Treatment of Arthritis With Syk Kinase Inhibition (TASKI-1)

NCT00326339 | Completed Phase 2 DMC

• 1 other identifier: C-935788-006
• Study Type: interventional
• Target: 189
• Locations: 2 countries
• Sites: 38

Brief Summary

This is a Phase II, multicenter, randomized, double-blind, placebo-controlled, ascending dose, dose ranging study to evaluate up to three doses of R935788 (50 mg bid, 100 mg bid and 150 mg bid). Approximately 180 patients who have had rheumatoid arthritis for a minimum of 12 months and who have been receiving a weekly methotrexate (MTX) dose for a minimum of 6 months will be enrolled into the study.

Conditions

Rheumatoid Arthritis

Keywords

R935788; Rheumatoid Arthritis; Syk Kinase

Outcome Measures

Primary Outcomes (1)

• The Primary Efficacy parameter is ACR20 response rate at 3 months post dosing.

  12 weeks

Secondary Outcomes (12)

• ACR 20/50 responses over time

  12 weeks

• Disease Activity Score (DAS) at baseline and endpoint

  12 Weeks

• Mean changes (SDs) from baseline in Swollen Joint Count (28 joint count)

  12 Weeks

• Mean changes (SDs) from baseline in Tender Joint Count (28 joint count)

  12 Weeks

• Mean changes (SDs) from baseline in Physician global assessment of disease activity by visual analog scale (VAS)

  12 Weeks

Study Arms (4)

1

EXPERIMENTAL

R788 50 mg PO bid

Drug: R788

2

EXPERIMENTAL

R788 100 mg PO bid

Drug: R788

3

EXPERIMENTAL

R788 150 mg PO bid

Drug: R788

4

PLACEBO COMPARATOR

Placebo PO bid

Drug: Placebo

Interventions

R788 DRUG

R788 50 mg, 100 mg, or 150 mg PO bid

Also known as: tamatinib fosdium

1; 2; 3

Placebo DRUG

Placebo PO bid

4

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients must give written informed consent by signing an IRB-approved Informed Consent Form (ICF) prior to admission to this study.
• Males and females, 18 to 75 years of age, with active RA for at least 12 months (functional class I-III, e.g., not bed or wheelchair-bound) who have been receiving weekly doses of methotrexate (10-25 mg/week) for a minimum of 180 days, and who have been receiving a stable MTX dose of at least 15 mg without any change in route or change in folic acid supplementation for at least 30 days.
• Active RA is defined as the presence of (a)6 swollen joints (28 joint count); AND (b)6 tender joints (28 joint count); AND (c) CRP level \> ULN for the central reference laboratory.
• Patient may receive up to 10 mg per day of oral prednisone or steroid equivalent, NSAID therapy, hydroxychloroquine, chloroquine, minocycline, sulfasalazine, and doxycycline. The dose(s) must have been stable for at least 30 days and must not be changed during the washout, screening and treatment periods, unless dictated by tolerability requirements.
• Females of childbearing potential must be fully informed of the potential for methotrexate and R788 to adversely affect the fetus and must agree to use adequate (2 methods) contraception during the study. These patients must not be lactating and must have a negative urine pregnancy test at the time of randomization and at each laboratory determination.
• The patient is in otherwise good health as determined by the Investigator on the basis of medical history, physical examination, and laboratory screening tests during the screening period, including the absence of clinically significant findings, such as HIV, HBV or HCV, interstitial pneumonitis or active pulmonary infection, on chest X-ray taken within 6 months prior to screening and a negative TB skin test, or abnormal liver function defined as known ALT \>1.2xULN within the past 90 days.
• In the investigator's opinion, the patient has the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the investigator and to participate in, and to comply with, the requirements of the entire protocol.

You may not qualify if:

• The patient has a history of substance abuse, drug addiction or alcoholism.
• The patient is unable to abstain from alcohol during the study.
• The patient has a recent (past 5 years) history of, or treatment for, a malignancy other than basal skin cancer.
• The patient has received any investigational medication within 30 days prior to admission to the study.
• Any patient who has received any of the following treatments must abide by the indicated washout period:
• oral or injectable gold, azathioprine, penicillamine, anakinra require a 30 day washout period prior to Day 1 dosing
• cyclosporine, abatacept, etanercept, infliximab or adalimumab require a 60 day washout period prior to Day 1 dosing
• leflunomide requires a 60 day washout period prior to screening, unless the patient has undergone cholestyramine washout at least 30 days prior to Day 1 dosing
• cyclophosphamide requires a 180 day washout period prior to Day 1 dosing
• Rituxan requires a 180 day washout period and normal CD19 count prior to Day 1 dosing
• parenteral or intra-articular corticosteroids require a 30 day washout period prior to Day 1 dosing
• Patients with the following laboratory abnormalities: ALT \> 1.2X ULN, creatinine \> ULN, a neutrophil count \< 2,500/mm3 or lymphocyte count \< 800/mm3, Hgb \< 10 g/dL, platelet count \< 125,000/mm3 are excluded.
• Patients should not use CYP3A4 inhibitors from within 3 days of randomization until the end of study. R406 is metabolized by CYP3A4, and ketoconazole increases the R406 AUC of a dose of R788 by approximately 2 fold.
• Patients should not use CYP3A4 inducers from within 3 days of randomization until the end of the study. Although glucocorticoids are inducers, a stable dose of no more than 10 mg/day is allowed.

Sponsors & Collaborators

• Rigel Pharmaceuticals: lead

Study Sites (38)

Pacific Arthritis Center Medical Group

Santa Maria, California, 93455, United States

Location

DMI research

Ocala, Florida, 34471, United States

Location

Renstar Medical Research

Ocala, Florida, 34471, United States

Location

Arthritis & Osteoporosis Treatment Center

Orange Park, Florida, 32073, United States

Location

Arthritis Associates Inc.

Orlando, Florida, 32804, United States

Location

Arthritis Research of Florida, Inc.

Palm Harbor, Florida, 34684, United States

Location

Arthritis Research of Florida

Palm Harbor, Florida, 34684, United States

Location

Lovelace Scientific Resources

Sarasota, Florida, 34233, United States

Location

The Center for Arthritis and Rheumatic Diseas

South Miami, Florida, 33143, United States

Location

Coeur d'Alene Arthritis Clinical Trials

Coeur d'Alene, Idaho, 83814-2644, United States

Location

The Arthritis Center

Springfield, Illinois, 62704, United States

Location

MMG Clinical Research

South Bend, Indiana, 46601, United States

Location

Phase III Clinical Research

Fall River, Massachusetts, 02720, United States

Location

Michigan Arthritis Research Center

Brighton, Michigan, 48116, United States

Location

Westroad Medical Group

Omaha, Nebraska, 68114, United States

Location

NC Arthritis & Allergy Care Center

Raleigh, North Carolina, 27609, United States

Location

Clinical Research Division

Mayfield Village, Ohio, 44143, United States

Location

Lynn Health Science Institute

Oklahoma City, Oklahoma, 73112, United States

Location

East Penn Rheumatology Associates

Bethlehem, Pennsylvania, 18015, United States

Location

Altoona Ctr. for Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Clinical Research Center of Reading LLP

West Reading, Pennsylvania, 19611, United States

Location

Low Country Rheumatology

Charleston, South Carolina, 29406, United States

Location

Arthritis Clinic

Jackson, Tennessee, 38305, United States

Location

SCRI

Memphis, Tennessee, 38115, United States

Location

Austin Rheumatology Research

Austin, Texas, 78705, United States

Location

Research Across America

El Paso, Texas, 79902, United States

Location

Center for Arth. & Rheum. Disease, PC

Chesapeake, Virginia, 23320, United States

Location

Hospital Aranda de la Parra

León, GT, 37000, Mexico

Location

Hospital Civil de Guadalajara "Fray Antonio Alcalde"

Guadalajara, JA, 44280, Mexico

Location

Hospital Civil de Guadalajara "Dr. Juan I. Menchaca"

Guadalajara, JA, 44340, Mexico

Location

Clinica para el Diagnostico y Tratamiento de las Enfermedades Reumaticas, S.C.

Mexico City, Mexico City, 06700,, Mexico

Location

Arke Estudios Clinicos, S.A. de C.V.

Mexico City, Mexico City, 06700, Mexico

Location

Hospital General de Mexico

Mexico City, Mexico City, 06726, Mexico

Location

Centro Médico DALINDE

Mexico City, Mexico City, 06760, Mexico

Location

Hospital Regional "1° de Octubre", ISSSTE

Mexico City, Mexico City, 07760, Mexico

Location

Centro Médico del Instituto de Seguridad Social del Estado de Mexico y Municipios (CMISSEMYM)

Metepec, MX, 52170, Mexico

Location

Facultad de Medicina y Hospital Universitario "Dr. Jose E. Gonzalez" de la Universidad Autonoma de Nuevo Leon

Monterrey, Nuevo León, 64020, Mexico

Location

Hospital Central "Dr. Ignacio Morones Prieto"

San Luis Potosí City, SL, 78240, Mexico

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

fostamatinib

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases

Study Officials

• Elliott Grossbard, M.D.

  Rigel Pharmaceuticals

  STUDY DIRECTOR

• Michael Weinblatt, M.D.

  Brigham and Women's Hospital

  PRINCIPAL INVESTIGATOR

• Arthur Kavanaugh, M.D.

  University of California, San Diego

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY

Study Record Dates

• First Submitted: May 12, 2006
• First Posted: May 16, 2006
• Study Start: August 1, 2006
• Primary Completion: October 1, 2007
• Study Completion: December 1, 2007
• Last Updated: April 20, 2009

Record last verified: 2008-03

Locations

ME (11); US (27)