First Human Dose Trial of NNC0215-0384 in Subjects With Rheumatoid Arthritis
Primary Purpose
Inflammation, Rheumatoid Arthritis
Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
NNC0215-0384
placebo
NNC0215-0384
Sponsored by
About this trial
This is an interventional treatment trial for Inflammation
Eligibility Criteria
Inclusion Criteria:
- Active RA, characterised by a DAS28 (CRP)(Disease Activity Score based on 28 joints and CRP) above 3.2 and a minimum of two swollen joints based on a 68/66 joint count at screening
- Concomitant treatment with MTX (7.5 - 25 mg/week both inclusive) for at least 16 weeks, with a stable dose for at least 6 weeks prior to dosing
Exclusion Criteria:
- Subjects with chronic inflammatory autoimmune disease other than RA
- History of or current inflammatory joint disease other than RA such as gout (crystal proven), psoriatic arthritis, juvenile idiopathic arthritis, current reactive arthritis or Lyme disease
- Any active or ongoing chronic infectious disease (e.g. chronic osteomyelitis, chronic pyelonephritis) requiring systemic anti-infectious treatment within 4 weeks prior to randomisation
- Clinically significant cardiac or cardiovascular disease
- Past or current malignancy
- Latent or active tuberculosis (TB) as documented by: A positive QuantiFeron® test (test can be performed up to 2 months prior to dosing). One retest is allowed in case of inconclusive results.- A history of active TB within the last 3 years even, if treated effectively. - A history of active TB more than 3 years ago, if there is no documentation that the prior anti-TB treatment was appropriate in duration and type
Sites / Locations
- Novo Nordisk Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Active
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Incidence of adverse events (AEs)
Secondary Outcome Measures
I.v. administration: AUC, Area under the curve
I.v. administration: terminal half-life (t½)
S.c. administration: AUC, Area under the curve
S.c. administration: terminal half-life (t½)
Maximum level and duration of full C5a receptor (C5aR) occupancy by NNC0215-0384 on neutrophils
Maximum and minimum levels of relevant serum and plasma biomarkers related to NNC0215-0384 safety, efficacy or mechanism of action (MoA)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01611688
Brief Title
First Human Dose Trial of NNC0215-0384 in Subjects With Rheumatoid Arthritis
Official Title
First Human Dose Trial of NNC0215-0384 in Subjects With Rheumatoid Arthritis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
June 4, 2012 (Actual)
Primary Completion Date
June 17, 2013 (Actual)
Study Completion Date
June 17, 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This trial is conducted in Europe. The aim of this trial is to describe the safety and tolerability of single intravenous (i.v.) and subcutaneous (s.c.) doses of NNC0215-0384 in subjects with active rheumatoid arthritis (RA) on background methotrexate (MTX) treatment.
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
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Active
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
NNC0215-0384
Intervention Description
I.v.(intravenous) dose-escalation. Highest dose planned for i.v. administration is 10 mg/kg
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Administered i.v.(intravenous) or s.c. (subcutaneous, under the skin).
Intervention Type
Drug
Intervention Name(s)
NNC0215-0384
Intervention Description
The s.c. (subcutaneous, under the skin) part will not start until at least two i.v. dose levels have been evaluated for safety and pharmacokinetics. Highest dose planned for s.c. administration is 4 mg/kg
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs)
Time Frame
Up to 10 weeks after trial product administration
Secondary Outcome Measure Information:
Title
I.v. administration: AUC, Area under the curve
Time Frame
Up to 10 weeks after drug administration
Title
I.v. administration: terminal half-life (t½)
Time Frame
Up to 10 weeks after drug administration
Title
S.c. administration: AUC, Area under the curve
Time Frame
Up to 10 weeks after drug administration
Title
S.c. administration: terminal half-life (t½)
Time Frame
Up to 10 weeks after drug administration
Title
Maximum level and duration of full C5a receptor (C5aR) occupancy by NNC0215-0384 on neutrophils
Time Frame
Up to 10 weeks after drug administration
Title
Maximum and minimum levels of relevant serum and plasma biomarkers related to NNC0215-0384 safety, efficacy or mechanism of action (MoA)
Time Frame
Up to 10 weeks after drug administration
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 RA, characterised by a DAS28 (CRP)(Disease Activity Score based on 28 joints and CRP) above 3.2 and a minimum of two swollen joints based on a 68/66 joint count at screening
Concomitant treatment with MTX (7.5 - 25 mg/week both inclusive) for at least 16 weeks, with a stable dose for at least 6 weeks prior to dosing
Exclusion Criteria:
Subjects with chronic inflammatory autoimmune disease other than RA
History of or current inflammatory joint disease other than RA such as gout (crystal proven), psoriatic arthritis, juvenile idiopathic arthritis, current reactive arthritis or Lyme disease
Any active or ongoing chronic infectious disease (e.g. chronic osteomyelitis, chronic pyelonephritis) requiring systemic anti-infectious treatment within 4 weeks prior to randomisation
Clinically significant cardiac or cardiovascular disease
Past or current malignancy
Latent or active tuberculosis (TB) as documented by: A positive QuantiFeron® test (test can be performed up to 2 months prior to dosing). One retest is allowed in case of inconclusive results.- A history of active TB within the last 3 years even, if treated effectively. - A history of active TB more than 3 years ago, if there is no documentation that the prior anti-TB treatment was appropriate in duration and type
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Clinical Registry (GCR,1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
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 Human Dose Trial of NNC0215-0384 in Subjects With Rheumatoid Arthritis
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