Efficacy and Safety Study of CC-292 Versus Placebo as Co-therapy With Methotrexate in Active Rheumatoid Arthritis

NCT ID: NCT01975610

Last Updated: 2017-07-31

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

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2016-02-29

Brief Summary

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CC-292 is an oral agent that is under clinical development for the treatment of rheumatoid arthritis an autoimmune inflammatory disorder.

This study will test the clinical effectiveness and safety of an orally (PO) administered dose of CC-292 compared to placebo in US female patients currently on background Methotrexate (MTX) with active Rheumatoid Arthritis (RA

Detailed Description

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This is a Phase 2a, multicenter, randomized, double-blind, placebo-controlled, proof-of-concept study to determine the efficacy and safety of CC-292 (375 mg PO daily) on a stable background of MTX therapy in female subjects with active RA.

Approximately 80 female subjects with active RA will be randomized 1:1 into two dose groups: active CC-292 (375 mg PO daily) or identically-appearing placebo capsules for 4 weeks

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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CC-292 375mg

Treatment

Group Type EXPERIMENTAL

CC-292

Intervention Type DRUG

375 mg PO daily (250 mg in the AM and 125 mg in the PM for 28 days)

Placebo

Control

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Twice daily for 28 days

Interventions

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CC-292

375 mg PO daily (250 mg in the AM and 125 mg in the PM for 28 days)

Intervention Type DRUG

Placebo

Twice daily for 28 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female between 18 and 80 years of age (inclusive) at the time of signing the informed consent.
* Must meet the 2010 ACR/EULAR Classification Criteria for RA (Appendix A), have RA for at least 6 months and must continue to have active RA at the time of randomization despite at least 3 months of treatment with stable doses of MTX (7.5 to 25 mg/week oral or parenteral) for at least 4 weeks prior to randomization.
* Must have been treated with MTX for at least 3 months prior to randomization, and must be on a stable dose between 7.5 and 25 mg/week (PO or parenteral, not both) for at least 4 weeks prior to randomization. Subjects will be required to maintain their stable dose through Day 28/Week 4 of the study. Oral folate supplementation is required with a minimum dose of 5 mg/week (ie, folic acid) while the subject is taking MTX. Leucovorin may be used instead of folic acid and may be dosed up to 10 mg/week orally.
* Sulfasalazine is allowed as a concomitant medication, however, subject must be on a stable dose for at least 4 weeks prior to randomization and through Day 28/Week 4 of the study.
* Hydroxychloroquine or chloroquine is allowed as concomitant medications, however, subject must be on a stable dose for at least 4 weeks prior to randomization and through Day 28/Week 4 of the study.
* Modification of Diet in Renal Disease formula (MDRD) estimated glomerular filtration rate (MDRD eGFR) ≥ 60 mL/min/1.73m2+

Exclusion Criteria

* Male subjects
* Any condition that could affect CC-292 absorption, including gastric restrictions, bariatric surgery, such as gastric bypass, and clinical conditions that are associated with decreased intragastric acid production such as acid pernicious anemia.
* Currently using treatment with DMARDs (other than sulfasalazine, hydroxychloroquine or chloroquine and MTX), including biologics. Previous use is only allowed after adequate washout (4 weeks or 5 half-lives, whichever is longer) prior to randomization.
* Previous treatment with any cell depleting therapies, including investigational agents (eg, CAMPATH, anti-CD4, anti-CD5, anti-CD3, anti-CD19 and anti-CD20) within 6 months of screening.
* Treatment with intravenous gamma globulin, plasmapheresis or Prosorba® column within 2 weeks prior to randomization.
* Intra-articular or parenteral corticosteroids are not allowed within 2 weeks prior to randomization.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Douglas Hough, MD, MBA

Role: STUDY_DIRECTOR

Celgene Corporation

Locations

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Achieve Clinical Research LLC

Birmingham, Alabama, United States

Site Status

Arizona Arthritis and Rheumatology Research, PLLC

Phoenix, Arizona, United States

Site Status

Generations Medical Research

Hot Springs, Arkansas, United States

Site Status

UCLA

Los Angeles, California, United States

Site Status

Joao Nascimento, MD

Bridgeport, Connecticut, United States

Site Status

Southeastern Integrated Medical

Gainesville, Florida, United States

Site Status

Family Arthritis Center

Jupiter, Florida, United States

Site Status

Ocala Rheumatology Research Center

Ocala, Florida, United States

Site Status

Integral Rheumatology and Immunology specialists

Plantation, Florida, United States

Site Status

Columbia Medical Practice

Columbia, Maryland, United States

Site Status

Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

Site Status

Borgess Research Institute

Kalamazoo, Michigan, United States

Site Status

Arthritis and Osteoporosis Associates

Freehold, New Jersey, United States

Site Status

Albuquerque Clinic

Albuquerque, New Mexico, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

DJL Clinical Research

Charlotte, North Carolina, United States

Site Status

Lynn Health Science Instiute

Oklahoma City, Oklahoma, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Med Univ of South Carolina

Charleston, South Carolina, United States

Site Status

PMG Research of Charlotte LLC

Rock Hill, South Carolina, United States

Site Status

West Tennessee Research Institute

Jackson, Tennessee, United States

Site Status

Ramesh C Gupta MD

Memphis, Tennessee, United States

Site Status

Austin Regional Clinic

Austin, Texas, United States

Site Status

DM Clinical Research

Houston, Texas, United States

Site Status

Mountain State Clinical Research

Clarksburg, West Virginia, United States

Site Status

Froedtert Hospital BMT Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Gundersen Clinic Ltd

Onalaska, Wisconsin, United States

Site Status

Countries

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United States

References

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Schafer PH, Kivitz AJ, Ma J, Korish S, Sutherland D, Li L, Azaryan A, Kosek J, Adams M, Capone L, Hur EM, Hough DR, Ringheim GE. Spebrutinib (CC-292) Affects Markers of B Cell Activation, Chemotaxis, and Osteoclasts in Patients with Rheumatoid Arthritis: Results from a Mechanistic Study. Rheumatol Ther. 2020 Mar;7(1):101-119. doi: 10.1007/s40744-019-00182-7. Epub 2019 Nov 13.

Reference Type DERIVED
PMID: 31721017 (View on PubMed)

Other Identifiers

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CC-292-RA-001

Identifier Type: -

Identifier Source: org_study_id

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