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Trial of Ginsenoside Compound K (GCK) Tablet in Patients With Rheumatoid Arthritis

Primary Purpose

Early Rheumatoid Arthritis

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
GCK 100 mg + Placebo 200 mg
GCK 200 mg + Placebo 100 mg
GCK 300 mg
Placebo 300mg
Sponsored by
Zhejiang Hisun Pharmaceutical Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Early Rheumatoid Arthritis focused on measuring Ginsenoside compound K tablet, Rheumatoid Arthritis, Phase Ib study

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients have active RA as confirmed by the following criteria:

    1. ≥ 4 swollen joints and ≥ 4 tender joints at screening and baseline using the DAS28 joint count.
    2. ESR ≥ 28 mm/hour, or CRP ≥ 1.5 times ULN.
  • Patients on non-prohibited medications must receive stable dose for at least 2 weeks prior to study drug administration and maintain an unchanged regimen during the study.
  • Patients who are able and wish to sign the informed consent and comply with the requirements of the study protocol.

Exclusion Criteria:

  • Patients have prior exposure to any csDMARDs or bDMARDs.
  • Patients have received corticosteroids, or Chinese medicine preparations such as tripterygium wilfordii, total glucosides of paeony for RA treatment.
  • Patients with fibromyalgia
  • Patients diagnosed with any systemic inflammatory disease other than RA, including but not limited to juvenile chronic arthritis, spondyloarthropathy, Crohn's disease, ulcerative colitis, psoriatic arthritis, active vasculitis or gout, and siccasyndrome.
  • Diagnosis of Felty Syndrome.
  • Any major surgery has been performed within 8 weeks prior to the study, or will be performed during the study, from which investigators believe posing an unacceptable risk to the patient.
  • Patient with cardiovascular, respiratory, liver, gastrointestinal, endocrine, hematological, neurological or psychiatric disorders or any other serious and/or unstable disease or medical history, or serious infection, and the investigators believe that these diseases or history may pose risks in the case of taking research drugs, or may interfere with the analysis of data.
  • Patients who are unable to carry on normal activity or to do active work or unable to take care of themselves.
  • Patients with history of malignant tumors and lymphoproliferative diseases.
  • Patients with active HBV or HCV or history of HIV infection.
  • Active TB diagnosed during screening or with a history of active TB that has not been appropriately treated.
  • Patients who are currently pregnant or breastfeeding.
  • Female patients of childbearing potential or male subjects with partners of childbearing potential not willing to use a highly effective method of contraception during the study and 28 days after last administration.
  • Patient who participated in any investigational drug study within three months.

Specific laboratory abnormality including:

  1. AST or ALT > 1.5 times ULN
  2. Total bilirubin > 1.5 times ULN
  3. Hemoglobin ≤ 85 g/L
  4. White blood cells count ≤ 3.5×109/L
  5. Absolute neutrophil count < 1.5×109/L
  6. Lymphocyte Count < 0.75×109/L
  7. Platelet count < 90×109/L
  8. Creatinine > ULN

    • Any other situation, in the opinion of the investigator, characterizes the subject as not being a good candidate for the study.

Sites / Locations

  • Department of RheumatologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

GCK 100 mg group

GCK 200 mg group

GCK 300 mg group

Placebo of GCK group

Arm Description

GCK 100 mg+ Placebo 200 mg GCK tablet 100 mg + Placebo tablet 100 mgX2 tablets, once daily for 12 weeks (oral)

GCK 200 mg + Placebo 100 mg GCK tablet 100 mg X 2 tablets+ Placebo tablet 100 mg once daily for 12 weeks (oral)

GCK tablet 300 mg GCK tablet 100 mgX3 tablets once daily for 12 weeks (oral)

Placebo 300 mg Placebo tablet 100 mgX3 tablets, once daily for 12 weeks (oral)

Outcomes

Primary Outcome Measures

Proportion of subjects reaching (the American College of Rheumatology response criteria 20 (ACR 20)
ACR 20 would be examined

Secondary Outcome Measures

Change from baseline in DAS 28-CRP
DAS 28-CRP would be assessed
Proportion of subjects reaching ACR 20
ACR 20 would be assessed
Proportion of subjects reaching ACR 50 and 70
ACR 50 and 70 would be assessed
Change from baseline in ESR and CRP
ESR and CRP would assessed

Full Information

First Posted
November 21, 2018
Last Updated
November 25, 2018
Sponsor
Zhejiang Hisun Pharmaceutical Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03755258
Brief Title
Trial of Ginsenoside Compound K (GCK) Tablet in Patients With Rheumatoid Arthritis
Official Title
A Phase Ib Study to Evaluate the Safety, Efficacy and Pharmacokinetics of GCK in Rheumatoid Arthritis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Unknown status
Study Start Date
March 16, 2017 (Actual)
Primary Completion Date
July 11, 2019 (Anticipated)
Study Completion Date
December 11, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zhejiang Hisun Pharmaceutical Co. Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase Ib study to investigate the safety, pharmacokinetics and preliminary efficacy of ginsenoside compound K (GCK) tablets in patients with rheumatoid arthritis. This study is to be run in China involving 10-12 sites. It will enroll approximately 240 patients to ensure 128 randomized with active rheumatoid arthritis. The treatment period is 12 weeks and total study duration per patient is approximately 14 weeks.
Detailed Description
In this double-blind, placebo-controlled, phase Ib study, 128 patients with active RA are planned to be enrolled and randomly assigned 1:1:1:1 to receive placebo, or different doses of GCK tablet (100/200/300 mg). This study will evaluate the safety, pharmacokinetics and preliminary efficacy of GCK tablets in patients with rheumatoid arthritis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Early Rheumatoid Arthritis
Keywords
Ginsenoside compound K tablet, Rheumatoid Arthritis, Phase Ib study

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Multiple Ascending Dose, Multiple Groups, Multiple Centers
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blind
Allocation
Randomized
Enrollment
128 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GCK 100 mg group
Arm Type
Experimental
Arm Description
GCK 100 mg+ Placebo 200 mg GCK tablet 100 mg + Placebo tablet 100 mgX2 tablets, once daily for 12 weeks (oral)
Arm Title
GCK 200 mg group
Arm Type
Experimental
Arm Description
GCK 200 mg + Placebo 100 mg GCK tablet 100 mg X 2 tablets+ Placebo tablet 100 mg once daily for 12 weeks (oral)
Arm Title
GCK 300 mg group
Arm Type
Experimental
Arm Description
GCK tablet 300 mg GCK tablet 100 mgX3 tablets once daily for 12 weeks (oral)
Arm Title
Placebo of GCK group
Arm Type
Placebo Comparator
Arm Description
Placebo 300 mg Placebo tablet 100 mgX3 tablets, once daily for 12 weeks (oral)
Intervention Type
Drug
Intervention Name(s)
GCK 100 mg + Placebo 200 mg
Other Intervention Name(s)
GCK
Intervention Description
GCK 100 mg + Placebo 200 mg, oral, 12 weeks
Intervention Type
Drug
Intervention Name(s)
GCK 200 mg + Placebo 100 mg
Other Intervention Name(s)
GCK
Intervention Description
GCK 200 mg + Placebo 100 mg, oral, 12 weeks
Intervention Type
Drug
Intervention Name(s)
GCK 300 mg
Other Intervention Name(s)
GCK
Intervention Description
GCK 300 mg, oral, 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo 300mg
Other Intervention Name(s)
Placebo of GCK
Intervention Description
Placebo 300mg, oral, 12 weeks
Primary Outcome Measure Information:
Title
Proportion of subjects reaching (the American College of Rheumatology response criteria 20 (ACR 20)
Description
ACR 20 would be examined
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Change from baseline in DAS 28-CRP
Description
DAS 28-CRP would be assessed
Time Frame
Week 4/8/12
Title
Proportion of subjects reaching ACR 20
Description
ACR 20 would be assessed
Time Frame
Week 4/8
Title
Proportion of subjects reaching ACR 50 and 70
Description
ACR 50 and 70 would be assessed
Time Frame
Time Frame: Week 4/8/12
Title
Change from baseline in ESR and CRP
Description
ESR and CRP would assessed
Time Frame
Time Frame: Week 4/8/12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients have active RA as confirmed by the following criteria: ≥ 4 swollen joints and ≥ 4 tender joints at screening and baseline using the DAS28 joint count. ESR ≥ 28 mm/hour, or CRP ≥ 1.5 times ULN. Patients on non-prohibited medications must receive stable dose for at least 2 weeks prior to study drug administration and maintain an unchanged regimen during the study. Patients who are able and wish to sign the informed consent and comply with the requirements of the study protocol. Exclusion Criteria: Patients have prior exposure to any csDMARDs or bDMARDs. Patients have received corticosteroids, or Chinese medicine preparations such as tripterygium wilfordii, total glucosides of paeony for RA treatment. Patients with fibromyalgia Patients diagnosed with any systemic inflammatory disease other than RA, including but not limited to juvenile chronic arthritis, spondyloarthropathy, Crohn's disease, ulcerative colitis, psoriatic arthritis, active vasculitis or gout, and siccasyndrome. Diagnosis of Felty Syndrome. Any major surgery has been performed within 8 weeks prior to the study, or will be performed during the study, from which investigators believe posing an unacceptable risk to the patient. Patient with cardiovascular, respiratory, liver, gastrointestinal, endocrine, hematological, neurological or psychiatric disorders or any other serious and/or unstable disease or medical history, or serious infection, and the investigators believe that these diseases or history may pose risks in the case of taking research drugs, or may interfere with the analysis of data. Patients who are unable to carry on normal activity or to do active work or unable to take care of themselves. Patients with history of malignant tumors and lymphoproliferative diseases. Patients with active HBV or HCV or history of HIV infection. Active TB diagnosed during screening or with a history of active TB that has not been appropriately treated. Patients who are currently pregnant or breastfeeding. Female patients of childbearing potential or male subjects with partners of childbearing potential not willing to use a highly effective method of contraception during the study and 28 days after last administration. Patient who participated in any investigational drug study within three months. Specific laboratory abnormality including: AST or ALT > 1.5 times ULN Total bilirubin > 1.5 times ULN Hemoglobin ≤ 85 g/L White blood cells count ≤ 3.5×109/L Absolute neutrophil count < 1.5×109/L Lymphocyte Count < 0.75×109/L Platelet count < 90×109/L Creatinine > ULN Any other situation, in the opinion of the investigator, characterizes the subject as not being a good candidate for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianwei Liao, Master
Phone
+8657688827869
Email
jwliao@hisunpharm.com
First Name & Middle Initial & Last Name or Official Title & Degree
Dong Xiao, PhD
Phone
+8657688827869
Email
xiaodong@hisunpharm.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yin Su, PhD
Organizational Affiliation
Peking University People's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Rheumatology
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100010
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yin Su, PhD

12. IPD Sharing Statement

Learn more about this trial

Trial of Ginsenoside Compound K (GCK) Tablet in Patients With Rheumatoid Arthritis

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