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临床试验/EUCTR2010-018485-24-ES
EUCTR2010-018485-24-ES进行中(未招募)1 期

A multi-center, double-blind, randomized, placebo-controlled, dose-finding study in patients with active rheumatoid arthritis incompletely controlled on stable MTX doses to investigate efficacy and safety of SC BT061 - BT061 plus MTX in RA

Biotest AG0 个研究点目标入组 128 人开始时间: 2010年11月4日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
Biotest AG
入组人数
128

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • To participate in this trial, patients must meet all the following criteria:
  • 1. Written informed consent
  • 2. Patients of both gender with active RA according to 1987 revised American
  • College of Rheumatology (ACR) criteria with functional class II-III
  • 3. Disease activity at screening and baseline:
  • a.= 6 swollen joints on 66 joint count and
  • b.= 6 tender joints on 68 joint count and
  • c.= 1 out of the 2 criteria:
  • i.erythrocyte sedimentation rate (ESR)
  • male, = 50 years: = 23 mm/H
  • male, > 50 years: = 30 mm/H
  • female, = 50 years: = 30 mm/H
  • female: > 50 years: = 45 mm/H
  • ii.C-reactive protein (CRP) = 8 mg/L
  • 4. Duration of RA = 12 months
  • 5. Aged 18 years - 75 years (extremes included)
  • 6. Body mass index (BMI) 18 kg/m2 - 30 kg/m2 (extremes included)
  • 7. History of at least one traditional disease modifying anti-rheumatic drug (DMARD) with an inadequate response despite = 3 months of treatment
  • 8. Oral or parenteral MTX treatment for = 6 months with an unchanged mode of application and stable MTX dose = 15 mg (or = 10 mg in case of MTX intolerance) and = the upper limit of the applicable Summary of Product Charac-teristics (SmPC) for at least 8 weeks prior to baseline
  • 9. Patients could continue to receive = 7.5 mg daily of oral corticosteroids (prednisone or equivalent) at the same dose received prior to the study if dose was stable for = 6 weeks prior to baseline, if applicable
  • 10. Patients could continue to receive non-steroidal antiinflam-matory drugs (NSAIDs) at the same dose as received prior to the study if dose was stable for = 2 weeks prior to baseline, if applicable
  • 11. No acute or clinically relevant abnormalities in electrocar-diogram (ECG; 12-lead) at screening and baseline
  • 12. The following blood test results must be fulfilled at screen-ing:
  • a.Hemoglobin = 8.5 g/dL
  • b.Hematocrit > 30%
  • c.White blood cells (WBC) > 3.5*10E9 cells/L
  • d.Neutrophils = 1.5*10E9 cells/L
  • e.CD4 > 0.4*10E9 cells/L
  • f.B-cell count (CD19 count) > 75% of the lower limit of normal range (LLN)
  • g.Platelets = 150*10E9 cells/L
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Treatment with traditional DMARDs apart from MTX 12 weeks prior to baseline and for DMARD leflunomide 24 weeks (except specific leflunomide wash out proce-dure, i. e. 11 days with colestyramine or activated charcoal plus 30 days wash-out ) prior to baseline
  • 2. Treatment with any biologics other than TNF-a inhibitors (e.g. abatacept, rituximab, tocilizumab, anakinra)
  • 3. Treatment with any TNF-a inhibitor within 5 elimination half-lives prior to baseline (e.g. certolizumab 10 weeks, adalimumab 10 weeks, etanercept 3 weeks, infliximab 7 weeks, golimumab 10 weeks) and during the study
  • 4. Clinical non-response to more than one previous TNF-a inhibitor treatment exceeding adequate treatment duration
  • 5. Serious adverse drug reaction to previous biological treat-ment
  • 6. Intra-articular, intramuscular, or intravenous corticosteroid treatment within 4 weeks prior to screening and during the study
  • 7. Previous therapy with CD4 monoclonal antibody (mab) BT061
  • 8. Serum transaminases, alanine transaminase (ALAT) and/or aspartate transaminase (ASAT) > 2.5 fold ULN at screening
  • 9. Bilirubin > 3 mg/dL at screening
  • 10. Alkaline phosphatase > 2 fold ULN at screening
  • 11. Urea nitrogen > 1.5 fold ULN at screening
  • 12. Kidney insufficiency as defined by creatinine level > 1.5 mg/dl at screening
  • 13. History of severe allergic or anaphylactic reaction to pro-teins of human origin (e.g. vaccination reaction, biological therapy)
  • 14. Presence or history of malignancy within the previous 5 years (except completely resected squamous or basal cell carcinoma of the skin)
  • 15. Presence or history of clinically significant major disease (e.g. severe heart/lung disease New York Heart Associa-tion [NYHA] Class = 3, autoimmune disease [apart from rheumatoid arthritis], acute uncontrolled hyper- or hypo-thyreoidism, severe uncontrolled hypo- or hypertension)
  • 16. Serious local (e.g. abscess) or systemic (e.g. pneumonia, septicemia) infection or recurrent chronic infections within 6 weeks prior to screening visit or during the screening period
  • 17. Any infection requiring antibiotic therapy by any route of administration within 2 weeks prior to baseline
  • 18. Vaccination with live, live attenuated, and/or killed vac-cines in the 12 weeks prior to the first administration of the study drug and during the study
  • 19. Positive diagnosis for acute or chronic infections (i.e. He-patitis C Virus [HCV], Hepatitis B Virus [HBV], Human Im-munodeficiency Virus [HIV]) at Screening visit or history of previous chronic infection
  • 20. Acute or clinically symptomatic Epstein-Barr Virus (EBV) (infectious mononucleosis) or Cytomegalovirus (CMV) in-fection
  • 21. Presence or history of latent or active tuberculosis
  • 22. Presence or history of recurrent acute inflammatory joint disease other than RA
  • 23. Known immune deficiency
  • 24. Presence or history of lymphoproliferative disease, includ-ing lymphoma and lymphadenopathy
  • 25. Presence or history of clinically significant drug or alcohol abuse
  • 26. Joint surgery within 2 months prior to screening
  • 27. The patient, planned to be enrolled, is an employee of any involved study investigator or any involved institution in-cluding the study sponsor
  • 28. Pregnant or nursing women or women of childbearing potential (unless surgically sterile) who are not using two independent effective contraceptive methods during the study and for at least 3 months after the last administration of study drug (e.g. oral or injectable contraceptives, intrauterine devices, double

研究者

发起方
Biotest AG

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