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Phase 2 Completed N=390 Randomized Quadruple-blind Treatment

Phase IIb Study of Evobrutinib in Subjects With Rheumatoid Arthritis

Source: ClinicalTrials.gov NCT03233230 ↗
Enrolled (actual)
390
Serious AEs
1.8%
Results posted
Sep 2020
Primary outcomePrimary: Percentage of Participants Who Achieved American College of Rheumatology 20 Percent (%) Response Criteria (ACR20) Assessed Using High-Sensitivity C-reactive Protein (hsCRP) at Week 12 — 49.5; 59.2; 51.0; 59.6 percentage of participants — p=0.1746

Summary

The purpose of this study was to determine the efficacy, dose response, and safety of M52951 in participants with Rheumatoid Arthritis (RA), and to consider a dose to took forward into Phase III development.

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants Who Achieved American College of Rheumatology 20 Percent (%) Response Criteria (ACR20) Assessed Using High-Sensitivity C-reactive Protein (hsCRP) at Week 12
49.5; 59.2; 51.0; 59.6 0.1746
SECONDARY
Percentage of Participants With Low Disease Activity Score (DAS28 Less Than [<] 3.2) Based on 28 Joint Count-High-Sensitivity C-reactive Protein (DAS28-hsCRP) at Week 12
7.2; 20.4; 24.0; 20.2 0.0077 sig
SECONDARY
Percentage of Participants With Remission Disease Activity Score (DAS28 Less Than [<] 2.6) Based on a 28 Joint Count-High-Sensitivity C-reactive Protein (DAS28-hsCRP) at Week 12
1.0; 10.2; 10.4; 10.1 0.0056 sig
SECONDARY
Percentage of Participants Achieving American College of Rheumatology 50% Response Criteria (ACR50)
19.6; 28.6; 27.1; 26.3 0.1419
SECONDARY
Percentage of Participants Achieving American College of Rheumatology 70% Response Criteria (ACR70)
5.2; 11.2; 10.4; 10.1 0.1232
SECONDARY
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)
44; 48; 48; 50; 2; 2
SECONDARY
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) by Severity According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)
33; 42; 37; 40; 19; 14
SECONDARY
Number of Participants With Clinically Significant Change From Baseline in Vital Signs
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameters
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes From Baseline in 12-Lead Electrocardiogram (ECG) Findings
0; 0; 0; 0
SECONDARY
Change From Baseline in Serum Immunoglobulin (Ig) Levels (IgG, IgA, IgM) at Week 2, 4, 8, 12 and 16
-0.02; -0.07; -0.21; -0.09; -0.05; -0.15
SECONDARY
Change From Baseline in B Cell Count at Week 2, 4, 8, 12 and 16
-13; 264; 161; 74; -20; 71
SECONDARY
Percentage of Participants With Remission Assessed by American College of Rheumatology-European League Against Rheumatism (ACR-EULAR) Boolean at Week 12
0.0; 0.0; 1.0; 3.0
SECONDARY
Percentage of Participants With Clinical Disease Activity Index (CDAI) Score Less Than or Equal to [=<] 2.8 at Week 12
1.0; 4.1; 6.3; 3.0
SECONDARY
Percentage of Participants With Simplified Disease Activity Index (SDAI) Score Less Than or Equal to [=<] 3.3 at Week 12
0.0; 3.1; 4.2; 3.0
SECONDARY
Percentage of Participants With Good or Moderate European League Against Rheumatism (EULAR) Responses at Week 12
54.6; 65.3; 66.7; 71.7
SECONDARY
American College of Rheumatology (ACR) Hybrid Scores Computed Using High-Sensitivity C-reactive Protein (hsCRP)
26.51; 34.66; 33.09; 36.99
SECONDARY
Change From Baseline in Disease Activity Score (DAS) Based on a 28 Joint Count-High-Sensitivity C-reactive Protein (DAS28-hsCRP) at Week 12
-1.21; -1.45; -1.62; -1.75
SECONDARY
Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 12
-16.9; -18.0; -18.9; -20.3
SECONDARY
Change From Baseline in Simplified Disease Activity Index (SDAI) at Week 12
-17.000; -18.647; -19.404; -21.053
SECONDARY
Change From Baseline in Tender Joint Count (TJC) and Swollen Joint Count (SJC) at Week 12
-11; -11; -13; -12; -7; -8
SECONDARY
Change From Baseline in Participant's Global Assessment of Disease Activity Based on Visual Analog Scale (VAS) Score at Week 12
-20; -19; -17; -25
SECONDARY
Change From Baseline in Participant's Assessment of Pain Based on Visual Analog Scale (VAS) Score at Week 12
-21; -24; -22; -25
SECONDARY
Changes From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Total Score at Week 12
-0.38; -0.58; -0.40; -0.52
SECONDARY
Change From Baseline in Physician's Global Assessment of Disease Activity Scale Based on Visual Analog Scale (VAS) Score at Week 12
-29; -33; -34; -37
SECONDARY
Change From Baseline in High-Sensitivity C-reactive Protein (hsCRP) at Week 12
-1.11; -6.42; -5.45; -7.69
SECONDARY
Percent Change From Baseline in Tender Joint Count (TJC) and Swollen Joint Count (SJC) at Week 12
-39; -46; -51; -49; -46; -53
SECONDARY
Percent Change From Baseline in Participant's Global Assessment of Disease Activity Based on Visual Analog Scale (VAS) Score at Week 12
-13; -21; -13; -33
SECONDARY
Percent Change From Baseline in Participant's Assessment of Pain Based on Visual Analog Scale (VAS) Score at Week 12
-23; -32; -29; -32
SECONDARY
Percent Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Total Score at Week 12
-20.09; -31.85; -21.27; -27.12
SECONDARY
Percent Change From Baseline in Physician's Global Assessment of Disease Activity Scale Based on Visual Analog Scale (VAS) Score at Week 12
-42; -44; -47; -52
SECONDARY
Percent Change From Baseline in High-Sensitivity C-reactive Protein (hsCRP) at Week 12
95.01; 10.93; 182.57; -13.91
SECONDARY
Change From Baseline in Synovitis Score According to the Outcomes Measures in Rheumatology Clinical Trials Rheumatoid Arthritis Magnetic Resonance Imaging Scoring System (OMERACT RAMRIS) at Week 12
0; -1; -1; -1
SECONDARY
Change From Baseline in Bone Marrow Edema (Osteitis) Score According to the Outcomes Measures in Rheumatology Clinical Trials Rheumatoid Arthritis Magnetic Resonance Imaging Scoring System (OMERACT RAMRIS) at Week 12
-1; 0; 0; 0
SECONDARY
Change From Baseline in Physical Function Using Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12
-0.41; -0.61; -0.45; -0.53
SECONDARY
Change From Baseline in the Short-Form (SF-36) Health Survey Physical Component Score and Mental Component Score at Week 12
5.9; 7.1; 6.4; 7.1; 4.9; 5.7
SECONDARY
Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Score at Week 12
9; 10; 9; 8

Eligibility Criteria

Inclusion Criteria

  • In Japan, if a participant is less than ( = 6 swollen joints (of 66 assessed) and >= 6 tender joints (of 68 assessed).
  • An hsCRP >= 5.0 milligram/liter (mg/L) at Screening
  • Treatment for >= 16 weeks with 7.5 to 25 mg/week Methotrexate (MTX) at a stable dose and route of administration (oral or parenteral) for at least 8 weeks prior to dosing with the Investigational Medicinal Product (IMP) and maintained throughout the trial
  • For participants entering the trial on MTX doses = 1 of metacarpophalangeal joints 1 to 5, defined as loss of bony contours with palpable joint effusion and/or swelling, in the MRI-designated hand (that is., the hand being used in MRI assessments).

Exclusion Criteria

  • ACR functional class IV as defined by the ACR classification of functional status or wheelchair/bedbound
  • Use of oral corticosteroids greater than (>) 10 mg daily prednisone equivalent, or change in dose of corticosteroids within 2 weeks prior to Screening or during Screening
  • Use of injectable corticosteroids (including intra-articular corticosteroids) or intra-articular hyaluronic acid within 4 weeks prior to Screening or during Screening
  • Initiation or change in dose for nonsteroidal anti-inflammatory drugs (NSAIDs) (including low-dose aspirin and cyclooxygenase-2 inhibitors) within 2 weeks prior to dosing with the IMP
  • High potency opioid analgesics are prohibited within 2 weeks prior to Screening and during the trial; other analgesics are allowed (that is, acetaminophen, codeine, hydrocodone*, propoxyphene*, or tramadol), although not within 24 hours of study visits with clinical assessments (*not approved in Japan)
  • Current or prior treatment with any of the following:
  • Biologic Disease-modifying anti-rheumatic drugs (DMARDs) (approved or investigational), including but not limited to:
  • Tumor necrosis factor (TNF) antagonists or biosimilars of these agents (approved or investigational), or any investigational TNF antagonist
  • Interleukin-6 antagonists
  • Abatacept (CTLA4-Fc)
  • Anakinra* (IL-1 receptor antagonist) (*not approved in Japan)
  • B cell-depleting antibodies (example, rituximab, ocrelizumab*, ofatumumab, obinutuzumab*, ocaratuzumab*, veltuzumab*, or any biosimilars of these agents [approved or investigational]) (*not approved in Japan)
  • Anti-BLyS (B lymphocyte stimulator) agents (example, belimumab, tabalumab*) (*not approved in Japan)
  • Dual BLyS/A proliferation-inducing ligand (APRIL) neutralizing agents (that is, atacicept*, RCT-18*) (*not approved in Japan)
  • Targeted synthetic DMARDs, specifically:
  • Janus kinase inhibitors
  • Other Bruton's tyrosine kinase (BTK) inhibitors
  • Alkylating agents (example, chlorambucil*, cyclophosphamide) (*not approved in Japan).
  • The following restrictions on nonbiologic DMARD must be followed:
  • Auranofin (Ridaura), minocycline, penicillamine, sulfasalazine, cyclosporine, mycophenolate (mycophenolate sodium not approved in Japan), tacrolimus, azathioprine: must have been discontinued for 4 weeks prior to dosing with the IMP
  • Leflunomide (Arava) must have been discontinued 12 weeks prior to dosing with the IMP if no elimination procedure is followed. Alternately, it should have been discontinued with the following elimination procedure at least 4 weeks prior to dosing with the IMP:
  • Cholestyramine at a dosage of 8 gram 3 times a day for at least 24 hours, or activated charcoal at a dosage of 50 gram 4 times a day for at least 24 hours.
  • Injectable Gold (aurothioglucose* or aurothiomalate): must have been discontinued for 8 weeks prior to dosing with the IMP (*not approved in Japan)
  • Anti-malarials (hydroxychloroquine, chloroquine*) will be allowed in this trial. Participants may be taking oral hydroxychloroquine (=< 400 mg/day) or chloroquine (=< 250 mg/day), doses must have been stable for at least 12 weeks prior to dosing with the IMP, and will need to be continued at that stable dose for the duration of the trial. If discontinued prior to this tr
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03233230). 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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