Rheumatoid Arthritis (RA)Phase 2NCT03823378
A Study in Rheumatoid Arthritis Patients Who Have Completed a Preceding Study With ABBV-105 Given Alone or in Combination With Upadacitinib
A Phase 2 study testing Elsubrutinib and Upadacitinib in people with Rheumatoid Arthritis (RA), run by AbbVie at 30 sites in 7 countries.
Trial summary
This was a long-term extension (LTE) study to assess the safety, tolerability, and efficacy of ABBV-105 (elsubrutinib [ELS]) and ABBV-599 (ELS 60 mg and upadacitinib [UPA] 15 mg) in participants with rheumatoid arthritis (RA) who completed Study M16-063 (NCT03682705). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis (RA)
- What is being tested?
- Elsubrutinib and Upadacitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 97 participants
- Where
- 30 sitesin 7 countries
- Study dates
- 13 May 2019to 9 Sep 2020
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant has completed Study M16-063
- Participant has not developed any laboratory or clinical discontinuation criteria as defined in the Study M16-063 protocol
- Participant is willing and/or able to comply with procedures required in the current study protocol
Who cannot join
- Participant is currently enrolled or planning to enroll in another interventional clinical study while participating in this study (except the preceding study M16-063)
- Participant requires vaccination with any live vaccine during study participation, including at least 30 days after the last dose of study drug
Trial locations and contacts
30 sites in 7 countries.
30 sites in 7 countries
Spain8 sites
Hospital Universitario A Coruña - CHUAC /ID# 207732
A Coruña, A Coruna, 15006
Hospital Clinic /ID# 207740
Barcelona, 08036
Hospital Universitario Basurto /ID# 207737
Bilbao, 48013
Hospital Universitario Virgen de las Nieves /ID# 209975
Granada, 18014
Hospital Clinico Universitario San Carlos /ID# 207738
Madrid, 28040
Hospital Regional de Malaga /ID# 207735
Málaga, Malaga, 29010
Hospital Unversitario Marques de Valdecilla /ID# 207729
Santander, Cantabria, 39008
Hospital Universitario y Politecnico La Fe /ID# 207739
Valencia, 46026
Canada5 sites
Rheumatology Research Assoc /ID# 207769
Edmonton, Alberta, T5M 0H4
Dr. Latha Naik /ID# 213440
Saskatoon, Saskatchewan, S7K 3H3
Mount Sinai Hosp.-Toronto /ID# 206851
Toronto, Ontario, M5G 1X5
Manitoba Clinic /ID# 206852
Winnipeg, Manitoba, R3A 1M3
CIADS Research Co Ltd /ID# 206853
Winnipeg, Manitoba, R3N 0K6
Hungary5 sites
Revita Reumatologiai Rendelo /ID# 208187
Budapest, 1027
CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 208186
Miskolc, Borsod-Abauj Zemplen county, 3529
Szabolcs-Szatmar-Bereg Megyei Korhazak & Egyetemi Oktatokorhaz /ID# 208184
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
CMED Rehabilitacios es Diagnosztikai Kozpont /ID# 208188
Székesfehérvár, 8000
Vital Medical Center Orvosi-es Fogaszati Kozpont /ID# 208185
Veszprém, 8200
Poland5 sites
ClinicMed Daniluk, Nowak Sp.j. /ID# 212578
Bialystok, Podlaskie Voivodeship, 15-879
Malopolskie Centrum Kliniczne /ID# 209902
Cracow, Lesser Poland Voivodeship, 30-149
McBk Sc /Id# 212577
Grodzisk Mazowiecki, Masovian Voivodeship, 05-825
NBR Polska /ID# 209904
Warsaw, Masovian Voivodeship, 00-465
Reumatika - Centrum Reumatologii NZOZ /ID# 209903
Warsaw, 02-691
Czechia4 sites
Revmatolog s.r.o. /ID# 209941
Jihlava, Jihlava, 586 01
Revmatologie MUDr. Klara Sirova /ID# 209944
Ostrava, 702 00
CCR Czech a.s /ID# 209942
Pardubice, 530 02
Revmatologicky ustav Praha /ID# 209943
Prague, Praha 2, 128 00
Belgium2 sites
UZ Leuven /ID# 207722
Leuven, 3000
Cliniques Universitaires Saint Luc /ID# 207719
Woluwe-Saint-Lambert, Brussels Capital, 1200
About this study
Official title: A Phase 2, Multicenter, Double-Blind, Parallel Group Long Term Extension Study in Rheumatoid Arthritis Subjects Who Have Completed a Preceding Phase 2 Randomized Controlled Trial With ABBV-105 Given Alone or in Combination With Upadacitinib (ABBV-599)
This was a long-term extension (LTE) study to assess the safety, tolerability, and efficacy of ABBV-105 (elsubrutinib [ELS]) and ABBV-599 (ELS 60 mg and upadacitinib [UPA] 15 mg) in participants with rheumatoid arthritis (RA) who completed Study M16-063 (NCT03682705).
Read the detailed description
This was a Phase 2, double-blind, multicenter, long-term extension (LTE) study to assess the safety, tolerability, and efficacy of 3 doses of ABBV-105 (elsubrutinib [ELS] 5 mg, 20 mg, and 60 mg) and ABBV-599 (ELS 60 mg and upadacitinib [UPA] 15 mg) in adults with active rheumatoid arthritis with inadequate response or intolerance to biologic disease-modifying antirheumatic drugs (bDMARDs). Participants who successfully completed treatment in the feeder Study M16-063, a Phase 2 dose exploratory study, were eligible to participate in this study. Those who met eligibility criteria and entered this study receiving ELS, ABBV-599, or UPA from Study M16-063 continued on their previously assigned treatment through termination of this study. Participants originally randomized to placebo in Study M16-063 rolled over to ABBV-599 in a blinded fashion in this study.
- Conditions
- Rheumatoid Arthritis (RA)
- Being tested
- Elsubrutinib, Upadacitinib, Placebo for elsubrutinib, Placebo for upadacitinib
- Keywords
- Elsubrutinib, ABBV-105, Upadacitinib, ABBV-599, Rheumatoid Arthritis (RA), Long-term extension (LTE)
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ElsubrutinibDrug
Also called ABBV-105
Elsubrutinib capsule will be administered orally.
UpadacitinibDrug
Also called ABT-494
Upadacitinib tablet will be administered orally.
Placebo for elsubrutinibDrug
Placebo capsule for elsubrutinib will be administered orally.
Placebo for upadacitinibDrug
Upadacitinib placebo tablet will be administered orally.
| Study group | Role | What they receive |
|---|---|---|
| ABBV-599 in M16-063/ABBV-599 in M16-763 | Experimental | 60 mg elsubrutinib capsule once a day by mouth for 48 weeks; 15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks Receives: Drug: Elsubrutinib; Drug: Upadacitinib |
| ABBV-105 60 mg/UPA placebo | Experimental | 60 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks Receives: Drug: Elsubrutinib; Drug: Placebo for upadacitinib |
| ABBV-105 20 mg/UPA placebo | Experimental | 20 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks Receives: Drug: Elsubrutinib; Drug: Placebo for upadacitinib |
| ABBV-105 5 mg/UPA placebo | Experimental | 5 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks Receives: Drug: Elsubrutinib; Drug: Placebo for upadacitinib |
| UPA 15 mg/ABBV-105 placebo | Experimental | 15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks; placebo capsule for elsubrutinib once a day by mouth for 48 weeks Receives: Drug: Upadacitinib; Drug: Placebo for elsubrutinib |
| Placebo in M16-063/ABBV-599 in M16-763 | Experimental | Placebo in M16-063; 60 mg elsubrutinib capsule once a day by mouth for 48 weeks and 15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks in M16-763 Receives: Drug: Elsubrutinib; Drug: Upadacitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug as either having a reasonable possibility or no reasonable possibility. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity after the first dose of study drug.
Measured: On or after the first dose of study drug in Study M16-763, and up to 30 days after the last dose of study drug in Study M16-763, up to 52 weeks
Secondary outcomes (17)
Change in Disease Activity Score 28 C-reactive Protein (DAS28-CRP) From Baseline of Study M16-063 at Each Study Visit in Study M16-763
The DAS28-CRP is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100 mm), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Scores on the DAS28-CRP range from 0 to approximately 10, where higher scores indicate more disease activity. A negative change from Baseline indicates improvement in disease activity.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score 28 C-reactive Protein (DAS28-CRP)
The DAS28-CRP is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100 mm), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Scores on the DAS28-CRP range from 0 to approximately 10, where higher scores indicate more disease activity. Low Disease Activity (LDA) based on DAS28 (CRP) is defined as achieving a DAS28 (CRP) of less than or equal to 3.2.
Measured: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score 28 C-reactive Protein (DAS28-CRP)
The DAS28-CRP is a composite index used to assess rheumatoid arthritis disease activity, calculated based on the tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), Patient's Global Assessment of Disease Activity (0-100 mm), and high-sensitivity C-reactive protein (hsCRP; in mg/L). Scores on the DAS28-CRP range from 0 to approximately 10, where higher scores indicate more disease activity. Clinical Remission (CR) based on DAS28 (CRP) is defined as achieving a DAS28 (CRP) of less than 2.6.
Measured: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Clinical Disease Activity Index (CDAI) From Baseline of Study M16-063
The CDAI is a composite index for assessing disease activity based on the summation of the total tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), patient global assessment of disease activity measured on a VAS from 0 to 10 cm, and physician global assessment of disease activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. A negative change from Baseline indicates improvement in disease activity.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Criteria
The CDAI is a composite index for assessing disease activity based on the summation of the total tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), patient global assessment of disease activity measured on a VAS from 0 to 10 cm, and physician global assessment of disease activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. Low Disease Activity (LDA) based on CDAI is defined as achieving a total CDAI score of less than or equal to 10.
Measured: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Criteria
The CDAI is a composite index for assessing disease activity based on the summation of the total tender joint count (out of 28 evaluated joints), swollen joint count (out of 28 evaluated joints), patient global assessment of disease activity measured on a VAS from 0 to 10 cm, and physician global assessment of disease activity measured on a VAS from 0 to 10 cm. The total CDAI score ranges from 0 to 78 with higher scores indicating higher disease activity. Complete Remission (CR) based on CDAI is defined as achieving a total CDAI score of less than or equal to 2.8.
Measured: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response
Participants who met the following 3 conditions for improvement from baseline of Study M16-063 were classified as meeting the American College of Rheumatology 20% response (ACR20) criteria:
- ≥ 20% improvement in 68-tender joint count from Baseline of Study M16-063
- ≥ 20% improvement in 66-swollen joint count from Baseline of Study M16-063 and
- ≥ 20% improvement in at least 3 of the 5 following parameters from Baseline of Study M16-063:
- Patient's Assessment of Pain (Visual Analog Scale [VAS])
- Patient's Global Assessment of Disease Activity (PtGA)
- Physician's Global Assessment of Disease Activity (PhGA)
- Health Assessment Questionnaire Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP)
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response
Participants who met the following 3 conditions for improvement from baseline of Study M16-063 were classified as meeting the American College of Rheumatology 50% response (ACR50) criteria:
- ≥ 50% improvement in 68-tender joint count from Baseline of Study M16-063
- ≥ 50% improvement in 66-swollen joint count from Baseline of Study M16-063 and
- ≥ 50% improvement in at least 3 of the 5 following parameters from Baseline of Study M16-063:
- Patient's Assessment of Pain (Visual Analog Scale [VAS])
- Patient's Global Assessment of Disease Activity (PtGA)
- Physician's Global Assessment of Disease Activity (PhGA)
- Health Assessment Questionnaire Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP)
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response
Participants who met the following 3 conditions for improvement from baseline of Study M16-063 were classified as meeting the American College of Rheumatology 70% response (ACR70) criteria:
- ≥ 70% improvement in 68-tender joint count from Baseline of Study M16-063
- ≥ 70% improvement in 66-swollen joint count from Baseline of Study M16-063 and
- ≥ 70% improvement in at least 3 of the 5 following parameters from Baseline of Study M16-063:
- Patient's Assessment of Pain (Visual Analog Scale [VAS])
- Patient's Global Assessment of Disease Activity (PtGA)
- Physician's Global Assessment of Disease Activity (PhGA)
- Health Assessment Questionnaire Disability Index (HAQ-DI)
- High-sensitivity C-reactive protein (hsCRP)
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Swollen Joint Count 66 (SJC66) From Baseline of Study M16-063
Sixty-six joints were assessed for swelling by physical examination. Swelling of each joint was classified as present (1) or absent (0), for a total possible score of 0 (0 joints with swelling) to 66 (worst possible score/66 joints with swelling). Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Tender Joint Count 68 (TJC68) From Baseline of Study M16-063
Sixty-eight joints were assessed for tenderness by physical examination. Pain or tenderness of each joint was classified as present (1) or absent (0), for a total possible score of 0 (0 joints with tenderness) to 68 (worst possible score/68 joints with tenderness). Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Participant's Assessment of Pain (Visual Analog Scale [VAS]) From Baseline of Study M16-063
Participants rated their pain on a visual analogue scale (VAS) of 0 to 100 (mm), with 0 representing no pain and 100 representing the worst possible pain. Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Patient's Global Assessment of Disease Activity (PtGA) From Baseline of Study M16-063
Participants rated their disease activity for the past 24 hours using a Patient's Global Assessment of Disease Activity Global visual analogue scale (VAS). The range is 0 to 100 mm, with 0 representing no disease activity and 100 representing severe disease activity. Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Physician's Global Assessment of Disease Activity (PhGA) From Baseline of Study M16-063
The physician assessed a participant's disease activity at the time of the visit using a Physician's Global Assessment of Disease visual analogue scale (VAS). The range is 0 to 100 mm, with 0 representing no disease activity and 100 representing severe disease activity. Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Health Assessment Questionnaire Disability Index (HAQ-DI) From Baseline of Study M16-063
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire that measures the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and errands and chores) over the past week. Participants assessed their ability to do each task on a scale from 0 (without any difficulty) to 3 (unable to do). Scores were averaged to provide an overall score ranging from 0 to 3, where 0 represents no disability and 3 represents very severe, high-dependency disability. A negative change from baseline in the overall score indicates improvement.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in High-Sensitivity C-Reactive Protein (Hs-CRP) From Baseline of Study M16-063
C-reactive protein is a blood test marker for inflammation in the body, and levels rise in response to inflammation. A negative change from baseline indicates improvement.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Morning Stiffness Severity From Baseline of Study M16-063
Morning stiffness severity was assessed by a numeric rating-scale (NRS). Participants rated the severity of morning stiffness during the past week from 0 to 10 with 0 representing "not severe" and 10 "very severe". Negative values indicate improvement from baseline.
Measured: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2019
- Study start13 May 2019
- Primary completion9 Sep 2020
- Study completion9 Sep 2020
Why it stopped: Study M16-763 was terminated early as the benefit of each treatment arm from the feeder study (Study M16-063) did not provide appreciable evidence of differentiated clinical effect to warrant further long-term continuation.
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.
- Other trials for Rheumatoid Arthritis (RA)Studies of the same condition, open and under way.
- More trials run by AbbVieThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 97 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03823378
- Sponsor's protocol ID
- M16-763
- Other IDs
- 2018-002306-31, 2018
- Status last verified
- Aug 2021
- First submitted
- 8 Jan 2019
- Last updated
- 16 Sep 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
Study at a glance
From the registry record, last updated by the sponsor on 16 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, Double-Blind, Parallel Group Long Term Extension Study in Rheumatoid Arthritis Subjects Who Have Completed a Preceding Phase 2 Randomized Controlled Trial With ABBV-105 Given Alone or in Combination With Upadacitinib (ABBV-599)
- ClinicalTrials.gov ID
- NCT03823378
- Acronym / sponsor ID
- M16-763
- Conditions
- Rheumatoid Arthritis (RA)
- Keywords
- Elsubrutinib, ABBV-105, Upadacitinib, ABBV-599, Rheumatoid Arthritis (RA), Long-term extension (LTE)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study M16-763 was terminated early as the benefit of each treatment arm from the feeder study (Study M16-063) did not provide appreciable evidence of differentiated clinical effect to warrant further long-term continuation.
- Enrolment
- 97 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 13 May 2019 (actual)
- Primary completion
- 9 Sep 2020 (actual)
- Study completion
- 9 Sep 2020 (actual)
- First posted
- 30 Jan 2019 (actual)
- Results
- Posted 16 Sep 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a long-term extension (LTE) study to assess the safety, tolerability, and efficacy of ABBV-105 (elsubrutinib [ELS]) and ABBV-599 (ELS 60 mg and upadacitinib [UPA] 15 mg) in participants with rheumatoid arthritis (RA) who completed Study M16-063 (NCT03682705).
Detailed description
This was a Phase 2, double-blind, multicenter, long-term extension (LTE) study to assess the safety, tolerability, and efficacy of 3 doses of ABBV-105 (elsubrutinib [ELS] 5 mg, 20 mg, and 60 mg) and ABBV-599 (ELS 60 mg and upadacitinib [UPA] 15 mg) in adults with active rheumatoid arthritis with inadequate response or intolerance to biologic disease-modifying antirheumatic drugs (bDMARDs). Participants who successfully completed treatment in the feeder Study M16-063, a Phase 2 dose exploratory study, were eligible to participate in this study. Those who met eligibility criteria and entered this study receiving ELS, ABBV-599, or UPA from Study M16-063 continued on their previously assigned treatment through termination of this study. Participants originally randomized to placebo in Study M16-063 rolled over to ABBV-599 in a blinded fashion in this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| ABBV-599 in M16-063/ABBV-599 in M16-763 | Experimental | Drug: Elsubrutinib, Drug: Upadacitinib60 mg elsubrutinib capsule once a day by mouth for 48 weeks; 15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks |
| ABBV-105 60 mg/UPA placebo | Experimental | Drug: Elsubrutinib, Drug: Placebo for upadacitinib60 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks |
| ABBV-105 20 mg/UPA placebo | Experimental | Drug: Elsubrutinib, Drug: Placebo for upadacitinib20 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks |
| ABBV-105 5 mg/UPA placebo | Experimental | Drug: Elsubrutinib, Drug: Placebo for upadacitinib5 mg elsubrutinib capsule once a day by mouth for 48 weeks; placebo film-coated tablet for upadacitinib once a day by mouth for 48 weeks |
| UPA 15 mg/ABBV-105 placebo | Experimental | Drug: Upadacitinib, Drug: Placebo for elsubrutinib15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks; placebo capsule for elsubrutinib once a day by mouth for 48 weeks |
| Placebo in M16-063/ABBV-599 in M16-763 | Experimental | Drug: Elsubrutinib, Drug: UpadacitinibPlacebo in M16-063; 60 mg elsubrutinib capsule once a day by mouth for 48 weeks and 15 mg film-coated upadacitinib tablet once a day by mouth for 48 weeks in M16-763 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Participant has completed Study M16-063
- Participant has not developed any laboratory or clinical discontinuation criteria as defined in the Study M16-063 protocol
- Participant is willing and/or able to comply with procedures required in the current study protocol
Key exclusion criteria (2 listed)
- Participant is currently enrolled or planning to enroll in another interventional clinical study while participating in this study (except the preceding study M16-063)
- Participant requires vaccination with any live vaccine during study participation, including at least 30 days after the last dose of study drug
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 |
|---|---|---|
| ElsubrutinibAlso: ABBV-105Elsubrutinib capsule will be administered orally. | Drug | ABBV-105 20 mg/UPA placebo, ABBV-105 5 mg/UPA placebo, ABBV-105 60 mg/UPA placebo, ABBV-599 in M16-063/ABBV-599 in M16-763, Placebo in M16-063/ABBV-599 in M16-763 |
| UpadacitinibAlso: ABT-494Upadacitinib tablet will be administered orally. | Drug | ABBV-599 in M16-063/ABBV-599 in M16-763, Placebo in M16-063/ABBV-599 in M16-763, UPA 15 mg/ABBV-105 placebo |
| Placebo for elsubrutinibPlacebo capsule for elsubrutinib will be administered orally. | Drug | UPA 15 mg/ABBV-105 placebo |
| Placebo for upadacitinibUpadacitinib placebo tablet will be administered orally. | Drug | ABBV-105 20 mg/UPA placebo, ABBV-105 5 mg/UPA placebo, ABBV-105 60 mg/UPA placebo |
Primary outcome
Number of Participants With Adverse Events (AEs)
Time frame: On or after the first dose of study drug in Study M16-763, and up to 30 days after the last dose of study drug in Study M16-763, up to 52 weeks
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug as either having a reasonable possibility or no reasonable possibility. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity after the first dose of study drug.
17 secondary outcomes
Change in Disease Activity Score 28 C-reactive Protein (DAS28-CRP) From Baseline of Study M16-063 at Each Study Visit in Study M16-763
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Disease Activity Score 28 C-reactive Protein (DAS28-CRP)
Time frame: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Clinical Remission (CR) Based on Disease Activity Score 28 C-reactive Protein (DAS28-CRP)
Time frame: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Clinical Disease Activity Index (CDAI) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Low Disease Activity (LDA) Based on Clinical Disease Activity Index (CDAI) Criteria
Time frame: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants Achieving Clinical Remission (CR) Based on Clinical Disease Activity Index (CDAI) Criteria
Time frame: Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Swollen Joint Count 66 (SJC66) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Tender Joint Count 68 (TJC68) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Participant's Assessment of Pain (Visual Analog Scale [VAS]) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Patient's Global Assessment of Disease Activity (PtGA) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Physician's Global Assessment of Disease Activity (PhGA) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Health Assessment Questionnaire Disability Index (HAQ-DI) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in High-Sensitivity C-Reactive Protein (Hs-CRP) From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Change in Morning Stiffness Severity From Baseline of Study M16-063
Time frame: Baseline in Study M16-063, Weeks 18, 24, 30, 36, 48, and 60 in Study M16-763
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Sep 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Related Info.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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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.
AbbVie Inc. study director
AbbVie
30 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Elsubrutinib and Upadacitinib in people with Rheumatoid Arthritis (RA), run by AbbVie at 30 sites in 7 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 3 inclusion and 2 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 16 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in Spain, Canada, Hungary, Poland, Czechia and 2 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. 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 16 Sep 2021). 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 Adverse Events (AEs) (time frame: On or after the first dose of study drug in Study M16-763, and up to 30 days after the last dose of study drug in Study M16-763, up to 52 weeks). 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 16 Sep 2021.