A Study to Evaluate the Efficacy and Safety of ASP5094 in Patients With Rheumatoid Arthritis on Methotrexate

NCT ID: NCT03257852

Last Updated: 2024-10-31

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

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-29

Study Completion Date

2018-10-16

Brief Summary

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The objective of this study is to evaluate the efficacy, safety and pharmacokinetics of ASP5094 in patients with rheumatoid arthritis (RA) treated with background methotrexate (MTX).

Detailed Description

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The study drug will be intravenously administered.

Conditions

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Rheumatoid Arthritis (RA)

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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ASP5094 Group

To be intravenously administered ASP5094 in patients with rheumatoid arthritis (RA) treated with methotrexate.

Group Type EXPERIMENTAL

ASP5094

Intervention Type DRUG

intravenously administration

Methotrexate therapy

Intervention Type OTHER

MTX must have been continuously orally administered for at least 90 days prior to screening, with stable dosage for at least 28 days prior to screening, and will be continuously administered with the same dosage throughout the study period.

Placebo Group

To be intravenously administered ASP5094 in patients with rheumatoid arthritis (RA) treated with methotrexate.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

intravenously administration

Methotrexate therapy

Intervention Type OTHER

MTX must have been continuously orally administered for at least 90 days prior to screening, with stable dosage for at least 28 days prior to screening, and will be continuously administered with the same dosage throughout the study period.

Interventions

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ASP5094

intravenously administration

Intervention Type DRUG

Placebo

intravenously administration

Intervention Type DRUG

Methotrexate therapy

MTX must have been continuously orally administered for at least 90 days prior to screening, with stable dosage for at least 28 days prior to screening, and will be continuously administered with the same dosage throughout the study period.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subject has RA diagnosed according to the 1987 American College of Rheumatology (ACR) criteria or the 2010 ACR/European League Against Rheumatism (EULAR) criteria at least 6 months prior to screening.
* Subject meets the 1991 ACR Revised Criteria for the Classification of Global Functional Status in RA Class I, II, or III at screening.
* At screening and baseline, subject has active RA as evidenced by both of the following:

* ≥ 6 tender/painful joints (using 68-joint assessment)
* ≥ 6 swollen joints (using 66-joint assessment)
* Subject meets the criterion for a CRP level (Latex Agglutination method) at screening.
* Subject who has continuously received Methotrexate for at least 90 days prior to screening and who is able to continue a stable dose of Methotrexate from at least 28 days prior to screening throughout the study period.

Exclusion Criteria

* Subject has deviated from the criteria for previous and concomitant treatment before baseline.
* Subject has an ongoing infection requiring antibiotics.
* Subject is determined to be an inadequate responder to a prior biologic disease modifying antirheumatic drugs (DMARDs) or Janus kinase (JAK) inhibitors.
* Subject has participated in previous ASP5094 clinical trial.
* Subject has participated in a clinical trial or post-marketing clinical study of another ethical drug or medical device within 12 weeks (84 days).
* Subject has another inflammatory arthritis than RA, or any other articular symptom which may affect on joint assessment.
* Subject meets any of the criteria for laboratory values at screening.
* Subject has a positive T-SPOT or QuantiFERON Gold test within 90 days prior to screening or at screening.
* Subject has a history of or concurrent malignant tumor.
* Subject has autoimmune disease except for RA or any severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, metabolic, endocrine, pulmonary, cardiac, neurological, or mental illness.
* Subject has a history of clinically significant allergy.
* Subject has clinically significant abnormalities on 12-lead electrocardiogram (ECG) at screening.
* Subject has a history of Human Immunodeficiency Virus (HIV) infection.
* Subject had surgery within 30 days prior to screening or has a planned elective surgery.
* Subject has a wound that is currently healing at baseline.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Inc

Locations

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Site JP00002

Asahikawa, , Japan

Site Status

Site JP00027

Asahikawa, , Japan

Site Status

Site JP00029

Beppu, , Japan

Site Status

Site JP00015

Chiba, , Japan

Site Status

Site JP00008

Fukuoka, , Japan

Site Status

Site JP00009

Fukuoka, , Japan

Site Status

Site JP00026

Fukuoka, , Japan

Site Status

Site JP00016

Ichinomiya, , Japan

Site Status

Site JP00012

Kanuma, , Japan

Site Status

Site JP00028

Kawachi-Nagano, , Japan

Site Status

Site JP00005

Kitamoto, , Japan

Site Status

Site JP00025

Kobe, , Japan

Site Status

Site JP00030

Kobe, , Japan

Site Status

Site JP00010

Kumamoto, , Japan

Site Status

Site JP00006

Kyoto, , Japan

Site Status

Site JP00018

Meguro City, , Japan

Site Status

Site JP00020

Nagano, , Japan

Site Status

Site JP00014

Nagoya, , Japan

Site Status

Site JP00022

Okayama, , Japan

Site Status

Site JP00011

Ōita, , Japan

Site Status

Site JP00003

Ōsaki, , Japan

Site Status

Site JP00019

Sagamihara, , Japan

Site Status

Site JP00007

Sanuki, , Japan

Site Status

Site JP00001

Sapporo, , Japan

Site Status

Site JP00023

Shimonoseki, , Japan

Site Status

Site JP00021

Shizuoka, , Japan

Site Status

Site JP00004

Takasaki, , Japan

Site Status

Site JP00017

Tomakomai, , Japan

Site Status

Site JP00013

Toyohashi, , Japan

Site Status

Site JP00024

Tsukuba, , Japan

Site Status

Site JP00031

Yokohama, , Japan

Site Status

Countries

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Japan

References

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Takeuchi T, Tanaka Y, Erdman J, Kaneko Y, Saito M, Higashitani C, Smulders R, Lademacher C. ASP5094, a humanized monoclonal antibody against integrin alpha-9, did not show efficacy in patients with rheumatoid arthritis refractory to methotrexate: results from a phase 2a, randomized, double-blind, placebo-controlled trial. Arthritis Res Ther. 2020 Oct 21;22(1):252. doi: 10.1186/s13075-020-02336-3.

Reference Type DERIVED
PMID: 33087159 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=348

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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5094-CL-0201

Identifier Type: -

Identifier Source: org_study_id

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