A Study to Evaluate the Safety and Efficacy of ASP015K in Moderate to Severe Rheumatoid Arthritis Subjects Who Have Had an Inadequate Response to Methotrexate

NCT ID: NCT01554696

Last Updated: 2025-05-29

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

379 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-06

Study Completion Date

2014-02-11

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of ASP015K in moderate to severe rheumatoid arthritis subjects who are methotrexate-inadequate responders (MTX-IR).

Detailed Description

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Subjects in each treatment group will continue to take their concomitant oral weekly dose of methotrexate (MTX) in addition to daily ASP015K or matching placebo, taken orally with food, daily for 12 weeks after randomization.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ASP015K lowest dose

ASP015K lowest dose daily in addition to concomitant weekly oral methotrexate

Group Type EXPERIMENTAL

peficitinib

Intervention Type DRUG

oral

methotrexate

Intervention Type DRUG

oral

ASP015K low dose

ASP015K low dose daily in addition to concomitant weekly oral methotrexate

Group Type EXPERIMENTAL

peficitinib

Intervention Type DRUG

oral

methotrexate

Intervention Type DRUG

oral

ASP015K medium dose

ASP015K medium dose daily in addition to concomitant weekly oral methotrexate

Group Type EXPERIMENTAL

peficitinib

Intervention Type DRUG

oral

methotrexate

Intervention Type DRUG

oral

ASP015K high dose

ASP015K high dose daily in addition to concomitant weekly oral methotrexate

Group Type EXPERIMENTAL

peficitinib

Intervention Type DRUG

oral

methotrexate

Intervention Type DRUG

oral

Placebo

Placebo daily in addition to concomitant weekly oral methotrexate

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

oral

methotrexate

Intervention Type DRUG

oral

Interventions

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peficitinib

oral

Intervention Type DRUG

Placebo

oral

Intervention Type DRUG

methotrexate

oral

Intervention Type DRUG

Other Intervention Names

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ASP015K

Eligibility Criteria

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Inclusion Criteria

* Subject has rheumatoid arthritis (RA) diagnosed according to the 1987 revised ACR criteria for at least 6 months prior to Screening
* Subject has been treated with oral methotrexate (MTX) for a minimum of 90 days and at a stable dose for 28 days prior to the first dose of study drug
* ≥6 tender/painful joints; ≥6 swollen joints
* Subject meets the ACR 1991 Revised Criteria for Global Functional Status in RA Class I, II or III at Screening and Baseline
* Subject's other medication taken for treatment of RA must be stable for at least 28 days prior to start of the study
* Male and female subjects must be willing to comply with contraception requirements as well as restrictions regarding egg and sperm donation
* Female subject must not be breastfeeding at Screening or during the study period, and for 60 days after the final study drug administration
* Subject agrees not to participate in another interventional study while on treatment

Exclusion Criteria

* Positive Mycobacterium tuberculosis (TB) test within 90 days of Screening
* Abnormal chest x-ray indicative of an acute or chronic infectious process or malignancy
* Receipt of live or live attenuated virus vaccination within 30 days prior to the first dose of study drug
* Known history of positive test for hepatitis B surface antigen (HBsAg) or hepatitis C antibody or history of a positive test for human immunodeficiency virus (HIV) infection
* History of any other autoimmune rheumatic disease, other than Sjogren's syndrome
* Previous history of clinically significant infections or illness (requiring hospitalization or requiring parenteral therapy) within 90 days of the Baseline visit, or a history of any illness that would preclude participation in the study
* History of any malignancy, except for successfully treated basal or squamous cell carcinoma of the skin or in-situ carcinoma of the cervix
* Does not meet specified washout criteria for the following RA medications: gold, azathioprine, minocycline, penicillamine, etanercept, certolizumab, adalimumab, golimumab, infliximab, cyclophosphamide, and leflunomide
* Subject has previously used a non anti-TNF biologic disease-modifying antirheumatic drug (DMARD) (e.g., anakinra, abatacept, rituximab, tocilizumab)
* Previous intolerance to Janus kinase (JAK) inhibitors
* Receipt of intra-articular or parenteral corticosteroid within 28 days prior to the first dose of study drug or is currently taking \> 30 mg oral morphine (or narcotic equivalent) per day
* Absolute lymphocyte count (ALC) \< 750/mm3
* Receipt of plasma exchange therapy within 60 days prior to the start of study drug
* Receipt of any investigational agent within 30 days or 5 half-lives, whichever is longer, prior to first dose of study drug
* Receipt of medications that are CYP3A substrates with narrow therapeutic range within 14 days prior to first dose of study drug
* History of heart failure, defined as New York Heart Association (NYHA) grade 3 or greater
* History of long QT syndrome or prolonged QT interval
* Any ongoing severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, metabolic, endocrine, pulmonary, cardiac, neurological, or infectious disease, or any ongoing illness which would make the subject unsuitable for the study. This includes stomatitis, gastrointestinal ulcers, or any other condition that would preclude continued treatment with methotrexate
* Subject has any condition possibly affecting oral absorption (e.g., gastrectomy, other malabsorption syndromes, or clinically significant diabetic gastroenteropathy)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Senior Medical Director Director

Role: STUDY_DIRECTOR

Astellas Pharma Global Development

Locations

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Achieve Clinical Research, LLC

Birmingham, Alabama, United States

Site Status

The Talbert Group

Huntington Beach, California, United States

Site Status

University of California San Diego

La Jolla, California, United States

Site Status

Desert Medical Advances

Palm Desert, California, United States

Site Status

Pacific Arthritis Center Medical Group

Santa Maria, California, United States

Site Status

Arthritis Associates of Colorado Springs

Colorado Springs, Colorado, United States

Site Status

Arthritis Associates

Orlando, Florida, United States

Site Status

Illinois Bone & Joint

Morton Grove, Illinois, United States

Site Status

Deerbrook Medical Asssociates

Vernon Hills, Illinois, United States

Site Status

Center for Arthritis and Osteoporosis

Elizabethtown, Kentucky, United States

Site Status

The Center for Rheumatology and Bone Research

Wheaton, Maryland, United States

Site Status

PMG Research

Hickory, North Carolina, United States

Site Status

Health Research of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Clincal Research Center of Reading

Wyomissing, Pennsylvania, United States

Site Status

Rheumatology Consultants, PLLC

Knoxville, Tennessee, United States

Site Status

Austin Rheumatology Research PA

Austin, Texas, United States

Site Status

Center for Arthritis & Rheumatic Disease, P.C.

Chesapeake, Virginia, United States

Site Status

Mountain State Clinical Research

Clarksburg, West Virginia, United States

Site Status

Hospital Erasme

Brussels, , Belgium

Site Status

Moliere Hospital

Brussels, , Belgium

Site Status

MHAT Burgas

Burgas, , Bulgaria

Site Status

MHAT Plovdiv AD

Plovdiv, , Bulgaria

Site Status

MHAT "Sv. Ivan Rilski"

Sofia, , Bulgaria

Site Status

IPS Rodrigo Botero SAS

Medellín, Antioquia, Colombia

Site Status

Centro Integral de Reumatología del Caribe S.A.S

Barranquilla, , Colombia

Site Status

Centro Integral De Reumatologia E Inmunologia

Bogotá, , Colombia

Site Status

Medicity Sas

Bucaramanga, , Colombia

Site Status

Servimed E.U.

Bucaramanga, , Colombia

Site Status

Centro de medicina Interna Julian Coronel

Cali, , Colombia

Site Status

Revmatologicky ustav

Prague, , Czechia

Site Status

MEDICAL PLUS, s.r.o. or REVMACENTRUM UH, s.r.o.

Uherské Hradiště, , Czechia

Site Status

PV-MEDICAL s.r.o.

Zlín, , Czechia

Site Status

DRC Gyogyszervizsgalo Kozpont Kft

Balatonfüred, , Hungary

Site Status

Rethy Pal Korhaz es Rendelointezet

Békéscsaba, , Hungary

Site Status

Revita Clinic Rheumatology

Budapest, , Hungary

Site Status

Kenezy Hospital Institute of Clinical Pharmacology

Debrecen, , Hungary

Site Status

Morales Vargas Centro de Investigacion, SC Rheumatology

León, Guanajuato, Mexico

Site Status

Hospital Civil de Guadalajara Fray Antonio Alcalde Gutierrez

Guadalajara, , Mexico

Site Status

Dr Javier Orozco Alcala Private Doctor´s office

Guadalajara, , Mexico

Site Status

Cliditer S.A. de C.V.Huerta S.I.

Mexico City, , Mexico

Site Status

Centro de Investigacion Clinica de Morelia, S.C.

Morelia, , Mexico

Site Status

NZOZ Osteo-Medic sc A. Racewicz, J. Supronik

Bialystok, , Poland

Site Status

Centrum Osteoporozy i Chorob KKostno-Stawowych Daniluk Clinical Research Centre

Bialystok, , Poland

Site Status

Szpital Uniwersytecki nr. 2 im. Dr. Jana Biziela

Bydgoszcz, , Poland

Site Status

NZOZ Centrum Medyczne ProMiMed

Krakow, , Poland

Site Status

Zespol Poradni Specjalistycznych REUMED sp. Zo.o

Lublin, , Poland

Site Status

ARS Rheumatica

Warsaw, , Poland

Site Status

Rheuma Medicus Zaktad Opieki Zdrowotnej Relle Brkolozka

Wraszawa, , Poland

Site Status

Countries

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United States Belgium Bulgaria Colombia Czechia Hungary Mexico Poland

References

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Kivitz AJ, Gutierrez-Urena SR, Poiley J, Genovese MC, Kristy R, Shay K, Wang X, Garg JP, Zubrzycka-Sienkiewicz A. Peficitinib, a JAK Inhibitor, in the Treatment of Moderate-to-Severe Rheumatoid Arthritis in Patients With an Inadequate Response to Methotrexate. Arthritis Rheumatol. 2017 Apr;69(4):709-719. doi: 10.1002/art.39955.

Reference Type DERIVED
PMID: 27748083 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=322

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2011-006018-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

015K-CL-RA21

Identifier Type: -

Identifier Source: org_study_id

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