24-week Study With Open Label Extension of VX-509, an Oral JAK3 Inhibitor, in Subjects Taking Methotrexate

NCT ID: NCT01590459

Last Updated: 2015-11-20

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

359 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2014-07-31

Brief Summary

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This study is designed to evaluate the safety and efficacy of VX-509, an oral JAK3 inhibitor, for treatment of subjects with active RA who have had an inadequate response to Methotrexate.

Detailed Description

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VX-509 is an oral, selective Janus kinase 3 (JAK3) inhibitor being developed by Vertex. In autoimmune diseases, JAK3 is an essential component of the immune signaling cascade. This cascade ultimately contributes to abnormal immune response that results in chronic inflammation and, in the case of rheumatoid arthritis (RA), irreversible damage to cartilage and bones. Selective inhibition of JAK3 offers a new disease modifying approach to the treatment of RA, and a broad range of other autoimmune diseases.

Conditions

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Rheumatoid Arthritis

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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Placebo Arm

Group Type PLACEBO_COMPARATOR

VX-509 matching placebo

Intervention Type DRUG

0 mg oral tablet

VX-509 100 mg qd Arm

Group Type EXPERIMENTAL

VX-509

Intervention Type DRUG

50 mg oral tablet

VX-509 150 mg qd Arm

Group Type EXPERIMENTAL

VX-509

Intervention Type DRUG

50 mg oral tablet

VX-509 100 mg bid Arm

Group Type EXPERIMENTAL

VX-509

Intervention Type DRUG

50 mg oral tablet

VX-509 200 mg qd Arm

Group Type EXPERIMENTAL

VX-509

Intervention Type DRUG

50 mg oral tablet

Interventions

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VX-509

50 mg oral tablet

Intervention Type DRUG

VX-509 matching placebo

0 mg oral tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects, between 18 and 80 years of age (inclusive)
* All subjects must have been diagnosed with RA
* Must have a swollen joint count of ≥6 out of 66 joints and tender joint count of ≥6 out of 68 joints
* Baseline CRP level must be above the upper limit of normal
* All subjects must have been receiving stable MTX coadministered with folic or folinic acid (at least 5 mg/week)
* Subjects may remain on 1 nonsteroidal anti-inflammatory medication during the study (aspirin ≤ 325 mg/day is allowed).
* Subjects must not have received prior treatment with a JAK inhibitor
* Subjects who are on an additional nonbiologic DMARD (e.g., sulfasalazine) must be willing to discontinue that DMARD after signing consent, except for hydroxychloroquine
* Subjects may have received previous therapy with a single TNF inhibitor (e.g., etanercept, adalimumab, infliximab, golimumab, certolizumab pegol)
* Females must have a negative pregnancy test prior to study dosing
* Sexually active subjects and their partners must agree to contraceptive requirements

Exclusion Criteria

* History or presence of a clinically significant medical disorder other than RA that, in the opinion of the investigator and medical monitor, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
* Subjects with inflammatory, rheumatological disorders other than RA
* Pregnant or nursing female subjects
* Subjects who have a female partner who is pregnant, nursing, or planning to become pregnant
* Subjects who have planned major surgery (e.g., joint replacement) or procedures during the study
* History of drug abuse or positive drug screen
* History of alcohol abuse or excessive alcohol consumption
* History of tuberculosis (TB) infection of any kind (pulmonary or extrapulmonary, active or latent), regardless of history of anti-TB treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vertex Pharmaceuticals Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ali Ashrafzadeh, MD, FACR

Role: STUDY_CHAIR

Quintiles, Inc.

Locations

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Vertex Investigational Site

Birmingham, Alabama, United States

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Vertex Investigational Site

Huntsville, Alabama, United States

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Vertex Investigational Site

Long Beach, California, United States

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Vertex Investigational Site

Tustin, California, United States

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Vertex Investigational Site

Boca Raton, Florida, United States

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Vertex Investigational Site

Daytona Beach, Florida, United States

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Vertex Investigational Site

New Port Richey, Florida, United States

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Vertex Investigational Site

North Miami Beach, Florida, United States

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Vertex Investigational Site

Ocala, Florida, United States

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Tampa, Florida, United States

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Springfield, Illinois, United States

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Wichita, Kansas, United States

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Kalamazoo, Michigan, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Clifton, New Jersey, United States

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Freehold, New Jersey, United States

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Brooklyn, New York, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Hickory, North Carolina, United States

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Oklahoma City, Oklahoma, United States

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Bethlehem, Pennsylvania, United States

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Duncansville, Pennsylvania, United States

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Jackson, Tennessee, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Mesquite, Texas, United States

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San Antonio, Texas, United States

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Clarksburg, West Virginia, United States

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Vertex Investigational Site

Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Santa Fe, , Argentina

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Plovdiv, , Bulgaria

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Sevlievo, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Veliko Tarnovo, , Bulgaria

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Brno, , Czechia

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Bruntál, , Czechia

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Mladá Boleslav, , Czechia

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Ostrava - Trebovice, , Czechia

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Prague, , Czechia

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Zlín, , Czechia

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Tallinn, , Estonia

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Tallinn, , Estonia

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Tallinn, , Estonia

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Tallinn, , Estonia

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Cologne, , Germany

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Leipzig, , Germany

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Würzburg, , Germany

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Zerbst, , Germany

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Baja, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Szikszó, , Hungary

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Chihuahua City, , Mexico

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Cuauhtémoc, , Mexico

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San Luis Potos, , Mexico

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San Miguel Chapultepec, , Mexico

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Bialystok, , Poland

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Elblag, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Poznan, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Brăila, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Judetul Galati, , Romania

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Kemerovo, , Russia

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Moscow, , Russia

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Ryazan, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Yaroslavl, , Russia

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Belgrade, , Serbia

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Niška Banja, , Serbia

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Novi Sad, , Serbia

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Bratislava, , Slovakia

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Dunajská Streda, , Slovakia

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Poprad, , Slovakia

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Rimavská Sobota, , Slovakia

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Donetsk, , Ukraine

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Kharkiv, , Ukraine

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Lviv, , Ukraine

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Odesa, , Ukraine

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Vertex Investigational Site

Vinnytsia, , Ukraine

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Countries

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United States Argentina Bulgaria Czechia Estonia Germany Hungary Mexico Poland Romania Russia Serbia Slovakia Ukraine

Other Identifiers

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2011-004419-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VX11-509-102

Identifier Type: -

Identifier Source: org_study_id