Safety and Tolerability of MORAb-022 in Healthy and Rheumatoid Arthritis Subjects
A Randomized, Double-Blind, Placebo-Controlled, Single-Dose, Dose-Escalation Trial of MORAb-022 in Healthy Subjects and Subjects With 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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Zuidlaren, Netherlands
- Pharmaceutical Research Associates Group B.V.
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California
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Los Angeles, California, United States, 90036
- Axis Clinical Trials
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Florida
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Jacksonville, Florida, United States, 32256
- Seaview Jacksonville, LLC
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
- Lynn Health Science Institute
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Pennsylvania
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Duncansville, Pennsylvania, United States, 16635
- Altoona Center for Clinical Research
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria for Rheumatoid Arthritis (RA) Subjects:
- Male or female subjects age greater than or equal to 18 years and less than or equal to 75 years.
- Subjects with RA diagnosis per the 2010 Rheumatoid Arthritis Classification Criteria per American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR.)
- BMI less than or equal to 35 kg/m2 at Screening.
- Active RA characterized by DAS28 score of less than or equal to 5.1 at Screening.
- Have been stabilized on their current dose (up to 25 mg/week) of methotrexate(MTX) for at least 4 weeks before randomization.
Exclusion Criteria for Rheumatoid Arthritis (RA)Subjects:
- Subjects with severe active RA and are not on a stable therapeutic regimen at Screening.
- Subjects without significant articular RA.
- Relevant history of significant respiratory disease (e.g., chronic bronchitis, asthma in last 5 years, chronic obstructive pulmonary disease, tuberculosis, interstitial lung disease, such as pneumonitis and pulmonary alveolar proteinosis, as well as significant inhalation exposure to silicon and other substances) that required treatment and/or follow up under the direction of a physician.
- Presence of GM-CSF autoantibodies above normal at Screening.
- Abnormal chest x-ray or PFTs as judged by the investigator at Screening as clinically significant.
- Positive Quantiferon test.
- History of clinically relevant hypersensitivity reactions (e.g., to gold therapy)
- History of medication use that might have carryover effects during the study.
- Previous administration of a GM-CSF modulator within 6 months of randomization, or previous administration of a monoclonal antibody or immunoglobulin fusion protein that is not (or worded as "other than") a GM-CSF modulator within 3 months of randomization.
- Use of any biological therapy other than the test article during the study (informed consent to termination visit)
- Subjects who consume greater than 14 alcoholic drinks per week for males or 7 alcoholic drinks per week for females.
- Weight greater than 120 kg at Screening.
- Use of parenteral and/or intra-articular steroids, immunosuppressants, investigational drugs, and oral anticoagulant drugs within 4 weeks prior to randomization. Oral steroid treatment is permitted if the dosage is less than or equal to 10 mg of prednisone daily, is stable for a minimum of 4 weeks before the study and remains unchanged throughout the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Escalating doses of MORAb-022
Subjects with RA will be randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).
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IV infusion of MORAb-022 at increasing doses starting with the minimal anticipated biological effect level (MABEL) which is 0.0085mg/kg.;
IV infusion of Placebo (saline)
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Placebo Comparator: Placebo
Subjects with RA will be also randomized into Cohorts 8 to 11, with each cohort consisting of five RA subjects per cohort (four active and one placebo).
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IV infusion of MORAb-022 at increasing doses starting with the minimal anticipated biological effect level (MABEL) which is 0.0085mg/kg.;
IV infusion of Placebo (saline)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Safety to measures to include adverse events, clinical laboratory results, vital signs, ECGs, physical examinations, local tolerability at the infusion site single escalating intravenous (IV) doses of MORAb-022 in healthy subjects and subjects with RA.
Time Frame: Approximately 113 days
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Approximately 113 days
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Lydie Hazan, MD, Axis Clinical Trials
- Principal Investigator: Alan J. Kivitz, MD, CPI, Altoona Center for Clinical Research
- Principal Investigator: Chrysoula Pappa, MD, Seaview Jacksonville, LLC
- Principal Investigator: William M Schnitz, MD, Lynn Health Science Institute
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
- MORAB022-001
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