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A Study to Evaluate the Effectiveness and Safety of SKI-O-703 in Patients Experiencing Active Rheumatoid Arthritis Despite Treatment With Conventional Therapies.

Primary Purpose

Rheumatoid Arthritis

Status
Unknown status
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
SKI-O-703
Placebo
Sponsored by
Oscotec Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

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

Inclusion Criteria:

  • Patients must provide written, signed, informed consent.
  • Patients must have a diagnosis of Rheumatoid Arthritis (RA) according to American College of Rheumatology (ACR) criteria or the 2010 ACR/European League Against Rheumatism classification, for at least 6 months prior to first administration of study drug.
  • Patients must have active RA at screening and baseline (Day 1 of the study).
  • Patients who have active disease despite csDMARD (conventional synthetic disease-modifying antirheumatic drugs) therapy for at least 3 months prior to Day 1 of the study.
  • Patients must have had an inadequate response to previous anti-TNF⍺ (anti-tumor necrosis factor alpha) biological agent(s) for the treatment of RA and meet the washout period prior to Day 1 of the study.

Exclusion Criteria:

  • Patients receiving oral agents, except for medications listed in inclusion criteria for the treatment of RA.
  • Patients who have previously received any other or biological agent for the treatment of RA, other than anti-TNF⍺ inhibitor(s).
  • Patients who have a current or past history of hepatitis B virus (HBV) infection; positive test for hepatitis C virus (HCV) antibody; positive test for human immunodeficiency virus (HIV); history of or concurrent interstitial pneumonia; acute infection requiring oral antibiotics within 2 weeks, or parenteral injection of antibiotics within 4 weeks prior to first administration of the study drug; other serious infection within 6 months prior to first administration of study drug; recurrent herpes zoster or other chronic or recurrent infection within 6 weeks prior to first administration of the study drug; past or current granulomatous infections or other severe or chronic infection; positive test for tuberculosis (TB) or other evidence of TB.
  • Patients with uncontrolled diabetes mellitus, or uncontrolled hypertension (systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg).
  • Patients with any other inflammatory or rheumatic diseases that could impact the evaluation of the effect of the study drug.
  • Patients with a history of malignancy within 5 years prior to first administration of the study drug, except completely excised and cured squamous cell carcinoma, carcinoma of the cervix in situ, cutaneous basal cell carcinoma, or cutaneous squamous cell carcinoma.
  • New York Heart Association (NYHA) class III or IV heart failure, severe uncontrolled cardiac disease or heart attack within 6 months prior to first administration of the study drug.
  • Female patients who are currently pregnant, breastfeeding or planning to become pregnant or breastfeed within 6 months of the last dose of the study drug.

Other protocol-defined inclusion/exclusion criteria could apply.

Sites / Locations

  • Oscotec Investigational Site (Site 3110)
  • Oscotec Investigational Site (Site 3105)
  • Oscotec Investigational (Site 3104)
  • Oscotec Investigational Site (Site 3112)
  • Oscotec Investigational Site (Site 3108)
  • Oscotec Investigational Site (Site 3102)
  • Oscotec Investigational Site (Site 3107)
  • Oscotec Investigational Site (3106)
  • Oscotec Investigational Site (Site 3111)
  • Oscotec Investigational Site (Site 3109)
  • Oscotec Investigational Site (Site 3103)
  • Oscotec Investigational Site (Site 3101)
  • Oscotec Investigational Site (Site 2101)
  • Oscotec Investigational Site (Site 2102)
  • Oscotec Investigational Site (Site 2208)
  • Oscotec Investigational Site (Site 2204)
  • Oscotec Investigational Site (Site 2207)
  • Oscotec Investigational Site (Site 2202)
  • Oscotec Investigational Site (Site 2201)
  • Oscotec Investigational Site (Site 2209)
  • Oscotec Investigational Site (Site 2203)
  • Oscotec Investigational Site (Site 2206)
  • Oscotec Investigational Site (Site 2307)
  • Oscotec Investigational Site (Site 2304)
  • Oscotec Investigational Site (Site 2305)
  • Oscotec Investigational Site (Site 2308)
  • Oscotec Investigational Site (Site 2306)
  • Oscotec Investigational Site (Site 2302)
  • Oscotec Investigational Site (Site 2303)
  • Oscotec Investigational Site (Site 2301)
  • Oscotec Investigational Site (Site 2510)
  • Oscotec Investigational Site (Site 2505)
  • Oscotec Investigational Site (Site 2506)
  • Oscotec Investigational Site (Site 2504)
  • Oscotec Investigational Site (Site 2508)
  • Oscotec Investigational Site (Site 2501)
  • Oscotec Investigational Site (Site 2503)
  • Oscotec Investigational Site (Site 2502)
  • Oscotec Investigational Site (Site 2507)
  • Oscotec Investigational Site (Site 2509)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

SKI-O-703 100 mg

SKI-O-703 200 mg

SKI-O-703 400 mg

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Change in disease activity score
Mean change from baseline in disease activity score for 28 joints (DAS28) using hsCRP (high sensitivity C-reactive protein)

Secondary Outcome Measures

• Percentage of patients with ACR20 (American College of Rheumatology 20) score
ACR20 score is the percentage of patients showing ≥20% improvement from baseline in tender joint count (68 joint counts), ≥20% improvement in swollen joint count (66 joint counts), and ≥20% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
• Percentage of patients with ACR50 (American College of Rheumatology 50) score
ACR50 score is the percentage of patients showing ≥50% improvement from baseline in tender joint count (68 joint counts), ≥50% improvement in swollen joint count (66 joint counts), and ≥50% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
• Percentage of patients with ACR70 (American College of Rheumatology 70) score
ACR70 score is the percentage of patients showing ≥70% improvement from baseline in tender joint count (68 joint counts), ≥70% improvement in swollen joint count (66 joint counts), and ≥70% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
Health Assessment Questionnaire-Disability Index (HAQ-DI) score
Change from baseline measured by disability index
Incidence of Adverse Events (AEs)
Incidence of Serious Adverse Events (SAEs)

Full Information

First Posted
August 13, 2019
Last Updated
October 8, 2020
Sponsor
Oscotec Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04057118
Brief Title
A Study to Evaluate the Effectiveness and Safety of SKI-O-703 in Patients Experiencing Active Rheumatoid Arthritis Despite Treatment With Conventional Therapies.
Official Title
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Dose Study to Evaluate the Efficacy and Safety of Oral SKI-O-703 in Patients With Active Rheumatoid Arthritis Despite Treatment With Conventional Therapies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Unknown status
Study Start Date
March 20, 2019 (Actual)
Primary Completion Date
October 2020 (Anticipated)
Study Completion Date
October 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oscotec Inc.

4. Oversight

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

5. Study Description

Brief Summary
This study will evaluate the safety and efficacy of SKI-O-703 compared with placebo, in patients with active rheumatoid arthritis (RA) who have had an inadequate response to conventional synthetic disease-modifying agents. Patients will be randomly assigned to one of 4 groups and will receive one of three doses of SKI-O-703 or placebo, administered orally twice daily for 12 weeks.

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
148 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SKI-O-703 100 mg
Arm Type
Experimental
Arm Title
SKI-O-703 200 mg
Arm Type
Experimental
Arm Title
SKI-O-703 400 mg
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
SKI-O-703
Intervention Description
Oral administration, twice per day
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral administration, twice per day
Primary Outcome Measure Information:
Title
Change in disease activity score
Description
Mean change from baseline in disease activity score for 28 joints (DAS28) using hsCRP (high sensitivity C-reactive protein)
Time Frame
Baseline and Week 12
Secondary Outcome Measure Information:
Title
• Percentage of patients with ACR20 (American College of Rheumatology 20) score
Description
ACR20 score is the percentage of patients showing ≥20% improvement from baseline in tender joint count (68 joint counts), ≥20% improvement in swollen joint count (66 joint counts), and ≥20% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
Time Frame
Baseline and Weeks 2, 4 8 and 12
Title
• Percentage of patients with ACR50 (American College of Rheumatology 50) score
Description
ACR50 score is the percentage of patients showing ≥50% improvement from baseline in tender joint count (68 joint counts), ≥50% improvement in swollen joint count (66 joint counts), and ≥50% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
Time Frame
Baseline and Weeks 2, 4 8 and 12
Title
• Percentage of patients with ACR70 (American College of Rheumatology 70) score
Description
ACR70 score is the percentage of patients showing ≥70% improvement from baseline in tender joint count (68 joint counts), ≥70% improvement in swollen joint count (66 joint counts), and ≥70% improvement in at least 3 of the following: patient's global assessment of arthritis pain; patient's global assessment of disease activity; physician's global assessment of disease activity; health assessment questionnaire-disability index (HAQ-DI); hsCRP (high sensitivity C-reactive protein)
Time Frame
Baseline and Weeks 2, 4 8 and 12
Title
Health Assessment Questionnaire-Disability Index (HAQ-DI) score
Description
Change from baseline measured by disability index
Time Frame
Baseline and Weeks 2, 4 8 and 12
Title
Incidence of Adverse Events (AEs)
Time Frame
Up to Week 16
Title
Incidence of Serious Adverse Events (SAEs)
Time Frame
Up to Week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must provide written, signed, informed consent. Patients must have a diagnosis of Rheumatoid Arthritis (RA) according to American College of Rheumatology (ACR) criteria or the 2010 ACR/European League Against Rheumatism classification, for at least 6 months prior to first administration of study drug. Patients must have active RA at screening and baseline (Day 1 of the study). Patients who have active disease despite csDMARD (conventional synthetic disease-modifying antirheumatic drugs) therapy for at least 3 months prior to Day 1 of the study. Patients must have had an inadequate response to previous anti-TNF⍺ (anti-tumor necrosis factor alpha) biological agent(s) for the treatment of RA and meet the washout period prior to Day 1 of the study. Exclusion Criteria: Patients receiving oral agents, except for medications listed in inclusion criteria for the treatment of RA. Patients who have previously received any other or biological agent for the treatment of RA, other than anti-TNF⍺ inhibitor(s). Patients who have a current or past history of hepatitis B virus (HBV) infection; positive test for hepatitis C virus (HCV) antibody; positive test for human immunodeficiency virus (HIV); history of or concurrent interstitial pneumonia; acute infection requiring oral antibiotics within 2 weeks, or parenteral injection of antibiotics within 4 weeks prior to first administration of the study drug; other serious infection within 6 months prior to first administration of study drug; recurrent herpes zoster or other chronic or recurrent infection within 6 weeks prior to first administration of the study drug; past or current granulomatous infections or other severe or chronic infection; positive test for tuberculosis (TB) or other evidence of TB. Patients with uncontrolled diabetes mellitus, or uncontrolled hypertension (systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg). Patients with any other inflammatory or rheumatic diseases that could impact the evaluation of the effect of the study drug. Patients with a history of malignancy within 5 years prior to first administration of the study drug, except completely excised and cured squamous cell carcinoma, carcinoma of the cervix in situ, cutaneous basal cell carcinoma, or cutaneous squamous cell carcinoma. New York Heart Association (NYHA) class III or IV heart failure, severe uncontrolled cardiac disease or heart attack within 6 months prior to first administration of the study drug. Female patients who are currently pregnant, breastfeeding or planning to become pregnant or breastfeed within 6 months of the last dose of the study drug. Other protocol-defined inclusion/exclusion criteria could apply.
Facility Information:
Facility Name
Oscotec Investigational Site (Site 3110)
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Oscotec Investigational Site (Site 3105)
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Oscotec Investigational (Site 3104)
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Oscotec Investigational Site (Site 3112)
City
Tampa
State/Province
Florida
ZIP/Postal Code
33614
Country
United States
Facility Name
Oscotec Investigational Site (Site 3108)
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40504
Country
United States
Facility Name
Oscotec Investigational Site (Site 3102)
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Oscotec Investigational Site (Site 3107)
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Oscotec Investigational Site (3106)
City
Carrollton
State/Province
Texas
ZIP/Postal Code
75010
Country
United States
Facility Name
Oscotec Investigational Site (Site 3111)
City
Houston
State/Province
Texas
ZIP/Postal Code
77034
Country
United States
Facility Name
Oscotec Investigational Site (Site 3109)
City
Mesquite
State/Province
Texas
ZIP/Postal Code
75150
Country
United States
Facility Name
Oscotec Investigational Site (Site 3103)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Oscotec Investigational Site (Site 3101)
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States
Facility Name
Oscotec Investigational Site (Site 2101)
City
Ostrava
ZIP/Postal Code
702 00
Country
Czechia
Facility Name
Oscotec Investigational Site (Site 2102)
City
Zlín
ZIP/Postal Code
760 01
Country
Czechia
Facility Name
Oscotec Investigational Site (Site 2208)
City
Wrocław
State/Province
Dolnoslaskie
ZIP/Postal Code
53-224
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2204)
City
Bydgoszcz
State/Province
Kujawsko-pomorskie
ZIP/Postal Code
85-168
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2207)
City
Lublin
State/Province
Lubelskie
ZIP/Postal Code
20-582
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2202)
City
Warszawa
State/Province
Mazowieckie
ZIP/Postal Code
01-518
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2201)
City
Białystok
State/Province
Podlaskie
ZIP/Postal Code
15-879
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2209)
City
Ostrowiec Świętokrzyski
State/Province
Swietokrzyskie
ZIP/Postal Code
27-400
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2203)
City
Poznań
State/Province
Wielkopolskie
ZIP/Postal Code
61-397
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2206)
City
Nadarzyn
ZIP/Postal Code
05-830
Country
Poland
Facility Name
Oscotec Investigational Site (Site 2307)
City
Kemerovo
ZIP/Postal Code
650066
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2304)
City
Moscow
ZIP/Postal Code
119049
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2305)
City
Moscow
ZIP/Postal Code
129110
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2308)
City
Novosibirsk
ZIP/Postal Code
630099
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2306)
City
Ryazan'
ZIP/Postal Code
390026
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2302)
City
Saint Petersburg
ZIP/Postal Code
194291
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2303)
City
Saint Petersburg
ZIP/Postal Code
196084
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2301)
City
Tomsk
ZIP/Postal Code
634050
Country
Russian Federation
Facility Name
Oscotec Investigational Site (Site 2510)
City
Ivano-Frankivs'k
State/Province
Ivano-Frankivs'ka Oblast
ZIP/Postal Code
76018
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2505)
City
Ternopil'
State/Province
Ternopil's'ka Oblast'
ZIP/Postal Code
46002
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2506)
City
Vinnytsia
State/Province
Vinnyts'ka Oblast'
ZIP/Postal Code
21018
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2504)
City
Vinnytsia
State/Province
Vinnyts'ka Oblast'
ZIP/Postal Code
21029
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2508)
City
Kharkiv
ZIP/Postal Code
61058
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2501)
City
Kyiv
ZIP/Postal Code
01023
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2503)
City
Kyiv
ZIP/Postal Code
04050
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2502)
City
Kyiv
ZIP/Postal Code
4107
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2507)
City
Poltava
ZIP/Postal Code
36024
Country
Ukraine
Facility Name
Oscotec Investigational Site (Site 2509)
City
Vinnytsia
ZIP/Postal Code
21009
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
http://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm
Description
FDA Safety Alerts and Recalls

Learn more about this trial

A Study to Evaluate the Effectiveness and Safety of SKI-O-703 in Patients Experiencing Active Rheumatoid Arthritis Despite Treatment With Conventional Therapies.

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