Clinic

Hyderabad, Andhra Pradesh, India

Site Status

Mahavir Hospital and Research Center

Hyderabad, Andhra Pradesh, India

Site Status

Sri Deepti Rheumatology Center

Hyderabad, Andhra Pradesh, India

Site Status

Krishna Institute of Medical Sciences

Secunderabad, Andhra Pradesh, India

Site Status

Rathi Orthopaedic & Research Center

Ahmedabad, Gujarat, India

Site Status

Shalby Hospitals

Ahmedabad, Gujarat, India

Site Status

Centre for Knee & Hip Surgery

Vadodara, Gujarat, India

Site Status

Chanre Rheumatology and Immunology centre and Research

Bangalore, Karnataka, India

Site Status

M S Ramaiah Medical College and Hospital

Bangalore, Karnataka, India

Site Status

Kennisha Rheumatology Care & Diagnostics

Mumbai, Maharashtra, India

Site Status

Sushrut Hospital Research Centre and PG Institute of Orthopaedics

Nagpur, Maharashtra, India

Site Status

Vidarbha Arthritis & Superspeciality Clinic

Nagpur, Maharashtra, India

Site Status

Chennai Meenakshi Multispeciality Hospital Limited

Chennai, Tamil Nadu, India

Site Status

Chhatrapati Shahuji Maharaj Medical University

Lucknow, Uttar Pradesh, India

Site Status

Sanjay Gandhi Postgraduate Institute of Medical Sciences

Lucknow, Uttar Pradesh, India

Site Status

Institute of Post Graduate Medical Education & Research (IPGMER)

Kolkata, West Bengal, India

Site Status

Internal Medicine and Rheumatology, Chong Hua Hospital

Cebu, Cebu, Philippines

Site Status

Brokenshire Memorial Hospital

Davao City, Davao Region, Philippines

Site Status

Department of Medicine, Davao Doctor's Hospital

Davao City, Davao Region, Philippines

Site Status

University of Perpetual Help Dalta Medical Center

Las Piñas, National Capital Region, Philippines

Site Status

Manila Doctors Hospital

Manila, National Capital Region, Philippines

Site Status

University of Santo Tomas Hospital

Manila, National Capital Region, Philippines

Site Status

St. Luke's Medical Center

Quezon City, National Capital Region, Philippines

Site Status

Oddział Kliniczny Reumatologii i Ukladowych Chorob Tkanki Lacznej

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

NZOZ Reumed

Lublin, Lublin Voivodeship, Poland

Site Status

Osrodek Badan Klinicznych Prof. Dr hab. med.

Lublin, Lublin Voivodeship, Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej Medica Pro Familia Sp. z o.o.

Warszawa, Lublin Voivodeship, Poland

Site Status

Centrum Medyczne MEDENS S.C. Grupowa Praktyka Lekarska

Chełm Śląski, Silesian Voivodeship, Poland

Site Status

Specjalistyczna Praktyka Lekarska Joanna Badowska

Częstochowa, Silesian Voivodeship, Poland

Site Status

Wojewodzki Zespol Specjalistycznej Opieki Zdrowotnej

Wroclaw, Silesian Voivodeship, Poland

Site Status

Colombo South Teaching Hospital

Colombo, Colombo, Sri Lanka

Site Status

National Hospital of Sri Lnka

Colombo, Colombo, Sri Lanka

Site Status

Nawaloka Hospitals PLC

Colombo, Colombo, Sri Lanka

Site Status

Teaching Hospital Karapitiya

Galle, Colombo, Sri Lanka

Site Status

Queen's Hospital

Romford, Essex, United Kingdom

Site Status

The Leeds Teaching Hosptial NHS Trust, Chapel Allerton Hospital

Leeds, Yorkshire, United Kingdom

Site Status

Countries

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India Philippines Poland Sri Lanka United Kingdom

Other Identifiers

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2011-000107-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GRC 4039-203

Identifier Type: -

Identifier Source: org_study_id