A Study to Investigate the Safety and Efficacy of ABT-122 Given With Methotrexate in Subjects With Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate

NCT ID: NCT02141997

Last Updated: 2016-11-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

222 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2015-11-30

Brief Summary

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This study is a Phase 2 randomized, double-blind, double-dummy, parallel-group study designed to assess the safety, tolerability, efficacy, pharmacokinetics and immunogenicity of multiple doses of ABT 122 in subjects with active rheumatoid arthritis (RA) who are inadequately responding to methotrexate (MTX) treatment.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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efficacy Methotrexate safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Adalimumab 40 mg EOW

Adalimumab 40 mg every other week (EOW) for 11 weeks.

Group Type ACTIVE_COMPARATOR

adalimumab

Intervention Type BIOLOGICAL

adalimumab administered as subcutaneous injection every other week (EOW)

ABT-122 60 mg EOW

ABT-122 60 mg every other week (EOW) for 11 weeks.

Group Type EXPERIMENTAL

ABT-122

Intervention Type BIOLOGICAL

ABT-122 administered as subcutaneous injection every other week (EOW)

ABT-122 120 mg EOW

ABT-122 120 mg every other week (EOW) for 11 weeks.

Group Type EXPERIMENTAL

ABT-122

Intervention Type BIOLOGICAL

ABT-122 administered as subcutaneous injection every other week (EOW)

ABT-122 120 mg EW

ABT-122 120 mg every week (EW) for 11 weeks.

Group Type EXPERIMENTAL

ABT-122

Intervention Type BIOLOGICAL

ABT-122 administered as subcutaneous injection every other week (EOW)

Interventions

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adalimumab

adalimumab administered as subcutaneous injection every other week (EOW)

Intervention Type BIOLOGICAL

ABT-122

ABT-122 administered as subcutaneous injection every other week (EOW)

Intervention Type BIOLOGICAL

Other Intervention Names

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Humira

Eligibility Criteria

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Inclusion Criteria

1. Adult male or female, 18 years of age or older.
2. Diagnosis of RA based on the 2010 American College of Rheumatology (ACR)/European League against Rheumatism (EULAR) criteria (as defined in the definition of terms).
3. Rheumatoid Arthritis (RA) diagnosis at least 3 months from the date of first Screening.
4. Have active RA defined by minimum disease activity criteria:

* ≥ 6 Swollen joints (based on 66 joint counts) at screening and baseline visits.
* ≥ 6 Tender joints (based on 68 joint counts) at screening and baseline visits.
* hsCRP\> ULN OR positive for both Rheumatoid Factor (RF) and Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibody levels at screening.
5. Inadequate response to Methotrexate (MTX) treatment defined as oral or parenteral treatment ≥ 3 months with an unchanged mode of application and stable prescribed MTX dose for at least 4 weeks prior to baseline of ≥ 10mg/week and \< the upper limit of the applicable approved local label. Subject can also be on stable doses of sulfasalazine and/or hydroxychloroquine, so long as they are also on methotrexate.

Exclusion Criteria

1. Subject has previous exposure to Humira, other Tumor necrosis factor (TNF) inhibitors or other biological DMARDs.
2. Current treatment with traditional oral Disease modifying antirheumatic drugs (DMARDs) (except for concomitant treatment with sulfasalazine and/or hydroxychloroquine in addition to MTX). Oral DMARDs must be washed out 5 times the mean terminal elimination half-life of a drug apart from MTX prior to Day 1.

• Subject could have been exposed to prior Janus kinase (JAK) inhibitors so long as they have been off therapy for 5 half-lives.
3. Stable prescribed dose of oral prednisone or prednisone equivalent \> 10 mg/day within the 30 days of first dose of study drug.
4. Intra-articular or parenteral administration of corticosteroids in the preceding 4 weeks of first dose of study drug. Inhaled corticosteroids for stable medical conditions are allowed.
5. Laboratory values of the following at the Screening Visit:

* Confirmed hemoglobin \< 9 g/dL for males and \< 8.5 g/dL for females,
* Absolute neutrophil count (ANC) \< 1500 mm\^3,
* Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 1.5 × the upper limit of normal (ULN) or bilirubin ≥ 3 mg/dL,
* Serum creatinine \> 1.5 × the ULN,
* Platelets \< 100,000 cells/\[mm3\] (10\^9/L),
* Clinically significant abnormal screening laboratory results as evaluated by the Investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Heikki Mansikka, MD

Role: STUDY_DIRECTOR

AbbVie

Countries

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Australia Bulgaria Canada Czechia Germany Hungary New Zealand Poland Romania Turkey (Türkiye) United States

References

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Genovese MC, Weinblatt ME, Aelion JA, Mansikka HT, Peloso PM, Chen K, Li Y, Othman AA, Khatri A, Khan NS, Padley RJ. ABT-122, a Bispecific Dual Variable Domain Immunoglobulin Targeting Tumor Necrosis Factor and Interleukin-17A, in Patients With Rheumatoid Arthritis With an Inadequate Response to Methotrexate: A Randomized, Double-Blind Study. Arthritis Rheumatol. 2018 Nov;70(11):1710-1720. doi: 10.1002/art.40580. Epub 2018 Oct 10.

Reference Type DERIVED
PMID: 29855172 (View on PubMed)

Related Links

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http://rxabbvie.com

Humira Prescribing info

Other Identifiers

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2013-004019-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M12-963

Identifier Type: -

Identifier Source: org_study_id