Rheumatoid Arthritis
Conditions
Brief summary
The purpose of this study is to investigate the safety and efficacy of multiple dose levels of the investigational product (study drug), IPI-145, in combination with methotrexate compared to methotrexate alone in subjects with active moderate-to-severe Rheumatoid Arthritis.
Detailed description
This Phase 2 study is designed to examine the efficacy and safety of multiple dose levels of IPI-145 in subjects with active moderate-to-severe Rheumatoid Arthritis receiving a background stable dose of methotrexate. The study will employ a randomized, double-blind, placebo-controlled, parallel design. Approximately 316 adult subjects who meet all eligibility criteria at Screening will be randomized at Baseline in a 1:1:1:1 ratio to one of 4 dose groups. All treatments will be administered twice a day (BID). After randomization, subjects will enter a 12-week Treatment Period, where study drug (IPI-145 or placebo) will be self-administered BID as an outpatient. During the Treatment Period, subjects will return to the clinic for efficacy and safety assessments every 2 weeks. Following Treatment Period completion at Week 12, subjects will enter a 3-week Follow-up Period which includes one clinic visit approximately 3 weeks after the last dose of study drug.
Interventions
2 blinded capsules will be administered twice a day (morning and night) for 12 weeks.
2 blinded capsules will be administered twice a day (morning and night) for 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Documented diagnosis of Rheumatoid Arthritis for at least 6 months * Active disease, based on Screening clinical and laboratory criteria, despite taking methotrexate for at least 3 months
Exclusion criteria
* Pregnant or lactating females * Previous failure or inadequate response to \>2 biologic disease-modifying anti-rheumatic drugs (DMARDs) * Concurrent DMARD treatment other than methotrexate, sulfasalazine, chloroquine, or hydroxychloroquine * Treatment with \> 10 mg daily prednisone (or equivalent) or more than one non-steroidal anti-inflammatory drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of subjects who achieve a 20% improvement in the American College of Rheumatology Criteria (ACR20) from Baseline to Week 12 | Baseline (Day 1), Weeks 2, 4, 6, 8, 10 and 12 |
Countries
Bulgaria, Colombia, Germany, Hungary, Mexico, New Zealand, Poland, Romania, Russia, Serbia, Ukraine