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Rheumatoid ArthritisPhase 2NCT02270632

A Randomized, Placebo-controlled Phase II Clinical Trial to Evaluate the Safety and Efficacy of F8IL10 (Dekavil) in Patients With Active RA Receiving MTX

A Phase 2 study testing F8IL10 and MTX in people with Rheumatoid Arthritis, run by Philogen S.p.A. at 8 sites in 3 countries.

Terminated

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

Official record
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Trial summary

A multicenter, randomized, parallel assignment, double blind, placebo-controlled, safety/efficacy phase II study of two different dosages of subcutaneous F8IL10 in patients with active rheumatoid arthritis receiving MTX. Read more about this study

Who is it for?
Ages 18 to 74 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
F8IL10 and MTX
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
27 participants
Where
8 sitesin 3 countries
Study dates
1 Oct 2014to 8 Jun 2023
Phase
Phase 2
Are there results?
None posted in the registry

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 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At the time of enrolment, patients must fulfil all of the following criteria:
  • Patients aged ≥18 and < 75 years.
  • Diagnosis of RA according to ACR/EULAR classification criteria (2010) with a disease duration exceeding 6 months.
  • Active RA (DAS28 ≥ 3.2) for ≥ 3 months at time of signing informed consent despite MTX therapy (stable regimen of methotrexate 10-25 mg/week orally, subcutaneous or intramuscular injections: stable dosage from ≥ 8 weeks before screening).
  • ≥ 6 tender joints out of 68, ≥ 6 swollen joints out of 66 and serum CRP > 0.5 mg/dl at screening.
  • History of inadequate clinical response to at least one anti-TNF drug (applied for at least 3 months).
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  • Stable regimens of NSAIDs and/or oral corticosteroid (≤ 10 mg/day; prednisone equivalent) for a period ≥ 2 weeks prior to screening.
  • All acute toxic effects of any prior therapy must have returned to classification "mild" according to CTCAE v.4.03 (published on June 14, 2010).
  • Sufficient hematologic, liver and renal function:
  • Absolute neutrophil count (ANC) ≥ 1.5 x 109/L, platelets ≥100 x109/L, haemoglobin (Hb) ≥ 10.0 g/dL.
  • Alkaline phosphatase (AP), alanine aminotransferase (ALT) and or aspartate aminotransferase (AST) ≤ 3 x upper limit of normal range (ULN), and total bilirubin ≤ 2.0 mg/dl (34.2 µmol/L).
  • Creatinine ≤ 1.5 ULN or 24 h creatinine clearance ≥ 50 mL/min.
  • Documented negative test for HIV, HBV and HCV. For patients with serology documenting previous exposure to HBV (i.e., anti-HBs Ab with no history of vaccination and/or anti-HBc Ab), negative serum HBV DNA is required.
  • All female subjects must have negative pregnancy test results at the screening. Women of childbearing potential must be using simultaneously double-barrier or two acceptable methods of contraception (i.e. intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.) from the screening to three months following the last study drug administration. Pregnancy test will be repeated at the end of treatment visit.
  • Male patients must agree to use simultaneously two acceptable methods of contraception (i.e. spermicidal gel plus condom) from the screening to three months following the last study drug administration.
  • Signed and dated Ethics Committee-approved informed consent form indicating that the patient has been informed of all pertinent aspects of the study.
  • Willingness and ability to comply with the scheduled visits, treatment plan, laboratory tests and other study procedures.
  • Chest X rays performed (for other reasons than the present clinical trial) within a period of 3 months prior to the screening visit. However, in the case the patient performs the Quantiferon TB test during the screening visit, this period can be extended to 6 months.

Who cannot join

  • Patients must not be enrolled into the study if, at the time of enrolment, they have any of the following:
  • Presence of active infections or other severe concurrent disease, which, in the opinion of the investigator, would place the patient at undue risk or would interfere with the study objectives or conduct.
  • Pregnancy, lactation or unwillingness to use adequate contraceptive methods.
  • Diagnosis of any other inflammatory arthritis or active autoimmune diseases other than RA.
  • Last treatment with monoclonal antibodies (i.e., adalimumab, infliximab, golimumab, tocilizumab, certolizumab pegol) less than 8 weeks prior to first administration of study drugs. Last treatment with rituximab less than 16 weeks prior to first administration of study drugs. Last treatment with fusion proteins (i.e., abatacept, etanercept) less than 4 weeks prior to first administration of study drugs.
  • Treatment with any immunosuppressant drug other than MTX and corticosteroids.
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  • Active or latent tuberculosis (TB).
  • HIV infection.
  • Acute or chronic HBV or HCV infection, as assessed by serology or serum HBV DNA.
  • History or currently active primary or secondary immunodeficiency.
  • Concurrent malignancy or history of malignancy from which the patient has been disease-free for less than 5 years.
  • History within the last year of acute or subacute coronary syndromes including myocardial infarction, unstable or severe stable angina pectoris.
  • Treatment with warfarin or other coumarin derivatives.
  • Heart insufficiency (> Grade II, NYHA criteria).
  • Irreversible cardiac arrhythmias requiring permanent medication.
  • Clinically significant (to clinical investigator's discretion) abnormalities in baseline ECG analysis.
  • Uncontrolled hypertension.
  • Ischemic peripheral vascular disease (Grade IIb-IV).
  • Severe diabetic retinopathy.
  • Major trauma including surgery within 4 weeks prior to administration of study treatment.
  • Known history of allergy or other intolerance to IL10, methotrexate, folic acid or other drugs based on human proteins/peptides/antibodies.
  • Treatment with any investigational agent within the 6 weeks before study treatment.
  • Immunization with a live/attenuated vaccine within 4 weeks prior to baseline or plan to receive vaccines during the study.
  • Treatment with growth factors or immunomodulatory agents, including Anakinra, within 7 days of the administration of study drugs.
  • Chronic pain disorders (not RA-related) that might interfere with pain evaluation.
  • Patients requiring stable doses of corticosteroids > 10 mg/day (prednisone equivalent). Limited use of corticosteroids to treat or prevent acute hypersensitivity reactions is not considered an exclusion criterion.
  • Concurrent intra-articular corticosteroids treatment or patient who have received it within 2 weeks prior to randomization.
  • History of alcohol, drug or chemical substance abuse within the 6 months prior to screening.
  • Any condition that in the opinion of the investigator could hamper compliance with the study protocol.

Trial locations and contacts

8 sites in 3 countries.

8 sites in 3 countries

Germany3 sites
  • Universitatsklinikum Essen

    Essen

  • Universitatsklinikum Freiburg

    Freiburg im Breisgau

  • Schön Klinik Hamburg Eilbek

    Hamburg

Other trials in Germany

Italy3 sites
  • Ospedale Luigi Sacco, Milano

    Milan

  • Azienda Ospedaliera Universitaria Senese

    Siena

  • Azienda Ospedaliera Universitaria Integrata Verona

    Verona

Other trials in Italy

Switzerland2 sites
  • HFR Fribourg - Hôpital Cantonal

    Fribourg

  • Centre Hospitalier Universitaire Vaudois

    Lausanne

Other trials in Switzerland

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Study to Evaluate Safety and Clinical Efficacy of Two Different Doses of F8IL10 (Dekavil) Administered Subcutaneously to Patients With Active Rheumatoid Arthritis Receiving Methotrexate.

A multicenter, randomized, parallel assignment, double blind, placebo-controlled, safety/efficacy phase II study of two different dosages of subcutaneous F8IL10 in patients with active rheumatoid arthritis receiving MTX.

Read the detailed description

The study is designed to formally demonstrate the superiority of F8IL10 vs placebo and to further evaluate safety and efficacy of two different dosages of F8IL10 when administered to patients receiving MTX.

Patients will be enrolled and double-blind, parallel assigned (via automated randomization system) in a 1:1:1 fashion to one of three different arms:

  • Arm 1: placebo + MTX
  • Arm 2: F8IL10 30 µg/kg + MTX
  • Arm 3: F8IL10 160 µg/kg + MTX

F8IL10 or placebo will be subcutaneously injected once a week for 8 weeks. Treatment will terminate at the earliest of the following: completion of the 8 weeks of therapy, withdrawal of informed consent, unacceptable toxicity/intolerability of the study drug or need to increase MTX, oral corticosteroids or NSAIDs dosages above baseline levels or need to introduce a new DMARD or biologic therapy to control rheumatoid arthritis activity. The study will be conducted in a double blind fashion.

Being tested
F8IL10, MTX, 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.

  • F8IL10Drug

    Also called Dekavil

    F8IL10 will be administered once a week for 8 weeks (or until withdrawn from the study).

  • MTXDrug

    Also called Methotrexate

    All patients enrolled in the study will receive as concomitant therapy MTX at stable dose (10-25 mg/week), and the corresponding fixed dose of folic acid.

  • PlaceboDrug

    Placebo will be administered once a week for 8 weeks (or until withdrawn from the study).

Study groups in NCT02270632
Study groupRoleWhat they receive
Arm 1Placebo comparatorPlacebo
Receives: Drug: MTX; Drug: Placebo
Arm 2ExperimentalF8IL10, 30 μg/kg
Receives: Drug: F8IL10; Drug: MTX
Arm 3ExperimentalF8IL10, 160 μg/kg
Receives: Drug: F8IL10; Drug: MTX

What is being measured

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

  1. Change from baseline in DAS28-CRPscore

    Mean change from baseline in DAS28-CRP between F8IL10 and placebo arms.

    Measured: At week 9

Secondary outcomes (15)
  1. Number of Participants with Adverse Events

    Safety and tolerability of subcutaneous F8IL10 when administered in combination with MTX.

    Measured: Up to 8 months from randomization

  2. Response rate according to ACR and EULAR criteria

    Proportion of patients achieving an ACR clinical response (ACR20, 50 and 70) and time to onset of these criteria.

    Measured: 1) week 9; 2) from week 12 up to week 32, every 4 weeks

  3. Clinical Remission and low-disease activity (DAS28-CRP)

    Proportion of patients achieving clinical remission and clinical low- disease activity according to DAS 28-CRP (DAS28 < 2.6 and 2.6≤ DAS28 <3.2, respectively) and time to onset of these criteria.

    Measured: 1) week 9; 2) from week 12 up to week 32, every 4 weeks

  4. Clinical Remission and low-disease activity (SDAI score)

    Proportion of patients achieving clinical remission and clinical low-disease activity according to SDAI score (SDAI ≤ 3.3 and SDAI ≤ 11.0) and time to onset of these criteria

    Measured: 1) week 9; 2) from week 12 up to week 32, every 4 weeks

  5. Absolute count and change from baseline in tender and swollen joint counts

    The tender joint count represents the number of joints in which pain is reported at rest with pressure or on movement.

    The swollen joint count represents the number of joints in which there is synovial fluid and/or soft tissue swelling.

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  6. Absolute score and change from baseline in physician's and patient's global assessments of disease activity (100 mm VAS)

    Patient's and Physician's global assessment of disease activity.

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  7. Absolute score and change from baseline in patient assessment of the pain intensity at each visit (100 mm VAS)

    Patient's assessment of pain.

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  8. Proportion of patients that experienced significant change from baseline in functional status (HAQ-DI)

    Measured: 1) week 9; 2) from week 12 up to week 32, every 4 weeks

  9. Proportion of patients that experienced significant change from baseline in functional status (SF-36)

    Measured: 1) week 9; 2) from week 12 up to week 32, every 4 weeks

  10. HAQ score and change from baseline in HAQ score

    Measured: 1) week 1; 2) week 9; 3) from week 12 up to week 32, every 4 weeks

  11. Inflammatory parameters CRP or ESR and change from baseline

    Laboratory assessments (CRP, ESR)

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  12. Human anti-fusion protein antibodies (HAFA) levels

    Investigate the potential induction of human anti-fusion protein antibodies (HAFA) through standard laboratory analysis.

    Measured: 1) day 14 - 0 (screening); 2) at week 1; 3) at week 5; 4) at week 9 (EoT); 5) from week 12 up to week 32, every 4 weeks

  13. Percentage of Participants With Worst On-Study Hematological and Chemistry Abnormalities

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  14. Clinically Meaningful Changes in Vital Signs and Physical Examinations

    Measured: 1) from week 1 up to week 9; 2) from week 12 up to week 32, every 4 weeks

  15. Changes in absolute counts and relative percentages of main biomarker/cytokines

    Biomarkers :IgA, IgE, Soluble IL-2 receptor, Soluble IL-1 receptor antagonist, MMP3); cytokines: IL-1α, IL-1β, TNFα, IL2, IL6, IL17, IL18, IL22, VEGF

    Measured: 1) day 14 - 0 (screening); 2) at week 1; 3) at week 5; 4) at week 9 (EoT); 5) from week 12 up to week 32, every 4 weeks

Timeline

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

  1. First posted21 Oct 2014 (estimated)
  2. Study start1 Oct 2014
  3. Primary completionApr 2019
  4. Study completion8 Jun 2023

Why it stopped: Approvals of new agents for the same indication have significantly slowed down the recruitment in this trial making the prosecution of the present investigation extremely difficult.

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02270632
Sponsor's protocol ID
PH-F8IL10-03/13
Status last verified
Jun 2023
First submitted
16 Oct 2014
Last updated
12 Jun 2023
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing F8IL10 and MTX in people with Rheumatoid Arthritis, run by Philogen S.p.A. at 8 sites in 3 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 18 inclusion and 29 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 12 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Germany, Italy, Switzerland. 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?

The study was stopped early (reason given: Approvals of new agents for the same indication have significantly slowed down the recruitment in this trial making the prosecution of the present investigation extremely difficult.). Results are not available in the source record.

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?

Change from baseline in DAS28-CRPscore (time frame: At week 9). 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 12 Jun 2023.

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