Study to Evaluate SC Route of Administration of Ofatumumab in RA Patients
This study has been completed.
Sponsor:
GlaxoSmithKline
Information provided by:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00686868
First received: May 28, 2008
Last updated: January 12, 2012
Last verified: January 2012
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Purpose
This study will examine the safety and tolerability, PK and PD of subcutaneously administered GSK1841157 in patients with RA on stable dose Methotrexate. The study comprises a single dose escalation/de-escalation phase to investigate the minimal efficacious dose based on PD markers with an acceptable safety profile.
| Condition | Intervention | Phase |
|---|---|---|
|
Arthritis, Rheumatoid |
Other: placebo Drug: ofatumumab |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Clinical Phase I/IIA Study of Subcutaneously Administration of Ofatumumab in Rheumatoid Arthritis Patients on Stable Dose Methotrexate |
Resource links provided by NLM:
Further study details as provided by GlaxoSmithKline:
Primary Outcome Measures:
- Safety and tolerability as described by the incidence and severity of adverse events [AEs], clinical laboratory parameters and vital signs. [ Time Frame: throughout the study ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Requirement for the use of pre-medication, including the timing, type and dose required. [ Time Frame: throughout study ] [ Designated as safety issue: Yes ]
- Pharmacodynamics (B-cell depletion and re-population) as measured by CD-19 peripheral blood B- lymphocyte count via routine fluorescent activated cell sorting (FACS) analysis. [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- PK/PD parameters including estimation of time to re-population of CD-19 peripheral blood B-cells to above LLQ (and/or <95% depletion) following single subcutaneous dose of Ofatumumab. [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Immunogenicity as measured by the incidence, titre and type of human anti-human antibody (HAHA) immune response. [ Time Frame: throughout study ] [ Designated as safety issue: Yes ]
- Other pharmacodynamic/biomarkers of disease activity and immune status may include high sensitivity C-reactive protein (hsCRP), Erythrocyte Sedimentation Rate (ESR), B-Lymphocyte Stimulator (BLyS/BAFF), B-Lymphocyte Chemokine (BLC), IL-6, [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Immunoglobulins (IgA, IgG, IgM), Complement (CH50, C3, C4), IgM Rheumatoid Factor (IgM-RF), IgA-RF and IgG-RF, anti-cyclic citrullinated peptide antibody (aCCP), [ Time Frame: throughout study ] [ Designated as safety issue: Yes ]
- serum amyloid A (SAA), CD-3+, CD-4+ and CD-8+ lymphocytes or other biomarkers, as data permit. [ Time Frame: throughout study ] [ Designated as safety issue: No ]
- Pharmacodynamics (B-cell depletion and re-population) as measured by CD-19 peripheral blood B- lymphocyte count via routine FACS analysis.Other Secondary Endpoints [ Time Frame: throughout study ] [ Designated as safety issue: No ]
| Enrollment: | 35 |
| Study Start Date: | June 2008 |
| Study Completion Date: | November 2009 |
| Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 30mg
active
|
Drug: ofatumumab
fully human anti-CD20 monoclonal antibody
|
|
Experimental: 3mg
active
|
Drug: ofatumumab
fully human anti-CD20 monoclonal antibody
|
|
Experimental: 0.3mg
active
|
Drug: ofatumumab
fully human anti-CD20 monoclonal antibody
|
|
Placebo Comparator: placebo
placebo
|
Other: placebo
placebo
Other Name: placebo
|
| Experimental: 60mg |
Drug: ofatumumab
fully human anti-CD20 monoclonal antibody
|
| Experimental: 100mg |
Drug: ofatumumab
fully human anti-CD20 monoclonal antibody
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Key Inclusion Criteria:
- Male or female aged ≥ 18 years
- A diagnosis of rheumatoid arthritis according to the American College of Rheumatology (ACR1987 classification) of at least six months prior to screening
- Subjects must be treated with MTX, 7.5-25 mg/week, for at least 12 weeks prior to Visit 2, with the last 4 weeks prior to Day 2 at a stable dosage
- Patient must be willing to receive folic acid ≥5mg/wk 4 weeks prior to baseline administered according to locally accepted practice
- Body mass index (BMI) < 35kg/m2 (inclusive)
- Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form
Key Exclusion Criteria:
- Subjects with a history of a rheumatic autoimmune disease other than RA (except secondary Sjögren's syndrome), or with significant systemic involvement secondary to RA (vasculitis, pulmonary fibrosis or Felty's syndrome)
- Previous exposure to biologic cell depleting anti-rheumatic therapies, including investigational compounds (e.g. anti-CD11a, anti-CD19, anti-CD20, anti-CD22, anti-BLyS/BAFF, anti-CD3, anti-CD4, anti-CD5, anti-CD52)
- Exposure to etanercept < 4 weeks, infliximab or adalimumab < 8 weeks, or abatacept or anakinra < 12 weeks prior to visit 2
- Received any of the following treatments within 4 weeks prior to Visit 2:
- Anti-cancer therapy (e.g. alkylating agents, anti-metabolites, purine analogues, monoclonal antibodies)
- Glucocorticoid unless given in doses equivalent to ≤ 10 mg of prednisolone /day
- Intra-articular, i.m. or IV corticosteroids
- Live/attenuated vaccinations
- Cyclosporine
- Azathioprine
- Penicillamine
- Sulfasalazine
- Bucillamine
- Hydroxychloroquine
- Chloroquine
- Exposure to leflunomide within 12 weeks prior to visit 2 unless the subject has completed peroral cholestyramine treatment
- Exposure to gold therapy ≤ 12 weeks prior to Visit 2
- Exposure to IV immunogammaglobulins ≤ 24 weeks prior to Visit 2
- Past or current malignant melanoma
- Chronic or ongoing active infectious disease requiring systemic treatment such as, but not limited to, renal infection, chest infection with bronchiectasis, tuberculosis and active hepatitis B and C
- History of significant cerebrovascular disease
- Positive plasma / white cell JC Virus (JCV) PCR (either compartment)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00686868
Locations
| United States, Alabama | |
| GSK Investigational Site | |
| Anniston, Alabama, United States, 36207 | |
| United States, Florida | |
| GSK Investigational Site | |
| Miramar, Florida, United States, 33025 | |
| Australia, New South Wales | |
| GSK Investigational Site | |
| Randwick, New South Wales, Australia, 2031 | |
| Australia, South Australia | |
| GSK Investigational Site | |
| Adelaide, South Australia, Australia, 5000 | |
| Australia, Victoria | |
| GSK Investigational Site | |
| Heidelberg, Victoria, Australia, 3084 | |
| GSK Investigational Site | |
| Melbourne, Victoria, Australia, 3004 | |
| Belgium | |
| GSK Investigational Site | |
| Brussels, Belgium, 1200 | |
| Italy | |
| GSK Investigational Site | |
| Verona, Veneto, Italy, 37126 | |
| New Zealand | |
| GSK Investigational Site | |
| Christchurch, New Zealand, 8011 | |
| Poland | |
| GSK Investigational Site | |
| Bydgoszcz, Poland, 85168 | |
| Russian Federation | |
| GSK Investigational Site | |
| Moscow, Russian Federation, 115522 | |
| GSK Investigational Site | |
| Ryazan, Russian Federation, 390026 | |
| GSK Investigational Site | |
| Smolensk, Russian Federation, 214018 | |
| GSK Investigational Site | |
| Yaroslavl, Russian Federation, 150003 | |
| Spain | |
| GSK Investigational Site | |
| Madrid, Spain, 28046 | |
Sponsors and Collaborators
GlaxoSmithKline
Investigators
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | Cheri Hudson; Clinical Disclosure Advisor, GSK Clinical Disclosure |
| ClinicalTrials.gov Identifier: | NCT00686868 History of Changes |
| Other Study ID Numbers: | OFA110867 |
| Study First Received: | May 28, 2008 |
| Last Updated: | January 12, 2012 |
| Health Authority: | United States: Food and Drug Administration Australia: Therapeutic Goods Administration |
Keywords provided by GlaxoSmithKline:
|
GSK1841157; rheumatoid arthritis, B-cell depletion anti-CD20 monoclonal antibody, |
Additional relevant MeSH terms:
|
Arthritis Arthritis, Rheumatoid Joint Diseases Musculoskeletal Diseases Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |
Antibodies, Monoclonal Rituximab Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antirheumatic Agents Therapeutic Uses Antineoplastic Agents |
ClinicalTrials.gov processed this record on June 18, 2013