A Phase 2/3 Open-label Extension Study to Evaluate Long-Term Safety and Efficacy With VX-509 in Subjects With Rheumatoid Arthritis
2 other identifiers
interventional
39
4 countries
22
Brief Summary
This study is designed to evaluate the long-term safety and tolerability of VX-509 in subjects with active rheumatoid arthritis (RA) on DMARD therapy. This study will enroll subjects who completed a previous designated study with VX-509 (e.g., Study VX12-509-103).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 rheumatoid-arthritis
Started Apr 2013
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 10, 2013
CompletedFirst Posted
Study publicly available on registry
April 12, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedNovember 20, 2015
October 1, 2015
1.2 years
April 10, 2013
October 23, 2015
Conditions
Outcome Measures
Primary Outcomes (4)
Long-term safety and tolerability of VX-509 treatment
Measured by clinical laboratory tests
Baseline through 104 weeks
Long-term safety and tolerability of VX-509 treatment
Measured by adverse events (AEs)
Baseline through 104 weeks
Long-term safety and tolerability of VX-509 treatment
Measured by electrocardiograms (ECGs)
Baseline through 104 weeks
Long-term safety and tolerability of VX-509 treatment
Measured by vital signs
Baseline through 104 weeks
Secondary Outcomes (12)
Proportion of subjects who achieve CDAI LDA (≤10) or CDAI remission (≤2.8)
Baseline through 104 weeks
Proportion of subjects who achieve ≥20% (50%, 70%) improvement in disease severity according to the ACR criteria, using CRP (ACR20 CRP, ACR50 CRP, ACR70 CRP)
Baseline through 104 weeks
Change from baseline in DAS28 using CRP (4-component) (DAS28 4[CRP])
Baseline through 104 weeks
Proportion of subjects with DAS28 4(CRP) <2.6 (DAS remission)
Baseline through 104 weeks
Proportion of subjects who achieve a moderate, good, or no response according to the EULAR response criteria from baseline
Baseline through 104 weeks
- +7 more secondary outcomes
Other Outcomes (1)
Change in Outcome Measures in Rheumatology Clinical Trials (OMERACT) RAMRIS synovitis score, bone marrow edema (osteitis), erosion score, and joint space narrowing score by magnetic resonance imaging (MRI) in the designated hand
Baseline through week 12
Study Arms (1)
Single Arm VX-509
EXPERIMENTALInterventions
VX-509 dose may be increased every 8 weeks in a stepwise fashion from 100 to 150 mg and from 150 to 200 mg, as needed (determined by ongoing disease activity by CDAI)
Eligibility Criteria
You may qualify if:
- Subjects must have completed the assigned study drug treatment phase of a previous VX-509 study (e.g., Study 103).
- Subjects must voluntarily sign and date the Study 104 informed consent document.
- Subject must be willing and able to comply with the scheduled visits, treatment plan, laboratory tests, contraceptive guidelines, and other study procedures.
You may not qualify if:
- Inflammatory and rheumatological disorders other than RA, where arthritis may be a prominent feature.
- History of any clinically significant illness that might, in the opinion of the investigator, confound the results of the study or pose an additional risk in administering study drug(s) to the subject
- History of tuberculosis (TB), regardless of history of antimycobacterial treatment.
- Planned surgery during the study.
- History of alcohol or drug abuse, or excessive alcohol consumption as determined by the investigator, during the previous 12 months before Day 1.
- Pregnant or nursing an infant or with a life partner who is pregnant, nursing, or planning to become pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (22)
Vertex Investigational Site
Upland, California, United States
Vertex Investigational Site
Fort Lauderdale, Florida, United States
Vertex Investigational Site
Venice, Florida, United States
Vertex Investigational Site
West Palm Beach, Florida, United States
Vertex Investigational Site
Canton, Georgia, United States
Vertex Investigational Site
Decatur, Georgia, United States
Vertex Investigational Site
Elizabethtown, Kentucky, United States
Vertex Investigational Site
Fredrick, Maryland, United States
Vertex Investigational Site
Lincoln, Nebraska, United States
Vertex Investigational Site
Rochester, New York, United States
Vertex Investigational Site
Greensboro, North Carolina, United States
Vertex Investigational Site
Duncansville, Pennsylvania, United States
Vertex Investigational Site
Charleston, South Carolina, United States
Vertex Investigational Site
Memphis, Tennessee, United States
Vertex Investigational Site
Katy, Texas, United States
Vertex Investigational Site
San Antonio, Texas, United States
Vertex Investigational Site
Webster, Texas, United States
Vertex Investigational Site
Spokane, Washington, United States
Vertex Investigational Site
Tallinn, Estonia
Vertex Investigational Site
Vilnius, Lithuania
Vertex Investigational Site
Pretoria, South Africa
Vertex Investigational Site
Stellenbosch, South Africa
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Bradley Bloom, MD, FACR, FAAP
Vertex Pharmaceuticals Incorporated
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 10, 2013
First Posted
April 12, 2013
Study Start
April 1, 2013
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
November 20, 2015
Record last verified: 2015-10