Trial Outcomes & Findings for Andecaliximab as Add-On Therapy to a Tumor Necrosis Factor Inhibitor and Methotrexate Regimen in Adults With Moderately to Severely Active Rheumatoid Arthritis (NCT NCT02862574)

NCT ID: NCT02862574

Last Updated: 2018-06-27

Results Overview

The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), Patient's Global Assessment of Disease Activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity), and CRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

15 participants

Primary outcome timeframe

Baseline; Week 12

Results posted on

2018-06-27

Participant Flow

Participants were enrolled at study sites in the United States. The first participant was screened on 15 December 2016. The last study visit occurred on 07 August 2017.

28 participants were screened.

Participant milestones

Participant milestones
Measure
Andecaliximab 300 mg
Double-Blind Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a tumor necrosis factor (TNF) inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
Double-Blind Period: Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
Double-Blind Period: Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Double-Blind Treatment Period
STARTED
5
5
5
Double-Blind Treatment Period
COMPLETED
2
3
1
Double-Blind Treatment Period
NOT COMPLETED
3
2
4
Open-Label Treatment Period
STARTED
2
3
1
Open-Label Treatment Period
COMPLETED
0
0
0
Open-Label Treatment Period
NOT COMPLETED
2
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Andecaliximab 300 mg
Double-Blind Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a tumor necrosis factor (TNF) inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
Double-Blind Period: Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
Double-Blind Period: Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Double-Blind Treatment Period
Adverse Event
0
1
0
Double-Blind Treatment Period
Study Terminated by Sponsor
3
1
4
Open-Label Treatment Period
Study Terminated by Sponsor
2
3
1

Baseline Characteristics

Andecaliximab as Add-On Therapy to a Tumor Necrosis Factor Inhibitor and Methotrexate Regimen in Adults With Moderately to Severely Active Rheumatoid Arthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Andecaliximab 300 mg
n=5 Participants
Double-Blind Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
n=5 Participants
Double-Blind Period: Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
n=5 Participants
Double-Blind Period: Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate Open-Label Period: Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
54 years
STANDARD_DEVIATION 16.3 • n=5 Participants
57 years
STANDARD_DEVIATION 9.3 • n=7 Participants
58 years
STANDARD_DEVIATION 5.6 • n=5 Participants
56 years
STANDARD_DEVIATION 10.6 • n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
13 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
12 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Disease Activity Score C-reactive Protein (DAS28(CRP))
5.79 units on a scale
STANDARD_DEVIATION 0.814 • n=5 Participants
5.90 units on a scale
STANDARD_DEVIATION 0.752 • n=7 Participants
5.69 units on a scale
STANDARD_DEVIATION 0.887 • n=5 Participants
5.79 units on a scale
STANDARD_DEVIATION 0.764 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline; Week 12

Population: Participants in the Full Analysis Set (all randomized participants who received at least 1 dose of study drug) with available data were analyzed.

The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), Patient's Global Assessment of Disease Activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity), and CRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Andecaliximab 300 mg
n=2 Participants
Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
n=3 Participants
Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
n=3 Participants
Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Change From Baseline in DAS28(CRP) at Week 12
0.13 units on a scale
Standard Deviation 0.115
-1.51 units on a scale
Standard Deviation 0.670
-0.36 units on a scale
Standard Deviation 0.353

SECONDARY outcome

Timeframe: Week 12

Population: Full Analysis Set: all randomized participants who received at least 1 dose of study drug

The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), Patient's Global Assessment of Disease Activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity), and CRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Andecaliximab 300 mg
n=5 Participants
Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
n=5 Participants
Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
n=5 Participants
Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Percentage of Participants That Achieve DAS28(CRP) ≤ 3.2 at Week 12
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Week 12

Population: Full Analysis Set: all randomized participants who received at least 1 dose of study drug

The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), Patient's Global Assessment of Disease Activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity), and CRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Andecaliximab 300 mg
n=5 Participants
Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg
n=5 Participants
Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo
n=5 Participants
Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Percentage of Participants That Achieve DAS28(CRP) < 2.6 at Week 12
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Day 4 or 6 (± 1 day)

The plasma concentrations of andecaliximab were not collected and were not analyzed.

Outcome measures

Outcome data not reported

Adverse Events

Andecaliximab 300 mg (Double-Blind)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Andecaliximab 150 mg (Double-Blind)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo (Double-Blind)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Andecaliximab 300 mg (Open-Label)

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Andecaliximab 300 mg (Double-Blind)
n=5 participants at risk
Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg (Double-Blind)
n=5 participants at risk
Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo (Double-Blind)
n=5 participants at risk
Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 300 mg (Open-Label)
n=6 participants at risk
Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Reproductive system and breast disorders
Pelvic pain
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug

Other adverse events

Other adverse events
Measure
Andecaliximab 300 mg (Double-Blind)
n=5 participants at risk
Andecaliximab 300 mg administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 150 mg (Double-Blind)
n=5 participants at risk
Andecaliximab 150 mg administered via subcutaneous injection + placebo once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Placebo (Double-Blind)
n=5 participants at risk
Placebo administered via subcutaneous injection once weekly for 12 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Andecaliximab 300 mg (Open-Label)
n=6 participants at risk
Andecaliximab 300 mg administered via subcutaneous injection once weekly for up to 52 weeks, in addition to participant's current regimen of a TNF inhibitor and methotrexate
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Gastrointestinal disorders
Nausea
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
General disorders
Fatigue
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Infections and infestations
Influenza
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Infections and infestations
Upper respiratory tract infection
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Injury, poisoning and procedural complications
Fractured sacrum
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Investigations
White blood cell count decreased
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Musculoskeletal and connective tissue disorders
Pain in extremity
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Nervous system disorders
Headache
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
16.7%
1/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Psychiatric disorders
Anxiety
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
Skin and subcutaneous tissue disorders
Rash papular
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
20.0%
1/5 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug
0.00%
0/6 • Baseline up to the last dose date (maximum: 127 days) plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug

Additional Information

Gilead Clinical Study Information Center

Gilead Sciences

Phone: 1-833-445-3230 (GILEAD-0)

Results disclosure agreements

  • Principal investigator is a sponsor employee After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: * The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or * The study has been completed at all study sites for at least 2 years
  • Publication restrictions are in place

Restriction type: OTHER