Effects Of CP-690,550 (Tasocitinib) On Cholesterol Metabolism In Patients With Active Rheumatoid Arthritis
An Exploratory Phase 1, Fixed Sequence, Open-Label Study To Assess The Effects Of CP-690,550 On The Kinetics Of Cholesterol Flux Through The High Density Lipoprotein/Reverse Cholesterol Transport Pathway In Patients With Active Rheumatoid Arthritis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Balatonfured, Hungary, 8230
- Pfizer Investigational Site
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Budapest, Hungary, 1032
- Pfizer Investigational Site
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Alabama
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Anniston, Alabama, United States, 36207
- Pfizer Investigational Site
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Anniston, Alabama, United States, 36201
- Pfizer Investigational Site
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Arkansas
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Little Rock, Arkansas, United States, 72201
- Pfizer Investigational Site
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California
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Los Angeles, California, United States, 90095
- Pfizer Investigational Site
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Florida
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Daytona Beach, Florida, United States, 32114
- Pfizer Investigational Site
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Ormond Beach, Florida, United States, 32174
- Pfizer Investigational Site
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South Miami, Florida, United States, 33143
- Pfizer Investigational Site
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Michigan
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Bingham Farms, Michigan, United States, 48025
- Pfizer Investigational Site
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Texas
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Dallas, Texas, United States, 75231
- Pfizer Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males or females, 18 years of age or older with active rheumatoid arthritis; Or male and female healthy volunteers 18 years of age and older
Exclusion Criteria:
- Pregnant or lactating women
- Clinically significant systemic disease (other than RA for RA arm)
- Use of lipid-regulating agents
Study Plan
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: CP-690,550 (tasocitinib) 10 mg twice daily (BID)
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CP-690,550 (tasocitinib) dosed at 10 mg BID for 6 weeks in patients with active rheumatoid arthritis
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NO_INTERVENTION: Healthy Volunteers
No intervention
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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High-density Lipoprotein Cholesterol (HDL-C) Concentration at Baseline
Time Frame: Baseline
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Blood level of HDL-C was measured following a 12-hours fasting.
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Baseline
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High-density Lipoprotein Cholesterol (HDL-C) Concentration at Week 6
Time Frame: Week 6
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Blood level of HDL-C was measured following a 12-hours fasting.
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Week 6
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Cholesterol Ester Production Rate at Baseline
Time Frame: Baseline
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Cholesterol ester production rate was calculated using a 3-pool model with a simulation, analysis and modeling (SAAM II) program.
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Baseline
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Cholesterol Ester Production Rate at Week 6
Time Frame: Week 6
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Cholesterol ester production rate was calculated using a 3-pool model with a simulation, analysis and modeling (SAAM II) program.
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Week 6
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Low-density Lipoprotein Cholesterol (LDL-C) and Total Cholesterol Concentration
Time Frame: Baseline, Week 6
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Blood level of LDL-C and total cholesterol (TC) was measured following a 12-hours fasting.
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Baseline, Week 6
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Cholesterol Ester Fractional Catabolic Rate
Time Frame: Baseline, Week 6
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Cholesterol ester fractional catabolic rate were calculated using a 3-pool model with a simulation, analysis and modeling (SAAM II) program.
Fractional catabolic rate was the percentage of cholesterol ester which was replaced, transferred or lost per unit of time.
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Baseline, Week 6
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Low-density Lipoprotein Associated With Apolipoprotein B (LDL-apoB) Production Rate
Time Frame: Baseline, Week 6
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LDL-apoB production rate were calculated using a 3-pool model with a simulation, analysis and modeling (SAAM II) program.
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Baseline, Week 6
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Low-density Lipoprotein Associated With Apolipoprotein B (LDL-apoB) Fractional Catabolic Rate
Time Frame: Baseline, Week 6
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Fractional catabolic rate for LDL ApoB were calculated using the 13 carbon (13C) isotopic enrichment of very low density lipoprotein (VLDL) as the limiting value.
Isotope 13C in plasma was measured using Gas Chromatography-Combustion-Isotope Ratio Mass Spectrometry (GC-C-IRMS).
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Baseline, Week 6
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High-density Lipoprotein Associated With Apolipoprotein A1 (HDL-apoA1) Production Rate
Time Frame: Baseline, Week 6
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HDL-apoA1 production rate were calculated using a 3-pool model with a simulation, analysis and modeling (SAAM II) program.
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Baseline, Week 6
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High-density Lipoprotein Associated With Apolipoprotein A1 (HDL-apoA1) Fractional Catabolic Rate
Time Frame: Baseline, Week 6
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Fractional catabolic rate for HDL-apoA1 were calculated using the 13C isotopic enrichment of VLDL as the limiting value.
Isotope 13C in plasma was measured using GC-C-IRMS.
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Baseline, Week 6
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Cholesterol Efflux Rate
Time Frame: Baseline, Week 6
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Cholesterol efflux rate was measured using isotope dilution method in which rate of appearance of isotope 13C-free cholesterol in plasma representing whole body efflux from tissues was assessed.
Isotope 13C in plasma was measured using GC-C-IRMS.
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Baseline, Week 6
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Panaccione R, Isaacs JD, Chen LA, Wang W, Marren A, Kwok K, Wang L, Chan G, Su C. Characterization of Creatine Kinase Levels in Tofacitinib-Treated Patients with Ulcerative Colitis: Results from Clinical Trials. Dig Dis Sci. 2021 Aug;66(8):2732-2743. doi: 10.1007/s10620-020-06560-4. Epub 2020 Aug 20. Erratum In: Dig Dis Sci. 2020 Oct 10;:
- Winthrop KL, Curtis JR, Yamaoka K, Lee EB, Hirose T, Rivas JL, Kwok K, Burmester GR. Clinical Management of Herpes Zoster in Patients With Rheumatoid Arthritis or Psoriatic Arthritis Receiving Tofacitinib Treatment. Rheumatol Ther. 2022 Feb;9(1):243-263. doi: 10.1007/s40744-021-00390-0. Epub 2021 Dec 6.
- Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Wang L, Chen C, Kwok K, Biswas P, Shapiro A, Madsen A, Wollenhaupt J. Long-term safety of tofacitinib up to 9.5 years: a comprehensive integrated analysis of the rheumatoid arthritis clinical development programme. RMD Open. 2020 Oct;6(3):e001395. doi: 10.1136/rmdopen-2020-001395.
- Cohen SB, Tanaka Y, Mariette X, Curtis JR, Lee EB, Nash P, Winthrop KL, Charles-Schoeman C, Thirunavukkarasu K, DeMasi R, Geier J, Kwok K, Wang L, Riese R, Wollenhaupt J. Long-term safety of tofacitinib for the treatment of rheumatoid arthritis up to 8.5 years: integrated analysis of data from the global clinical trials. Ann Rheum Dis. 2017 Jul;76(7):1253-1262. doi: 10.1136/annrheumdis-2016-210457. Epub 2017 Jan 31.
- Charles-Schoeman C, Fleischmann R, Davignon J, Schwartz H, Turner SM, Beysen C, Milad M, Hellerstein MK, Luo Z, Kaplan IV, Riese R, Zuckerman A, McInnes IB. Potential mechanisms leading to the abnormal lipid profile in patients with rheumatoid arthritis versus healthy volunteers and reversal by tofacitinib. Arthritis Rheumatol. 2015 Mar;67(3):616-25. doi: 10.1002/art.38974.
- Cohen S, Radominski SC, Gomez-Reino JJ, Wang L, Krishnaswami S, Wood SP, Soma K, Nduaka CI, Kwok K, Valdez H, Benda B, Riese R. Analysis of infections and all-cause mortality in phase II, phase III, and long-term extension studies of tofacitinib in patients with rheumatoid arthritis. Arthritis Rheumatol. 2014 Nov;66(11):2924-37. doi: 10.1002/art.38779.
Study record dates
Study Major Dates
Study Start
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 (ESTIMATE)
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
- A3921130
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