Arthritis, Rheumatoid Clinical Trial
Official title:
A PHASE 2A, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL-GROUP STUDY OF CE-224,535, AN ANTAGONIST OF THE P2X7 RECEPTOR, IN THE TREATMENT OF THE SIGNS AND SYMPTOMS OF RHEUMATOID ARTHRITIS IN SUBJECTS WHO ARE INADEQUATELY CONTROLLED ON METHOTREXATE
Verified date | March 2022 |
Source | Pfizer |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
CE-224,535 is known to block a chemical that acts as a gateway to some of your immune cells. Blocking this gateway prevents the cells from pushing out 2 chemicals called IL-1 and IL-18 that are known to cause some of the inflammation seen in rheumatoid arthritis. It is hoped that taking this drug will reduce the symptoms of rheumatoid arthritis
Status | Completed |
Enrollment | 100 |
Est. completion date | February 4, 2009 |
Est. primary completion date | February 4, 2009 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility | Inclusion Criteria: - Active rheumatoid arthritis - Incomplete response to methotrexate Exclusion Criteria: - Must not be on biologic therapies - No recent infections |
Country | Name | City | State |
---|---|---|---|
Chile | Clínica Santa María, Sección Reumatología | Providencia | Santiago, RM |
Czechia | Revmatologicka ambulance | Ceska Lipa | |
Czechia | Revmatologicky ustav | Praha 2 | |
Czechia | Revmatologicka ambulance | Praha 4 | |
Korea, Republic of | Inha University Hospital, Medicine/Rheumatology | Incheon | |
Korea, Republic of | Pusan National University Hospital, Rheumatology, Internal Medicine | Pusan | |
Mexico | Investigadores Clinicos Asociados | Mexico | D.f. |
Poland | Krakowskie Centrum Medyczne NZOZ | Krakow | |
Poland | Oddzial Reumatologiczno-Rehabilitacyjny IIR Ortopedyczno-Rehabilitacyjny | Poznan | |
Poland | Zaklad Reumatologii i Immunologii Klinicznej | Poznan | |
Spain | Complexo Hospitalario Universitario A Coruña | A Coruña | |
Spain | Hospital General Universitario Gregorio Marañon | Madrid | |
Spain | Hospital Nuestra Señora de La Esperanza | Santiago de Compostela | A Coruña |
United States | American Health Network | Avon | Indiana |
United States | New Horizons Clinical Research | Cincinnati | Ohio |
United States | University of Missouri-Columbia | Columbia | Missouri |
United States | University Physicians | Columbia | Missouri |
United States | Omega Research Consultants LLC | DeBary | Florida |
United States | The Arthritis and Osteoporosis Center of Maryland | Frederick | Maryland |
United States | Florida Arthritis Center | Lake Mary | Florida |
United States | Arizona Arthritis & Rheumatology Associates, P.C. | Mesa | Arizona |
United States | Best Clinical Trials, LLC (Administrative Only) | New Orleans | Louisiana |
United States | George Stanley Walker, MD | New Orleans | Louisiana |
United States | Majid Abdul Jawad, MD | New Orleans | Louisiana |
United States | Arthritis Center of Reno | Reno | Nevada |
United States | Arthritis Northwest | Spokane | Washington |
United States | Tampa Medical Group, PA | Tampa | Florida |
Lead Sponsor | Collaborator |
---|---|
Pfizer |
United States, Chile, Czechia, Korea, Republic of, Mexico, Poland, Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | CE-224,535 Plasma Concentrations | Nominal times were used for summarizing the pharmacokinetic results (0 hours at randomization [Day 1] and Week 4 [pre-dose]; 1 hour at Week 2 [post-dose]; 2 hours at randomization [post-dose on Day 1]; and 3 hours at Week 2 [post-dose] and Week 4 [post-dose]). | 0 hour (pre-dose), 2 hours post-dose at Day 1; 1, 3 hours post-dose at Week 2; 0 hour (pre-dose), 3 hours post-dose at Week 4 | |
Primary | Percentage of Participants With American College of Rheumatology 20% (ACR20) Response at Week 12 | ACR20 response: compared to baseline, greater than or equal to (>=) 20 percent (%) improvement in tender joint count; >= 20% improvement in swollen joint count; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). | Week 12 | |
Secondary | Percentage of Participants With American College of Rheumatology 20% (ACR20) Response at Week 2, 4 and 8 | ACR20 response: compared to baseline, >=20% improvement in tender joint count; >= 20% improvement in swollen joint count; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). | Week 2, 4, 8 | |
Secondary | Percentage of Participants With American College of Rheumatology 50% (ACR50) Response | ACR50 response: compared to baseline, >=50% improvement in tender joint count; >= 50% improvement in swollen joint count; and >= 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). | Week 2, 4, 8, 12 | |
Secondary | Percentage of Participants With American College of Rheumatology 70% (ACR70) Response | ACR70 response: compared to baseline, >=70% improvement in tender joint count; >= 70% improvement in swollen joint count; and >= 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). | Week 2, 4, 8, 12 | |
Secondary | Number of Tender/Painful and Swollen Joints | Number of tender/painful joints was determined by examining 28 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1. Number of swollen joints was determined by examination of 28 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Physician Global Assessment (PGA) of Arthritis | Physician global assessment of arthritis was measured on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS), with 0 mm= very good and 100 mm= very poor. This was an evaluation based on the participant's disease signs, functional capacity and physical examination. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Patient's Global Assessment of Arthritis | Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 to 100 mm VAS, with 0 mm= very well and 100 mm= very poorly. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Patient's Global Assessment of Arthritic Pain | Participants measured their pain at the time of assessment on a 0 to 100 mm VAS, with 0 mm= no pain and 100 mm= most severe pain. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Health Assessment Questionnaire-Disability Index (HAQ-DI) Score | Health Assessment Questionnaire-Disability Index (HAQ-DI): participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0= no difficulty; 1= some difficulty; 2= much difficulty; 3= unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0= least difficulty and 3= extreme difficulty. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) | DAS28-3 (CRP) was calculated from the swollen joint count and tender joint count using the 28 joints count and CRP (milligram per liter [mg/L]). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (CRP) less than or equal to (<=) 3.2 implied low disease activity and >3.2 to 5.1 implied moderate to high disease activity, and DAS28-3 (CRP) <2.6 = remission. | Baseline, Week 2, 4, 8, 12 | |
Secondary | C-Reactive Protein (CRP) | The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement. | Baseline, Week 2, 4, 8, 12 | |
Secondary | Incidence of Withdrawal Due to Lack of Efficacy | Number of participants who withrew due to lack of efficacy were reported. | Week 2, 4, 8, 12, 14 | |
Secondary | Time to Withdrawal Due to Lack of Efficacy | Baseline up to Week 14 |
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