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Rheumatoid ArthritisPhase 2Taski-3NCT00665626

Efficacy and Safety Study of R935788 Tablets to Treat Rheumatoid Arthritis (Taski-3)

A Phase 2 study testing Fostamatinib disodium (R935788) in people with Rheumatoid Arthritis, run by Rigel Pharmaceuticals at 44 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether the Spleen Tyrosine Kinase (Syk) Inhibitor, R935788 (R788) at a dose of 100 mg, tablet, orally, twice-a-day is effective in the treatment of Rheumatoid Arthritis in patients who have 'failed' a biologic therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
Fostamatinib disodium (R935788)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
219 participants
Where
44 sitesin 7 countries
Study dates
May 2008to Jun 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must give written informed consent by signing an IRB/EC-approved Informed Consent Form (ICF) prior to admission to this study.
  • Males and females, 18 years of age or older, with active RA for at least 12 months prior to Day 1 dosing
  • Are currently receiving or previously had received a biologic therapy with an inhibitor of TNF, rituximab, abatacept, or anakinra at an approved labeled dose for ≥3 months prior to Day 1 dosing and are designated as biologic therapy failures for lack of efficacy, safety, or tolerability.
  • Patients may receive stable doses of methotrexate (MTX), azathioprine (not in combination with MTX), leflunomide (not in combination with MTX), sulfasalazine, chloroquine, hydroxychloroquine, gold, NSAIDs (including COX2 inhibitors), minocycline, or doxycycline. The dose must have been stable for at least 30 days prior to Day 1 dosing and must not be changed during the washout, screening and treatment periods, unless dictated by tolerability requirements. Patients who are taking MTX must have been receiving weekly MTX doses (7.5-25 mg/week) for a minimum of 3 months prior to Day 1 dosing and must be receiving a stable MTX dose, with no change in route, for the previous 6 weeks prior to Day 1 dosing. Patients who are receiving MTX must also be receiving folic or folinic acid supplementation at a stable dose for at least 6 weeks prior to Day 1 dosing.
  • Females of childbearing potential must be fully informed of the potential for R788 to adversely affect the fetus and, if sexually active, must agree to use a well established method of birth control during the study (oral contraceptive, mechanical barrier, long acting hormonal agent). 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 must otherwise be in good health as determined by the Investigator on the basis of medical history, physical examination, and laboratory screening tests during the screening period. See exclusion criteria for specific exclusions.
  • 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.

Who cannot join

  • The patient has a history of, or a concurrent, clinically significant illness, medical condition (other than arthritis) or laboratory abnormality that, in the Investigator's opinion, could affect the conduct of the study. Specifically, excluded are patients with the following:
  • uncontrolled or poorly controlled hypertension;
  • other autoimmune disease (psoriatic arthritis, lupus, mixed connective disorder) or arthritis syndromes (gout, Lyme disease, Reiter's syndrome);
  • recent serious surgery or infectious disease;
  • recent history ( of, or treatment for, a malignancy other than nonmelanomatous skin cancer, or any history of lymphoma;
  • Hepatitis B;
Show all 13Show fewer
  • Hepatitis C;
  • interstitial pneumonitis or active pulmonary infection on chest x-ray
  • Tuberculosis (TB)
  • known laboratory abnormalities
  • The patient has a history of substance abuse, drug addiction or alcoholism. Patients may consume up to 4 units of alcohol per week; however, alcohol should be avoided in the 72 hours prior to lab assessments. Patients who cannot reliably comply with this should be excluded. A unit of alcohol is defined as the following: Beer=12 oz or 355 mL; wine = 5 oz or 148 mL; sweet dessert wine=3 oz or 89 mL; 80 proof distilled spirits= 1.5 oz or 44 mL.
  • The patient has been treated previously treated with R788 under a different protocol.
  • The patient has a pacemaker, aneurysm clip or other contraindication to MRI.

Trial locations and contacts

44 sites in 7 countries.

44 sites in 7 countries

United States27 sites
  • Austin Rheumatology & Research

    Austin, Texas, 78705

  • Arthritis & Rheumatic Disease Specialties

    Aventura, California, 33180

  • RASF-Clinical Research Center

    Boca Raton, Florida, 33486

  • Intermountain Orthopedics

    Boise, Idaho, 83702

  • Rheumatology Associates, SC

    Chicago, Illinois, 60612

  • The Osteoporosis & Clinical Trials Center

    Cumberland, Maryland, 21502

  • Center for Arthritis & Osteoperosis

    Elizabethtown, Kentucky, 42701

  • Rheumatology Associates

    Erie, Pennsylvania, 16508

  • Florida Medical Research Institute

    Gainsville, Florida, 32607

  • The Osteoporosis & Clinical Trials Center

    Hagerstown, Maryland, 21740

  • Houston Institute for Clinical Research

    Houston, Texas, 77074

  • North Shore Long Island Jewich Health System

    Lake Success, New York, 11042

  • Fiechtner Research, Inc.

    Lansing, Michigan, 48910

  • Clinical Research Division

    Mayfield Village, Ohio, 44143

  • Paddock Park Clinical Research

    Ocala, Florida, 34474

  • Health Research of Oklahoma

    Oklahoma City, Oklahoma, 73103

  • Westroads Medical Group

    Omaha, Nebraska, 68114

  • Desert Medical Advances

    Palm Desert, California, 92260

  • Andrew Porges, MD PC

    Roslyn, New York, 11576

  • San Diego Arthritis & Medical Clinic

    San Diego, California, 92108

  • Lovelace Scientific Resources

    Sarasota, Florida, 34233

  • Rheumatology Associates of Long Island

    Smithtown, New York, 11787

  • Memorial Medical Group Clinical Research Inst

    South Bend, Indiana, 46601

  • Arthritis Northwest, PLLC

    Spokane, Washington, 99204

  • Department of Rheumatology

    Washington D.C., District of Columbia, 20010

  • Clinical Research Center of Reading, LLP

    West Reading, Pennsylvania, 34474

  • Rheumatic Disease Associates

    Willow Grove, Pennsylvania, 19090

Other trials in United States

Colombia5 sites
  • Reumatologos del Caribe

    Barranquilla, Atlántico

  • CIREEM

    Bogota, Cundinamarca

  • Dr. Renato Guzman

    Bogota, Cundinamarca

  • Riesgo de Fractura S.A.

    Bogota, Cundinamarca

  • Reumalab S.A.

    Medellín, Antioquia

Other trials in Colombia

Germany5 sites
  • Klinikum der J.W. Goethe Universitaet

    Frankfurt, 60590

  • Klinikum Eilbek

    Hamburg, 22081

  • ClinPharm International GmbH Leipzig

    Leipzig, 04103

  • Rheumazentrum am Universitatsklinikum Leipzig

    Leipzig, 04103

  • Universitatsklinikum Wurzburg

    Würzburg, 97070

Other trials in Germany

Belgium3 sites
  • ZNA Middelheim

    Antwepen, 2020

  • UZ Gent

    Ghent, 9000

  • CHU Liege

    Liège, 4000

Other trials in Belgium

Italy2 sites
  • Reumatologia Azienda Ospedaliera Universitaria

    Siena, 53100

  • Azienda Ospedaliera Santa Maria della Miseri

    Udine, 33100

Other trials in Italy

France1 site
  • Hopital Pellegrin

    Bordeaux, 33076

Other trials in France

Peru1 site
  • Instituto de Ginecologia y Reproduccion

    Lima, 33

Other trials in Peru

About this study

Official title: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Dose Study of R935788 in Patients With Rheumatoid Arthritis Who Have Failed at Least One Biologic

The purpose of this study is to determine whether the Spleen Tyrosine Kinase (Syk) Inhibitor, R935788 (R788) at a dose of 100 mg, tablet, orally, twice-a-day is effective in the treatment of Rheumatoid Arthritis in patients who have 'failed' a biologic therapy.

Being tested
Fostamatinib disodium (R935788), Placebo
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fostamatinib disodium (R935788)Drug

    R935788 100 mg tablet, orally, twice-a-day

  • PlaceboDrug

    Placebo, orally, twice-a-day

Study groups in NCT00665626
Study groupRoleWhat they receive
Arm 1ExperimentalFostamatinib disodium (R935788) 100 mg tablet, orally, twice-a-day
Receives: Drug: Fostamatinib disodium (R935788)
Arm 2Placebo comparatorPlacebo, orally, twice-a-day
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. American College of Rheumatology 20 (ACR20) Response at 3 Months

    The number of participants with greater than or equal to 20% improvement in tender and swollen joint counts, AND in any 3 of the following: physician's assessment of disease activity, patient's assessment of disease activity, patient's assessment of pain, Health Assessment Questionnaire-Disability Index (HAQ-DI); and CRP or ESR, after 3 months

    Measured: 3 months

Secondary outcomes (30)
  1. American College of Rheumatology 50 (ACR50) Response at 3 Months

    The number of participants with greater than or equal to 50% improvement in tender and swollen joint counts, AND in any 3 of the following: physician's assessment of disease activity, patient's assessment of disease activity, patient's assessment of pain, HAQ-DI; and CRP or ESR, whichever was elevated at baseline, after 3 months

    Measured: 3 months

  2. American College of Rheumatology 70 (ACR70) Response at 3 Months

    The number of participants with greater than or equal to 70% improvement in tender and swollen joint counts, AND in any 3 of the following: physician's assessment of disease activity, patient's assessment of disease activity, patient's assessment of pain, HAQ-DI; and CRP or ESR, whichever was elevated at baseline, after 3 months

    Measured: 3 months

  3. American College of Rheumatology Index of Improvement (ACRn) at 3 Months

    The index of improvement in RA, where 0 indicates no improvement and 100 indicates a 100% improvement across all signs and symptoms of RA after 3 months of treatment

    Measured: 3 months

  4. Disease Activity Score-C-Reactive Protein (DAS28-CRP) <2.6 at 3 Months

    Number of participants with DAS28-CRP (measuring RA symptoms including: tender joint count, swollen joint count, patient's assessment of disease activity, and CRP in patients with high CRP at baseline), of less than 2.6. The DAS runs from 0 to 10 - higher scores indicate worse symptoms. A score of less than 2.6 indicates remission of RA symptoms

    Measured: 3 months

  5. Disease Activity Score-C-Reactive Protein (DAS28-CRP) <3.2 at 3 Months

    Number of participants with DAS28-CRP (measuring RA symptoms including: tender joint count, swollen joint count, patient's assessment of disease activity, and CRP in patients with high CRP at baseline), of less than 3.2. The DAS runs from 0 to 10 - higher scores indicate worse symptoms. A score of less than 3.2 indicates low disease activity.

    Measured: 3 months

  6. Disease Activity Score-Erythrocyte Sedimentation Rate (DAS28-ESR) <2.6 at 3 Months

    Number of participants with DAS28-ESR (measuring RA symptoms including: tender joint count, swollen joint count, patient's assessment of disease activity, and ESR in patients with high ESR at baseline), of less than 2.6. The DAS runs from 0 to 10 - higher scores indicate worse symptoms. A score of less than 2.6 indicates remission of RA symptoms

    Measured: 3 months

  7. Disease Activity Score-Erythrocyte Sedimentation Rate (DAS28-ESR) <3.2 at 3 Months

    Number of participants with DAS28-ESR (measuring RA symptoms including: tender joint count, swollen joint count, patient's assessment of disease activity, and ESR in patients with high ESR at baseline), of less than 3.2. The DAS runs from 0 to 10 - higher scores indicate worse symptoms. A score of less than 3.2 indicates low disease activity.

    Measured: 3 months

  8. American College of Rheumatology 20 (ACR20) Response at Week 1

    The number of participants with greater than or equal to 20% improvement in tender and swollen joint counts, AND in any 3 of the following: physician's assessment of disease activity, patient's assessment of disease activity, patient's assessment of pain, HAQ-DI; and CRP or ESR, whichever was elevated at baseline, after 1 week.

    Measured: 1 week

  9. American College of Rheumatology 20 (ACR20) Response at Week 2

    The number of participants with greater than or equal to 20% improvement in tender and swollen joint counts, AND in any 3 of the following: physician's assessment of disease activity, patient's assessment of disease activity, patient's assessment of pain, HAQ-DI; and CRP or ESR, whichever was elevated at baseline, after 2 weeks

    Measured: 2 weeks

  10. Rheumatoid Arthritis Magnetic Resonance Imaging Scoring (RAMRIS) Erosion Score at 3 Months

    Change from baseline in RAMRIS erosion score (a measure of bone erosion in the hands and wrists), calculated as the score at 3 months minus the score at baseline. The erosion score runs from 0 to 250 with lower values indicating a better clinical condition. A negative change indicates an improvement in symptoms.

    Measured: Baseline to 3 months

  11. Rheumatoid Arthritis Magnetic Resonance Imaging Scoring (RAMRIS) Osteitis Score at 3 Months

    Change from baseline in RAMRIS osteitis score (a measure of bone inflammation in the hands and wrists), calculated as the score at 3 months minus the score at baseline. The osteitis score runs from 0 to 75 with lower values indicating a better clinical condition. A negative change indicates an improvement in symptoms.

    Measured: Baseline to 3 months

  12. Rheumatoid Arthritis Magnetic Resonance Imaging Scoring (RAMRIS) Synovitis Score at 3 Months

    Change from baseline in RAMRIS synovitis score (a measure of inflammation in the joints of the hands and wrists), calculated as the score at 3 months minus the score at baseline. The synovitis score runs from 0 to 24 with lower values indicating a better clinical condition. A negative change indicates an improvement in symptoms.

    Measured: Baseline to 3 months

  13. Alanine Aminotransferase (ALT) >1.5x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 1.5 times the ULN

    Measured: Any time between baseline and 3 months

  14. Alanine Aminotransferase (ALT) >1.5-2x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 1.5 to 2 times the ULN

    Measured: Any time between baseline and 3 months

  15. Alanine Aminotransferase (ALT) >2-3x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 2 to 3 times the ULN

    Measured: Any time between baseline and 3 months

  16. Alanine Aminotransferase (ALT) >3x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 3 times the ULN

    Measured: Any time between baseline and 3 months

  17. Alanine Aminotransferase (ALT) >3-5x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 3 to 5 times the ULN

    Measured: Any time between baseline and 3 months

  18. Alanine Aminotransferase (ALT) >5-10x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 5 to 10 times the ULN

    Measured: Any time between baseline and 3 months

  19. Alanine Aminotransferase (ALT) >10x Upper Limit of Normal (ULN)

    The number of participants with ALT (a test of liver function) values greater than 10 times the ULN

    Measured: Any time between baseline and 3 months

  20. Aspartate Aminotransferase (AST) >1.5x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 1.5 times the ULN

    Measured: Any time between baseline and 3 months

  21. Aspartate Aminotransferase (AST) >1.5-2x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 1.5 to 2 times the ULN

    Measured: Any time between baseline and 3 months

  22. Aspartate Aminotransferase (AST) >2-3x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 2 to 3 times the ULN

    Measured: Any time between baseline and 3 months

  23. Aspartate Aminotransferase (AST) >3x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 3 times the ULN

    Measured: Any time between baseline and 3 months

  24. Aspartate Aminotransferase (AST) >3-5x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 3 to 5 times the ULN

    Measured: Any time between baseline and 3 months

  25. Aspartate Aminotransferase (AST) >5-10x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 5 to 10 times the ULN

    Measured: Any time between baseline and 3 months

  26. Aspartate Aminotransferase (AST) >10x Upper Limit of Normal (ULN)

    The number of participants with AST (a test of liver function) values greater than 10 times the ULN

    Measured: Any time between baseline and 3 months

  27. Alkaline Phosphatase >1.5x Upper Limit of Normal (ULN) and >1.5x Baseline

    The number of participants with alkaline phosphatase (a test of liver function) values greater than 1.5 times the ULN and greater than 1.5 times baseline

    Measured: Any time between baseline and 3 months

  28. Bilirubin >1.5x Upper Limit of Normal (ULN)

    The number of participants with bilirubin (a test of liver function) values greater than 1.5 times the ULN

    Measured: Any time between baseline and 3 months

  29. Bilirubin >2x Upper Limit of Normal (ULN)

    The number of participants with bilirubin (a test of liver function) values greater than 2 times the ULN

    Measured: Any time between baseline and 3 months

  30. Absolute Neutrophil Count (ANC) <1500/mm3

    The number of participants with ANC values less than 1500/mm3

    Measured: Any time between baseline and 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2008 (estimated)
  2. Study startMay 2008
  3. Primary completionJun 2009
  4. Study completionJun 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
219 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00665626
Sponsor's protocol ID
C-935788-011
Acronym
Taski-3
Status last verified
Mar 2017
First submitted
22 Apr 2008
Last updated
1 May 2017
Data monitoring committee
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Fostamatinib disodium (R935788) in people with Rheumatoid Arthritis, run by Rigel Pharmaceuticals at 44 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Colombia, Germany, Belgium, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Jul 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

American College of Rheumatology 20 (ACR20) Response at 3 Months (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2017.

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