A Magnetic Resonance Imaging Study and Arthroscopic Biopsy Substudy in Subjects With Active Rheumatoid Arthritis Receiving VX-509, an Oral JAK3 Inhibitor

NCT ID: NCT01754935

Last Updated: 2015-05-19

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

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-02-28

Brief Summary

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The current study is designed to evaluate the safety and efficacy, including MRI imaging, across a range of VX-509 doses in subjects with active rheumatoid arthritis (RA) who have had an inadequate response to disease-modifying antirheumatic drugs (DMARDs).

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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VX-509 100 mg qd 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

VX-509 300 mg qd Arm

Group Type EXPERIMENTAL

VX-509

Intervention Type DRUG

50 mg oral tablet

Placebo Arm

Group Type PLACEBO_COMPARATOR

VX-509 matching placebo

Intervention Type DRUG

0 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 18 to 65 years of age (inclusive)
* Diagnosis of RA
* Swollen joint count of ≥6 out of 66 joints and tender joint count of ≥6 out of 68 joints
* Seropositivity based on either a positive rheumatoid factor or anti cyclic citrullinated peptide antibody at screening -OR- known erosive disease based on previous X-ray report or erosions detected on screening hand and foot X-ray
* Baseline CRP level or Westergren erythrocyte sedimentation rate ≥1.2 × upper limit of normal
* Receiving stable therapy with 1 of the following DMARDs: methotrexate, sulfasalazine, leflunomide, anti-malarial drug, or penicillamine
* Palpable 2+ synovitis of the wrist or ≥2 MCPs in the MRI-designated hand

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.
* Inflammatory, rheumatological disorders other than RA, where arthritis may be a prominent feature
* Planned surgery during the study
* History of alcohol or drug 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.
* Pregnant or nursing an infant or with a life partner who is pregnant, nursing, or planning to become pregnant
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 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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Bradley Bloom, MD, FACR, FAAP

Role: STUDY_CHAIR

Vertex Pharmaceuticals Incorporated

Locations

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Vertex Investigational Site

Stanford, California, United States

Site Status

Vertex Investigational Site

Upland, California, United States

Site Status

Vertex Investigational Site

Fort Lauderdale, Florida, United States

Site Status

Vertex Investigational Site

Venice, Florida, United States

Site Status

Vertex Investigational Site

West Palm Beach, Florida, United States

Site Status

Vertex Investigational Site

Canton, Georgia, United States

Site Status

Vertex Investigational Site

Decatur, Georgia, United States

Site Status

Vertex Investigational Site

Kansas City, Kansas, United States

Site Status

Vertex Investigational Site

Elizabethtown, Kentucky, United States

Site Status

Vertex Investigational Site

Frederick, Maryland, United States

Site Status

Vertex Investigational Site

Lincoln, Nebraska, United States

Site Status

Vertex Investigational Site

Rochester, New York, United States

Site Status

Vertex Investigational Site

Greenboro, North Carolina, United States

Site Status

Vertex Investigational Site

Duncansville, Pennsylvania, United States

Site Status

Vertex Investigational Site

Charleston, South Carolina, United States

Site Status

Vertex Investigational Site

Memphis, Tennessee, United States

Site Status

Vertex Investigational Site

Katy, Texas, United States

Site Status

Vertex Investigational Site

San Antonio, Texas, United States

Site Status

Vertex Investigational Site

Webster, Texas, United States

Site Status

Vertex Investigational Site

Seattle, Washington, United States

Site Status

Vertex Investigational Site

Spokane, Washington, United States

Site Status

Vertex Investigational Site

Hillerød, , Denmark

Site Status

Vertex Investigational Site

Hjørring, , Denmark

Site Status

Vertex Investigational Site

Tallinn, , Estonia

Site Status

Vertex Investigational Site

Vilnius, , Lithuania

Site Status

Vertex Investigational Site

Heerlen, , Netherlands

Site Status

Vertex Investigational Site

Utrecht, , Netherlands

Site Status

Vertex Investigational Site

Johannesburg, , South Africa

Site Status

Vertex Investigational Site

Pretoria, , South Africa

Site Status

Vertex Investigational Site

Stellenbosch, , South Africa

Site Status

Countries

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United States Denmark Estonia Lithuania Netherlands South Africa

References

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Genovese MC, Yang F, Ostergaard M, Kinnman N. Efficacy of VX-509 (decernotinib) in combination with a disease-modifying antirheumatic drug in patients with rheumatoid arthritis: clinical and MRI findings. Ann Rheum Dis. 2016 Nov;75(11):1979-1983. doi: 10.1136/annrheumdis-2015-208901. Epub 2016 Apr 15.

Reference Type DERIVED
PMID: 27084959 (View on PubMed)

Other Identifiers

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2012-003439-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VX12-509-103

Identifier Type: -

Identifier Source: org_study_id

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