Phase
Condition
Joint Injuries
Rheumatoid Arthritis
Treatment
Placebo
KPL-404
Clinical Study ID
Ages 18-80 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Body weight ≥ 40 to ≤ 140 kg for all cohorts.
Diagnosis of RA for ≥ 3 months fulfilling the 2010 American College of Rheumatology (ACR)/European Union League Against Rheumatism (EULAR) classification criteria forRA and that is categorized as ACR RA functional Class 1-3.
Treated with a biological disease-modifying anti-rheumatic drug (bDMARDs) AND/ORJanus kinase inhibitor (JAKi) therapy for RA for ≥ 3 months and had inadequateresponse or had to discontinue bDMARD AND/OR JAKi therapy due to intolerance ortoxicity, regardless of treatment duration.
Currently receiving conventional synthetic disease-modifying anti-rheumatic drugs (csDMARD) therapy ≥ 3 months and on a stable dose for ≥ 4 weeks before the firstdose of investigational product.
The following csDMARDs are allowed: oral or parenteral methotrexate ([MTX]; 7.5to 25 mg/week), sulfasalazine (≤ 3000 mg/day), hydroxychloroquine (≤ 400mg/day), chloroquine (≤ 250 mg/day), and leflunomide (≤ 20 mg/day).
A combination of up to 2 background csDMARDs is allowed, except the combinationof MTX and leflunomide.
- Meets all of the following disease activity criteria:
Six or more swollen joints (based on 66 joint counts) and ≥ 6 tender joints (based on 68 joint counts) at screening and baseline visits;
Level of high-sensitivity C-reactive protein ≥ 3 mg/L (by central laboratory);
Documented seropositivity for serum Rheumatoid Factor (RF) and/orAnti-citrullinated protein antibody (ACPA) (>ULN) at screening or by priorlaboratory evaluation.
Has completed a locally approved authorized COVID-19 vaccine regimen according tolocal guidance at least 3 weeks before the first dose of the InvestigationalProduct.
Must have discontinued all bDMARDs or JAKi prior to the first dose ofinvestigational product. The washout period for bDMARDs or JAKi prior to the firstdose of investigational product is specified below. For bDMARDs or JAKi not listedbelow washout should be at least 5 times the mean elimination half-life of a drug:
≥ 4 weeks for etanercept;
≥ 8 weeks for adalimumab, infliximab, certolizumab, golimumab, abatacept,tocilizumab, and sarilumab;
≥ 1 year for rituximab;
≥ 2 weeks for JAKi (either investigational or commercially availabletreatment).
- Voluntarily sign and date an informed consent form approved by independent ethicscommittee/Institutional Review Board (IRB)
Exclusion
Exclusion Criteria:
Prior exposure to any other anti-CD40/CD40L agent.
Inadequate response to 5 or more classes of advanced targeted therapies (bDMARD ortsDMARD; e.g., TNF inhibitors, IL-6 receptor inhibitors, T-cell costimulatoryinhibitors, anti-CD-20 antibodies, JAK inhibitors). This does not include priordiscontinuation due to drug intolerance.
Injectable corticosteroids (including intra-articular) or treatment with > 10 mg/daydose oral prednisone or equivalent within 8 weeks prior to randomization.
History of any arthritis with onset prior to age 16 years or current diagnosis ofinflammatory joint disease other than RA (Current diagnosis of secondary Sjogren'ssyndrome is permitted).
History of thromboembolic event or a significant risk of future thromboembolicevents
Clinically significant active infection including signs/symptoms suggestive ofinfection, any significant recurrent or chronic infection, or subjects at a highrisk of infection
History of cancer within the last 5 years from screening, except for basal andsquamous cell carcinoma of the skin or in situ carcinoma of the cervix treated andconsidered cured.
History of any of the following cardiovascular conditions:
Moderate to severe congestive heart failure (New York Heart Association classIII or IV);
Recent (within past 6 months) cerebrovascular accident, myocardial infarction,coronary stenting;
Uncontrolled hypertension as defined by a confirmed systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg.
- Clinically relevant or significant electrocardiogram (ECG) abnormalities, includingECG with QT interval corrected for heart rate (QTc) > 500 msec.
Study Design
Study Description
Connect with a study center
UMHAT "Dr. Georgi Stranski"
Pleven, 5800
BulgariaSite Not Available
Medical center "Artmed" LTD
Plovdiv, 4002
BulgariaSite Not Available
UMHAT Sveti Ivan Rilski
Sofia, 1431
BulgariaSite Not Available
Vesalion s.r.o.
Ostrava, 702 00
CzechiaSite Not Available
CCR Czech a.s.,
Pardubice, 530 02
CzechiaSite Not Available
Revmatologicky Utsav
Praha 2, 128 50
CzechiaSite Not Available
Medical Plus S.R.O.
Uherské Hradiště, 686 01
CzechiaSite Not Available
Aleksandre Aladashvili Clinic LLC
Tbilisi, 0102
GeorgiaSite Not Available
JSC Evex Hospitals
Tbilisi, 0159
GeorgiaSite Not Available
LTD Georgian-Dutch Hospital
Tbilisi, 0172
GeorgiaSite Not Available
LTD Israel-Georgian Medical Research Clinic Helsicore
Tbilisi, 0112
GeorgiaSite Not Available
Universitätsklinikum Freiburg
Freiburg, Baden-Württemberg 79106
GermanySite Not Available
University Hospital Cologne AöR
Cologne, Nordrhein-Westfalen 50934
GermanySite Not Available
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, Csongrád 6725
HungarySite Not Available
Magyar Honvedseg Egeszsegugyi Kozpont
Budapest, 1062
HungarySite Not Available
Qualiclinic Ltd (Qualiclinic Inc)
Budapest, 1036-H
HungarySite Not Available
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
HungarySite Not Available
Porcika Klinika
Hódmezővásárhely, 6800
HungarySite Not Available
Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
Nyíregyháza, 4400
HungarySite Not Available
Vita Verum Medical Egeszsegugy
Székesfehérvár, 8000
HungarySite Not Available
Centrum Kliniczno-Badawcze
Elblag, 82-300
PolandSite Not Available
Silmedic sp. z o.o.
Katowice, 40-282
PolandSite Not Available
NZOZ Lecznica MAK-MED s.c.
Nadarzyn, 05-830
PolandSite Not Available
Prywatna Praktyka Lekarska Prof. UM dr hab.med. Pawel Hrycaj
Poznan, 61-397
PolandSite Not Available
RCMed Oddzial Sochaczew
Sochaczew, 96-500
PolandSite Not Available
Centrum Medyczne Reuma Park
Warszawa,
PolandSite Not Available
Clinresco Centres (Pty) Ltd
Kempton Park, Gauteng 1619
South AfricaSite Not Available
Jacaranda Hospital
Pretoria, Gauteng 0002
South AfricaSite Not Available
Umhlanga Hospital Medical Center
Umhlanga, Kwazulu-Natal 4319
South AfricaSite Not Available
Panorama Medical Centre
Cape Town, Western Cape 7500
South AfricaSite Not Available
Winelands Medical Research Cen
Stellenbosch, Western Cape 7600
South AfricaSite Not Available
Pinnacle Research Group, LLC
Anniston, Alabama 36207
United StatesSite Not Available
Carewell Arthritis Center
Apple Valley, California 92307
United StatesSite Not Available
Attune Health Research Inc.
Beverly Hills, California 90211
United StatesSite Not Available
Wallace Rheumatic Studies Center, LLC
Beverly Hills, California 90211
United StatesSite Not Available
Medvin Clinical Research
Covina, California 91722
United StatesSite Not Available
TriWest Research Associates
San Diego, California 92108
United StatesSite Not Available
Medvin Clinical Research
Tujunga, California 91042
United StatesSite Not Available
Inland Rheumatology Clinical Trials
Upland, California 91786
United StatesSite Not Available
Medvin Clinical Research
Whittier, California 90602
United StatesSite Not Available
Tekton Research
Fort Collins, Colorado 80525
United StatesSite Not Available
International Medical Research
Daytona Beach, Florida 32117
United StatesSite Not Available
Sweet Hope Research Specialty, Inc.
Hialeah, Florida 33016
United StatesSite Not Available
San Marcus Research Clinic, Inc.
Miami Lakes, Florida 33014
United StatesSite Not Available
Millennium Research
Ormond Beach, Florida 32174
United StatesSite Not Available
West Broward Rheumatology Associates, Inc.
Tamarac, Florida 33321
United StatesSite Not Available
Center for Advanced Research & Education
Gainesville, Georgia 30501
United StatesSite Not Available
Graves Gilbert Clinic
Bowling Green, Kentucky 42101
United StatesSite Not Available
Bluegrass Community Research, Inc
Lexington, Kentucky 40504
United StatesSite Not Available
Accurate Clinical Research, Inc.
Lake Charles, Louisiana 70605
United StatesSite Not Available
Johns Hopkins University - Johns Hopkins Arthritis Center
Baltimore, Maryland 21224
United StatesSite Not Available
SUNY Downstate Medical Center
Brooklyn, New York 11203
United StatesSite Not Available
Northwell Health, Division of Rheumatology
Great Neck, New York 11020
United StatesSite Not Available
Paramount Medical Research & Consulting, LLC
Middleburg Heights, Ohio 44130
United StatesSite Not Available
Altoona Center for Clinical Research
Duncansville, Pennsylvania 16635
United StatesSite Not Available
West Tennessee Research Institute
Jackson, Tennessee 38305
United StatesSite Not Available
Saint Francis Hospital- Memphis
Memphis, Tennessee 38119
United StatesSite Not Available
Arthritis and Rheumatology Research Institute
Allen, Texas 75013
United StatesSite Not Available
Trinity Universal Research Assoc
Carrollton, Texas 75007
United StatesSite Not Available
Arthritis & Osteoporosis Center of Coastal Bend
Corpus Christi, Texas 78404
United StatesSite Not Available
Corpus Christi Rheumatology
Corpus Christi, Texas 78404
United StatesActive - Recruiting
Dallas Fort Worth Clinical Research Associates
Fort Worth, Texas 76177
United StatesSite Not Available
Southwest Rheumatology Research LLC
Mesquite, Texas 75150
United StatesSite Not Available
DM Clinical Research
Tomball, Texas 77375
United StatesSite Not Available
Rheumatology Clinic of Houston
Tomball, Texas 77377
United StatesSite Not Available
Rheumatology and Pulmonary Clinic
Beckley, West Virginia 25801
United StatesSite Not Available
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