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A Single Dose Study of the CAM-3001 in Patients With Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
CAM-3001
CAM-3001
CAM-3001
CAM-3001
CAM-3001
CAM-3001
Placebo
Sponsored by
MedImmune Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed and dated informed consent, prior to any study related procedures
  • Male and female patients aged 18-70 years at the screening visit
  • Use of an appropriate method of contraception
  • A diagnosis of adult onset rheumatoid arthritis of at least 6 months duration as defined by the 1987 ACR classification criteria - ACR functional class I, II or III
  • Treatment with methotrexate for at least 3 months and stable dose 10mg - 25mg / week for ≥ 8 weeks prior to the baseline visit
  • Availability of clear chest X-ray (i.e. no evidence of TB, chest infection or cardiac failure). Patients who are clinically asymptomatic with minor changes consistent with rheumatoid lung are acceptable.
  • Stable mild or inactive rheumatoid arthritis where in the opinion of the investigator it is unlikely that a change in the patient's therapeutic regimen would be required during the subsequent 3 months.
  • DAS28 ≤ 4.8 for at least 3 months prior to the baseline visit

Exclusion Criteria:

  • Relating to RA
  • Diagnosis of any other inflammatory arthritis (e.g. psoriatic arthritis or ankylosing spondylitis), or a diagnosis of a secondary, non-inflammatory type of arthritis (e.g. osteoarthritis or fibromyalgia) that in the Investigator's opinion is symptomatic enough to interfere with the evaluation of the effect of CAM-3001 on the patient's primary diagnosis of rheumatoid arthritis Relating to Previous Clinical Trials and Biologic Therapies
  • Administration of any investigational or experimental non-biologic therapy in the 12 weeks prior to the baseline visit
  • Administration of any biologic therapy within 6 months prior to the baseline visit Relating to Concomitant Medications
  • Use of prohibited concomitant medications, which might confound the interpretation of the study data Relating to Medical History
  • Female patients who are pregnant or breast-feeding, or who plan to become pregnant during the trial or during the 24 weeks after administration of CAM-3001
  • Male or female patients not willing to use reliable methods of birth control for the duration of the study
  • A history of TB, or clinical/radiographic evidence of TB, or positive TB test
  • A history or current symptoms and signs of chronic infection, or recent (within 6 months prior to screening visit) serious infection including herpes zoster
  • Patients at a high risk of infection e.g. a history of an infected joint prosthesis at any time with that prosthesis still in situ, leg ulcers, indwelling urinary catheter, persistent or recurrent chest infections
  • Neutrophil count < 1000 x 106 cells/L
  • A positive hepatitis B surface antigen test and/or hepatitis C antibody test result
  • A positive test for human immunodeficiency virus (HIV) infection
  • Receipt of live (attenuated) vaccine within the 4 weeks prior to baseline or during the study
  • Current or recent history of significant renal, hepatic, haematological, immunological (other than RA), gastrointestinal, endocrine, pulmonary, cardiac, neurological, or cerebral disease which would interfere with the patient's participation in the trial. Patients with mild and stable asthma or mild and stable Chronic Obstructive Pulmonary Disease (COPD) may be included at the discretion of the Investigator
  • Active malignancy or lymphoproliferative disorder of any type, or a history of malignancy except for basal cell carcinoma of the skin that has been excised prior to the screening visit
  • Suspected alcohol or substance abuse
  • Donation of ≥ 400mL of blood within 8 weeks prior to baseline
  • Any other significant medical condition which in the opinion of the investigator might increase the risk to the patient or confound the interpretation of the data
  • Individuals who are legally institutionalised

Sites / Locations

  • Charite Research Organization GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

1

2

3

4

5

6

7

Arm Description

0.01mg/kg and 0.03mg/kg CAM-3001

0.1mg/kg CAM-3001

0.3mg/kg CAM-3001

1.0mg/kg CAM-3001

3.0mg/kgCAM-3001

10.0mg/kg CAM-3001

Placebo

Outcomes

Primary Outcome Measures

Incidence and severity of adverse events • Changes in vital signs, ECG, lung function tests and clinical laboratory values

Secondary Outcome Measures

Pharmacokinetic parameters of CAM-3001 will be calculated and tabulated descriptively for each dose group:

Full Information

First Posted
October 10, 2008
Last Updated
July 19, 2012
Sponsor
MedImmune Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT00771420
Brief Title
A Single Dose Study of the CAM-3001 in Patients With Rheumatoid Arthritis
Official Title
A Double-blind, Placebo-controlled, Single Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of CAM-3001 in Patients With Rheumatoid Arthritis.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
December 2008 (Actual)
Study Completion Date
February 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune Ltd

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Investigate safety and tolerability of the escalating dose of CAM-3001 in patients.
Detailed Description
To investigate the safety and tolerability of escalating single doses of CAM-3001 in patients with RA; To investigate the pharmacokinetics of single doses of CAM-3001 in RA patients; To investigate the pharmacodynamics of single doses of CAM-3001 in RA patients; To investigate the preliminary clinical effects of CAM-3001 on the signs and symptoms of RA.

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
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
0.01mg/kg and 0.03mg/kg CAM-3001
Arm Title
2
Arm Type
Active Comparator
Arm Description
0.1mg/kg CAM-3001
Arm Title
3
Arm Type
Active Comparator
Arm Description
0.3mg/kg CAM-3001
Arm Title
4
Arm Type
Active Comparator
Arm Description
1.0mg/kg CAM-3001
Arm Title
5
Arm Type
Active Comparator
Arm Description
3.0mg/kgCAM-3001
Arm Title
6
Arm Type
Active Comparator
Arm Description
10.0mg/kg CAM-3001
Arm Title
7
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavrilimumab
Intervention Description
A single patient shall be dosed with a dose of 0.01mg/kg of CAM-3001 followed no sooner than 24 hours later by a second patient at a dose of 0.03mg/kg.
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavrilimumab
Intervention Description
Dosed at 0.1mg/kg.
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavrilimumab
Intervention Description
Dosed at 0.3mg/kg
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavrilimumab
Intervention Description
Dosed at 1.0 mg/kg.
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavriliumab
Intervention Description
Dosed at 3.0 mg/kg.
Intervention Type
Drug
Intervention Name(s)
CAM-3001
Other Intervention Name(s)
Mavrilimumab
Intervention Description
Dosed at 10 mg/kg.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Active: Placebo 5:1 for arms 2-6
Primary Outcome Measure Information:
Title
Incidence and severity of adverse events • Changes in vital signs, ECG, lung function tests and clinical laboratory values
Time Frame
End of study
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters of CAM-3001 will be calculated and tabulated descriptively for each dose group:
Time Frame
Day 28 post infusion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed and dated informed consent, prior to any study related procedures Male and female patients aged 18-70 years at the screening visit Use of an appropriate method of contraception A diagnosis of adult onset rheumatoid arthritis of at least 6 months duration as defined by the 1987 ACR classification criteria - ACR functional class I, II or III Treatment with methotrexate for at least 3 months and stable dose 10mg - 25mg / week for ≥ 8 weeks prior to the baseline visit Availability of clear chest X-ray (i.e. no evidence of TB, chest infection or cardiac failure). Patients who are clinically asymptomatic with minor changes consistent with rheumatoid lung are acceptable. Stable mild or inactive rheumatoid arthritis where in the opinion of the investigator it is unlikely that a change in the patient's therapeutic regimen would be required during the subsequent 3 months. DAS28 ≤ 4.8 for at least 3 months prior to the baseline visit Exclusion Criteria: Relating to RA Diagnosis of any other inflammatory arthritis (e.g. psoriatic arthritis or ankylosing spondylitis), or a diagnosis of a secondary, non-inflammatory type of arthritis (e.g. osteoarthritis or fibromyalgia) that in the Investigator's opinion is symptomatic enough to interfere with the evaluation of the effect of CAM-3001 on the patient's primary diagnosis of rheumatoid arthritis Relating to Previous Clinical Trials and Biologic Therapies Administration of any investigational or experimental non-biologic therapy in the 12 weeks prior to the baseline visit Administration of any biologic therapy within 6 months prior to the baseline visit Relating to Concomitant Medications Use of prohibited concomitant medications, which might confound the interpretation of the study data Relating to Medical History Female patients who are pregnant or breast-feeding, or who plan to become pregnant during the trial or during the 24 weeks after administration of CAM-3001 Male or female patients not willing to use reliable methods of birth control for the duration of the study A history of TB, or clinical/radiographic evidence of TB, or positive TB test A history or current symptoms and signs of chronic infection, or recent (within 6 months prior to screening visit) serious infection including herpes zoster Patients at a high risk of infection e.g. a history of an infected joint prosthesis at any time with that prosthesis still in situ, leg ulcers, indwelling urinary catheter, persistent or recurrent chest infections Neutrophil count < 1000 x 106 cells/L A positive hepatitis B surface antigen test and/or hepatitis C antibody test result A positive test for human immunodeficiency virus (HIV) infection Receipt of live (attenuated) vaccine within the 4 weeks prior to baseline or during the study Current or recent history of significant renal, hepatic, haematological, immunological (other than RA), gastrointestinal, endocrine, pulmonary, cardiac, neurological, or cerebral disease which would interfere with the patient's participation in the trial. Patients with mild and stable asthma or mild and stable Chronic Obstructive Pulmonary Disease (COPD) may be included at the discretion of the Investigator Active malignancy or lymphoproliferative disorder of any type, or a history of malignancy except for basal cell carcinoma of the skin that has been excised prior to the screening visit Suspected alcohol or substance abuse Donation of ≥ 400mL of blood within 8 weeks prior to baseline Any other significant medical condition which in the opinion of the investigator might increase the risk to the patient or confound the interpretation of the data Individuals who are legally institutionalised
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ehsanollah Esfandiari, PhD MD
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
Facility Information:
Facility Name
Charite Research Organization GmbH
City
Berlin
ZIP/Postal Code
10117
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
21613310
Citation
Burmester GR, Feist E, Sleeman MA, Wang B, White B, Magrini F. Mavrilimumab, a human monoclonal antibody targeting GM-CSF receptor-alpha, in subjects with rheumatoid arthritis: a randomised, double-blind, placebo-controlled, phase I, first-in-human study. Ann Rheum Dis. 2011 Sep;70(9):1542-9. doi: 10.1136/ard.2010.146225. Epub 2011 May 25.
Results Reference
derived

Learn more about this trial

A Single Dose Study of the CAM-3001 in Patients With Rheumatoid Arthritis

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