Moderate to Severe Rheumatoid ArthritisPhase 2NCT06306339
A Study to Assess the Efficacy and Safety of Burfiralimab (hzVSF-v13) and DMRD (Disease-modifying Antirheumatic Drug)
A Phase 2 study testing Burfiralimab in people with Moderate to Severe Rheumatoid Arthritis, run by ImmuneMed, Inc. at 1 site in Netherlands.
Trial summary
The goal of this clinical trial is to evaluate the efficacy and safety of intravenous infusions of burfiralimab (hzVSF-v13) when added to Disease-Modifying Antirheumatic Drug (DMARD) treatment as Standard of Care (SOC) in participants with moderate to severe Rheumatoid Arthritis (RA). Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Moderate to Severe Rheumatoid Arthritis
- What is being tested?
- Burfiralimab
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 1 siteNetherlands
- Study dates
- Mar 2024to Jul 2025
- Phase
- Phase 2
- 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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant has a diagnosis of adult-onset RA for at least 3 months prior to Screening, as defined by the 2010 ACR/European League Against Rheumatism (EULAR) classification criteria.
- Participant has moderate to severe RA at Screening and Baseline.
- Participant has had an inadequate response to, loss of response, or intolerance to at least 2 bDMARDs or tsDMARDs.
- Participant is positive for anti-citrullinated protein antibodies (ACPA).
- Participant has a C-reactive protein (CRP) > upper limit normal (ULN) (5.0 g/L).
- Participant has a negative tuberculosis test at Screening, defined as either negative QuantiFERON® test or purified protein derivative <5 mm of induration at 48 to 72 hours after the test was placed.
Who cannot join
- Participant has Class IV RA according to ACR revised response criteria.
- Participant has 1 or more significant concurrent medical conditions per investigator judgment, including but not limited to the following:
- Poorly controlled diabetes or hypertension,
- Chronic kidney disease stage IIIb, IV, or V,
- Symptomatic heart failure according to New York Heart Association Classes II, III, or IV,
- Myocardial infarction, unstable angina pectoris, stroke, or transient ischemic attack, within the past 12 months before randomization,
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- Severe chronic pulmonary disease, for example, requiring oxygen therapy,
- Clinically significant hepatic diseases (i.e., hemochromatosis, Wilson's disease, alcoholic hepatitis, autoimmune liver disease, nonalcoholic steatohepatitis, or α-1-antitrypsin deficiency,
- Participant has known history of prosthetic or native joint infection or human immunodeficiency virus or neurologic symptoms suggestive of central nervous system demyelinating disease.
- Participant has a chronic inflammatory disease or connective tissue disease other than RA, including but not limited to; systemic lupus erythematosus, psoriatic arthritis, axial spondyloarthritis including ankylosing spondylitis and non radiographic axial spondylarthritis, reactive arthritis, gout, scleroderma, polymyositis, dermatomyositis and/or active fibromyalgia and/or multiple sclerosis.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase 2a Multi-center, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Burfiralimab(hzVSF-v13) Added to Disease-modifying Antirheumatic Drugs in Participants With Moderate to Severe RA
The goal of this clinical trial is to evaluate the efficacy and safety of intravenous infusions of burfiralimab (hzVSF-v13) when added to Disease-Modifying Antirheumatic Drug (DMARD) treatment as Standard of Care (SOC) in participants with moderate to severe Rheumatoid Arthritis (RA).
Read the detailed description
This study is a Phase 2a, multi-center, randomized, double-blind, placebo-controlled. Efficacy and safety of biweekly intravenous infusions of burfiralimab (hzVSF-v13), added to DMARD treatment as standard of care, is evaluated in comparison with placebo. Participants of either sex, aged, 18~80years, are enrolled it they have moderate to severe RA and had an inadequate response to disease-modifying antirheumatic drug(DMARD) treatments. The study consists of a screening period for up to 4 weeks, a treatment period of 10 weeks. Eligible participants are randomized in a 1:1:1 ratio to 1 of the 3 treatment groups: 200mg burfiralimab (hzVSF-v13) + SOC (study group 1), 600mg burfiralimab (hzVSF-v13) + SOC (study group 2), or placebo + SOC (control group). The primary focus of the study is to evaluate preliminary of the 2 doses of burfiralimab (hzVSF-v13, 200mg to 600mg) administered by IV infusion biweekly for 10 weeks when compared to placebo in lowering disease activity in participants. Efficacy analyses evaluate disease and health-related quality of life improvements at week 12 and week 18. Safety is assessed at up to 18 weeks.
- Conditions
- Moderate to Severe Rheumatoid Arthritis
- Being tested
- Burfiralimab, SOC (Standard of care), Placebo
- Keywords
- Rheumatoid arthritis, RA
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BurfiralimabDrug
Also called hzVSF-v13
Humanized monoclonal antibody.
SOC (Standard of care)Drug
Also called bDMARD or csDMARD
The following medications listed are allowed to be administered during the course of the clinical study.
- biologic disease-modifying antirheumatic drug (bDMARD)
- conventional synthetic disease-modifying antirheumatic drug (csDMARD)
PlaceboDrug
Also called The placebo for Burfiralimab (hzVSF-v13)
The placebo for Burfiralimab (hzVSF-v13)
| Study group | Role | What they receive |
|---|---|---|
| Placebo infusion | Placebo comparator | Placebo + SOC Receives: Drug: SOC (Standard of care); Drug: Placebo |
| Burfiralimab(hzVSF-v13) 200mg IV infusion | Experimental | Burfiralimab (hzVSF-v13) 200mg/dose + SOC Receives: Drug: Burfiralimab; Drug: SOC (Standard of care) |
| Burfiralimab(hzVSF-v13) 600mg IV infusion | Experimental | Burfiralimab (hzVSF-v13) 600mg/dose + SOC Receives: Drug: Burfiralimab; Drug: SOC (Standard of care) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of participants achieving clinical response according to the ACR 20 criteria at Week 12
Participants who met following 2 conditions for improvement from baseline were classified as meeting the ACR(American College of Rheumatology) 20 response criteria:
- ≥ 20% improvement in 66-swollen joint count
- ≥ 20% improvement in 68-tender joint count
Measured: Baseline and Week 12
Secondary outcomes (5)
Clinical response at Week 12, assessed as the attainment of an LDA (Low Disease Activity) state defined
- ACR 50 and ACR 70
- DAS28-CRP < 3.2
- CDAI (Clinical Disease Activity Index) ≤ 10
Measured: Baseline and Week 12
Clinical response at Week 12, assessed as remission defined
- DAS28-CRP ≤ 2.6
- CDAI ≤ 2.8
Measured: Baseline and Week 12
Improvement of physical function at Week 12
- ≥ 0.22 decrease in patient-reported ACR Core Set Values in participant's assessment of physical function using the HAQ-DI (Health Assessment Questionnaire - Disability Index)
- <0.5 in participant's assessment of physical function using the HAQ-DI
Measured: Baseline and Week 12
Pain relief at Week 12 assessed by the (mean) change from Baseline
- NRS-11 (11-point numeric scale)
Measured: Baseline and Week 12
Health-related quality of life at Week 12, assessed as the change from Baseline
EuroQoL (EQ-5D-5L)
Measured: Baseline and Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Mar 2024
- Study startMar 2024 (estimated)
- Primary completionMay 2025 (estimated)
- Study completionJul 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Moderate to Severe Rheumatoid ArthritisStudies of the same condition, open and under way.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- ImmuneMed, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jacob M. van Laar, MD, Principal investigator, Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06306339
- Sponsor's protocol ID
- hzVSF_v13-0015
- Status last verified
- Feb 2024
- First submitted
- 7 Feb 2024
- Last updated
- 12 Mar 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a Multi-center, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Burfiralimab(hzVSF-v13) Added to Disease-modifying Antirheumatic Drugs in Participants With Moderate to Severe RA
- ClinicalTrials.gov ID
- NCT06306339
- Acronym / sponsor ID
- hzVSF_v13-0015
- Conditions
- Moderate to Severe Rheumatoid Arthritis
- Keywords
- Rheumatoid arthritis, RA
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- ImmuneMed, Inc.Industry (pharma, biotech, devices)
- Study start
- Mar 2024 (estimated)
- Primary completion
- May 2025 (estimated)
- Study completion
- Jul 2025 (estimated)
- First posted
- 12 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to evaluate the efficacy and safety of intravenous infusions of burfiralimab (hzVSF-v13) when added to Disease-Modifying Antirheumatic Drug (DMARD) treatment as Standard of Care (SOC) in participants with moderate to severe Rheumatoid Arthritis (RA).
Detailed description
This study is a Phase 2a, multi-center, randomized, double-blind, placebo-controlled. Efficacy and safety of biweekly intravenous infusions of burfiralimab (hzVSF-v13), added to DMARD treatment as standard of care, is evaluated in comparison with placebo. Participants of either sex, aged, 18~80years, are enrolled it they have moderate to severe RA and had an inadequate response to disease-modifying antirheumatic drug(DMARD) treatments. The study consists of a screening period for up to 4 weeks, a treatment period of 10 weeks. Eligible participants are randomized in a 1:1:1 ratio to 1 of the 3 treatment groups: 200mg burfiralimab (hzVSF-v13) + SOC (study group 1), 600mg burfiralimab (hzVSF-v13) + SOC (study group 2), or placebo + SOC (control group). The primary focus of the study is to evaluate preliminary of the 2 doses of burfiralimab (hzVSF-v13, 200mg to 600mg) administered by IV infusion biweekly for 10 weeks when compared to placebo in lowering disease activity in participants. Efficacy analyses evaluate disease and health-related quality of life improvements at week 12 and week 18. Safety is assessed at up to 18 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo infusion | Placebo comparator | Drug: SOC (Standard of care), Drug: PlaceboPlacebo + SOC |
| Burfiralimab(hzVSF-v13) 200mg IV infusion | Experimental | Drug: Burfiralimab, Drug: SOC (Standard of care)Burfiralimab (hzVSF-v13) 200mg/dose + SOC |
| Burfiralimab(hzVSF-v13) 600mg IV infusion | Experimental | Drug: Burfiralimab, Drug: SOC (Standard of care)Burfiralimab (hzVSF-v13) 600mg/dose + SOC |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Participant has a diagnosis of adult-onset RA for at least 3 months prior to Screening, as defined by the 2010 ACR/European League Against Rheumatism (EULAR) classification criteria.
- Participant has moderate to severe RA at Screening and Baseline.
- Participant has had an inadequate response to, loss of response, or intolerance to at least 2 bDMARDs or tsDMARDs.
- Participant is positive for anti-citrullinated protein antibodies (ACPA).
- Participant has a C-reactive protein (CRP) > upper limit normal (ULN) (5.0 g/L).
Key exclusion criteria (10 listed)
- Participant has Class IV RA according to ACR revised response criteria.
- Participant has 1 or more significant concurrent medical conditions per investigator judgment, including but not limited to the following:
- Participant has known history of prosthetic or native joint infection or human immunodeficiency virus or neurologic symptoms suggestive of central nervous system demyelinating disease.
- Participant has a chronic inflammatory disease or connective tissue disease other than RA, including but not limited to; systemic lupus erythematosus, psoriatic arthritis, axial spondyloarthritis including ankylosing spondylitis and non radiographic axial spondylarthritis, reactive arthritis, gout, scleroderma, polymyositis, dermatomyositis and/or active fibromyalgia and/or multiple sclerosis.
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 |
|---|---|---|
| BurfiralimabAlso: hzVSF-v13Humanized monoclonal antibody. | Drug | Burfiralimab(hzVSF-v13) 200mg IV infusion, Burfiralimab(hzVSF-v13) 600mg IV infusion |
| SOC (Standard of care)Also: bDMARD or csDMARDThe following medications listed are allowed to be administered during the course of the clinical study. 1. biologic disease-modifying antirheumatic drug (bDMARD) 2. conventional synthetic disease-modifying antirheumatic drug (csDMARD) | Drug | Burfiralimab(hzVSF-v13) 200mg IV infusion, Burfiralimab(hzVSF-v13) 600mg IV infusion, Placebo infusion |
| PlaceboAlso: The placebo for Burfiralimab (hzVSF-v13)The placebo for Burfiralimab (hzVSF-v13) | Drug | Placebo infusion |
Primary outcome
Proportion of participants achieving clinical response according to the ACR 20 criteria at Week 12
Time frame: Baseline and Week 12
Participants who met following 2 conditions for improvement from baseline were classified as meeting the ACR(American College of Rheumatology) 20 response criteria: * ≥ 20% improvement in 66-swollen joint count * ≥ 20% improvement in 68-tender joint count
5 secondary outcomes
Clinical response at Week 12, assessed as the attainment of an LDA (Low Disease Activity) state defined
Time frame: Baseline and Week 12
Clinical response at Week 12, assessed as remission defined
Time frame: Baseline and Week 12
Improvement of physical function at Week 12
Time frame: Baseline and Week 12
Pain relief at Week 12 assessed by the (mean) change from Baseline
Time frame: Baseline and Week 12
Health-related quality of life at Week 12, assessed as the change from Baseline
Time frame: Baseline and Week 12
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Mar 2024.
- Individual participant dataSharing planned: No
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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.
Jacob M. van Laar, MD principal investigator
Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Burfiralimab in people with Moderate to Severe Rheumatoid Arthritis, run by ImmuneMed, Inc. at 1 site in Netherlands.
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 6 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Sungman Park, Ph.D. (82-2-6956-0410, smpark@immunemed.co.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of participants achieving clinical response according to the ACR 20 criteria at Week 12 (time frame: Baseline and Week 12). 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 12 Mar 2024.