AzTrials
AzTrials

Adult Onset Rheumatoid ArthritisPhase 1NCT02780388

A Phase 1b Study of MEDI4920 in Participants With Adult-onset Rheumatoid Arthritis

A Phase 1 study testing VIB4920 in people with Adult Onset Rheumatoid Arthritis, run by Amgen at 12 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether VIB4920 (formerly MEDI4920) is safe and well tolerated in participants with adult-onset rheumatoid arthritis (RA). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Adult Onset Rheumatoid Arthritis
What is being tested?
VIB4920
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
57 participants
Where
12 sitesin 2 countries
Study dates
12 May 2016to 9 Aug 2018
Phase
Phase 1
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult-onset rheumatoid arthritis
  • swollen and tender joints

Who cannot join

  • venous thromboembolism or arterial thrombosis
  • pregnant or breastfeeding
  • positive hepatitis B, hepatitis C, and human immunodeficiency virus infection
  • active or untreated latent tuberculosis

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

United States8 sites
  • Research Site

    Anniston, Alabama, 36207

  • Research Site

    Cincinnati, Ohio, 45242

  • Research Site

    DeBary, Florida, 32713

  • Research Site

    Duncansville, Pennsylvania, 16635

  • Research Site

    Jacksonville, Florida, 32216

  • Research Site

    Mesquite, Texas, 75150

  • Research Site

    Miami Lakes, Florida, 33014

  • Research Site

    South Miami, Florida, 33143

Other trials in United States

Poland4 sites
  • Research Site

    Bialystok, 15-897

  • Research Site

    Bydgoszcz, 85-168

  • Research Site

    Poznan, 60-856

  • Research Site

    Warsaw, 02-106

Other trials in Poland

About this study

Official title: A Phase 1b Randomized, Double-blind, Placebo-controlled Multiple-ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, Pharmacodynamics, and Clinical Response of MEDI4920 in Subjects With Adult-onset Rheumatoid Arthritis

The purpose of this study is to determine whether VIB4920 (formerly MEDI4920) is safe and well tolerated in participants with adult-onset rheumatoid arthritis (RA).

Read the detailed description

Study with completed results acquired from Horizon in 2024. Originally Viela Bio was the sponsor.

Being tested
VIB4920, Placebo
Keywords
MEDI4920, VIB4920, CD40L, RA, rheumatoid arthritis
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • VIB4920Drug

    Also called MEDI4920

    Participants will receive a single IV dose of VIB4920 Q2W from Day 1 up to 12 weeks.

  • PlaceboOther

    Participants will receive a single IV dose of placebo matched to VIB4920 Q2W from Day 1 up to 12 weeks.

Study groups in NCT02780388
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants will receive a single intravascular (IV) dose of placebo matched to VIB4920 (formerly MEDI4920) once every 2 weeks (Q2W) from Day 1 up to 12 weeks.
Receives: Other: Placebo
VIB4920 75 mgExperimentalParticipants will receive a single IV dose of VIB4920 75 mg Q2W from Day 1 up to 12 weeks.
Receives: Drug: VIB4920
VIB4920 500 mgExperimentalParticipants will receive a single IV dose of VIB4920 500 mg Q2W from Day 1 up to 12 weeks.
Receives: Drug: VIB4920
VIB4920 1000 mgExperimentalParticipants will receive a single IV dose of VIB4920 1000 mg Q2W from Day 1 up to 12 weeks.
Receives: Drug: VIB4920
VIB4920 1500 mgExperimentalParticipants will receive a single IV dose of VIB4920 1500 mg Q2W from Day 1 up to 12 weeks.
Receives: Drug: VIB4920

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 (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event is any AE that resulted in death, life threatening, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, is a congenital anomaly/birth defect in offspring of a study participant, is an important medical event that may jeopardize the participant or may require medical intervention. TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

    Measured: Day 1 through Day 169

  2. Number of Participants With Treatment-emergent AEs of Special Interests (AESIs)

    An AESI (serious or non-serious) is one of scientific and medical interest specific to understanding of study drug and may have required close monitoring, collection of additional information by investigator and rapid communication by investigator to the sponsor.

    Measured: Day 1 through Day 169

Secondary outcomes (10)
  1. Maximum Observed Plasma Concentration (Cmax) of VIB4920

    Maximum observed plasma concentration (Cmax) of VIB4920 is reported.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  2. Time to Maximum Plasma Concentration (Tmax) of VIB4920

    Time to maximum plasma concentration (Tmax) of VIB4920 is reported.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  3. Area Under the Plasma Concentration Time Curve of the Dosing Interval (AUCtau) of VIB4920

    Area under the plasma concentration time curve of the dosing interval (AUCtau) of VIB4920 is reported.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  4. Dose Normalized AUCtau of VIB4920

    Dose normalized AUCtau of VIB4920 is reported. Dose normalized AUCtau is calculated by dividing AUCtau by the dose of administered VIB4920 (in mg).

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  5. Area Under the Plasma Concentration Time Curve From Time Zero to Extrapolated Infinite Time (AUC0-inf) of VIB4920

    Area under the plasma concentration time curve from time zero to extrapolated infinite time (AUC0-inf) of VIB4920 is reported.

    Measured: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  6. Systemic Clearance (CL) of VIB4920

    Systemic clearance is a quantitative measure of the rate at which a drug substance is removed from the body.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  7. Terminal Elimination Half-life (t½) of VIB4920

    Terminal elimination half-life (t½) is the time required for half of the drug to be eliminated from the plasma.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  8. Volume of Distribution at Steady State (Vss) of VIB4920

    Volume of distribution at steady state (Vss) of VIB4920 is reported.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  9. Accumulation Ratio (AR) of VIB4920

    Accumulation ratio of VIB4920 is reported. Accumulation ratio was determined using AUCtau, Dose 7/AUCtau, Dose 1.

    Measured: Dose 1: Post-dose (end of infusion) on Day 1, pre-dose on Day 15; Dose 7: Pre- and post-dose (end of infusion) on Day 85; and on Days 92, 99, 113, 141, and 169

  10. Number of Participants With Positive Anti-Drug Antibodies (ADA) Titer to VIB4920

    The number of participants with positive antibodies to VIB4920 are reported.

    Measured: Pre-dose on Days 1, 29, 57, and 85; and on Days 141, and 169

Timeline

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

  1. First posted23 May 2016 (estimated)
  2. Study start12 May 2016
  3. Primary completion21 May 2018
  4. Study completion9 Aug 2018

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
57 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02780388
Sponsor's protocol ID
D5100C00002
Other IDs
2015-005318-30, 2015
Status last verified
Dec 2024
First submitted
3 May 2016
Last updated
27 Dec 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Karnell JL, Albulescu M, Drabic S, Wang L, Moate R, Baca M, Oganesyan V, Gunsior M, Thisted T, Yan L, Li J, Xiong X, Eck SC, de Los Reyes M, Yusuf I, Streicher K, Muller-Ladner U, Howe D, Ettinger R, Herbst R, Drappa J. A CD40L-targeting protein reduces autoantibodies and improves disease activity in patients with autoimmunity. Sci Transl Med. 2019 Apr 24;11(489):eaar6584. doi: 10.1126/scitranslmed.aar6584.

    PubMed 31019027

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing VIB4920 in people with Adult Onset Rheumatoid Arthritis, run by Amgen at 12 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 2 inclusion and 4 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 27 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 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?

Yes. Results are posted in the registry (first posted 16 Sep 2019). 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?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) (time frame: Day 1 through Day 169). The study lists 2 primary outcomes in all. 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 NCT02780388, 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 27 Dec 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in