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Multiple Dose Study of UCB4940 in Subjects With Psoriatic Arthritis

Primary Purpose

Psoriatic Arthritis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
UCB4940 40 mg
UCB4940 80 mg
UCB4940 160 mg
UCB4940 240 mg
UCB4940 320 mg
UCB4940 560 mg
Placebo
Sponsored by
UCB Celltech
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriatic Arthritis focused on measuring Psoriatic Arthritis

Eligibility Criteria

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

Inclusion Criteria:

  • Have a diagnosis of adult-onset psoriatic arthritis made at least 6 months prior to Screening as defined by the Classification Criteria for Psoriatic Arthritis
  • Subject must have active psoriatic lesions or a history of psoriatic skin lesions
  • Subject must have active arthritis
  • Subject has had inadequate response to at least 1 nonbiologic Disease-Modifying Antirheumatic Drug (DMARD) (which may include methotrexate [MTX]) and/or 1 approved biologic DMARD
  • Subject must be taking concurrent MTX for at least 3 months at time of Screening, and be on a stable dose at least 4 weeks prior to Baseline
  • Female subject must be postmenopausal (at least 1 year), permanently sterilized or, if of childbearing potential, must be willing to use at least 2 effective methods of contraception during the study period
  • Subject has clinical laboratory test results within the reference ranges of the testing laboratory
  • Subject has Electrocardiogram (ECG) values within the reference ranges of the testing laboratory

Exclusion Criteria:

  • Subject has absolute neutrophil count <1.5×109/L, and/or lymphocyte count <1.0×109/L
  • Subject has known viral hepatitis, has a positive test for hepatitis B surface antigen or is hepatitis C virus antibody positive
  • Subject tests positive to human immunodeficiency virus (HIV)-1/2 antibody
  • Subject has a past medical history or family history of primary immunodeficiency
  • Subject is splenectomized
  • Subject has had a severe infection requiring hospitalization and/or treatment with iv antibiotics in the 6 months before the Screening Visit
  • Subject has a history of positive tuberculosis (TB) test or evidence of possible TB or latent TB infection at Screening
  • Subject has a high risk of acquiring TB infection
  • Subject has a history of alcoholism or drug/chemical abuse
  • Subject has an active infection or has had a serious within 6 weeks before the first dose of Investigational Medicinal Product (IMP)
  • Subject has renal or liver impairment at the Screening Visit
  • Subject has active neoplastic disease or history of neoplastic disease within 5 years of study entry (except for basal or squamous cell carcinoma of the skin or carcinoma in situ which has been definitively treated with standard of care approaches and is considered cured at Screening)
  • Subject has any other acute or chronic illness which, in the opinion of the Investigator or Study Physician, could pose a threat or harm to the subject
  • Subjects must not have a diagnosis of any other inflammatory arthritis, eg, rheumatoid arthritis, sarcoidosis, or systemic lupus erythematosus
  • Subject has a current or past history of gastrointestinal ulceration
  • Subjects must not have a noninflammatory condition (eg, osteoarthritis or a known diagnosis of fibromyalgia) that in the Investigator's opinion is symptomatic enough to interfere with evaluation of the effect of IMP on the subject's primary diagnosis of Psoriatic Arthritis (PsA)
  • Subject has received a live vaccination within 6 weeks before the Screening Visit or intends to have or will need a live vaccination during the course of the study or for the 3 months following last IMP dosing
  • Subject has had an inadequate response to more than 1 approved biologic Drug-Modifying Antirheumatic Drug (DMARD)
  • Subject has received any investigational drug or experimental procedure within 90 days or 5 half-lives whichever is the longer before the first dose of UCB4940

Sites / Locations

  • 001
  • 002
  • 003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

240/160/160 mg of UCB4940

160/80/80 mg of UCB4940

80/40/40 mg of UCB4940

560/320/320 mg of UCB4940

Placebo

Arm Description

240 mg loading dose + 160 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)

160 mg loading dose + 80 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)

80 mg loading dose + 40 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)

560 mg loading dose + 320 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)

0.9% sodium chloride aqueous solution (physiological saline, preservative free) of pharmacopoeia (USP/Ph.Eur) quality in a 10 mL glass vial

Outcomes

Primary Outcome Measures

Maximum plasma concentration at steady state (CmaxSS) of UCB 4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Minimum plasma concentration at steady state (CminSS) of UCB4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Area under the curve at steady state (AUCtau) of UCB4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time to reach maximum plasma concentration at steady state (tmax) of UCB4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Total Clearance (CL) of UCB4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Volume of distribution (V) of UCB4940 during the duration of the study (up to Day 141)
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Percentage of subjects with at least one Treatment Emergent Adverse Event (TEAE) during the study

Secondary Outcome Measures

Full Information

First Posted
May 15, 2014
Last Updated
August 31, 2015
Sponsor
UCB Celltech
Collaborators
Parexel, MAC Clinical Research, Comac Medical, ARENSIA, Moldova
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1. Study Identification

Unique Protocol Identification Number
NCT02141763
Brief Title
Multiple Dose Study of UCB4940 in Subjects With Psoriatic Arthritis
Official Title
A Subject-blind, Investigator-blind, Randomized, Placebo-controlled Study Evaluating the Safety, Pharmacokinetics, and Pharmacodynamics of Multiple Doses of UCB4940 in Subjects With Psoriatic Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
August 2015 (Actual)
Study Completion Date
August 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UCB Celltech
Collaborators
Parexel, MAC Clinical Research, Comac Medical, ARENSIA, Moldova

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A study of UCB4940 in subjects with psoriatic arthritis to evaluate the safety and body distribution of UCB4940 in those patients. Neither the patient nor the doctor will know the treatment group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriatic Arthritis
Keywords
Psoriatic Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
240/160/160 mg of UCB4940
Arm Type
Experimental
Arm Description
240 mg loading dose + 160 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)
Arm Title
160/80/80 mg of UCB4940
Arm Type
Experimental
Arm Description
160 mg loading dose + 80 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)
Arm Title
80/40/40 mg of UCB4940
Arm Type
Experimental
Arm Description
80 mg loading dose + 40 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)
Arm Title
560/320/320 mg of UCB4940
Arm Type
Experimental
Arm Description
560 mg loading dose + 320 mg maintenance dose every 3 weeks on 2 occasions (total 3 doses)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
0.9% sodium chloride aqueous solution (physiological saline, preservative free) of pharmacopoeia (USP/Ph.Eur) quality in a 10 mL glass vial
Intervention Type
Drug
Intervention Name(s)
UCB4940 40 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Drug
Intervention Name(s)
UCB4940 80 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Drug
Intervention Name(s)
UCB4940 160 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Drug
Intervention Name(s)
UCB4940 240 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Drug
Intervention Name(s)
UCB4940 320 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Drug
Intervention Name(s)
UCB4940 560 mg
Intervention Description
Active Substance: UCB4940 Pharmaceutical Form: solution Concentration: vials at 80 mg/mL will be diluted with 0.9 % sodium chloride to a final concentration calculated to achieve the correct dose Route of Administration: intravenous
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical Form: solution Concentration: 0.9 % sodium chloride Route of Administration: intravenous
Primary Outcome Measure Information:
Title
Maximum plasma concentration at steady state (CmaxSS) of UCB 4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Minimum plasma concentration at steady state (CminSS) of UCB4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Area under the curve at steady state (AUCtau) of UCB4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Time to reach maximum plasma concentration at steady state (tmax) of UCB4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Total Clearance (CL) of UCB4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Volume of distribution (V) of UCB4940 during the duration of the study (up to Day 141)
Description
Day 1: predose; 1 hour (hr), 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 8, 15: 1 sample Day 22: predose, 1 hr postdose Day 43: predose; 1 hr, 1.5 hr, 5 hr, 12 hr, 24 hr postdose Day 48, 57, 64, 85, 141: 1 sample
Time Frame
From Baseline to Day 141
Title
Percentage of subjects with at least one Treatment Emergent Adverse Event (TEAE) during the study
Time Frame
From Baseline to Day 141

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have a diagnosis of adult-onset psoriatic arthritis made at least 6 months prior to Screening as defined by the Classification Criteria for Psoriatic Arthritis Subject must have active psoriatic lesions or a history of psoriatic skin lesions Subject must have active arthritis Subject has had inadequate response to at least 1 nonbiologic Disease-Modifying Antirheumatic Drug (DMARD) (which may include methotrexate [MTX]) and/or 1 approved biologic DMARD Subject must be taking concurrent MTX for at least 3 months at time of Screening, and be on a stable dose at least 4 weeks prior to Baseline Female subject must be postmenopausal (at least 1 year), permanently sterilized or, if of childbearing potential, must be willing to use at least 2 effective methods of contraception during the study period Subject has clinical laboratory test results within the reference ranges of the testing laboratory Subject has Electrocardiogram (ECG) values within the reference ranges of the testing laboratory Exclusion Criteria: Subject has absolute neutrophil count <1.5×109/L, and/or lymphocyte count <1.0×109/L Subject has known viral hepatitis, has a positive test for hepatitis B surface antigen or is hepatitis C virus antibody positive Subject tests positive to human immunodeficiency virus (HIV)-1/2 antibody Subject has a past medical history or family history of primary immunodeficiency Subject is splenectomized Subject has had a severe infection requiring hospitalization and/or treatment with iv antibiotics in the 6 months before the Screening Visit Subject has a history of positive tuberculosis (TB) test or evidence of possible TB or latent TB infection at Screening Subject has a high risk of acquiring TB infection Subject has a history of alcoholism or drug/chemical abuse Subject has an active infection or has had a serious within 6 weeks before the first dose of Investigational Medicinal Product (IMP) Subject has renal or liver impairment at the Screening Visit Subject has active neoplastic disease or history of neoplastic disease within 5 years of study entry (except for basal or squamous cell carcinoma of the skin or carcinoma in situ which has been definitively treated with standard of care approaches and is considered cured at Screening) Subject has any other acute or chronic illness which, in the opinion of the Investigator or Study Physician, could pose a threat or harm to the subject Subjects must not have a diagnosis of any other inflammatory arthritis, eg, rheumatoid arthritis, sarcoidosis, or systemic lupus erythematosus Subject has a current or past history of gastrointestinal ulceration Subjects must not have a noninflammatory condition (eg, osteoarthritis or a known diagnosis of fibromyalgia) that in the Investigator's opinion is symptomatic enough to interfere with evaluation of the effect of IMP on the subject's primary diagnosis of Psoriatic Arthritis (PsA) Subject has received a live vaccination within 6 weeks before the Screening Visit or intends to have or will need a live vaccination during the course of the study or for the 3 months following last IMP dosing Subject has had an inadequate response to more than 1 approved biologic Drug-Modifying Antirheumatic Drug (DMARD) Subject has received any investigational drug or experimental procedure within 90 days or 5 half-lives whichever is the longer before the first dose of UCB4940
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
UCB Clinical Trial Call Center
Organizational Affiliation
UCB Pharma
Official's Role
Study Director
Facility Information:
Facility Name
001
City
Sofia
Country
Bulgaria
Facility Name
002
City
St. Chisinau
Country
Moldova, Republic of
Facility Name
003
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
29275332
Citation
Glatt S, Baeten D, Baker T, Griffiths M, Ionescu L, Lawson ADG, Maroof A, Oliver R, Popa S, Strimenopoulou F, Vajjah P, Watling MIL, Yeremenko N, Miossec P, Shaw S. Dual IL-17A and IL-17F neutralisation by bimekizumab in psoriatic arthritis: evidence from preclinical experiments and a randomised placebo-controlled clinical trial that IL-17F contributes to human chronic tissue inflammation. Ann Rheum Dis. 2018 Apr;77(4):523-532. doi: 10.1136/annrheumdis-2017-212127. Epub 2017 Dec 23.
Results Reference
derived

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Multiple Dose Study of UCB4940 in Subjects With Psoriatic Arthritis

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