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An Adaptive Phase 2a/2b Study of LY3871801 in Adult Participants With Rheumatoid Arthritis

Phase 2
Recruiting
Conditions
Rheumatoid Arthritis
Interventions
Drug: Placebo
Registration Number
NCT05848258
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to evaluate the efficacy and safety of LY3871801 in adult participants with active moderately-to-severe rheumatoid arthritis (RA).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
380
Inclusion Criteria
  • Have 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.

  • Have moderately-to-severely active RA at screening and baseline, defined by the presence of

    • ≥6 swollen joints based on 66 joint count, and
    • ≥6 tender joints based on 68 joint count.
  • Have had a history of failure (an inadequate response, intolerance, or loss of response) to at least 1 conventional synthetic disease modifying anti rheumatic drug (csDMARD) and either 1 biologic (bDMARD), or targeted synthetic (tsDMARD) treatment.

Exclusion Criteria
  • Have Class IV RA according to ACR revised criteria

  • Have presence of 1 or more significant concurrent medical conditions per investigator judgment, including but not limited to

    • poorly controlled diabetes or hypertension

    • chronic kidney disease stage IIIa or IIIb, IV, or V

    • symptomatic heart failure according to New York Heart Association class II, III, or IV

    • myocardial infarction,unstable angina pectoris, stroke, or transient ischemic attack within the past 12 months before randomization

    • severe chronic pulmonary disease, for example, requiring oxygen therapy

    • major 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 spondyloarthritis
      • reactive arthritis
      • gout
      • scleroderma
      • polymyositis
      • dermatomyositis
      • active fibromyalgia, or
      • multiple sclerosis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo Phase 2aPlaceboParticipants will receive placebo.
LY3871801 Phase 2aLY3871801Participants will receive LY3871801 administered orally.
LY3871801 Dose 1 Phase 2bLY3871801Participants will receive LY3871801 administered orally.
LY3871801 Dose 2 Phase 2bLY3871801Participants will receive LY3871801 administered orally.
LY3871801 Dose 3 Phase 2bLY3871801Participants will receive LY3871801 administered orally.
Placebo Phase 2bPlaceboParticipants will receive placebo.
Primary Outcome Measures
NameTimeMethod
Phase 2a: Change from Baseline in Disease Activity Score - high-sensitivity C-reactive protein (DAS28-hsCRP)Baseline, Week 12
Phase 2b: Percentage of Participants Achieving American College of Rheumatology (ACR)50Baseline to Week 12
Secondary Outcome Measures
NameTimeMethod
Change from Baseline the Duration and Severity of Morning Joint StiffnessBaseline, Week 12
Change from Baseline for Participant's Assessment of Arthritis Pain (VAS)Baseline, Week 12
Phase 2b: Change from Baseline in DAS28-hsCRPBaseline, Week 12
Change from Baseline in ACR Core Set Values 68 Tender Joint CountsBaseline, Week 12
Change from Baseline in ACR Core Set Values 66 Swollen Joint CountsBaseline, Week 12
Phase 2a: Percentage of Participants Achieving ACR20/50/70Baseline to Week 12
Phase 2b: Percentage of Participants Achieving ACR20/70Week 12
Change from Baseline in Simplified Disease Activity Index (SDAI)Baseline, Week 12
Change from Baseline in ACR Core Set Values Physician's Global Assessment of Disease Activity (PhGADA) Visual Analog Scale (VAS)Baseline, Week 12
Change from Baseline for Short Form-36 (SF-36) Physical Component Summary ScoreBaseline, Week 12
Change from Baseline in Clinical Disease Activity Index (CDAI)Baseline, Week 12
Change from Baseline in ACR Core Set Values Patient's Global Assessment of Disease Activity (PaGADA) VASBaseline, Week 12
Change from Baseline for Participant's Assessment of Physical Function Using Health Assessment Questionnaire-Disability Index (HAQ-DI)Baseline, Week 12
Pharmacokinetics (PK) Trough Plasma Concentrations of LY3871801Baseline through Week 20
Change from Baseline for SF-36 Mental Component Summary ScoreBaseline, Week 12

Trial Locations

Locations (57)

Hopitaux Universitaires Paris Centre-Hopital Cochin

🇫🇷

Paris, France

Newport Huntington Medical Group

🇺🇸

Huntington Beach, California, United States

Integrity Clinical Research

🇺🇸

Doral, Florida, United States

Advanced Clinical Research of Orlando - Ocoee

🇺🇸

Ocoee, Florida, United States

Encore Medical Research - Weston

🇺🇸

Weston, Florida, United States

Conquest Research

🇺🇸

Winter Park, Florida, United States

Willow Rheumatology and Wellness PLLC

🇺🇸

Willowbrook, Illinois, United States

Accurate Clinical Research, Inc

🇺🇸

Houston, Texas, United States

Joseph S. and Diane H. Steinberg Ambulatory Care Center

🇺🇸

Brooklyn, New York, United States

Icahn School of Medicine at Mount Sinai

🇺🇸

New York, New York, United States

Accellacare - Salisbury

🇺🇸

Salisbury, North Carolina, United States

Overlake Arthritis and Osteoporosis Center

🇺🇸

Bellevue, Washington, United States

Medicina Reumatológica

🇦🇷

San Fernando, Buenos Aires, Argentina

Instituto de Alta Complejidad San Isidro

🇦🇷

San Isidro, Buenos Aires, Argentina

CIPREC

🇦🇷

Buenos Aires, Ciudad Autónoma De Buenos Aires, Argentina

Centre Hospitalier Universitaire de Reims - l'Hôpital Maison Blanche

🇫🇷

Reims, Champagne-Ardenne, France

CHU Montpellier Lapeyronie Hospital

🇫🇷

Montpellier, Hérault, France

CHD Vendee

🇫🇷

La Roche-sur-Yon, Vendée, France

Mautalen Salud e Investigación

🇦🇷

Buenos Aires, Ciudad Autónoma De Buenos Aires, Argentina

CENUDIAB

🇦🇷

Ciudad Autónoma de Buenos Aires, Argentina

Medical Plus

🇨🇿

Uherske Hradiste, Zlínský Kraj, Czechia

CHU de Nice

🇫🇷

Nice, Alpes-Maritimes, France

CHU Strasbourg-Hautepierre

🇫🇷

Strasbourg, Alsace, France

Centre Hospitalier Regional D'Orleans

🇫🇷

Orléans, Centre, France

Universitaetsklinikum Koeln

🇩🇪

Köln, Nordrhein-Westfalen, Germany

HRF II - Hamburger Rheuma Forschungszentrum II MVZ für Rheumatologie und Autoimmunmedizin Hamburg GmbH / -T

🇩🇪

Hamburg, Germany

CRU Hungary Kft.

🇭🇺

Encs, Borsod-Abaúj-Zemplén, Hungary

Regia Med Kft

🇭🇺

Szekesfehervar, Fejér, Hungary

Revita Clinic

🇭🇺

Budapest, Pest, Hungary

Kistarcsai Flor Ferenc Korhaz

🇭🇺

Kistarcsa, Pest, Hungary

Vital Medical Center

🇭🇺

Veszprem, Veszprém City, Hungary

Clinexpert Kft.

🇭🇺

Budapest, Hungary

Óbudai Egészségügyi Centrum

🇭🇺

Budapest, Hungary

Vásárhelyi Sárkányfű KFT

🇭🇺

Hódmezővásárhely, Hungary

All India Institute of Medical Sciences

🇮🇳

Raipur, Chhattisgarh, India

Avron Hospitals

🇮🇳

Ahmedabad, Gujarat, India

Sushruta Multispeciality Hospital & Research Centre

🇮🇳

Hubli, Karnataka, India

Government Medical College And Hospital - Nagpur

🇮🇳

Nagpur, Maharashtra, India

All India Institute of Medical Sciences (AIIMS) - Nagpur

🇮🇳

Nagpur, Maharashtra, India

Grant Medical Foundation - Ruby Hall Clinic

🇮🇳

Pune, Maharashtra, India

Medipoint Hospitals Pvt. Ltd.

🇮🇳

Pune, Maharashtra, India

CIMAB SA de CV

🇲🇽

Torreon, Coahuila, Mexico

Biológicos Especializados

🇲🇽

Mexico City, Distrito Federal, Mexico

Hospital Aranda de La Parra

🇲🇽

Leon, Guanajuato, Mexico

Cicmex Centro de Investigación Clínica de México

🇲🇽

Morelia, Michoacán, Mexico

Hospital Universitario "Dr. Jose Eleuterio Gonzalez"

🇲🇽

Monterrey, Nuevo León, Mexico

Medical Care and Research SA de CV

🇲🇽

Merida, Yucatán, Mexico

Kohler and Milstein Research S.A. de C.V.

🇲🇽

Mérida, Yucatán, Mexico

Investigacion y Biomedicina de Chihuahua

🇲🇽

Chihuahua, Mexico

Centro de Atención e Investigación Cardiovascular del Potosí

🇲🇽

San Luis Potosí, Mexico

MICS Centrum Medyczne Warszawa

🇵🇱

Warszawa, Mazowieckie, Poland

Centrum Medyczne Reuma Park

🇵🇱

Warszawa, Mazowieckie, Poland

Nova Reuma Domyslawska i Rusilowicz Spolka Partnerska Lekarza Reumatologa i Fizjoterapeuty

🇵🇱

Bialystok, Podlaskie, Poland

Nzoz Bif-Med

🇵🇱

Bytom, Śląskie, Poland

The Dudley Group NHS Foundation Trust

🇬🇧

Dudley, England, United Kingdom

Hull Royal Infirmary

🇬🇧

Hull, Kingston Upon Hull, United Kingdom

New Cross Hospital

🇬🇧

Wolverhampton, United Kingdom

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