A Multicenter, Randomized, Double-blind, Placebo-controlled Study of the Combination Therapy of T-614 and Methotrexate in Rheumatoid Arthritis Patients With an Inadequate Response to Methotrexate
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Fukuoka, Japan
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Gifu, Japan
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Hiroshima, Japan
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Kagashima, Japan
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Kagoshima, Japan
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Kochi, Japan
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Kumamoto, Japan
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Kyoto, Japan
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Nagano, Japan
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Nagasaki, Japan
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Oita, Japan
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Osaka, Japan
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Saitama, Japan
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Shizuoka, Japan
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Tokushima, Japan
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Aichi
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Anjo, Aichi, Japan
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Ichinomiya, Aichi, Japan
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Nagoya, Aichi, Japan
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Okazaki, Aichi, Japan
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Toyohashi, Aichi, Japan
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Chiba
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Ichikawa, Chiba, Japan
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Matsudo, Chiba, Japan
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Narita, Chiba, Japan
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Fukuoka
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Kitakyusyu, Fukuoka, Japan
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Kurume, Fukuoka, Japan
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Gunma
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Maebashi, Gunma, Japan
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Takasaki, Gunma, Japan
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Hokkaido
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Asahikawa, Hokkaido, Japan
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Chitose, Hokkaido, Japan
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Hakodate, Hokkaido, Japan
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Sapporo, Hokkaido, Japan
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Tomakomai, Hokkaido, Japan
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Hyogo
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Amagasaki, Hyogo, Japan
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Kato, Hyogo, Japan
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Kobe, Hyogo, Japan
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Ibaraki
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Hitachi, Ibaraki, Japan
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Hitachinaka, Ibaraki, Japan
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Tsukuba, Ibaraki, Japan
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Ishikawa
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Kanazawa, Ishikawa, Japan
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Komatsu, Ishikawa, Japan
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Iwate
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Morioka, Iwate, Japan
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Kagoshima
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Kirishima, Kagoshima, Japan
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Kanagawa
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Kawasaki, Kanagawa, Japan
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Yokohama, Kanagawa, Japan
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Kumamoto
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Tamana, Kumamoto, Japan
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Miyagi
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Miyagi-gun, Miyagi, Japan
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Sendai, Miyagi, Japan
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Miyazaki
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Hyuga, Miyazaki, Japan
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Nagasaki
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Isahaya, Nagasaki, Japan
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Sasebo, Nagasaki, Japan
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Nara
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Ikoma, Nara, Japan
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Osaka
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Higashiosaka, Osaka, Japan
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Hirakata, Osaka, Japan
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Takatsuki, Osaka, Japan
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Saitama
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Hiki-gun, Saitama, Japan
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Iruma, Saitama, Japan
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Kawaguchi, Saitama, Japan
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Tokorozawa, Saitama, Japan
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Shimane
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Matsue, Shimane, Japan
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Tochigi
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Nasushiobara, Tochigi, Japan
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Oyama, Tochigi, Japan
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Shimotsuke, Tochigi, Japan
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Tokushima
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Yoshinogawa, Tokushima, Japan
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Tokyo
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Chiyoda, Tokyo, Japan
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Edogawa, Tokyo, Japan
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Otaku, Tokyo, Japan
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Setagaya, Tokyo, Japan
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Sumida, Tokyo, Japan
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Toyama
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Takaoka, Toyama, Japan
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Tonami, Toyama, Japan
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Yamagata
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Yonezawa, Yamagata, Japan
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Yamaguchi
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Hofu, Yamaguchi, Japan
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Subjects who have a diagnosis of Rheumatoid Arthritis by the ACR criteria
- Age greater or 20 years and less than 70 years old
Exclusion criteria:
- Subject who is considered by the investigator, for any reason, to be an unsuitable candidate for the study
- Women of childbearing potential who are not practicing a successful method of contraception, or wish to become pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 1
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T-614 is administered twice daily in combination with methotrexate.
The daily dose of T-614 is 25 mg for the first 4 weeks and 50 mg for subsequent weeks.
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Placebo Comparator: 2
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Placebo is administered twice daily in combination with methotrexate.
In placebo group, patients will receive T-614 after completing 28 weeks of treatment.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of American College of Rheumatology [ACR] 20 Criteria Responders
Time Frame: Week 24 Last Observation Carried Forward (LOCF) (for T-614 arm and placebo arm) and Week 52 LOCF (for T-614 arm and placebo/T614 arm)
|
ACR20 response is defined as at least a 20% improvement in tender joint count and swollen joint count, and in three of five of the following measures: patient pain intensity assessment, patient global assessment, physician global assessment, Health assessment questionnaire disability index (HAQ-DI), and an acute phase reactant [erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP)].
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Week 24 Last Observation Carried Forward (LOCF) (for T-614 arm and placebo arm) and Week 52 LOCF (for T-614 arm and placebo/T614 arm)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Tender Joint Counts and Swollen Joint Counts
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Assessment of individual ACR core components like Tender Joint Counts (TJC) and Swollen Joint Counts (SJC)
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Change From Baseline in PAP, PtGADA and PyGADA
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Patient's assessment of pain (PAP), patient's global assessment of disease activity (PtGADA) and physician's global assessment of disease activity (PyGADA) each was assessed on a visual analog scale ranging from 0-100 mm, with higher scores indicating severe disease.
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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HAQ-DI was a participant assessed measure of health assessment, measured on a single scale ranging from 0 (no difficulty) to 3 (unable to do), with higher scores indicating severe disease.
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Change From Baseline in C-reactive Protein (CRP)
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Assessment of individual ACR core components i.e.
CRP
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
|
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Change From Baseline in Erythrocyte Sedimentation Rate (ESR)
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Assessment of individual ACR core components i.e.
ESR
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Disease Activity Score in 28 Joints (DAS28): The Rates of Remission (DAS28-CRP Less Than 2.6), and Low Disease Activity (DAS28-CRP Less Than 3.2)
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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The DAS28 is a composite score derived from 4 of these measures i.e count of 28 swollen joints, 28 tender joints, measure erythrocyte sedimentation rate (ESR) or C reactive protein (CRP) and to make a 'global assessment of health' (indicated by marking a 10 cm line between very good and very bad).
DAS28 is assessed as score on scale from 0 to 10 indicating current rheumatoid arthritis (RA) disease activity (0= low disease activity and 10 = high disease activity).
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Percentage of ACR 50 Criteria Responders
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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ACR50 response is defined as at least a 50% improvement in tender joint count and swollen joint count, and in three of five of the following measures: patient pain intensity assessment, patient global assessment, physician global assessment, Health assessment questionnaire disability index (HAQ-DI), and an acute phase reactant [erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP)].
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Percentage of ACR 70 Criteria Responders
Time Frame: Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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ACR70 response is defined as at least a 70% improvement in tender joint count and swollen joint count, and in three of five of the following measures: patient pain intensity assessment, patient global assessment, physician global assessment, Health assessment questionnaire disability index (HAQ-DI), and an acute phase reactant [erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP)].
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Week 24 LOCF (for T-614 arm and placebo arm) and Week 52 LOCF (for T614 arm and placebo/T614 arm)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Kota Nagai, JAC PCU. EPCS, Eisai Co., Ltd.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- T614-ADN
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