Phase 2
N=60
Study of Two Doses of ABX464 in Participants With Moderate to Severe Rheumatoid Arthritis
Rheumatoid Arthritis
Bottom Line
View on ClinicalTrials.gov: NCT03813199 ↗Enrolled (actual)
60
Serious AEs
3.3%
Results posted
Apr 2022
Primary outcome: Primary: Number of Treatment-emergent Adverse Events in the ABX464 Treated Patients Versus Placebo — 18; 18; 14 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- ABX464 50mg (Drug); Matching Placebo (Drug); ABX464 100mg (Drug); Methotrexate (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Abivax S.A.
- Primary completion
- Apr 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Treatment-emergent Adverse Events in the ABX464 Treated Patients Versus Placebo |
18; 18; 14 | — |
| SECONDARY Number of Patients Achieving ACR20 Response |
9; 3; 4 | — |
| SECONDARY Number of Patients Achieving ACR20/50/70 Response |
9; 3; 4; 5; 2; 1 | — |
| SECONDARY Change From Baseline in C-reactive Protein (CRP) |
-4.31; 0.62; -0.65 | — |
| SECONDARY Number of Patients Achieving DAS28-CRP Response |
14; 6; 8 | — |
| SECONDARY Change From Baseline in Disease Activity Scores (DAS-CRP) (28 Joints) [DAS28] |
-1.41; -0.72; -0.60 | — |
| SECONDARY Change From Baseline in Erythrocyte Sedimentation Rate (ESR) |
-2.6; -0.3; -2.7 | — |
| SECONDARY Number of Patients Achieving Disease Activity Score (DAS) DAS28-Erythrocyte Sedimentation Rate (ESR) [DAS28-ESR] Remission |
2; 0; 0 | — |
| SECONDARY Change From Baseline in Disease Activtiy Score (DAS)28-Erythrocyte Sedimentation Rate (ESR) |
-1.43; -0.74; -0.59 | — |
| SECONDARY Change From Baseline in Simplified Disease Activity Index Score (SDAI) |
-20.21; -9.37; -7.58 | — |
| SECONDARY Change From Baseline in Clinical Disease Activity Index Score (CDAI) |
-15.89; -9.99; -6.93 | — |
| SECONDARY Number of Patients Achieving Low Disease Activity (LDA) |
4; 2; 2 | — |
| SECONDARY Number of Patients Achieving Simplified Disease Activity Score (SDAI) Remission |
1; 0; 0 | — |
| SECONDARY Number of Patients Achieving Clinical Disease Activity (CDAI) Remission |
3; 0; 0 | — |
| SECONDARY Number of Patients Achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean Remission |
1; 0; 0 | — |
| SECONDARY Change From Baseline in Tender/Painful Joint Count (TJC28) |
-6.8; -4.1; -2.9 | — |
| SECONDARY Change From Baseline in Swollen Joint Count (SJC) |
-4.4; -3.2; -2.1 | — |
| SECONDARY Change From Baseline in Pain Visual Analog Scale |
-2.63; -0.89; -0.78 | — |
| SECONDARY Change From Baseline in Patient Global Assessment of Disease (PtGA) |
-1.44; -0.89; -0.36 | — |
| SECONDARY Change From Baseline in Investigator Global Assessment of Disease (PrGA) |
-3.26; -1.89; -1.63 | — |
| SECONDARY Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) |
-0.4345; -0.1053; -0.1813 | — |
Summary
This Phase IIa study aims at investigating the safety and tolerability of 2 dose-levels of ABX464 administered daily in combination with methotrexate (MTX) in patients with moderate to severe active Rheumatoid Arthritis (RA) who had an inadequate response to MTX or/and to one or more anti- tumor necrosis factor alpha (TNFα) therapies.
Eligibility Criteria
Inclusion Criteria
- Patient with a confirmed and documented diagnosis of adult-onset rheumatoid arthritis, for at least 12 weeks, according to the revised 2010 American College of Rheumatology- European League Against Rheumatism (ACR-EULAR) classification criteria, including at least one positive criteria among the following: Rheumatoid Factor (RF), Anti-Citrullinated Peptide Antibody (ACPA) or bone erosion;
- Swollen joint count (SJC) of ≥ 4 (28-joint count) and tender joint count (TJC) ≥4 (28-joint count) at screening;
- Patient with a moderate to severe disease activity score Disease Activity Score (28 joints) C-Reactive Protein [DAS28 CRP] ≥ 3.2 and C-reactive Protein (CRP) ≥ 5 mg/L (≥ 4.76 nmol)/L) at screening;
- Patient who had an inadequate response (IR), or failed either methotrexate (MTX) or/and anti- Tumor Necrosis Factor alpha (TNFα) therapy (both administered for at least 12 weeks before IR) or were intolerant to anti- TNFα therapy.
Exclusion Criteria
- Patient with a known positive anti-double stranded deoxyribonucleic acid (DNA [anti-dsDNA]) and confirmed diagnosis of systemic lupus erythematosus (SLE);
- Patient with known active infections at screening such as CytoMegaloVirus (CMV), herpes virus and/or recent infectious hospitalization;
- Acute, chronic or history of clinically relevant pulmonary, cardiovascular, hepatic, pancreatic or renal functional abnormality, encephalopathy, neuropathy or unstable Central Nervous System (CNS) pathology such as seizure disorder, angina or cardiac arrhythmias, active malignancy or any other clinically significant medical problems as determined by physical examination and/or laboratory screening tests and/or medical history;
- Acute, chronic or history of immunodeficiency or other autoimmune disease;
- Patient previously treated with any non-anti-TNF biological Disease-Modifying AntiRheumatic Drugs (bDMARDs), and targeted DMARDs (tDMARDS) prior to baseline.
Data sourced from ClinicalTrials.gov (NCT03813199). 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.