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Rheumatoid ArthritisPhase 1NCT05437419

A Study to Investigate Safety, Tolerability, and PK of Oral Doses of TCK-276 in Patients With Rheumatoid Arthritis

A Phase 1 study testing TCK-276 in people with Rheumatoid Arthritis, run by Teijin America, Inc. at 8 sites in United States.

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 study is to evaluate the safety, tolerability, and pharmacokinetic (PK) of multiple orally administered TCK-276 in both males and females with Rheumatoid Arthritis (RA). Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
TCK-276
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
8 sitesUnited States
Study dates
10 Aug 2022to 27 Jul 2023
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 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Diagnosis of RA and meeting the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for RA.
  • Patients between the ages of 18 and 64 years, inclusive, at the Screening Visit.
  • Female patient must be not pregnant, not breast feeding and one of the following conditions need to apply:
  • Of non-childbearing potential based on documented surgical treatment or post-menopausal, meaning patient had spontaneous amenorrhea for at least 12 months without alternate medical cause prior to Screening Visit and follicle stimulating hormone (FSH) > 40 U/mL at the Screening Visit.
  • Of childbearing potential and using a highly effective method of contraception and agrees to remain on a highly effective method from the time of signing the informed consent form (ICF) until 21 days after the last dose.
  • Male patient must agree to stay abstinent or must use together with his female partner(s) a form of highly effective contraceptive (failure rate of < 1% per year) from the time of signing the ICF until up to 3 months after the last dose of the study drug.
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  • Nonsmokers (or other nicotine use) as determined by history and by negative urine cotinine concentration at the Screening Visit and at Admission.
  • Body mass index (BMI) between 18.5 and 32.0 kg/m2, inclusive, at the Screening Visit.
  • Patient is required to have completed a COVID-19 vaccine regimen within no more than 5 months prior to screening to be eligible for the study.
  • Permitted concomitant medications for any reason, must be on a stable dose.
  • Permitted medications include: anti-malarials; nonsteroidal anti-inflammatory drugs including selective cyclooxygenase-2 inhibitors at approved dosage, and low dose oral corticosteroids; methotrexate concomitantly with folic acid or folinic acid.

Who cannot join

  • Female patients who are breastfeeding or have a positive urine pregnancy test.
  • Patients who are unable to eat the prescribed meals during the stay at the site; vegetarian or vegan.
  • Patient has a history of significant drug allergy.
  • Patient has used a study drug, any prohibited medication(s), over-the-counter (OTC) medications, vitamins, dietary and herbal supplements.
  • Patient has a history of active suicidal ideation, or any psychiatric disorders that will affect the patient's ability to participate in the study.
  • Patient has a current or recent history of uncontrolled, clinically significant infectious, hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease.
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  • Patient with any of the laboratory abnormalities as per reference.
  • Patient has a history of alcohol and/or drug abuse within 24 weeks.
  • Patient has positive results for drug testing and breath alcohol test.
  • Regular consumption of alcohol within 6 months prior to the Screening Visit.
  • Patient has positive test for hepatitis B surface antigen (HBsAg), anti-hepatitis B core (HBc) antibodies, hepatitis C virus (HCV) antibody, and/or human immunodeficiency virus (HIV) antibody at Screening Visit.
  • Patient has QT interval corrected for heart rate (QTc) using Fridericia's correction (QTcF) > 450 ms for males or QTcF > 470 ms for females either at the Screening Visit or Admission, based on safety 12-lead electrocardiogram (ECG). Patient has Screening or Admission ECG with second- or third-degree atrioventricular block, bundle branch block, arrhythmia (but not sinus arrhythmia or supraventricular premature beats), or illegible QT interval.
  • Patient has history or evidence of cardiopathy, acute coronary syndrome, hypertrophic cardiomyopathy, myocarditis or QT prolongation syndrome.
  • Patient is unwilling to abstain from drinks and foods containing alcohol, grapefruit, or caffeine
  • Patient has donated blood or experienced acute blood loss (including plasmapheresis) of greater than 500 mL within 90 days prior to the first dose of study drug.
  • Patients with a known immunodeficiency disorder. Have a history of a major organ transplant or hematopoietic stem cell/marrow transplant.
  • Patients with infections requiring treatment or hospitalization within 14 days prior to the Screening Visit, parenteral antimicrobial therapy within 60 days prior to the Screening Visit, infected joint prosthesis; history of herpes zoster, active herpes simplex, or herpes simplex on suppressive therapy.
  • Patient has a chronic hepatic disease or hepatic impairment.
  • Patient has a history of Mycobacterium tuberculosis or positive interferon gamma release assay for tuberculosis (IGRA-TB) or abnormal chest X-ray (for positive IGRA-TB patients).
  • Patient has a history of any lymphoproliferative disorder.
  • Patient has a history of COVID-19 unless fully recovered with no sequelae for 14 days.
  • Patient who had a severe course of COVID-19 (extracorporeal membrane oxygenation, mechanically ventilated).
  • Patient who has recent exposure to someone who has COVID-19 symptoms or positive test result.
  • Patient who has a positive reverse transcription polymerase chain reaction (RT-PCR) test for Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2).
  • Patient who has clinical signs and symptoms consistent with SARS-CoV-2 infection.
  • Patients may not receive any live/attenuated vaccine from 30 days prior to the Screening Visit until Day 14 Follow-up Visit.
  • COVID-19 vaccine should not be given 1 week prior to the Screening Visit.
  • Patients with malignancy or history of malignancy except adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ. Previous treatment with total lymphoid irradiation.
  • History of recurrent inflammatory joint disease other than RA or history of any other autoimmune rheumatic diseases other than Sjogren's syndrome.
  • Major surgery within 30 days prior to the Screening Visit or patients with planned surgery.
  • Patients who have an abnormal chest X-ray for interstitial lung disease (ILD) and/or patients with history of ILD.
  • History of fainting or family history of sudden death.
  • Patient has any disorder that would interfere with the absorption, distribution, metabolism or excretion of study drug.
  • Patient has a history of deep vein thrombosis and/or pulmonary embolism.
  • Patient has poor venous access.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • St. Jude Clinical Research, LLC

    Doral, Florida, 33172

  • SMS Clinical Research, LLC

    Mesquite, Texas, 75149

  • SouthCoast Research Center, Inc

    Miami, Florida, 33136

  • Allied Biomedical Research Institute

    Miami, Florida, 33155

  • San Marcus Research Clinic, Inc.

    Miami Lakes, Florida, 33014

  • Floridian Clinical Research, LLC

    Miami Lakes, Florida, 33016

  • Orange County Research Center

    Tustin, California, 92780

  • Clinical Site Partners, LLC dba CSP Orlando

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Placebo-controlled, Double-blind, Multiple Ascending Dose Study to Investigate Safety, Tolerability, and Pharmacokinetics of Oral Doses of TCK-276 in Patients With Rheumatoid Arthritis

The study is to evaluate the safety, tolerability, and pharmacokinetic (PK) of multiple orally administered TCK-276 in both males and females with Rheumatoid Arthritis (RA).

Read the detailed description

This is a Phase 1, multi-center, double-blind, randomized, placebo-controlled, multiple ascending dose (MAD) study.

The study will consist of a Screening Visit (Days -1 to Day 10), Treatment duration (up to 11 days) and a Follow-up/end of treatment (EOT) visit.

This MAD study will consist of 4 cohorts of 8 patients (6 active treatment and 2 matching placebo, or a 3:1 ratio), each receiving an oral dose of TCK-276 or matching placebo for 7 days (once daily (QD) under fed condition). The first cohort will be divided into 2 subgroups to implement the sentinel dosing approach.

The study duration is approximately 42 days.

Being tested
TCK-276, TCK-276 Placebo
Keywords
Multiple Ascending Dose, autoimmune disease, Disease modifying antirheumatic drugs (DMARD)
Medical subject headings
Arthritis, Rheumatoid, Autoimmune Diseases

What participants receive

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

  • TCK-276Drug

    Also called Cyclin Dependent Kinase 4/6 (CDK 4/6) Inhibitor, TEI-T01276

    Patients will receive an oral dose of TCK-276 QD under fed conditions from Day 1 to Day 7.

  • TCK-276 PlaceboDrug

    Also called Placebo

    Patients will receive an oral dose of TCK-276 matching placebo QD under fed conditions from Day 1 to Day 7.

Study groups in NCT05437419
Study groupRoleWhat they receive
Cohort 1ExperimentalThe patient will receive Dose A of TCK-276 or matching placebo orally from Day 1 to Day 7 (once daily (QD) under fed conditions).
Receives: Drug: TCK-276; Drug: TCK-276 Placebo
Cohort 2ExperimentalThe patient will receive Dose B of TCK-276 or matching placebo orally from Day 1 to Day 7 (once daily (QD) under fed conditions).
Receives: Drug: TCK-276; Drug: TCK-276 Placebo
Cohort 3ExperimentalThe patient will receive Dose C of TCK-276 or matching placebo orally from Day 1 to Day 7 (once daily (QD) under fed conditions).
Receives: Drug: TCK-276; Drug: TCK-276 Placebo
Cohort 4ExperimentalThe patient will receive Dose D of TCK-276 or matching placebo orally from Day 1 to Day 7 (once daily (QD) under fed conditions).
Receives: Drug: TCK-276; Drug: TCK-276 Placebo

What is being measured

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

  1. Number ot Participants With Treatment Emergent Adverse Events

    To evaluate the safety and tolerability of multiple oral doses of TCK-276 or placebo in patients with rheumatoid arthritis (RA)

    Measured: 42 days (duration of study)

Secondary outcomes (18)
  1. Cmax: Plasma Concentrations of TCK-276 and TEI-W00595 (Metabolite)

    Cmax: Plasma Concentrations of TCK-276 and TEI-W00595 with time-concentration profile

    Measured: Day 1 and Day 7

  2. Tmax: Time of Maximum Plasma Concentration Determined Directly From the Concentration-time Profile

    To evaluate tmax as pharmacokinetic (PK) variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  3. t½: Terminal Elimination Half-life

    To evaluate t½ as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  4. AUCtau: Area Under the Plasma Concentration-time Curve Over a Dosing Interval, Tau = 24 Hours

    To evaluate AUCtau as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  5. AUC0-inf: Area Under the Plasma Concentration Time Curve From Pre-dose (Time 0) Extrapolated to Infinite Time

    AUC0-inf:Area under the plasma concentration time curve from pre-dose (time 0) extrapolated to infinite time (Days 1 and 7)

    Measured: Day 1 and Day 7

  6. Clearance (CL)/F: Apparent Total Body Clearance (Parent Only)

    To evaluate CL/F as PK variables of TCK-276 in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  7. Vz/F: Apparent Volume of Distribution Based on Terminal Phase (Parent Only)

    To evaluate Vz/F as PK variables of TCK-276 in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  8. MRT0-inf: Mean Residence Time Extrapolated to Infinity

    To evaluate MRT0-inf as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  9. Racc (Cmax): Accumulation Ratio Based on Cmax

    Racc (Cmax) calculated as Cmax on Day 7/Cmax on Day 1.

    Measured: Day 1 and Day 7

  10. Racc (AUCtau): Accumulation Ratio Based on AUCtau

    Racc (AUCtau) calculated as AUCtau on Day 7/AUCtau on Day 1. To evaluate Racc (AUCtau) as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  11. Metabolic Ratio (MR) for Cmax

    Molar metabolic ratio of Cmax calculated as (Cmax [metabolite] × molecular weight of parent)/(Cmax [parent] × molecular weight of metabolite).

    Measured: Day 1 and Day 7

  12. MR for Area Under the Plasma Concentration-time Curve (AUC)Tau

    Molar metabolic ratio of AUC calculated as (AUC [metabolite] × molecular weight of parent)/(AUC [parent] × molecular weight of metabolite). To evaluate MR AUC as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  13. MR for Area Under the Plasma Concentration-time Curve (AUC)0-inf

    Molar metabolic ratio of AUC calculated as (AUC [metabolite] × molecular weight of parent)/(AUC [parent] × molecular weight of metabolite) 0-inf. To evaluate MR AUC 0-inf as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration

    Measured: Day 1 and Day 7

  14. Ae 0-24: Amount of Study Drug Excreted Unchanged in the Urine (Days 1 and 7)

    Ae 0-24: Amount of study drug excreted unchanged in the urine (Days 1 and 7) over 24 hours

    Measured: Day 1 and Day 7

  15. Fe 0-24: Percentage of Study Drug Excreted Unchanged in the Urine (Days 1 and 7)

    Fe 0-24: Percentage of study drug excreted unchanged in the urine (Days 1 and 7) over 24 hours

    Measured: Day 1 and Day 7

  16. Clearance Renal (CLr): Renal Clearance (Days 1 and 7)

    CLr: Renal clearance Day 1 and Day 7 (24 hours)

    Measured: Day 1 and Day 7

  17. Ae 0-72: Amount of Study Drug Excreted Unchanged in the Urine (Day 7)

    Ae 0-72: Amount of study drug excreted unchanged in the urine (Day 7) over a 72 hour period

    Measured: Day 7 0-72 hours

  18. Fe 0-72: Percentage of Study Drug Excreted Unchanged in the Urine

    Fe 0-72: Percentage of study drug excreted unchanged in the urine on Day 7 (72 hours)

    Measured: Day 7 0-72 hours

Timeline

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

  1. First posted29 Jun 2022
  2. Study start10 Aug 2022
  3. Primary completion20 Jul 2023
  4. Study completion27 Jul 2023

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05437419
Sponsor's protocol ID
TCK-276-102
Status last verified
Oct 2024
First submitted
23 Jun 2022
Last updated
15 Oct 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data will be shared that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices). Proposals should be directed to clinical-trials-contact@teijinpo.com. To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website (Link to be included).

Publications

  • Tasaki D, Tsuruda K, Sun S, Tsumura Y, Asano S, Suzuki Y, Tsujimoto S, Miura D, Sato H. A double-blind, placebo-controlled, randomized multiple dose phase 1b trial of a CDK4/6 inhibitor, TCK-276, in patients with active rheumatoid arthritis. Rheumatology (Oxford). 2025 Mar 1;64(3):1036-1044. doi: 10.1093/rheumatology/keae357.

    PubMed 39002122

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TCK-276 in people with Rheumatoid Arthritis, run by Teijin America, Inc. at 8 sites in United States.

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 11 inclusion and 35 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 15 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 8 sites in United States. 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 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 15 Oct 2024). 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 ot Participants With Treatment Emergent Adverse Events (time frame: 42 days (duration of study)). 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 NCT05437419, 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 15 Oct 2024.

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