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临床试验/EUCTR2005-003495-38-GR
EUCTR2005-003495-38-GR进行中(未招募)1 期

Part A: A randomized, double-blind, placebo-controlled study to determine the efficacy and safety of 5 dose regimens of RO4402257 in patients with active rheumatoid arthritis (RA) on stable methotrexate (MTX) therapy.Part B: A randomized, double-blind, placebo-controlled study to determine the efficacy and safety of 1 dose of RO4402257 in patients with active rheumatoid arthritis (RA) on stable methotrexate (MTX) therapy

F. Hoffmann-La Roche Ltd0 个研究点目标入组 440 人开始时间: 2006年6月30日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
440

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

  • Able and willing to give written informed consent and to comply with the study protocol
  • Active RA as diagnosed by the 1987 American College of Rheumatology (ACR; formerly American Rheumatism Association) criteria (Appendix 2)
  • Age greater than or equal to 18 years
  • Receiving treatment for RA on an outpatient basis
  • Has received MTX for at least 24 weeks, of which the last 8 weeks prior to baseline was at a single dose level between 10 mg and 25 mg weekly; the route of administration also remained unchanged for the 8 weeks prior to baseline
  • If taking either hydroxychloroquine (HCQ) or chloroquine (CQ), dose must be stable for 8 weeks prior to baseline
  • Swollen joint count (SJC) greater than or equal to 6 (66 joint count) and tender joint count (TJC) greater than or equal to 8 (68 joint count) at screening and baseline
  • At screening, either high sensitivity C-reactive protein (hs-CRP) greater than or equal to 0.6 mg/dL (6 mg/L) or erythrocyte sedimentation rate (ESR) = 28 mm/h or morning stiffness greater than 45 minutes
  • Females of child-bearing potential and nonsterilized males with female partners of child-bearing potential only if willing to use a reliable means of contraception (e.g., physical barrier, contraceptive pill, patch, or IUD) during the study and for 4 weeks following the last dose of study drug
  • If female and of childbearing potential, must have a negative pregnancy test within 3 weeks prior to randomization and at baseline
  • 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

  • Major surgery (including joint surgery) within 8 weeks prior to screening or any planned surgery within 3 months after randomization
  • Rheumatic autoimmune disease other than RA (including systemic lupus erythematosus, mixed connective tissue disease, scleroderma, polymyositis), or significant systemic involvement secondary to RA (e.g., vasculitis, pulmonary fibrosis, Felty’s syndrome); Sjögren’s Syndrome with RA is allowed
  • Bed-ridden or confined to a wheelchair
  • Prior history of, or current inflammatory joint disease other than RA (e.g., tophaceous gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme disease)
  • Evidence of serious uncontrolled concomitant cardiovascular, nervous system, pulmonary (including asthma), renal, hepatic, endocrine (including uncontrolled diabetes mellitus), or gastrointestinal disease
  • History of malignancy, including solid tumors and hematologic malignancies (except basal cell carcinoma of the skin that has been excised and cured)
  • One of the following:
  • History of active tuberculosis
  • Chest radiographic findings consistent with active or latent tuberculosis
  • Positive PPD (greater than or equal to 10 mm induration) unless there is a history of BCG immunization and the investigator ascertains that there is no recent history of tuberculosis exposure
  • Known active bacterial (including mycobacterial), viral (including HIV), fungal, or other infections (excluding fungal infections of nail beds)
  • Any episode of infection requiring hospitalization or treatment with IV antibiotics within 4 weeks prior to baseline or oral antibiotics within 2 weeks prior to baseline
  • History of recurrent bacterial infections as an adult
  • History of hereditary or acquired immune deficiency disorder
  • Immunization with a live vaccine within 4 weeks prior to baseline
  • Pregnant women or nursing (breastfeeding) mothers
  • History of alcohol, drug or chemical abuse within the six months prior to screening
  • Neuropathies or other conditions that might interfere with pain evaluation
  • Current DMARD therapy other than MTX , HCQ or CQ
  • Previous treatment with a biologic agent
  • Treatment with another investigational agent within 6 weeks of screening, or 5 half-lives of the drug, whichever is longer
  • Previous treatment with any cell depleting therapies, including investigational agents (e.g., CAMPATH, anti-CD4, anti-CD5, anti-CD3, anti-CD19, and anti-CD20)
  • Previous treatment with alkylating agents
  • Greater than 10 mg/day of prednisone (or equivalent; please refer to Appendix 1) < 4 weeks prior to the baseline visit
  • Intraarticular or parenteral corticosteroids < 4 weeks prior to the baseline visit
  • Sulfasalazine, azathioprine, cyclosporine, thalidomide, D-penicillamine, or tacrolimus within 8 weeks prior to baseline, and leflunomide within 12 weeks (or 4 weeks after 11 days of standard cholestyramine washout) prior to baseline
  • Gold compounds if less than 8 weeks prior to baseline; immunoadsorption columns if less than 6 months prior to baseline
  • Screening CPK > 2 x ULN
  • Screening alanine aminotransferase (ALT/SGPT) or aspartate aminotransferase (AST/SGOT) > 1.5 x ULN
  • Screening calculated creatinine clearance (Cockroft-Gault) < 50 mL/minute (refer to Appendix 3 for Cockroft-Gault formula)
  • Screening platelet count < 100,000 cells/mm3
  • Screening hemoglobin < 9 g/dL
  • Screening white blood cells < 3000 cells/mm3
  • Positive Hepatitis B surface antigen or Hepatitis C antibody
  • History of positive HIV antibody or

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