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Phase 2 Completed N=65 Randomized Double-blind Treatment

Safety and Efficacy Study of M2951 in Participants With Rheumatoid Arthritis

Source: ClinicalTrials.gov NCT02784106 ↗
Enrolled (actual)
65
Serious AEs
1.0%
Results posted
May 2018
Primary outcomePrimary: Proportion of Participants Who Achieved American College of Rheumatology-20 (ACR20) Response — 0.42; 0.52 proportion of participants

Summary

M2951 is an investigational drug under evaluation for treatment of autoimmune and inflammatory disorders. The purpose of the study is to assess the efficacy of M2951 in participants with rheumatoid arthritis (RA) currently treated with stable dose of methotrexate (MTX).

Outcome Measures

OutcomeResultp-value
PRIMARY
Proportion of Participants Who Achieved American College of Rheumatology-20 (ACR20) Response
0.42; 0.52
SECONDARY
Mean Change From Baseline in High-Sensitivity C-Reactive Protein (hsCRP) at Day 28
-0.80; -2.72
SECONDARY
Proportion of Participants Achieving American College of Rheumatology-50 (ACR50) Response
0.10; 0.06; 0.23; 0.18; 0.23; 0.21
SECONDARY
Proportion of Participants Achieving American College of Rheumatology-70 (ACR70) Response
0.00; 0.06; 0.03; 0.06; 0.13; 0.09
SECONDARY
Mean Change From Baseline in High-Sensitivity C-Reactive Protein (hsCRP) at Day 84
-2.14; -3.54
SECONDARY
Mean Change From Baseline in Disease Activity Score Based on a 28 Joint Count High-Sensitivity C-Reactive Protein (DAS28-hsCRP) at Day 28 and 84
-0.79; -0.87; -1.35; -1.28
SECONDARY
Proportion of Participants With Disease Activity Score- High Sensitivity C-Reactive Protein (DAS28-hsCRP) Value Less Than (<) 3.2
0.13; 0.21
SECONDARY
Proportion of Participants With Disease Activity Score- High Sensitivity C-Reactive Protein (DAS28-hsCRP) Value Less Than (<) 2.6
0.10; 0.06
SECONDARY
Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Day 28 and 84
-3; -7; -3; -9
SECONDARY
Change From Baseline in Anti-cyclic Citrullinated Peptide (Anti-CCP) Antibody Levels at Day 28 and 84
168; -138; 301; -396
SECONDARY
Change From Baseline in Rheumatoid Factor (RF) at Day 28 and 84
-30; -7; -34; -26
SECONDARY
Change From Baseline in Global Assessment of Disease Activity Based on Visual Analog Scale (VAS) Score at Day 84
-21; -24
SECONDARY
Change From Baseline in Self-assessment of Pain Based on Visual Analog Scale (VAS) Score at Day 84
-19; -22
SECONDARY
Change From Baseline in Self-assessment of Disability Using Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Day 84
-0.3; -0.3
SECONDARY
Change From Baseline in Physician's Global Assessment of Disease Activity Scale Based on Visual Analog Scale (VAS) Score at Day 84
-33; -30
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
16; 22; 0; 1
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs) by Severity
2; 3; 0; 1
SECONDARY
Number of Participants With Grade 3 or Higher Clinically Significant Abnormality for Hematology, Biochemistry, Urinalysis or Coagulation
2; 0; 4; 2; 0; 0
SECONDARY
Number of Participants With Clinically Significant Vital Signs Abnormalities
0; 0
SECONDARY
Number of Participants With Clinically Significant 12-lead Electrocardiogram (ECG) Findings
0; 0
SECONDARY
Plasma Concentration of M2951
0.00; 10.3; 80.5; 160; 125; 47.3
SECONDARY
Area Under the Concentration-Time Curve From Time Zero to 6 Hours (AUC 0-6h) of M2951
431; 414
SECONDARY
Maximum Observed Plasma Concentration (Cmax) of M2951
206; 171
SECONDARY
Plasma Concentration Observed Immediately Before Dosing on Day 29 (Cpre) of M2951
5.47
SECONDARY
Time to Reach Maximum Plasma Concentration (Tmax) of M2951
1.00; 1.00
SECONDARY
Accumulation Ratio for Area Under the Concentration-Time Curve From Time Zero to 6 Hours (Racc [AUC0-6h]) of M2951
1.38
SECONDARY
Accumulation Ratio for Observed Maximum Plasma Concentration (Racc [Cmax]) of M2951
1.52
SECONDARY
Absolute Immunoglobulin Levels at Day 85
2.09; 2.77; 10.61; 9.88; 6.20; 5.41
SECONDARY
Absolute Change From Baseline in Immunoglobulin Levels at Day 85
-0.07; -0.04; 0.02; -0.30; 0.11; -0.15
SECONDARY
Absolute B-Cell Levels at Day 85
243; 204
SECONDARY
Absolute Change From Baseline in B-cell Levels at Day 85
76; 11

Eligibility Criteria

Inclusion Criteria

  • Men or women 18 to 75 years of age at the time of informed consent signature
  • Confirmed diagnosis of RA according to 2010 American College of Rheumatology (ACR)/The European League Against Rheumatism (EULAR) RA classification criteria of at least 6 months duration
  • Positive RF and/or anti-CCP (anti-cyclic citrullinated peptide)
  • Persistently active disease defined as greater than equal to (>=) 6 swollen joints (of 66 counted) and >= 6 tender joints (of 68 counted)
  • High-sensitivity C-reactive protein (hsCRP) >= 3.6 milligram per liter (mg/L)
  • Treatment for >= 12 weeks with 10 to 25 mg/week MTX at a stable dose for at least 4 weeks prior to dosing with the investigational medicinal product (IMP) and maintained throughout the trial
  • Women of childbearing potential must use acceptable methods of contraception for 4 weeks prior to randomization, throughout the trial, and for 90 days after the last dose of IMP. For the purposes of this trial
  • Females who are postmenopausal (age-related amenorrhea >= 12 consecutive months and increased follicle-stimulating hormone [FSH] greater than (>) 40 milli international units per milliliter [mIU/mL]), or who have undergone hysterectomy or bilateral oophorectomy are exempt from pregnancy testing. If necessary to confirm postmenopausal status, an FSH will be drawn at Screening
  • Acceptable contraception is defined as use of either 2 barrier methods (eg, female diaphragm and male condom), or 1 barrier method in conjunction with one of the following: spermicide, an intrauterine device, or hormonal contraceptives (implant or oral)
  • Women of childbearing potential must have a negative serum pregnancy test at the Screening Visit and a negative urine pregnancy test at Day 1/randomization before dosing.

Exclusion Criteria

  • Use of oral corticosteroids > 10 mg daily prednisone equivalent, use of injectable corticosteroids, or change in dose of corticosteroids within 2 weeks prior to Screening or during Screening
  • Initiation or change in dose for nonsteroidal anti-inflammatory drugs (NSAIDs) within 2 weeks prior to Screening
  • Treatment with tofacitinib, other Bruton's Tyrosine Kinase (BTK) inhibitors, or a biologic disease-modifying antirheumatic drug (DMARD; eg, anti-tumor necrosis factor alpha [anti-TNF-α], tocilizumab [anti-interleukin-6 receptor], abatacept [CTLA4-Fc]), or other immunosuppressive drugs(sulfasalazine would be acceptable at a stable dose) other than methotrexate within 3 months prior to Screening or during Screening
  • Treatment with anti-CD20 therapy (eg, rituximab) within 12 months prior to Screening or during Screening
  • Immunologic disorder other than Rheumatoid Arthritis (RA), with the exception of secondary Sjogren's syndrome associated with RA, and well-controlled diabetes or thyroid disorder, or any other condition requiring oral, intravenous, intramuscular, or intra-articular corticosteroid therapy
  • Vaccination with live or live-attenuated virus vaccine within 1 month prior to Screening
  • Active, clinically significant, viral, bacterial, or fungal infection, or any major episode of infection requiring hospitalization or treatment with parenteral anti-infectives within 4 weeks of Screening or during Screening, or completion of oral anti-infectives within 2 weeks before or during Screening, or a history of recurrent infections (ie, 3 or more of the same type of infection in a 12-month rolling period). Vaginal candidiasis, onychomycosis, and genital or oral herpes simplex virus considered by the Investigator to be sufficiently controlled would not be exclusionary
  • History of or positive testing for human immunodeficiency virus (HIV), hepatitis C antibody and/or polymerase chain reaction, hepatitis B surface antigen (HBsAg) (+) and/or hepatitis B core total, and/or IgM antibody (+) at Screening
  • History of or current diagnosis of active tuberculosis (TB); undergoing treatment for latent TB infection (LTBI); untreated LTBI (as determined by doc
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02784106). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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