Rheumatoid Arthritis (RA) Clinical Trial
Official title:
A Phase II, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Worldwide, Dose-Ranging Clinical Trial With a Proof-of-Concept Lead Cohort to Evaluate the Safety, Tolerability, and Efficacy of MK-8457 + MTX in Patients With Active Rheumatoid Arthritis Despite Methotrexate Therapy
The purpose of this study is to assess the safety and efficacy of MK-8457 + Methotrexate (MTX) in participants with active rheumatoid arthritis (RA) despite MTX therapy. The primary hypothesis is that at least 1 dose of MK-8457 + MTX will be superior to placebo + MTX as measured by the percentage of participants who achieve American College of Rheumatology 20 (ACR 20) response after 12 weeks of treatment.
In Base Study Phase IIa, participants were to receive blinded MK-8457 100 mg or matched
placebo for up to 24 weeks. At Week 12 and 18 of Phase IIa, efficacy evaluation was conducted
to assess eligibility for early escape, defined as <20% reduction in both tender and swollen
joint counts. The study plan included Base Study Phase IIb in which dose range finding or
dose-response was to be evaluated, depending on the outcome of Phase IIa. Participants who
completed Phase IIa or Phase IIb and those eligible for early escape could enroll in Period
3, a 2-year Safety Extension.
All participants must have been treated with MTX for at least 3 months prior to screening and
have been receiving a stable dose of MTX for at least 4 weeks prior to screening.
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