NCT01679951

Brief Summary

The purpose of this dose range finding study is to assess the effectiveness, safety and tolerability of JNJ-38518168 at doses of 3, 10, and 30 mg/d compared with placebo in patients with active rheumatoid arthritis (RA) despite concomitant methotrexate (MTX) therapy.

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
272

participants targeted

Target at P75+ for phase_2 rheumatoid-arthritis

Timeline
Completed

Started Oct 2012

Geographic Reach
16 countries

85 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 3, 2012

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 6, 2012

Completed
2 months until next milestone

Study Start

First participant enrolled

October 31, 2012

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 17, 2014

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 3, 2014

Completed
Last Updated

March 18, 2019

Status Verified

March 1, 2019

Enrollment Period

1.5 years

First QC Date

September 3, 2012

Last Update Submit

March 13, 2019

Conditions

Keywords

Rheumatoid arthritisSwollen and tender jointsMethotrexateImmunologyDose range finding study

Outcome Measures

Primary Outcomes (1)

  • Disease Activity Score 28 (DAS28) (C-reactive protein [CRP]) at Week 12

    The DAS28 using CRP is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP, and Patient's Global Assessment of Disease Activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst.

    Baseline and Week 12

Secondary Outcomes (16)

  • Change from baseline in DAS28 (CRP) at Week 24

    Baseline and Week 24

  • Change from baseline in DAS28 (erythrocyte sedimentation rate [ESR]) at Week 12 and Week 24

    Baseline, Week 12 and Week 24

  • DAS28 (CRP) response rates at Week 12 and Week 24

    Week 12 and Week 24

  • DAS28 (ESR) response rates at Week 12 and Week 24

    Week 12 and Week 24

  • DAS28 (CRP) remission rates at Week 12 and Week 24

    Week 12 and Week 24

  • +11 more secondary outcomes

Study Arms (4)

Placebo

PLACEBO COMPARATOR
Drug: PlaceboDrug: Methotrexate

JNJ-38518168 (3 mg/d)

EXPERIMENTAL
Drug: JNJ-38518168 (3 mg)Drug: Methotrexate

JNJ-38518168 (10 mg/d)

EXPERIMENTAL
Drug: JNJ-38518168 (10 mg)Drug: Methotrexate

JNJ-38518168 (30 mg/d)

EXPERIMENTAL
Drug: JNJ-38518168 (30 mg)Drug: Methotrexate

Interventions

Form=tablet, route=oral. Placebo will be administered once daily from week 0 to week 24.

Placebo

Type=exact number, unit=mg, number=3, form=tablet, route=oral. JNJ-38518168 will be administered once daily up to 24 weeks.

JNJ-38518168 (3 mg/d)

Type=exact number, unit=mg, number=10, form=tablet, route=oral. JNJ-38518168 will be administered once daily up to 24 weeks.

JNJ-38518168 (10 mg/d)

Type=exact number, unit=mg, number=30, form=tablet, route=oral. JNJ-38518168 will be administered once daily up to 24 weeks.

JNJ-38518168 (30 mg/d)

Participants must have been treated with and tolerated Methotrexate (MTX) treatment at dosages from 10 to 25 milligram per week (mg/week) inclusive, for a minimum of 6 months prior to the date of signing the informed consent at screening and must have a stable MTX dose for a minimum of 8 weeks prior to the date of signing the informed consent at screening and continue to receive the same MTX dose at Week 0 through Week 24.

JNJ-38518168 (10 mg/d)JNJ-38518168 (3 mg/d)JNJ-38518168 (30 mg/d)Placebo

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has had rheumatoid arthritis for at least 6 months prior to the date of signing the informed consent at screening
  • Must be positive for either anti-cyclic citrullinated peptide antibody or rheumatoid factor in serum at screening
  • Must have active rheumatoid arthritis (at least 6 swollen and 6 tender joints using a 66/68 joint count at the time of screening and at baseline and Serum C reactive protein greater than or equal to 0.80 mg/dL at the time of screening
  • Has been treated with and tolerated methotrexate treatment at dosages from 10 to 25 mg/week inclusive, for a minimum of 6 months with stable dose for at least 8 weeks prior to the date of signing the informed consent at screening

You may not qualify if:

  • Has inflammatory diseases other than rheumatoid arthritis, including but not limited to adult onset Still's disease, psoriatic arthritis, ankylosing spondylitis, systemic lupus erythematosus, and Lyme disease that might confound the evaluation of the benefit of study agent therapy
  • Has current signs or symptoms of liver or renal insufficiency or cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, psychiatric, or metabolic disturbances that are severe, progressive or uncontrolled
  • Has ever received any approved or investigational biologic agent for a rheumatoid indication
  • Has been treated with any nonbiologic disease modifying antirheumatic drugs within 4 weeks prior to the first administration of study agent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (85)

Unknown Facility

Huntsville, Alabama, United States

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Gilbert, Arizona, United States

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Covina, California, United States

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Palm Harbor, Florida, United States

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Granger, Indiana, United States

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Frederick, Maryland, United States

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Freehold, New Jersey, United States

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Charlotte, North Carolina, United States

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Charleston, South Carolina, United States

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Buenos Aires, Argentina

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San Miguel de Tucumán, Argentina

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Osorno X Region, Chile

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Santiago, Chile

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Santiago - Macul, Chile

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Viña del Mar, Chile

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Barranquilla, Colombia

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Bogotá, Colombia

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Bucaramanga, Colombia

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Cali, Colombia

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Medellín, Colombia

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Hlučín, Czechia

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Ostrava, Czechia

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Prague, Czechia

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Slaný, Czechia

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Zlín, Czechia

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Balatonfüred, Hungary

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Budapest, Hungary

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Debrecen, Hungary

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Gyulai, Hungary

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Veszprém, Hungary

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Chiba, Japan

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Fukuoka, Japan

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Hokkaido, Japan

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Kanagawa, Japan

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Katō, Japan

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Kawagoe, Japan

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Kumamoto, Japan

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Kyoto, Japan

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Matsuyama, Japan

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Osaka, Japan

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Sapporo, Japan

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Takasaki, Japan

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Tokyo, Japan

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Ādaži, Latvia

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Riga, Latvia

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Valmiera, Latvia

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Del Gustavo A Madero, Mexico

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Delegación Cuauhtémoc, Mexico

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Guadalajara, Mexico

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Guadalajara, Jalisco, Mexico

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Guadalaja, Mexico

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León, Mexico

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Mexico City, Mexico

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México, Mexico

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San Luis Potosí City, Mexico

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Bialystok, Poland

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Katowice, Poland

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Nadarzyn, Poland

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Poznan, Poland

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Środa Wielkopolska, Poland

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Warsaw, Poland

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Wroclaw, Poland

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Bacau, Romania

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Brăila, Romania

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Bucharest, Romania

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Sibiu, Romania

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Kazan', Russia

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Moscow, Russia

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Novosibirsk, Russia

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Petrozavodsk, Russia

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Saint Petersburg, Russia

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Saratov, Russia

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Tver', Russia

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Yaroslavl, Russia

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Daegu, South Korea

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Pucheon, South Korea

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Suwon, South Korea

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Kaohsiung City, Taiwan

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Taichung, Taiwan

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Taipei, Taiwan

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Bangkok, Thailand

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Chiang Mai, Thailand

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Donetsk, Ukraine

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Kyiv, Ukraine

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Vinnytsia, Ukraine

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MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

Methotrexate

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

AminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Janssen Research and Development, LLC Clinical Trial

    Janssen Research and Development LLC

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 3, 2012

First Posted

September 6, 2012

Study Start

October 31, 2012

Primary Completion

April 17, 2014

Study Completion

July 3, 2014

Last Updated

March 18, 2019

Record last verified: 2019-03

Locations