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First-in-man Trial of NNC0142-0002 in Patients With Rheumatoid Arthritis

Primary Purpose

Inflammation, Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
placebo
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
NNC0142-0002
placebo
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inflammation

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Active rheumatoid arthritis, characterized by a Disease Activity Score (DAS28) above 3.2, and a diagnosis of at least three months duration
  • Aged between 18 and 75 years (both inclusive)
  • Subjects on stable doses of methotrexate for at least 4 weeks prior to dosing
  • Use of highly effective contraception during the trial (both males and females)

Exclusion Criteria:

  • A chronic inflammatory autoimmune or joint disease other than RA (rheumatoid arthritis)
  • An active or latent tuberculosis
  • Any investigational or experimental therapy within 4 weeks or 5 half-lives (whichever is longer) prior to the screening visit
  • A known significant cardio-vascular disease
  • Vaccination against live virus or bacteria within 4 weeks prior to randomization
  • The use of concomitant medications that are prohibited in the trial (e.g., certain DMARDs (antirheumatic therapies that are disease modifying), biologics (here: biotechnologically produced antibodies), intra-articular corticoid-injections, etc.)
  • A positive test result for human immunodeficiency virus (HIV) infection, hepatitis B and/or hepatitis C, or tuberculosis skin test
  • Donation of greater than or equal to 400 ml of blood within 8 weeks prior to trial entry

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

SD 0.0002 mg/kg

SD 0.0012 mg/kg

SD 0.007 mg/kg

SD 0.035 mg/kg

SD 0.175 mg/kg

SD 0.7 mg/kg

SD 2.5 mg/kg

SD 7.5 mg/kg

SD Placebo

MD 0.02 mg/kg

MD 0.3 mg/kg

MD 1.0 mg/kg

MD 1.6 mg/kg

MD 4.0 mg/kg

MD Placebo

Arm Description

Subjects were injected once with NNC0142-0002 at a dose of 0.0002 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 0.0012 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 0.007 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 0.035 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 0.175 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 0.7 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 2.5 mg/kg

Subjects were injected once with NNC0142-0002 at a dose of 7.5 mg/kg

Subjects were injected once with placebo

Subjects were injected biweekly four times with NNC0142-0002 at a dose of 0.02 mg/kg

Subjects were injected biweekly four times with NNC0142-0002 at a dose of 0.3 mg/kg

Subjects were injected biweekly four times with NNC0142-0002 at a dose of 1.0 mg/kg

Subjects were injected biweekly four times with NNC0142-0002 at a dose of 1.6 mg/kg

Subjects were injected biweekly four times with NNC0142-0002 at a dose of 4.0 mg/kg

Subjects were injected biweekly four times with placebo

Outcomes

Primary Outcome Measures

Frequency of Adverse Events
Adverse event: any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product, and which does not necessarily have a causal relationship with this treatment. Serious AE: AE that at any dose level resulted in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalization, a persistent/significant disability/incapacity, a congenital anomaly or birth defect, or an important medical event that may jeopardize the subject and require medical or surgical intervention.

Secondary Outcome Measures

Area Under the Concentration-time Curve (AUC)
Systemic exposure to NNC0142-0002.

Full Information

First Posted
June 24, 2009
Last Updated
August 24, 2016
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00927927
Brief Title
First-in-man Trial of NNC0142-0002 in Patients With Rheumatoid Arthritis
Official Title
A Randomized, Double-blind, Placebo-controlled, Dose-escalation, Single and Multiple Dose Trial to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0142-0002 Administered Subcutaneously to Subjects With Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial is conducted in Europe. The aim of this clinical trial is to investigate the safety, tolerability, pharmacokinetic (the effect of the body on the investigated drug) and signs of clinical efficacy of increasing single doses or four repeated doses of NNC 0142-0002 in patients with rheumatoid arthritis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammation, Rheumatoid Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
65 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SD 0.0002 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.0002 mg/kg
Arm Title
SD 0.0012 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.0012 mg/kg
Arm Title
SD 0.007 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.007 mg/kg
Arm Title
SD 0.035 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.035 mg/kg
Arm Title
SD 0.175 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.175 mg/kg
Arm Title
SD 0.7 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 0.7 mg/kg
Arm Title
SD 2.5 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 2.5 mg/kg
Arm Title
SD 7.5 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected once with NNC0142-0002 at a dose of 7.5 mg/kg
Arm Title
SD Placebo
Arm Type
Experimental
Arm Description
Subjects were injected once with placebo
Arm Title
MD 0.02 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with NNC0142-0002 at a dose of 0.02 mg/kg
Arm Title
MD 0.3 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with NNC0142-0002 at a dose of 0.3 mg/kg
Arm Title
MD 1.0 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with NNC0142-0002 at a dose of 1.0 mg/kg
Arm Title
MD 1.6 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with NNC0142-0002 at a dose of 1.6 mg/kg
Arm Title
MD 4.0 mg/kg
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with NNC0142-0002 at a dose of 4.0 mg/kg
Arm Title
MD Placebo
Arm Type
Experimental
Arm Description
Subjects were injected biweekly four times with placebo
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Single dose, ranging from 0.0002 mg/kg up to max 7.5 mg/kg, administered subcutaneously (under the skin) on day 1
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Single dose of 0 mg/kg administered subcutaneously (under the skin); cohort 1-7b on day 1, cohort 8-11 biweekly four times
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Multiple dose, ranging from 0.02 mg/kg up to max 4.0 mg/kg, administered subcutaneously (under the skin) four times biweekly
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Multiple dose, ranging from 0.02 mg/kg up to max 4.0 mg/kg, administered subcutaneously (under the skin) four times biweekly
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Multiple dose, ranging from 0.02 mg/kg up to max 4.0 mg/kg, administered subcutaneously (under the skin) four times biweekly
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Multiple dose, ranging from 0.02 mg/kg up to max 4.0 mg/kg, administered subcutaneously (under the skin) four times biweekly
Intervention Type
Drug
Intervention Name(s)
NNC0142-0002
Intervention Description
Multiple dose, ranging from 0.02 mg/kg up to max 4.0 mg/kg, administered subcutaneously (under the skin) four times biweekly
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Single dose of 0 mg/kg administered subcutaneously (under the skin); cohort 1-7b on day 1, cohort 8-11 biweekly four times
Primary Outcome Measure Information:
Title
Frequency of Adverse Events
Description
Adverse event: any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product, and which does not necessarily have a causal relationship with this treatment. Serious AE: AE that at any dose level resulted in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalization, a persistent/significant disability/incapacity, a congenital anomaly or birth defect, or an important medical event that may jeopardize the subject and require medical or surgical intervention.
Time Frame
Adverse events were collected for a mean (min; max) of 15.7 (6.4; 42.6) weeks for single-dose subjects, and 30.6 (12.7; 43.1) for multiple-dose subjects. Visits were scheduled until receptor occupancy was below the cut-off level for receptor positivity.
Secondary Outcome Measure Information:
Title
Area Under the Concentration-time Curve (AUC)
Description
Systemic exposure to NNC0142-0002.
Time Frame
Data were collected from 0 hours to at least Day 43 (SD cohorts) and Day 85 (MD cohorts), and until the receptor occupancy was confirmed below the cut-off level for receptor positivity.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Active rheumatoid arthritis, characterized by a Disease Activity Score (DAS28) above 3.2, and a diagnosis of at least three months duration Aged between 18 and 75 years (both inclusive) Subjects on stable doses of methotrexate for at least 4 weeks prior to dosing Use of highly effective contraception during the trial (both males and females) Exclusion Criteria: A chronic inflammatory autoimmune or joint disease other than RA (rheumatoid arthritis) An active or latent tuberculosis Any investigational or experimental therapy within 4 weeks or 5 half-lives (whichever is longer) prior to the screening visit A known significant cardio-vascular disease Vaccination against live virus or bacteria within 4 weeks prior to randomization The use of concomitant medications that are prohibited in the trial (e.g., certain DMARDs (antirheumatic therapies that are disease modifying), biologics (here: biotechnologically produced antibodies), intra-articular corticoid-injections, etc.) A positive test result for human immunodeficiency virus (HIV) infection, hepatitis B and/or hepatitis C, or tuberculosis skin test Donation of greater than or equal to 400 ml of blood within 8 weeks prior to trial entry
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Britta Væver Bysted, DVM, PhD
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
City
Berlin
ZIP/Postal Code
10117
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://novonordisk-trials.com
Description
Clinical Trials at Novo Nordisk

Learn more about this trial

First-in-man Trial of NNC0142-0002 in Patients With Rheumatoid Arthritis

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