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Safety and Tolerability of MORAb-022 in Healthy and Rheumatoid Arthritis Subjects

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MORAb-022
MORAb-022
Sponsored by
Morphotek
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

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

Inclusion Criteria for Rheumatoid Arthritis (RA) Subjects:

  • Male or female subjects age greater than or equal to 18 years and less than or equal to 75 years.
  • Subjects with RA diagnosis per the 2010 Rheumatoid Arthritis Classification Criteria per American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR.)
  • BMI less than or equal to 35 kg/m2 at Screening.
  • Active RA characterized by DAS28 score of less than or equal to 5.1 at Screening.
  • Have been stabilized on their current dose (up to 25 mg/week) of methotrexate(MTX) for at least 4 weeks before randomization.

Exclusion Criteria for Rheumatoid Arthritis (RA)Subjects:

  • Subjects with severe active RA and are not on a stable therapeutic regimen at Screening.
  • Subjects without significant articular RA.
  • Relevant history of significant respiratory disease (e.g., chronic bronchitis, asthma in last 5 years, chronic obstructive pulmonary disease, tuberculosis, interstitial lung disease, such as pneumonitis and pulmonary alveolar proteinosis, as well as significant inhalation exposure to silicon and other substances) that required treatment and/or follow up under the direction of a physician.
  • Presence of GM-CSF autoantibodies above normal at Screening.
  • Abnormal chest x-ray or PFTs as judged by the investigator at Screening as clinically significant.
  • Positive Quantiferon test.
  • History of clinically relevant hypersensitivity reactions (e.g., to gold therapy)
  • History of medication use that might have carryover effects during the study.
  • Previous administration of a GM-CSF modulator within 6 months of randomization, or previous administration of a monoclonal antibody or immunoglobulin fusion protein that is not (or worded as "other than") a GM-CSF modulator within 3 months of randomization.
  • Use of any biological therapy other than the test article during the study (informed consent to termination visit)
  • Subjects who consume greater than 14 alcoholic drinks per week for males or 7 alcoholic drinks per week for females.
  • Weight greater than 120 kg at Screening.
  • Use of parenteral and/or intra-articular steroids, immunosuppressants, investigational drugs, and oral anticoagulant drugs within 4 weeks prior to randomization. Oral steroid treatment is permitted if the dosage is less than or equal to 10 mg of prednisone daily, is stable for a minimum of 4 weeks before the study and remains unchanged throughout the study.

Sites / Locations

  • Axis Clinical Trials
  • Seaview Jacksonville, LLC
  • Lynn Health Science Institute
  • Altoona Center for Clinical Research
  • Pharmaceutical Research Associates Group B.V.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Escalating doses of MORAb-022

Placebo

Arm Description

Subjects with RA will be randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).

Subjects with RA will be also randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).

Outcomes

Primary Outcome Measures

Safety to measures to include adverse events, clinical laboratory results, vital signs, ECGs, physical examinations, local tolerability at the infusion site single escalating intravenous (IV) doses of MORAb-022 in healthy subjects and subjects with RA.

Secondary Outcome Measures

Full Information

First Posted
May 18, 2011
Last Updated
November 13, 2015
Sponsor
Morphotek
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1. Study Identification

Unique Protocol Identification Number
NCT01357759
Brief Title
Safety and Tolerability of MORAb-022 in Healthy and Rheumatoid Arthritis Subjects
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Single-Dose, Dose-Escalation Trial of MORAb-022 in Healthy Subjects and Subjects With Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Morphotek

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, double-blind, placebo-controlled, single-dose, dose escalation study in healthy male and or female subjects and subjects with Rheumatoid Arthritis (RA) to determine the safety and tolerability of MORAb-022.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Escalating doses of MORAb-022
Arm Type
Experimental
Arm Description
Subjects with RA will be randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects with RA will be also randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).
Intervention Type
Drug
Intervention Name(s)
MORAb-022
Intervention Description
IV infusion of MORAb-022 at increasing doses starting with the minimal anticipated biological effect level (MABEL) which is 0.0085mg/kg.; IV infusion of Placebo (saline)
Intervention Type
Drug
Intervention Name(s)
MORAb-022
Intervention Description
IV infusion of MORAb-022 at increasing doses starting with the minimal anticipated biological effect level (MABEL) which is 0.0085mg/kg.; IV infusion of Placebo (saline)
Primary Outcome Measure Information:
Title
Safety to measures to include adverse events, clinical laboratory results, vital signs, ECGs, physical examinations, local tolerability at the infusion site single escalating intravenous (IV) doses of MORAb-022 in healthy subjects and subjects with RA.
Time Frame
Approximately 113 days

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 for Rheumatoid Arthritis (RA) Subjects: Male or female subjects age greater than or equal to 18 years and less than or equal to 75 years. Subjects with RA diagnosis per the 2010 Rheumatoid Arthritis Classification Criteria per American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR.) BMI less than or equal to 35 kg/m2 at Screening. Active RA characterized by DAS28 score of less than or equal to 5.1 at Screening. Have been stabilized on their current dose (up to 25 mg/week) of methotrexate(MTX) for at least 4 weeks before randomization. Exclusion Criteria for Rheumatoid Arthritis (RA)Subjects: Subjects with severe active RA and are not on a stable therapeutic regimen at Screening. Subjects without significant articular RA. Relevant history of significant respiratory disease (e.g., chronic bronchitis, asthma in last 5 years, chronic obstructive pulmonary disease, tuberculosis, interstitial lung disease, such as pneumonitis and pulmonary alveolar proteinosis, as well as significant inhalation exposure to silicon and other substances) that required treatment and/or follow up under the direction of a physician. Presence of GM-CSF autoantibodies above normal at Screening. Abnormal chest x-ray or PFTs as judged by the investigator at Screening as clinically significant. Positive Quantiferon test. History of clinically relevant hypersensitivity reactions (e.g., to gold therapy) History of medication use that might have carryover effects during the study. Previous administration of a GM-CSF modulator within 6 months of randomization, or previous administration of a monoclonal antibody or immunoglobulin fusion protein that is not (or worded as "other than") a GM-CSF modulator within 3 months of randomization. Use of any biological therapy other than the test article during the study (informed consent to termination visit) Subjects who consume greater than 14 alcoholic drinks per week for males or 7 alcoholic drinks per week for females. Weight greater than 120 kg at Screening. Use of parenteral and/or intra-articular steroids, immunosuppressants, investigational drugs, and oral anticoagulant drugs within 4 weeks prior to randomization. Oral steroid treatment is permitted if the dosage is less than or equal to 10 mg of prednisone daily, is stable for a minimum of 4 weeks before the study and remains unchanged throughout the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alan J. Kivitz, MD, CPI
Organizational Affiliation
Altoona Center for Clinical Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lydie Hazan, MD
Organizational Affiliation
Axis Clinical Trials
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Chrysoula Pappa, MD
Organizational Affiliation
Seaview Jacksonville, LLC
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
William M Schnitz, MD
Organizational Affiliation
Lynn Health Science Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Axis Clinical Trials
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
Facility Name
Seaview Jacksonville, LLC
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
Lynn Health Science Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Altoona Center for Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Pharmaceutical Research Associates Group B.V.
City
Zuidlaren
Country
Netherlands

12. IPD Sharing Statement

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Safety and Tolerability of MORAb-022 in Healthy and Rheumatoid Arthritis Subjects

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