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Trial With HuMax-CD4 in Participants With Rheumatoid Arthritis (RA) Failing Treatment With Methotrexate (MTX) and a TNF-alpha Blocker

Phase 2
Terminated
Conditions
Rheumatoid Arthritis
Interventions
Drug: Placebo
Registration Number
NCT00042406
Lead Sponsor
Genmab
Brief Summary

The purpose of this study is to determine whether HuMax-CD4 is effective in the treatment of active RA in participants who have failed treatment with MTX and at least one TNF-alpha blocking agent.

Detailed Description

This is a multi-center, double-blind, placebo-controlled, parallel-group, randomized trial of HuMax-CD4 in the treatment of participants with active RA who have failed treatment with MTX and at least one TNF-alpha blocking agent. Participants are randomized to receive one of two doses of HuMax-CD4 or placebo. The drug will be administered as a subcutaneous infusion (given just under the skin), more often in the beginning and then followed by a maintenance dose. There is a 4 week follow up period, and the final evaluation of the clinical endpoints takes place 26 weeks after treatment start. The trial lasts about 28 weeks in all.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
83
Inclusion Criteria
  • A diagnosis of rheumatoid arthritis according to the American College of Rheumatology 1987 revised criteria (ACR) of at least 6 months duration.
  • Active disease at the time of screening.
  • Failure to tolerate MTX, or lack of efficacy after a minimum of 6 months treatment with MTX.
Exclusion Criteria
  • Active autoimmune disease requiring therapy (other than rheumatoid arthritis and secondary Sjögren's disease).
  • Syndromes such as Fibromyalgia which require chronic pain treatment.
  • Most past or current cancers.
  • Chronic or current infectious disease such as, but not limited to, chronic renal infection, chronic chest, nasal or throat infections, tuberculosis, hepatitis B and C.
  • History of infected joint prosthesis within 5 years.
  • Most active medical conditions such as heart disease, kidney disease, liver disease, blood diseases, hormonal disturbances, lung disease, psychiatric disease.
  • Drug or alcohol abuse.
  • Pregnant or breast-feeding women may not participate. Women of childbearing potential must use either contraceptive pills or an intra-uterine device for the entire study period.

Note: Other protocol defined Inclusion and Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
HuMax-CD4 80 milligrams (mg)Humax-CD4-
HuMax-CD4 160 mgHumax-CD4-
Primary Outcome Measures
NameTimeMethod
Change from Baseline in C-Reactive Protein (CRP)Baseline up to Week 26
Change from Baseline in Erythrocyte Sedimentation Rate (ESR)Baseline up to Week 26
Change from Baseline in Disease Activity Score (DAS)Baseline up to Week 26
Change from Baseline in SFP-36 questionnaire at Week 10 and 26Baseline, Week 10 and Week 26
Number of Participants with Adverse Events (AEs)Day 1 up to end of study (Week 26)
Number of Participants with American College of Rheumatology (ACR) 20 ResponseAt Week 14 and Week 18
Secondary Outcome Measures
NameTimeMethod
Number of Participants With Clinically Significant Laboratory AbnormalitiesUp to 26 weeks
Number of Participants With Positive Human Anti Human Antibodies (HAHA) TitresUp to 26 weeks

Trial Locations

Locations (52)

Arthritis Center of Reno

🇺🇸

Reno, Nevada, United States

Rheumatology Associates, P.C.

🇺🇸

Chicago, Illinois, United States

Advances in Medicine

🇺🇸

Rancho Mirage, California, United States

Radiant Research, Inc.

🇺🇸

Stuart, Florida, United States

Pro Health Partners, Inc.

🇺🇸

Long Beach, California, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Fiechtner Research

🇺🇸

Lansing, Michigan, United States

Rheumatology Associates

🇺🇸

Montgomery, Alabama, United States

Rheumatology & Internal Medicine, Boling Clinical Trials

🇺🇸

Rancho Cucamonga, California, United States

West Coast Clinical Research

🇺🇸

Van Nuys, California, United States

Arthritis Center of CT

🇺🇸

Waterbury, Connecticut, United States

Arthritis Associates of South Florida

🇺🇸

Delray Beach, Florida, United States

Ocala Rheumatology Research Center

🇺🇸

Ocala, Florida, United States

nTouch Research

🇺🇸

Decatur, Georgia, United States

North Western Center for Clinical Research

🇺🇸

Chicago, Illinois, United States

Advocate Medical Group

🇺🇸

Park Ridge, Illinois, United States

The Arthritis Center

🇺🇸

Springfield, Illinois, United States

Deerbrook Medical Associates

🇺🇸

Vernon Hills, Illinois, United States

Idaho Arthritis & Osteoporosis Center

🇺🇸

Meridian Hills, Indiana, United States

Osteoporosis and Clinical Trials Center

🇺🇸

Hagerstown, Maryland, United States

Arthritis Education and Treatment Center

🇺🇸

Grand Rapids, Michigan, United States

Midwest Arthritis Center

🇺🇸

Kalamazoo, Michigan, United States

C.A.R.E. Center

🇺🇸

Raleigh, North Carolina, United States

One Crouse Medical Plaza

🇺🇸

Syracuse, New York, United States

DataPharm, Inc.

🇺🇸

Canfield, Ohio, United States

Bend Memorial Clinic

🇺🇸

Bend, Oregon, United States

Rheumatology Clinic

🇺🇸

Medford, Oregon, United States

East Pennsylvania Rheumatology

🇺🇸

Bethlehem, Pennsylvania, United States

Altoona Arthritis & Osteoporosis Center

🇺🇸

Duncansville, Pennsylvania, United States

Clinical Research Center of Reading

🇺🇸

West Reading, Pennsylvania, United States

Presbyterian Hospital of Dallas

🇺🇸

Dallas, Texas, United States

Lewis Gayle Clinic

🇺🇸

Salem, Virginia, United States

Evergreen Medical & Dental Center

🇺🇸

Kirkland, Washington, United States

South Puget Sound Clinical Research Center

🇺🇸

Olympia, Washington, United States

Minor & James Med., First Hill Medical Building

🇺🇸

Seattle, Washington, United States

Internal Medicine Association of Yakima, Inc., P.S.

🇺🇸

Yakima, Washington, United States

CIADS, Medical Arts Building

🇨🇦

Winnipeg, Manitoba, Canada

Ottawa Hospital-General Campus

🇨🇦

Ottawa, Ontario, Canada

Sunnybrook/Women's College Research Health Science Center

🇨🇦

Toronto, Ontario, Canada

Institute de Rhumtologie de Montreal

🇨🇦

Montreal, Quebec, Canada

West Pharmaceutical Services

🇺🇸

Evansville, Indiana, United States

Disease Study Group / Deaconess Hospital

🇺🇸

Cincinnati, Ohio, United States

Lynn Health Science

🇺🇸

Oklahoma City, Oklahoma, United States

Providence Arthritis Center

🇺🇸

Portland, Oregon, United States

Northwest Rheumatology Associates, PC

🇺🇸

Portland, Oregon, United States

IHC Clinical Research Foundation

🇺🇸

Salt Lake City, Utah, United States

Westroads Medical Group

🇺🇸

Omaha, Nebraska, United States

Tampa Medical Group Research

🇺🇸

Tampa, Florida, United States

Medical Arts Center

🇺🇸

Milwaukee, Wisconsin, United States

Mercy Arthritis Center

🇺🇸

Des Moines, Iowa, United States

University of Louisville Hospital

🇺🇸

Louisville, Kentucky, United States

Medical College of Virginia, Div. of Rheum.

🇺🇸

Richmond, Virginia, United States

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