Safety Study of SCIO-469 to Treat Patients With Active Rheumatoid Arthritis Receiving Methotrexate

Last updated: April 26, 2010
Sponsor: Scios, Inc.
Overall Status: Completed

Phase

2

Condition

Rheumatoid Arthritis

Arthritis And Arthritic Pain

Bone Diseases

Treatment

N/A

Clinical Study ID

NCT00043732
CR005173
  • Ages > 18
  • All Genders

Study Summary

The main objective of the study is to evaluate the safety and tolerability of six escalating doses of SCIO-469 in RA patients. SCIO-469 belongs to a new class of treatments that inhibit p38 kinase, a stimulatory modulator of pro-inflammatory factors including tumor necrosis factor-alpha (TNF-alpha), interleukin-1 (IL-1), and cyclooxygenase-2 (COX-2), all of which are known to contribute to both symptoms and disease progression in patients with Rheumatoid Arthritis.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients who have active rheumatoid arthritis and are receiving methotrexate

  • meet the revised 1987 American Rheumatism Association (ARA) criteria for rheumatoidarthritis

  • has active RA as demonstrated by 9 tender and 6 swollen joints and one of thefollowing: C-reactive protein 1.0 mg/dL, Erythrocyte sedimentation rate (ESR) 28mm/hour, or Morning stiffness = 45 minutes. .

Exclusion

Exclusion Criteria:

  • Patient used etanercept, infliximab, anakinra, or an experimental biologic agentwithin past 3 months

  • Had elevation of liver enzymes within past 6 months

  • Has a history of Tuberculosis

  • Vertigo, inner ear, or vestibular abnormalities

  • Cancer

  • HIV-positive

  • Abnormal electrocardiogram

  • patient has chronic or acute infection

  • Multiple sclerosis, neuropathy or encephalopathy

Study Design

Total Participants: 120
Study Start date:
Estimated Completion Date:
September 30, 2003

Study Description

This multicenter, randomized, double-blind, placebo-controlled, dose-escalating study will assess the safety, tolerability, efficacy, PK and pharmacodynamics of SCIO-469 in patients with active RA who also are receiving methotrexate. A total of 120 subjects will be randomly assigned and treated in one of seven dose groups with the total daily dose of SCIO-469 ranging from 0 to 180 mg. Dose groups will be staggered over four Treatment Periods. Safety and available PK data from a Treatment Period with lower dose groups will be reviewed prior to initiating higher dose groups in the next Treatment Period. Placebo subjects will be randomized in all Treatment Periods. Study drug will be taken for 30 days. Each subject will be followed for approximately 4 weeks after completing the 30-day Treatment Period. Safety will be assessed by way of physical examination, medical history, vital signs, orthostatic vital signs, chest radiograph, 12-lead electrocardiogram (ECG), clinical laboratory evaluations (including serum chemistry, hematology, qualitative urinalysis, and liver function tests), purified protein derivative test for tuberculosis, neurological tests, adverse events, and concomitant medications through out the study. Study drug will be administered for 30 days at one of the following dosage strengths; 30 mg, 60 mg, 90 mg. One group of subjects will get 60 mg for one week followed by 120 for one week followed by 180 mg for two weeks.