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Rheumatoid ArthritisPhase 1MARASLENCT06031415

Study of GS-0272 in Participants With Rheumatoid Arthritis

A Phase 1 study testing GS-0272 in people with Rheumatoid Arthritis, run by Gilead Sciences at 24 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The goals of this clinical study are to learn more about the study drug, GS-0272, and its safety and tolerability following multiple doses in participants with rheumatoid arthritis (RA). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
GS-0272
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
55 participants
Where
24 sitesin 5 countries
Study dates
28 Sep 2023to 11 May 2026
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age limit for the Republic of Korea for male or nonpregnant female is between 19 and 75 years of age.
  • Part A (Rheumatoid Arthritis (RA) Cohorts)-Specific Inclusion Criteria:
  • Diagnosis of RA at least 3 months prior to screening fulfilling the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria.
  • Ongoing treatment with 1 or 2 conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) for at least 12 weeks prior to the first dose of study drug, with a stable dose for at least 4 weeks prior to the first dose of study drug, as follows:
  • Individuals must not be on a biologic disease-modifying antirheumatic drugs (bDMARD)/targeted synthetic disease-modifying antirheumatic drug (tsDMARD) at Day 1 or during the study and must discontinue b/tsDMARD use for at least 4 weeks (with the exception of rituximab, which must be discontinued for at least 16 weeks) prior to the first dose of study drug.
  • Part B (Active RA Cohort)-Specific Inclusion Criteria:
Show all 10Show fewer
  • Participant is seropositive as demonstrated by a positive anti-cyclic citrullinated peptide (anti-CCP) antibody and/or positive rheumatoid factor at screening.
  • Participant has an elevated high-sensitivity C-reactive protein (hsCRP) greater than upper limit of normal (ULN).
  • Participant has 6 or more swollen and 6 or more tender joints as assessed on the SJC66/TJC68. Distal interphalangeal joints will not be counted towards the 6 joint eligibility.
  • Participant has had inadequate response or intolerance to at least 1 but not more than 3 bDMARD/tsDMARD therapeutics with no more than 2 MOAs. A lack of response is defined as documented continued or recurrent disease activity after at least 12 weeks of treatment of RA.

Who cannot join

  • Meet any of the protocol-specified infection criteria (hepatitis C, Hepatitis B, HIV, tuberculosis, others).
  • Inadequate response or intolerance to more than 3 bDMARDs/tsDMARDs with more than 2 MOAs.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

24 sites in 5 countries.

24 sites in 5 countries

United States14 sites
  • Clinical Research of West Florida, Inc.

    Clearwater, Florida, 33765

  • Precision Comprehensive Clinical Research Solutions

    Colleyville, Texas, 76034

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • Arizona Arthritis & Rheumatology Associates P.C.

    Glendale, California, 85306

  • Accurate Clinical Research, Inc.

    Houston, Texas, 77089

  • Precision Comprehensive Clinical Research Solutions

    Irving, Texas, 75061

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216

  • 1600 Republic Parkway

    Mesquite, Texas, 75150

  • Greater Chicago Specialty Physicians/ Clinical Investigation Specialists

    Niles, Illinois, 60714

  • Stanford School of Medicine, Division of Immunology & Rheumatology

    Palo Alto, California, 94304

  • Summit Headlands LLC

    Portland, Oregon, 97210

  • Greater Chicago Specialty Physicians/Clinical Investigation Specialists, Inc.

    Schaumburg, Illinois, 60195

  • 1238 E. Arrow Hwy

    Upland, California, 91786

  • PA Regional Center for Arthritis and Osteoporosis Research

    Wyomissing, Pennsylvania, 19610

Other trials in United States

United Kingdom5 sites
  • Cambridge Clinical Research Centre, Rheumatology Research Unit - E6, Addenbrookes Hospital

    Cambridge, CB2 0QQ

  • University Hospitals Coventry & Warwickshire NHS Trust

    Coventry, CV2 2DX

  • Kings College Hospital

    London, SE5 9RS

  • Simbec Research Limited

    Merthyr Tydfil, CF48 4DR

  • NIHR Wellcome Trust Clinical Research Facility, University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD

Other trials in United Kingdom

South Korea3 sites
  • Chungnam National University Hospital

    Daejeon, 35015

  • Seoul National University Hospital

    Seoul, 110 744

  • Ajou University Hospital

    Suwon, 16499

Other trials in South Korea

Georgia1 site
  • ARENSIA Exploratory Medicine LLC

    Tbilisi, 0112

Other trials in Georgia

Moldova1 site
  • IMSP Republican Clinical Hospital "Timofei Mosneaga", ARENSIA E.M.

    Chisinau, MD-2025

Other trials in Moldova

About this study

Official title: A Multicenter, Randomized, Placebo-Controlled Phase 1b Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Pharmacodynamics of Multiple Ascending Doses of GS-0272 in Adult Participants With Rheumatoid Arthritis

The goals of this clinical study are to learn more about the study drug, GS-0272, and its safety and tolerability following multiple doses in participants with rheumatoid arthritis (RA).

The primary objectives of this study are to assess the safety and tolerability of multiple ascending doses of GS-0272 and to characterize the pharmacokinetics of GS-0272 following multiple doses of GS-0272, in participants with RA.

Being tested
GS-0272, Placebo
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • GS-0272Drug

    Administered subcutaneously (for Part A) Administered intravenously or subcutaneously (for Part B)

  • PlaceboDrug

    Administered subcutaneously (for Part A) Administered intravenously or subcutaneously (for Part B)

Study groups in NCT06031415
Study groupRoleWhat they receive
Part A: Rheumatoid Arthritis (RA) Cohorts: GS-0272 or PlaceboExperimentalPart A will include participants with RA. Part A will have 3 cohorts. Each cohort in Part A will be randomized in a 3:1 ratio to receive either ascending doses of GS-0272 or placebo for 12 weeks. Dosing will begin in Cohort 1. Cohorts 2 and 3 will be initiated upon review of blinded safety data from the preceding cohort.
Receives: Drug: GS-0272; Drug: Placebo
Part B: Active RA Cohort: GS-0272 or PlaceboExperimentalPart B will include participants with moderate-to-severe RA. Part B will have only 1 cohort (Cohort 4). Participants in Cohort 4 will be randomized in a 2:1 ratio to receive either GS-0272 or placebo for 12 weeks.
Receives: Drug: GS-0272; Drug: Placebo

What is being measured

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

  1. Percentage of Participants Experiencing Adverse Events (AEs)

    Measured: First dose up to Week 12 plus 70 days

  2. Percentage of Participants Experiencing Serious Adverse Events (SAEs)

    Measured: First dose up to Week 12 plus 70 days

  3. Percentage of Participants With Laboratory Abnormalities

    Measured: First dose up to Week 12 plus 70 days

  4. Pharmacokinetics (PK) of GS-0272: AUCtau

    AUCtau is defined as the area under the concentration versus time curve over the dosing interval.

    Measured: Day 1 predose through Day 197

  5. PK of GS-0272: Cmax

    Cmax is defined the maximum observed plasma drug concentration.

    Measured: Day 1 predose through Day 197

  6. PK of GS-0272: Tmax

    Tmax is defined as the time to maximum observed concentration.

    Measured: Day 1 predose through Day 197

Secondary outcomes (3)
  1. Prevalence of Antidrug Antibodies (ADAs) for GS-0272

    Prevalence of ADAs will be measured as the proportion of participants who had at least one positive ADA sample (baseline or post-baseline) among all participants evaluable for ADA prevalence.

    Measured: Baseline (Day 1) through Day 197

  2. Incidence of ADAs for GS-0272

    ADA incidence will be measured as the proportion of participants who have treatment-emergent ADA sample (post-baseline) among all participants evaluable for ADA incidence.

    Measured: Baseline (Day 1) through Day 197

  3. Part B: Change from Baseline in Disease Activity Score 28 (DAS28) C-Reactive Protein (CRP) in Participants with Moderate-to-Severe RA

    Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), participant's global assessment of disease activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity) and CRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity.

    Measured: Baseline, Week 12

Timeline

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

  1. First posted11 Sep 2023
  2. Study start28 Sep 2023
  3. Primary completion11 May 2026
  4. Study completion11 May 2026

Why it stopped: Study terminated due to lack of efficacy.

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
Double blind
Who is masked
Participant, Investigator
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06031415
Sponsor's protocol ID
GS-US-666-6692
Acronym
MARASLE
Status last verified
May 2026
First submitted
4 Sep 2023
Last updated
27 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GS-0272 in people with Rheumatoid Arthritis, run by Gilead Sciences at 24 sites in 5 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 10 inclusion and 3 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 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, United Kingdom, South Korea, Georgia, Moldova. 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?

The study was stopped early (reason given: Study terminated due to lack of efficacy.). Results are not available in the source record.

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?

Percentage of Participants Experiencing Adverse Events (AEs) (time frame: First dose up to Week 12 plus 70 days). The study lists 6 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 27 May 2026.

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