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Rheumatoid Arthritis (RA)Phase 1NCT02698657

A Study to Assess the Safety, Tolerability, and Pharmacokinetics of ASP5094 Following Multiple Intravenous Doses in Subjects With Rheumatoid Arthritis on Methotrexate

A Phase 1 study testing ASP5094 in people with Rheumatoid Arthritis (RA), run by Astellas Pharma Global Development, Inc. at 13 sites in 2 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 evaluate the safety, tolerability and pharmacokinetics of multiple ascending intravenous doses of ASP5094 in male and female subjects with rheumatoid arthritis (RA) on methotrexate (MTX). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Rheumatoid Arthritis (RA)
What is being tested?
ASP5094
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
13 sitesin 2 countries
Study dates
23 Feb 2016to 7 Sep 2017
Phase
Phase 1
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has a body mass index (BMI) of ≤ 35 kg/m2, inclusive, and must weigh at least 50 kg at screening.
  • Subject has absolute neutrophil count within normal limits at screening. The assessment may be repeated once during screening.
  • Subject has RA that was diagnosed according to the 1987 revised criteria of the American College of Rheumatology (ACR) ≥ 6 months prior to screening.
  • Subject meets the ACR 1991 revised criteria for Global Functional Status in RA, Class I, II or III at screening.
  • Subject MUST be on concomitant MTX:
  • for ≥ 3 months prior to day 1, and
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  • at a stable dose (10 25 mg/week) for ≥ 28 days prior to day 1 and throughout the study.
  • Subject's other medications taken for the treatment of RA at the time of screening must meet the noted stability requirements and remain on a stable regimen, as follows:
  • Nonsteroidal antiinflammatory drugs (NSAIDs), selective cyclooxygenase-2 (COX- 2) inhibitors, oral corticosteroids (≤ 10 mg of prednisone, or equivalent, daily) or low dose opioids (≤ 30 mg of oral morphine, or equivalent, daily) must be stable for ≥ 28 days prior to screening,
  • Hydroxychloroquine (Plaquenil®) and sulfasalazine (e.g., Azulfidine®) must have started ≥ 2 months, and be stable for ≥ 28 days, prior to day 1.
  • Female subject must be either:
  • Of nonchildbearing potential: postmenopausal (defined as at least 1 year without any menses) prior to screening, or documented surgically sterile
  • Or, if of childbearing potential, Agree not to try to become pregnant during the study and for 60 days after the final study drug administration; must have a negative urine pregnancy test at screening and day 1, And, if heterosexually active, agree to consistently use 2 forms of highly effective birth control† (at least 1 of which must be a barrier method) starting at screening and throughout the study period and for 60 days after the final study drug administration.
  • Female subject must agree not to breastfeed starting at screening and throughout the study period, and for 60 days.
  • Female subject must not donate ova starting at screening and throughout the study period, and for 60 days after the final study drug administration.
  • Male subject and his female spouse/partner who is of childbearing potential must be using highly effective forms of contraception consisting of 2 forms of birth control† (1 of which must be a barrier method) starting at screening and continue throughout the study period and for 60 days after the final study drug administration.
  • Male subject must not donate sperm starting at screening and throughout the study period, and for 60 days after the final study drug administration
  • Subject agrees not to participate in another interventional study while participating in the present study, defined as signing the informed consent form until completion of the last study visit.

Who cannot join

  • Subject has an ongoing clinically significant systemic disease such as uncompensated heart failure, uncontrolled diabetes mellitus, severe hepatic failure, severe pulmonary disease or inflammatory bowel disease.
  • Subject has a history of any malignancy in the past 5 years, except for adequately-treated, nonmelanoma skin cancer and adequately-treated in-situ cervical cancer.
  • Subject has a history of severe allergic or anaphylactic reactions to drugs.
  • Subject has a history of consuming more than 14 units of alcoholic beverages per week or has a history of alcoholism or drug/chemical/ substance abuse within past 6 months prior to screening (Note: 1 unit = 12 ounces of beer, 4 ounces of wine or 1 ounce of spirits).
  • Subject has an ongoing infection or has had an infection requiring intravenous antibiotics within 1 month prior to day 1.
  • Subject has a known history of a positive test for human immunodeficiency virus (HIV) antibody.
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  • Subject has a past history of serious opportunistic infection.
  • Subject has a positive QuantiFERON-TB Gold test within 90 days of, or at screening, and has not completed an adequate course of antimicrobial therapy per Centers for Disease Control or local guidelines.
  • Subject's laboratory test results at screening or prior to study drug dosing on day 1:
  • Outside the normal limits and considered by the investigator to be clinically significant with regard to the remaining per-protocol laboratory tests, and/or
  • Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) are > 2 times the upper limit of normal.
  • Subject received any live or live-attenuated vaccine within 30 days prior to day 1.
  • Subject received any of the following:
  • Oral or injectable gold, azathioprine, penicillamine, cyclosporine, tacrolimus or tofacitinib (Xeljanz®) within 30 days prior to day 1.
  • Anakinra (Kineret®), etanercept (Enbrel®), adalimumab (Humira®), tocilizumab (Actemra®), infliximab (Remicade®), or golimumab (Simponi®) within 60 days prior to day 1.
  • Leflunomide (Arava®) within 60 days prior to day 1, unless the subject has undergone cholestyramine washout at least 30 days prior to day 1.
  • Certolizumab (Cimzia®) and abatacept (Orencia®) within 90 days prior to day 1.
  • Rituximab (Rituxan®) or any other antiCD20 antibody, and cyclophosphamide within 180 days prior to day 1.
  • Treatment with any other conventional disease modifying antirheumatic drugs (DMARDs), or treatment with any other biologics not previously noted within 28 days or 5 half-lives, whichever is longer, prior to day 1.
  • Subject has participated in a previous clinical study with treatment with ASP5094 or has participated in another dose cohort of the current trial.
  • Subject has previously received an experimental agent within 28 days or 5 half-lives, whichever is longer, prior to day 1.
  • Subject has had any significant blood loss, donated 1 unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to day 1.
  • Subject had surgery or has a planned elective surgery (including oral surgery) within 1 month prior to screening and 3 months after last study drug administration.
  • Subject has a wound that is currently healing.
  • Subject has any other condition, which in the opinion of the investigator, precludes the subject's participation in the trial.
  • Subject is an employee of the Astellas group or vendors involved in the study.

Trial locations and contacts

13 sites in 2 countries.

13 sites in 2 countries

United States7 sites
  • Site US10002

    Anniston, Alabama, 36207

  • Site US10001

    Dallas, Texas, 75231

  • Site US10008

    DeBary, Florida, 32713-1818

  • Site US10003

    Duncansville, Pennsylvania, 16635

  • Site US10004

    Jacksonville, Florida, 32216

  • Site US10010

    Memphis, Tennessee, 38119

  • Site US10009

    Miami Lakes, Florida, 33014

Other trials in United States

Poland6 sites
  • Site PL48009

    Elblag, 82-300

  • Site PL48011

    Krakow, 31-637

  • Site PL48006

    Lodz, 91-347

  • Site PL48007

    Stalowa Wola

  • Site PL48003

    Warsaw, 00-660

  • Site PL48008

    Wroclaw, 50-556

Other trials in Poland

About this study

Official title: A Phase 1, Randomized, Placebo-controlled, Dose Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of ASP5094 Following Multiple Intravenous Doses in Subjects With Rheumatoid Arthritis on Methotrexate

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of multiple ascending intravenous doses of ASP5094 in male and female subjects with rheumatoid arthritis (RA) on methotrexate (MTX).

Being tested
ASP5094, Placebo
Keywords
Rheumatoid arthritis (RA), Methotrexate, ASP5094
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • ASP5094Drug

    Intravenous (IV)

  • PlaceboDrug

    Intravenous (IV)

Study groups in NCT02698657
Study groupRoleWhat they receive
ASP5094 Dose EscalationExperimentalThree sequential cohorts will receive increasing intravenous doses of ASP5094. After all subjects in a cohort have completed study procedures the overall safety and tolerability of the dose will be determined after evaluation of the safety data. If there are no events which meet the stopping criteria, the next sequential cohort will begin enrollment while the current subjects continue through the third dose and the remainder of the study.
Receives: Drug: ASP5094
Placebo Dose EscalationPlacebo comparatorThree sequential cohorts will receive increasing intravenous doses of Placebo. After all subjects in a cohort have completed study procedures the overall safety and tolerability of the dose will be determined after evaluation of the safety data. If there are no events which meet the stopping criteria, the next sequential cohort will begin enrollment while the current subjects continue through the third dose and the remainder of the study.
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants with Treatment-Emergent Adverse Events

    A treatment-emergent adverse event (TEAE) is defined as a newly occurring or worsening adverse event (AE) observed after starting administration of study drug up until the end of study visit, inclusive. This includes abnormal laboratory tests, vital signs or electrocardiogram data that are defined as AEs if the abnormality induces clinical signs or symptoms, requires active intervention, interruption or discontinuation of study drug or is clinically significant in the investigator's opinion. A serious AE (SAE) is defined as an AE with an outcome that results in death, is life-threatening, results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, results in congenital anomaly, or birth defect or requires inpatient hospitalization or leads to prolongation of hospitalization.

    Measured: From first dose of study drug up to end of study (up to 141 days)

  2. Change from Baseline in Total Lymphocyte Counts

    Measured: Baseline and days 29, 57, 85, 113, 141

  3. Change from Baseline in Peripheral Lymphocyte Subsets: CD19

    Measured: Baseline and days 29 (predose), 57 (predose), 85, 113, 141

  4. Change from Baseline in Peripheral Lymphocyte Subsets: CD19/Lymphocytes

    Measured: Baseline and days 29 (predose), 57 (predose), 85, 113, 141

  5. Change from Baseline in Peripheral Lymphocyte Subsets: CD3

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  6. Change from Baseline in Peripheral Lymphocyte Subsets: CD3/Lymphocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  7. Change from Baseline in Peripheral Lymphocyte Subsets: CD4

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  8. Change from Baseline in Peripheral Lymphocyte Subsets: CD4/Lymphocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  9. Change from Baseline in Peripheral Lymphocyte Subsets: CD8

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  10. Change from Baseline in Peripheral Lymphocyte Subsets: CD8/Lymphocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  11. Change from Baseline in Peripheral Lymphocyte Subsets: Granulocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  12. Change from Baseline in Peripheral Lymphocyte Subsets: Granulocytes/Leukocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  13. Change from Baseline in Peripheral Lymphocyte Subsets: Natural Killer Cell Subset/Lymphocytes

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  14. Change from Baseline in Peripheral Lymphocyte Subsets: Natural Killer Cells

    Measured: Baseline and Days 29 (predose), 57 (predose), 85, 113, 141

  15. Number of Participants with Anti-ASP5094 Antibody Formation

    Measured: Days 1 (predose), 29 (predose), 57 (predose), 71, 85, 113 and 141

  16. Area under the concentration-time curve from the time of dosing on day 1 to the end of the 4-week dosing interval for ASP5094 (AUC)

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  17. Maximum Concentration (Cmax) of ASP5094

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  18. Time to maximum concentration (tmax) of ASP5094

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  19. Concentration immediately prior to dosing at multiple dosing (Ctrough) for ASP5094

    Measured: Predose on days 29, 57, and 85

  20. Accumulation ratio calculated using the maximum concentration (R3ac[Cmax]) for ASP5094

    Measured: Day 57 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  21. Accumulation ratio calculated using the area under the concentration-time curve (R3ac[AUC]) for ASP5094

    Measured: Day 57 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

Secondary outcomes (4)
  1. Terminal elimination half-life (t1/2)

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  2. Total clearance after intravenous dosing (CL)

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  3. Volume of distribution after intravenous dosing during the terminal elimination phase (VzF)

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

  4. Percentage of Fluctuation

    Measured: Day 1 predose, 0.5, 24, 96, 168, 216, 336, 504, 672 hours postdose

Timeline

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

  1. First posted4 Mar 2016 (estimated)
  2. Study start23 Feb 2016
  3. Primary completion7 Sep 2017
  4. Study completion7 Sep 2017

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 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02698657
Sponsor's protocol ID
5094-CL-0102
Other IDs
2015-004562-28, 2015
Status last verified
Oct 2024
First submitted
10 Feb 2016
Last updated
31 Oct 2024
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ASP5094 in people with Rheumatoid Arthritis (RA), run by Astellas Pharma Global Development, Inc. at 13 sites in 2 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 26 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 31 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Poland. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of Participants with Treatment-Emergent Adverse Events (time frame: From first dose of study drug up to end of study (up to 141 days)). The study lists 21 primary outcomes in all. 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 31 Oct 2024.

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