Rheumatoid Arthritis
Conditions
Keywords
Rheumatoid Arthritis, DMARD failure, ACR
Brief summary
The objective of this study is to evaluate the activity of 2 oral doses of AB1010 in subjects suffering from active RA who have shown an inadequate response to one DMARD including MTX or anti-TNF, after 3 months (12 weeks) of treatment. The safety and efficacy will be evaluated on: Rate of patients achieving ACR 20, 50, 70 and 90 DAS (disease activity score) after 3 months treatment ACRn after 3 months treatment Therapeutic maintenance of AB1010 at 3 months Quality of Life assessed by SF12 Health Assessment Questionnaire (HAQ) Clinical and biological safety Pharmacokinetic profile of AB1010
Interventions
3 mg/kg/day
Sponsors
Study design
Eligibility
Inclusion criteria
1. Meet American College of Rheumatology (ACR) criteria for RA 2. Have active RA 3. ACR functional class I-III 4. Disease onset at \> 16 years of age 5. Disease duration of at least 6 months 6. Failure to one DMARD including methotrexate and anti-TNF alpha
Exclusion criteria
1. Pregnant or breastfeeding women 2. Inadequate bone marrow function 3. Current use of a DMARD within 4 weeks (or 5 half-lives, whichever is longer) of screening except for leflunomide which requires a specific wash-out 4. Any previous use of recombinant IL1-Ra 5. Current use of more than 1 non steroidal anti-inflammatory drug (NSAID) or change of dose of the NSAID within 4 weeks of baseline or NSAID use greater than the maximum recommended dose 6. Within 4 weeks before baseline, use of more than 10 mg/day of prednisone or equivalent or change in the dose of prednisone or equivalent, or having intra-articular corticosteroid injection or bolus intramuscular or intravenous treatment with corticosteroids (\>20 mg prednisone or equivalent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| rate of patients achieving ACR 20, 50, 70 and 90 at 12 weeks | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| DAS (disease activity score) at 12 weeks | 12 weeks |
| ACRn at 12 weeks | 12 weeks |
| improvement of quality of life assessed by SF12 at 12 weeks | 12 weeks |