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Long Term Safety Trial of z102 and Prednisone in Patients With Moderate to Severe Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Terminated
Phase
Phase 2
Locations
Serbia
Study Type
Interventional
Intervention
Prednisolone-Dipyridamole
Prednisone
prednisone
Sponsored by
Zalicus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Moderate to Severe

Eligibility Criteria

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

Inclusion Criteria:

  • Have completed all 12 weeks of Protocol Z102-008 or discontinued after participating in at least 6 weeks of the randomized withdrawal portion of Z102-008 for acceptable reasons
  • Have met all inclusion/exclusion criteria for enrollment into Protocol Z102-008
  • Have been on DMARD therapy for at least 90 days and have been on a stable DMARD dose without dosage adjustment or modification for 6 weeks prior to enrollment into Protocol Z102-008, and be able to maintain the same dose of conventional DMARD therapy during Protocol Z102-009 participation

Exclusion Criteria:

  • Did not complete 6 weeks of the double-blind section of Protocol Z102-008, or was discontinued from Protocol Z102-008 for reasons of an AE, protocol violation, or non-compliance
  • Active cardiovascular disease, unless well controlled by appropriate treatment, for a minimum of 3 months prior to screening for enrollment into Protocol Z102-008
  • Currently taking aspirin for reasons other than for cardiovascular prophylaxis or their total daily dose is greater than 325 mg
  • Taking oral steroids at a daily prednisone dose, or the equivalent, of >10 mg/day within the past 2 weeks
  • Intraarticular, intramuscular, or intravenous glucocorticoids must not have been given at least 6 weeks prior to entering study Protocol Z102-008 or Protocol Z102-009, at any time during the study, or be anticipated to be given at any time during the study
  • The need to continue the use of one or multiple NSAIDs at the same time, or use acetaminophen on a chronic basis
  • All opiate use is prohibited.
  • Use of any other medications or herbs or non-pharmacological treatments (e.g., acupuncture) used for the treatment of pain is prohibited
  • Has, or has had, any active severe infections or recent invasive surgical procedures within 30 days of Protocol Z102-008 or Protocol Z102-009 initiation
  • HIV, hepatitis B, or hepatitis C infection
  • Has undergone administration of any investigational drug within 30 days of study
  • All biologic agents are excluded for 90 days prior to Screening and during the conduct of Protocol Z102-008, and Protocol Z102-009
  • Has undergone administration of rituximab or any B-cell depleting investigational drugs within 6 months of Protocol Z102-008 Screening or Protocol Z102-009 initiation, or at any time during participation in study Protocol Z102-008
  • Has a history of hypersensitivity reaction to glucocorticoids and/or dipyridamole
  • Known or suspected history of alcohol or drug abuse within 2 years prior to Screening for Protocol Z102-008
  • Has any other medical condition which may interfere with the conduct of this study in the opinion of the investigator

Sites / Locations

  • Nemanja Damjanov

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

prednisolone-dipyridamole

prednisone 5mg

prednisone 7.5mg

Arm Description

Outcomes

Primary Outcome Measures

Difference in incidence rates of adverse events between treament groups

Secondary Outcome Measures

Joint imaging

Full Information

First Posted
February 22, 2012
Last Updated
September 10, 2012
Sponsor
Zalicus
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1. Study Identification

Unique Protocol Identification Number
NCT01612377
Brief Title
Long Term Safety Trial of z102 and Prednisone in Patients With Moderate to Severe Rheumatoid Arthritis
Official Title
A Phase II, Double-blind, Controlled, Multi-center, Randomized, Long Term Safety Trial of z102 and Prednisone (5 mg or 7.5 mg) in Patients With Moderate to Severe Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Terminated
Why Stopped
missed endpoint of meaningful clinical benefit, compared to prednisolone 2.7mg
Study Start Date
March 2012 (undefined)
Primary Completion Date
July 2013 (Anticipated)
Study Completion Date
September 2013 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will compare an experimental drug called Z102 (combination of prednisolone and dipyridamole, against prednisone 5mg and prednisone 7.5mg in patients with moderate to severe Rheumatoid Arthritis for a period of 52 weeks.
Detailed Description
This is a long-term Phase II safety study of approximately 52 weeks in duration. Eligible patients will have completed at least 6 weeks of Protocol Z102-008 and will have met all inclusion and exclusion criteria for this study. All patients will be up-titrated on Z102 over 3 weeks or will receive prednisone 5.0 mg or 7.5 mg: Primary objectives: Adverse events (AEs) Vital signs Clinical laboratory and clinical chemistry evaluations Secondary objectives: Joint imaging and bone density DAS28-CRP and individual components Patient Global Assessment of Disease Activity American College of Rheumatology criteria (ACR 20, ACR 50, ACR 70) Multidimensional Assessment of Fatigue (MAF) Time to failure

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
Moderate to Severe

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
prednisolone-dipyridamole
Arm Type
Experimental
Arm Title
prednisone 5mg
Arm Type
Active Comparator
Arm Title
prednisone 7.5mg
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Prednisolone-Dipyridamole
Other Intervention Name(s)
Z102
Intervention Description
Oral, QD
Intervention Type
Drug
Intervention Name(s)
Prednisone
Intervention Description
Oral QD Prednisone 5mg
Intervention Type
Drug
Intervention Name(s)
prednisone
Intervention Description
Oral, QD prednisone 7.5mg
Primary Outcome Measure Information:
Title
Difference in incidence rates of adverse events between treament groups
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Joint imaging
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have completed all 12 weeks of Protocol Z102-008 or discontinued after participating in at least 6 weeks of the randomized withdrawal portion of Z102-008 for acceptable reasons Have met all inclusion/exclusion criteria for enrollment into Protocol Z102-008 Have been on DMARD therapy for at least 90 days and have been on a stable DMARD dose without dosage adjustment or modification for 6 weeks prior to enrollment into Protocol Z102-008, and be able to maintain the same dose of conventional DMARD therapy during Protocol Z102-009 participation Exclusion Criteria: Did not complete 6 weeks of the double-blind section of Protocol Z102-008, or was discontinued from Protocol Z102-008 for reasons of an AE, protocol violation, or non-compliance Active cardiovascular disease, unless well controlled by appropriate treatment, for a minimum of 3 months prior to screening for enrollment into Protocol Z102-008 Currently taking aspirin for reasons other than for cardiovascular prophylaxis or their total daily dose is greater than 325 mg Taking oral steroids at a daily prednisone dose, or the equivalent, of >10 mg/day within the past 2 weeks Intraarticular, intramuscular, or intravenous glucocorticoids must not have been given at least 6 weeks prior to entering study Protocol Z102-008 or Protocol Z102-009, at any time during the study, or be anticipated to be given at any time during the study The need to continue the use of one or multiple NSAIDs at the same time, or use acetaminophen on a chronic basis All opiate use is prohibited. Use of any other medications or herbs or non-pharmacological treatments (e.g., acupuncture) used for the treatment of pain is prohibited Has, or has had, any active severe infections or recent invasive surgical procedures within 30 days of Protocol Z102-008 or Protocol Z102-009 initiation HIV, hepatitis B, or hepatitis C infection Has undergone administration of any investigational drug within 30 days of study All biologic agents are excluded for 90 days prior to Screening and during the conduct of Protocol Z102-008, and Protocol Z102-009 Has undergone administration of rituximab or any B-cell depleting investigational drugs within 6 months of Protocol Z102-008 Screening or Protocol Z102-009 initiation, or at any time during participation in study Protocol Z102-008 Has a history of hypersensitivity reaction to glucocorticoids and/or dipyridamole Known or suspected history of alcohol or drug abuse within 2 years prior to Screening for Protocol Z102-008 Has any other medical condition which may interfere with the conduct of this study in the opinion of the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gene Wright, PHARM.D, PH.D
Organizational Affiliation
Zalicus, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Nemanja Damjanov
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia

12. IPD Sharing Statement

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Long Term Safety Trial of z102 and Prednisone in Patients With Moderate to Severe Rheumatoid Arthritis

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