Efficacy, Safety and Tolerability of ACZ885 in Patients With Active Rheumatoid Arthritis

This study has been completed.
Sponsor:
Information provided by:
Novartis
ClinicalTrials.gov Identifier:
NCT00424346
First received: January 17, 2007
Last updated: May 27, 2009
Last verified: May 2009
  Purpose

This 12-week study is designed to evaluate risk-benefit of three subcutaneous dose regimens of ACZ885, added on to stable methotrexate (MTX) therapy (greater than or equal to 7.5 mg/week), compared to placebo in patients with active rheumatoid arthritis (RA). The study will investigate the magnitude of effect as well as onset of effect for the different dose regimens.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: ACZ885
Drug: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A 12-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Dose-Finding Study to Evaluate the Efficacy, Safety and Tolerability of ACZ885 (Anti-Interleukin-1beta Monoclonal Antibody) With Three Different Dose Regimens in Patients With Active Rheumatoid Arthritis Despite Stable Treatment With Methotrexate

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Response to treatment (American College of Rheumatology [ACR]50 criteria), of three dose regimens of ACZ885 compared to placebo as add-on treatment to MTX [ Time Frame: at 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Response to treatment (ACR20 and ACR70 criteria, Disease Activity Score [DAS]28) assessment [ Time Frame: at 12 weeks ] [ Designated as safety issue: No ]
  • Onset of effect assessment based on ACR20 and ACR50 [ Time Frame: at 2, 4 and 8 weeks ] [ Designated as safety issue: No ]
  • Assessment of effect on ACR components, including marker of inflammation (hsCRP) [ Time Frame: after 12 weeks ] [ Designated as safety issue: No ]
  • Immunogenicity assessment after repeat exposure [ Time Frame: after 12 weeks ] [ Designated as safety issue: No ]

Enrollment: 273
Study Start Date: November 2006
Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1 Drug: ACZ885
Experimental: 2 Drug: ACZ885
Experimental: 3 Drug: ACZ885
Placebo Comparator: 4 Drug: Placebo

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Other protocol-defined inclusion/exclusion criteria may apply

Inclusion criteria

  • Male or non-pregnant, non-lactating female patients at least 18 years of age
  • Patients treated with MTX at the maximum tolerated (< or equal to 25 mg/week) and stable dose of > or equal to 7.5 mg/week for at least 12 weeks before randomization
  • Patients who failed any Disease Modifying Antirheumatic Drug (DMARDs) (incl. biologic agents and any DMARD used in combination with MTX) will be allowed

Exclusion criteria

  • Any therapy by intra-articular injections (e.g. corticosteroid) required for treatment of acute RA flare within 4 weeks
  • Evidence of active pulmonary disease (e.g. tuberculosis, fungal diseases)
  • History of a positive purified protein derivative (PPD) of tuberculin skin test without a follow-up of a negative chest X-ray
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00424346

Locations
United States, Alabama
Pinnacle Research Group
Anniston, Alabama, United States, 36207
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294
United States, Arizona
Sun Valley Arthritis Center, Ltd
Peoria, Arizona, United States, 85381
Catalina Pointe Arthritis & Rheumatology Specialists
Tucson, Arizona, United States, 85704
United States, Florida
Arthritis Research of Florida, Inc.
Palm Harbor, Florida, United States, 34684
Arthritis Center
Palm Harbor, Florida, United States, 34684
United States, Illinois
The Arthritis Center
Springfield, Illinois, United States, 62704
United States, Missouri
St. Louis Cener for Clinical Research
St. Louis, Missouri, United States, 63128
United States, New York
The Center for Rheumatology
Albany, New York, United States, 12206
AAIR Research Center
Rochester, New York, United States, 14618
United States, Oregon
Oregon Health Sciences University
Portland, Oregon, United States, 97239
United States, Washington
Tacoma Center for Arthritis Research
Tacoma, Washington, United States, 98405
Austria
Novartis
Vienna, Austria
Belgium
Novartis
Vilvoorde, Belgium
Canada, Quebec
Novartis
Dorval, Quebec, Canada
Germany
Novartis
Nuernberg, Germany
Spain
Novartis
Barcelona, Spain
Sponsors and Collaborators
Novartis
  More Information

No publications provided by Novartis

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: External Affairs, Novartis
ClinicalTrials.gov Identifier: NCT00424346     History of Changes
Obsolete Identifiers: NCT00471198, NCT00784628
Other Study ID Numbers: CACZ885A2201
Study First Received: January 17, 2007
Last Updated: May 27, 2009
Health Authority: United States: Food and Drug Administration
Austria: Federal Ministry for Health and Women
Belgium: Directorate general for the protection of Public health: Medicines
Canada: Health Canada
Germany: Federal Institute for Drugs and Medical Devices
Spain: Spanish Agency of Medicines

Keywords provided by Novartis:
Active Rheumatoid Arthritis
anti-interleukin-1beta monoclonal antibody
methotrexate

Additional relevant MeSH terms:
Arthritis
Arthritis, Rheumatoid
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Antibodies, Monoclonal
Methotrexate
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Abortifacient Agents, Nonsteroidal
Abortifacient Agents
Reproductive Control Agents
Therapeutic Uses
Antimetabolites, Antineoplastic
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Dermatologic Agents
Enzyme Inhibitors
Folic Acid Antagonists
Immunosuppressive Agents
Antirheumatic Agents
Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on May 16, 2013