Safety Study of PRTX-100 With Methotrexate or Leflunomide to Treat Active Rheumatoid Arthritis

NCT ID: NCT01749787

Last Updated: 2014-12-23

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

PHASE1

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2014-08-31

Brief Summary

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The purpose of this study is to determine the safety and tolerability of PRTX-100 when various doses are given 5 times at weekly intervals to patients with active rheumatoid arthritis that are taking methotrexate or leflunomide. The drug is administered in a physician's office via an intravenous infusion. PRTX-100 may be effective in rheumatoid arthritis by suppressing the immune responses.

PRTX-100 is a highly-purified bacterial protein called Staphylococcal Protein A. In this study, cohorts of patients with active RA will receive sequentially higher doses of PRTX-100. There will be an inactive placebo cohort for comparison. Patients who do not attain low RA disease activity, by a commonly used measure, will leave the study at 3 months after their first dose of study drug.

Detailed Description

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Conditions

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Arthritis, Rheumatoid

Keywords

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arthritis rheumatoid methotrexate leflunomide

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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1.5 mcg/kg

PRTX-100 at 1.5 mcg/kg administered via infusion once per week for 5 weeks

Group Type EXPERIMENTAL

PRTX-100 at 1.5 mcg/kg

Intervention Type DRUG

3.0 mcg/kg

PRTX-100 at 3.0 mcg/kg administered via infusion once per week for 5 weeks

Group Type EXPERIMENTAL

PRTX-100 at 3.0 mcg/kg

Intervention Type DRUG

6.0 mcg/kg

PRTX-100 at 6.0 mcg/kg administered via infusion once per week for 5 weeks

Group Type EXPERIMENTAL

PRTX-100 at 6.0 mcg/kg

Intervention Type DRUG

12.0 mcg/kg

PRTX-100 at 12.0 mcg/kg administered via infusion once per week for 5 weeks

Group Type EXPERIMENTAL

PRTX-100 at 12.0 mcg/kg

Intervention Type DRUG

240 mcg

PRTX-100 at 240 mcg/dose administered via infusion once per week for 5 weeks then once every four weeks for 16 weeks thereafter.

Group Type EXPERIMENTAL

PRTX-100 at 240 mcg

Intervention Type DRUG

Placebo

Placebo administered via infusion once per week for 5 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered via infusion once per week for 5 weeks

420 mcg

PRTX-100 at 420 mcg/dose administered via infusion once per week for 5 weeks then once every four weeks for 16 weeks thereafter.

Group Type EXPERIMENTAL

PRTX-100 at 420 mcg

Intervention Type DRUG

Interventions

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PRTX-100 at 1.5 mcg/kg

Intervention Type DRUG

PRTX-100 at 3.0 mcg/kg

Intervention Type DRUG

PRTX-100 at 6.0 mcg/kg

Intervention Type DRUG

PRTX-100 at 12.0 mcg/kg

Intervention Type DRUG

PRTX-100 at 240 mcg

Intervention Type DRUG

Placebo

Placebo administered via infusion once per week for 5 weeks

Intervention Type DRUG

PRTX-100 at 420 mcg

Intervention Type DRUG

Other Intervention Names

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Staphylococcal Protein A SpA Staphylococcal Protein A SpA Staphylococcal Protein A SpA Staphylococcal Protein A SpA Staphylococcal Protein A SpA Staphylococcal Protein A SpA

Eligibility Criteria

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Inclusion Criteria

* Active RA with disease duration of not less than 6 months
* Concomitant stable methotrexate or leflunomide therapy

Exclusion Criteria

* Diagnosis of any other inflammatory arthritis
* ACR Functional Classification of IV
* Significant systemic involvement secondary to RA (except for secondary Sjogren's syndrome)
* History of clincally significant hypogammaglobulinemia, common variable immunodeficiency, or humeral immunodeficientncy
* History of active tuberculosis, pro-thrombotic disorder, venous thrombosis requiring anti-coagulation, substance abuse, or serious psychiatric condition
* History of allergy or hypersensitivity to aspirin or non-steroidal cyclooxygenase inhibitors, Staphylococcal protein A
* History or presence of malignancy (except for surgically treated basal or squamous cell carcinoma of the skin at least 3 months prior to the start of study medication)
* Uncontrolled diabetes or Type 1 diabetes
* Unstable ischemic heart disease
* Serious active or recurrent infection, hepatic cirrhosis, or other medically unstable condition
* Systemic autoimmune diseases other than RA (such as systemic lupus erythematosus, scleroderma, inflammatory bowel disease, inflammatory myopathy)
* Positive for HIV, hepatitis B surface antigen, or hepatitis C antibody
* Pregnant or nursing females
* Inadequate hepatic, renal, or hematologic function
* Receipt of live vaccine within 5 weeks of start of study medication
* Concomitant administration of other biologic or non-biologic DMARDS, corticosteroids, or anti-CD20 antibodies
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Protalex, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William E Gannon, M.D.

Role: STUDY_DIRECTOR

Protalex, Inc.

Locations

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Protalex Investigative Site

Los Angeles, California, United States

Site Status

Protalex Investigational Site

Sarasota, Florida, United States

Site Status

Protalex Investigational Site

Coeur d'Alene, Idaho, United States

Site Status

Protalex Investigational Site

Anderson, Indiana, United States

Site Status

Protalex Investigational Site

Albuquerque, New Mexico, United States

Site Status

Protalex Investigational Site

Salisbury, North Carolina, United States

Site Status

Protalex Investigational Site

Duncansville, Pennsylvania, United States

Site Status

Protalex Investigational Site

Allen, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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PRTX-100-104

Identifier Type: -

Identifier Source: org_study_id