A 12-week Study of 4 Doses of VX-509 in Subjects With Active Rheumatoid Arthritis

A 12-week, Double-blind, Randomized, Parallel-group, Placebo-controlled Study of 4 Doses of VX-509 in Subjects With Active Rheumatoid Arthritis

This study is designed to evaluate safety and assess initial efficacy of VX-509, a JAK3 inhibitor, for treatment of subjects with active RA. This study will assess the clinical response of 4 doses of VX-509 compared to placebo when administered for 12 weeks to patients with active RA. The study will also evaluate the safety and tolerability of VX-509 compared to placebo when administered for 12 weeks to subjects with active RA.

Study Overview

• Status: Completed
• Conditions: Rheumatoid Arthritis
• Intervention / Treatment: Drug: VX-509; Drug: VX-509; Drug: VX-509; Drug: VX-509; Drug: Placebo

• Study Type: Interventional
• Enrollment (Actual): 206
• Phase: Phase 2

Contacts and Locations

Study Locations

• Belgium
  • Antwerpen, Belgium
• Croatia
  • Karlovac, Croatia
  • Opatija, Croatia
  • Zagreb, Croatia
• Germany
  • Erfurt, Germany
  • Frankfurt, Germany
  • Hamburg, Germany
  • Hildesheim, Germany
  • Nauheim, Germany
  • Zerbst, Germany
• Hungary
  • Balatonfured, Hungary
  • Budapest, Hungary
  • Debrecen, Hungary
  • Veszprem, Hungary
• Poland
  • Elblag, Poland
  • Limanow, Poland
  • Lublin, Poland
  • Wroclaw, Poland
• Puerto Rico
  • San Juan, Puerto Rico
• Romania
  • Baia Mare, Romania
  • Braila, Romania
  • Bucharest, Romania
  • Galati, Romania
• Russian Federation
  • Kemerovo, Russian Federation
  • Novosibirsk, Russian Federation
  • Ryazan, Russian Federation
  • Vladimir, Russian Federation
  • Voronezh, Russian Federation
• Serbia
  • Belgrade, Serbia
  • Niska Banja, Serbia
• United States
  • Alabama
    • Birmingham, Alabama, United States, 35216
    • Huntsville, Alabama, United States, 35801
  • Arizona
    • Peoria, Arizona, United States, 85381
  • California
    • La Mesa, California, United States, 97942
  • Connecticut
    • Trumbull, Connecticut, United States, 06611
  • Florida
    • Tampa, Florida, United States, 33612
    • Tampa, Florida, United States, 33614
    • Venice, Florida, United States, 34292
  • Georgia
    • Decatur, Georgia, United States, 30033
  • Massachusetts
    • Worcester, Massachusetts, United States, 01610
  • Missouri
    • St. Louis, Missouri, United States, 63141
  • North Carolina
    • Charlotte, North Carolina, United States, 28210
  • Oklahoma
    • Oklahoma City, Oklahoma, United States, 73104
  • Pennsylvania
    • Duncansville, Pennsylvania, United States, 16635
  • South Carolina
    • Charleston, South Carolina, United States, 29406
  • Texas
    • Dallas, Texas, United States, 75235
  • Washington
    • Spokane, Washington, United States, 99204
  • West Virginia
    • Clarksburg, West Virginia, United States, 26301

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• All subjects must have been diagnosed with RA as defined by the ACR revised criteria with disease duration of at least 6 months from confirmed diagnosis
• Subjects must have a swollen joint count of ≥6 out of 28 joints and tender joint count of ≥6 out of 28 joints. Joints that have had prior surgery are to be excluded from the joint count.
• Baseline CRP level must be 1.5 times greater than the upper limit of normal at Screening.
• Subjects must have failed at least 1 nonbiologic DMARD for any reason.
• Subjects may have previously failed no more than 1 biologic DMARD and discontinued treatment for reasons other than inadequate response. Subjects must not have been treated with Rituximab previously.
• Subjects must be willing to comply with contraception requirements.

Exclusion Criteria:

• Subjects with inflammatory rheumatological disorders other than RA.
• History or evidence of a clinically significant disorder other than RA (including but not limited to cardiopulmonary, oncologic, renal, metabolic, hematologic or psychiatric disorders), condition or disease that, in the opinion of the investigator and medical monitor, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
• Subjects with clinically important abnormalities in screening physical examination or in screening laboratory test results (including the presence of either hepatitis B surface antigen, hepatitis C virus antibody, or HIV types 1 -- Subjects with elevation in alanine aminotransferase or aspartate aminotransferase above the upper limit of normal.
• History of hematologic disorders including neutropenia and thrombocytopenia.
• Subjects with an acute or chronic active infection requiring systemic antimicrobial treatment, or subjects who are at high risk of developing an infection due to a compromised immune system. Antifungals for onychomycosis or low-dose antibiotics for rosacea, that are not inhibitors or inducers of CYP3A, will be allowed.
• Subjects who require concomitant use of any inhibitors or inducers of cytochrome P450 (CYP) 3A.
• Subjects who have been treated with intra-articular injections of corticosteroids within 28 days prior to Day 1.
• Subjects who have planned major surgery (e.g., joint replacement) or any procedures during the study.
• Have received any live, attenuated vaccinations within 1 month prior to study drug administration.
• History of drug or alcohol abuse or excessive alcohol as determined by the investigator, during the last 12 months before the screening visit.
• History of TB infection of any kind (pulmonary or extrapulmonary, active or latent), regardless of history of anti-TB treatment.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

5

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: Placebo	Drug: Placebo; tablet, placebo b.i.d. for 12 weeks
Experimental: 25 mg b.i.d. VX-509	Drug: VX-509; tablets, 25mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 50 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 100 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 150 mg b.i.d. for 12 weeks
Experimental: 50 mg b.i.d. VX-509	Drug: VX-509; tablets, 25mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 50 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 100 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 150 mg b.i.d. for 12 weeks
Experimental: 100 mg b.i.d. VX-509	Drug: VX-509; tablets, 25mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 50 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 100 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 150 mg b.i.d. for 12 weeks
Experimental: 150 mg b.i.d. VX-509	Drug: VX-509; tablets, 25mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 50 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 100 mg b.i.d. for 12 weeks; Drug: VX-509; tablet, 150 mg b.i.d. for 12 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Proportion of subjects who achieve an ACR20 response	Week 12
Change from baseline in DAS28	Week 12

Secondary Outcome Measures

Outcome Measure	Time Frame
Proportion of subjects who achieve an ACR50,70 response	Week 12
Proportion of subjects who achieve moderate or good EULAR response	Week 12
Magnitude of improvement in the components of the ACR response criteria	Week 12
Pharmacokinetics of VX-509	Week 6
Pharmacodynamics (PD) of biomarker responses	Week 6

Collaborators and Investigators

• Sponsor: Vertex Pharmaceuticals Incorporated

Study record dates

Study Major Dates

• Study Start: February 1, 2010
• Primary Completion (Actual): July 1, 2011
• Study Completion (Actual): July 1, 2011

Study Registration Dates

• First Submitted: January 18, 2010
• First Submitted That Met QC Criteria: January 18, 2010
• First Posted (Estimate): January 20, 2010

Study Record Updates

• Last Update Posted (Estimate): December 13, 2012
• Last Update Submitted That Met QC Criteria: December 12, 2012
• Last Verified: December 1, 2012

More Information

Terms related to this study

• Keywords: Rheumatoid Arthritis
• Additional Relevant MeSH Terms: Immune System Diseases; Autoimmune Diseases; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Arthritis; Arthritis, Rheumatoid
• Other Study ID Numbers: VX09-509-101; 2009-017438-32 (EudraCT Number)