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Rheumatoid ArthritisPhase 2986NCT01999192

Study to Investigate the Safety and Efficacy of Tregalizumab in Subjects (MTX-IR) With Active Rheumatoid Arthritis

A Phase 2 study testing Tregalizumab in people with Rheumatoid Arthritis, run by Biotest at 84 sites in 14 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine the efficacy and safety of three different Tregalizumab doses in combination with Methotrexate (MTX) in subjects who have active rheumatoid arthritis and an inadequate response to MTX alone. The overall study duration is 24 weeks followed by a 24 week extension phase. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
Tregalizumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
321 participants
Where
84 sitesin 14 countries
Study dates
Oct 2013to Jul 2015
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject demonstrates active RA according to the 1987 American College of Rheumatology (ACR) or 2010 ACR/European League Against Rheumatism (EULAR) classification criteria for RA with functional class I-III for ≥6 months.
  • Subject receives oral or parenteral MTX treatment for ≥12 weeks (overall), with an unchanged mode of application and stable MTX dose of ≥15 mg per week (or ≥12.5 mg per week in case of MTX intolerance), but no more than the highest locally approved dose for RA, for ≥8 weeks prior to baseline. The dose of MTX is expected to remain stable throughout the study and may be adjusted only for safety reasons. If applicable, the dose of folic acid must be unchanged for ≥8 weeks prior to baseline.
  • Subject meets the following two criteria at both screening and baseline: - At least 6 swollen joints at 28-joint assessment. - At least 6 tender joints at 28-joint assessment.
  • Subject has an erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) above the upper limit of normal (ULN) at screening. These tests may be repeated once during the screening period at the discretion of the investigator.
  • Subject is ≥18 and ≤75 years of age.
  • Subject has a body mass index ≥18 and ≤35 kg/m².
Show all 11Show fewer
  • Subject receives treatment with corticosteroids ≤10 mg prednisone equivalent, stable for at least 4 weeks prior to baseline and during the study, if applicable.
  • Subject receives treatment with non-steroidal anti-inflammatory drugs (NSAIDs), stable for at least 2 weeks prior to baseline and during the study, if applicable.
  • Female subjects of childbearing potential: has both a negative serum pregnancy test at screening and a negative urine pregnancy test at baseline.
  • Subject is judged to be in good general health as determined by the investigator based upon the results of medical history, laboratory profile, physical examination, chest X-ray (within 3 months before screening date is acceptable), and 12-lead electrocardiogram (ECG).
  • Subject has a cluster of differentiation 4 (CD4) cell count of > 400/µl at screening.

Who cannot join

  • Subject has previous exposure to any systemic biologic therapy (e.g., etanercept, adalimumab, rituximab, abatacept, tocilizumab), to Janus kinase (JAK) or spleen tyrosine kinase (SYK) inhibitors, or to Tregalizumab. Previous treatment with an anti-TNF agent is allowed only, if all of the following criteria apply: - treatment was stopped for reasons other than lack of efficacy or adverse events (AEs) - treatment was stopped at least 12 weeks or five half-lives of the compound prior to baseline (whichever is longer), and - the treatment period did not exceed 6 weeks.
  • Subject received treatment with conventional disease-modifying anti-rheumatic drugs (DMARDs) apart from MTX in the 12 weeks prior to baseline, and for DMARD leflunomide in the 24 weeks prior to baseline (except where specific leflunomide wash-out procedures were completed, following applicable guidelines).
  • Subject has been treated with intra-articular or parenteral administration of corticosteroids in the 4 weeks prior to baseline. Inhaled corticosteroids for stable medical conditions are allowed.
  • Subject has undergone joint surgery in the 12 weeks prior to baseline (at joints to be assessed within the study) or has undergone major surgery (e.g., abdominal surgery) in the 8 weeks prior to baseline.
  • Subject has a history of acute inflammatory joint disease of an origin other than RA or subject has any other rheumatic disease other than RA (e.g., mixed connective tissue disease, seronegative spondylarthropathy, psoriatic arthritis, Reiter's syndrome, fibromyalgia, systemic lupus erythematosus or any arthritis with onset prior to age 17 years). However, subjects may have secondary Sjögren's syndrome.

Trial locations and contacts

84 sites in 14 countries.

84 sites in 14 countries

Russia11 sites
  • Study Site 08

    Kemerovo

  • Study Site 11

    Kemerovo

  • Study Site 04

    Kursk

  • Study Site 03

    Moscow

  • Study Site 07

    Moscow

  • Study Site 10

    Moscow

  • Study Site 05

    Omsk

  • Study Site 09

    Saratov

  • Study Site 06

    Smolensk

  • Study Site 01

    Tomsk

  • Study Site 02

    Yaroslavl

Other trials in Russia

Poland10 sites
  • Study Site 08

    Bialystok

  • Study Site 05

    Bydgoszcz

  • Study Site 10

    Elblag

  • Study Site 04

    Gdynia

  • Study Site 02

    Katowice

  • Study Site 03

    Krakow

  • Study Site 06

    Krakow

  • Study Site 09

    Poznan

  • Study Site 01

    Warsaw

  • Study Site 07

    Warsaw

Other trials in Poland

Czechia9 sites
  • Study Site 03

    Bruntál

  • Study Site 05

    Ostrava

  • Study Site 01

    Prague

  • Study Site 04

    Prague

  • Study Site 08

    Prague

  • Study Site 09

    Prague

  • Study Site 02

    Uherské Hradiště

  • Study Site 07

    Uherské Hradiště

  • Study Site 06

    Zlín

Other trials in Czechia

Ukraine9 sites
  • Study Site 08

    Donetsk

  • Study Site 01

    Kharkiv

  • Study Site 02

    Kharkiv

  • Study Site 03

    Kyiv

  • Study Site 04

    Kyiv

  • Study Site 05

    Vinnytsia

  • Study Site 06

    Vinnytsia

  • Study Site 07

    Vinnytsia

  • Study Site 09

    Zaporizhzhya

Other trials in Ukraine

United States8 sites
  • Study Site 02

    Clifton, New Jersey, 07012

  • Study Site 09

    Houston, Texas, 77004

  • Study Site 05

    Jackson, Tennessee, 38305

  • Study Site 10

    Katy, Texas, 77450

  • Study Site 03

    Lincoln, Nebraska, 68516

  • Study Site 04

    North Charleston, South Carolina, 29406

  • Study Site 07

    Paradise Valley, Arizona, 85253

  • Study Site 01

    Springfield, Illinois, 62704

Other trials in United States

Bulgaria7 sites
  • Study Site 01

    Plovdiv

  • Study Site 06

    Plovdiv

  • Study Site 02

    Sofia

  • Study Site 04

    Sofia

  • Study Site 07

    Sofia

  • Study Site 05

    Stara Zagora

  • Study Site 03

    Varna

Other trials in Bulgaria

Hungary6 sites
  • Study Site 03

    Balatonfüred

  • Study Site 02

    Budapest

  • Study Site 04

    Budapest

  • Study Site 05

    Budapest

  • Study Site 06

    Gyula

  • Study Site 01

    Veszprém

Other trials in Hungary

Germany5 sites
  • Study Site 03

    Berlin

  • Study Site 04

    Frankfurt

  • Study Site 06

    München

  • Study Site 02

    Ratingen

  • Study Site 01

    Zerbst

Other trials in Germany

Mexico5 sites
  • Study Site 02

    Chihuahua City

  • Study Site 03

    Distrito Federal

  • Study Site 06

    León, Guanajuato

  • Study Site 05

    Mexico City, Mexico City

  • Study Site 08

    Mexico City, Mexico City

Other trials in Mexico

Slovakia5 sites
  • Study Site 03

    Bratislava

  • Study Site 04

    Kosice - Saca

  • Study Site 05

    Lučenec

  • Study Site 02

    Považská Bystrica

  • Study Site 01

    Rimavská Sobota

Other trials in Slovakia

Serbia4 sites
  • Study Site 01

    Belgrade

  • Study Site 02

    Belgrade

  • Study Site 04

    Belgrade

  • Study Site 03

    Niška Banja

Other trials in Serbia

Canada2 sites
  • Study Site 02

    Rimouski, Quebec

  • Study Site 01

    Saint-Jérôme, Quebec

Other trials in Canada

Lithuania2 sites
  • Study Site 01

    Kaunas

  • Study Site 02

    Vilnius

Other trials in Lithuania

Estonia1 site
  • Study Site 01

    Tallinn

Other trials in Estonia

About this study

Official title: A 24-week Phase IIb, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Investigate the Efficacy and Safety of Tregalizumab (BT061) in Combination With Methotrexate in the Treatment of Subjects With Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Methotrexate Alone, Followed by a 24-week Extension Phase: T Cell REgulating Arthritis Trial 2b (TREAT 2b)

The purpose of this study is to determine the efficacy and safety of three different Tregalizumab doses in combination with Methotrexate (MTX) in subjects who have active rheumatoid arthritis and an inadequate response to MTX alone.

The overall study duration is 24 weeks followed by a 24 week extension phase.

Read the detailed description

The planned clinical study 986 (TREAT 2b) is a 24-week study in patients with Active rheumatoid arthritis (RA) who have had an inadequate response to Methotrexate (MTX) alone. The main phase of this study is followed by a 24-week extension phase for subjects meeting the respective entry criteria. Patients will be randomized to one of three different Active treatment groups or Placebo. The primary efficacy variable is the proportion of subjects with an ACR20 response after 12 weeks of double blinded treatment with the study medication based on observed cases in the FAS.

At Week 12, all subjects who had a minimum improvement of at least 20% (from baseline) in their tender joint count (TJC) and swollen joint count (SJC) continued on the same treatment. Subjects who had not demonstrated an improvement of at least 20% of TJC and SJC were assessed as non-responders. Non-responders who received placebo were randomized to an active treatment dose in a blinded manner. Non-responders who received active treatment were rolled up to the next highest dose in a blinded manner, apart from those already on the highest dose. These subjects remained on the highest dose.

Being tested
Tregalizumab, Placebo
Keywords
inadequate response to MTX, Methotrexate, rheumatoid Arthritis, Phase 2b
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • TregalizumabDrug

    Also called BT061

    humanized anti-CD4 mAb

  • PlaceboDrug

    identical end formulation buffer

Study groups in NCT01999192
Study groupRoleWhat they receive
Dose Level 1 TregalizumabExperimental25mg Tregalizumab s.c. weekly
Receives: Drug: Tregalizumab
Dose Level 2 TregalizumabExperimental100mg Tregalizumab s.c. weekly
Receives: Drug: Tregalizumab
Dose Level 3 TregalizumabExperimental200mg Tregalizumab s.c. weekly
Receives: Drug: Tregalizumab
PlaceboPlacebo comparatorPlacebo s.c. weekly
Receives: Drug: Placebo

What is being measured

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

  1. The Proportion of Subjects Who Achieve an ACR20 at Week 12 Following Treatment With Tregalizumab + MTX Compared With Subjects Treated on Placebo + MTX

    The primary efficacy variable was the proportion of subjects with an ACR20 response after 12 weeks of double-blind treatment with the study medication.

    The analysis of the primary endpoint was performed using observed cases (OC) on the FAS.

    Measured: Week 12

Secondary outcomes (11)
  1. Proportions of Subjects With an ACR 20 Response.

    Measured: Week 24

  2. Proportions of Subjects With an ACR 50 & 70 Response.

    Measured: Week 12 & Week 24

  3. Proportions of Subjects With an Disease Activity Score DAS28 <2.6

    Measured: Week 12 & Week 24

  4. Proportions of Subjects With Low Disease Activity DAS28 ≤3.2

    Measured: Week 12 & Week 24

  5. ACR Score

    Measured: up to 48 weeks

  6. Simple Disease Activity Index [SDAI] ≤11

    Measured: week 12 & 24

  7. Clinical Disease Activity Index [CDAI] ≤10

    Measured: week 12 & 24

  8. DAS28

    Measured: up to 48 weeks

  9. EULAR Response

    Measured: up to 48 weeks

  10. ACR Score Individual Components

    Measured: up to 48 weeks

  11. DAS28 Score Individual Components

    Measured: up to 48 weeks

Timeline

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

  1. First posted3 Dec 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionJul 2015
  4. Study completionJul 2015

Why it stopped: Lack of efficacy

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
321 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01999192
Sponsor's protocol ID
986_TREAT 2b
Other IDs
2013-000114-38, BT986
Acronym
986
Status last verified
Jul 2017
First submitted
17 Nov 2013
Last updated
24 Aug 2017
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • van Vollenhoven RF, Keystone EC, Strand V, Pacheco-Tena C, Vencovsky J, Behrens F, Racewicz A, Zipp D, Rharbaoui F, Wolter R, Knierim L, Schmeidl R, Zhou X, Aigner S, Dalken B, Wartenberg-Demand A; TREAT2b study team. Efficacy and safety of tregalizumab in patients with rheumatoid arthritis and an inadequate response to methotrexate: results of a phase IIb, randomised, placebo-controlled trial. Ann Rheum Dis. 2018 Apr;77(4):495-499. doi: 10.1136/annrheumdis-2017-212478. Epub 2018 Jan 17.

    PubMed 29343509

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tregalizumab in people with Rheumatoid Arthritis, run by Biotest at 84 sites in 14 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 11 inclusion and 5 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: stopped early, as of the sponsor's last update on 24 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 84 sites in Russia, Poland, Czechia, Ukraine, United States and 9 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 24 Aug 2017). 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?

The Proportion of Subjects Who Achieve an ACR20 at Week 12 Following Treatment With Tregalizumab + MTX Compared With Subjects Treated on Placebo + MTX (time frame: Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01999192, which also lists 1 linked publication.

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 24 Aug 2017.

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