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.
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
Poland4 sites
Research Site
Bialystok, 15-897
Research Site
Bydgoszcz, 85-168
Research Site
Poznan, 60-856
Research Site
Warsaw, 02-106
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.
- Conditions
- Adult Onset Rheumatoid Arthritis
- 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 group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants 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 mg | Experimental | Participants will receive a single IV dose of VIB4920 75 mg Q2W from Day 1 up to 12 weeks. Receives: Drug: VIB4920 |
| VIB4920 500 mg | Experimental | Participants will receive a single IV dose of VIB4920 500 mg Q2W from Day 1 up to 12 weeks. Receives: Drug: VIB4920 |
| VIB4920 1000 mg | Experimental | Participants will receive a single IV dose of VIB4920 1000 mg Q2W from Day 1 up to 12 weeks. Receives: Drug: VIB4920 |
| VIB4920 1500 mg | Experimental | Participants 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.
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
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)
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
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
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
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
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
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
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
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
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
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.
- First posted23 May 2016 (estimated)
- Study start12 May 2016
- Primary completion21 May 2018
- Study completion9 Aug 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Adult Onset Rheumatoid ArthritisStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 27 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02780388
- Acronym / sponsor ID
- D5100C00002
- Conditions
- Adult Onset Rheumatoid Arthritis
- Keywords
- MEDI4920, VIB4920, CD40L, RA, rheumatoid arthritis
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 57 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 12 May 2016 (actual)
- Primary completion
- 21 May 2018 (actual)
- Study completion
- 9 Aug 2018 (actual)
- First posted
- 23 May 2016 (estimated)
- Results
- Posted 16 Sep 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
Detailed description
Study with completed results acquired from Horizon in 2024. Originally Viela Bio was the sponsor.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Other: PlaceboParticipants 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. |
| VIB4920 75 mg | Experimental | Drug: VIB4920Participants will receive a single IV dose of VIB4920 75 mg Q2W from Day 1 up to 12 weeks. |
| VIB4920 500 mg | Experimental | Drug: VIB4920Participants will receive a single IV dose of VIB4920 500 mg Q2W from Day 1 up to 12 weeks. |
| VIB4920 1000 mg | Experimental | Drug: VIB4920Participants will receive a single IV dose of VIB4920 1000 mg Q2W from Day 1 up to 12 weeks. |
| VIB4920 1500 mg | Experimental | Drug: VIB4920Participants will receive a single IV dose of VIB4920 1500 mg Q2W from Day 1 up to 12 weeks. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- adult-onset rheumatoid arthritis
- swollen and tender joints
Key exclusion criteria (4 listed)
- venous thromboembolism or arterial thrombosis
- pregnant or breastfeeding
- positive hepatitis B, hepatitis C, and human immunodeficiency virus infection
- active or untreated latent tuberculosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VIB4920Also: MEDI4920Participants will receive a single IV dose of VIB4920 Q2W from Day 1 up to 12 weeks. | Drug | VIB4920 1000 mg, VIB4920 1500 mg, VIB4920 500 mg, VIB4920 75 mg |
| PlaceboParticipants will receive a single IV dose of placebo matched to VIB4920 Q2W from Day 1 up to 12 weeks. | Other | Placebo |
Primary outcome
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
Time frame: Day 1 through Day 169
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.
Number of Participants With Treatment-emergent AEs of Special Interests (AESIs)
Time frame: Day 1 through Day 169
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.
10 secondary outcomes
Maximum Observed Plasma Concentration (Cmax) of VIB4920
Time frame: 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
Time to Maximum Plasma Concentration (Tmax) of VIB4920
Time frame: 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
Area Under the Plasma Concentration Time Curve of the Dosing Interval (AUCtau) of VIB4920
Time frame: 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
Dose Normalized AUCtau of VIB4920
Time frame: 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
Area Under the Plasma Concentration Time Curve From Time Zero to Extrapolated Infinite Time (AUC0-inf) of VIB4920
Time frame: 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
Systemic Clearance (CL) of VIB4920
Time frame: 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
Terminal Elimination Half-life (t½) of VIB4920
Time frame: 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
Volume of Distribution at Steady State (Vss) of VIB4920
Time frame: 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
Accumulation Ratio (AR) of VIB4920
Time frame: 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
Number of Participants With Positive Anti-Drug Antibodies (ADA) Titer to VIB4920
Time frame: Pre-dose on Days 1, 29, 57, and 85; and on Days 141, and 169
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 31019027Karnell 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.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
12 sites in 2 countries: see every site and its status.
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.