- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01262118
Effects Of CP-690,550 (Tasocitinib) On Cholesterol Metabolism In Patients With Active Rheumatoid Arthritis
December 17, 2012 updated by: Pfizer
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
The purpose of study is to explore the effect of CP-690,550 (tasocitinib) on cholesterol metabolism in patients with active rheumatoid arthritis (RA).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
69
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
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
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / 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
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
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
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
May 1, 2011
Primary Completion (ACTUAL)
January 1, 2012
Study Completion (ACTUAL)
February 1, 2012
Study Registration Dates
First Submitted
November 15, 2010
First Submitted That Met QC Criteria
December 15, 2010
First Posted (ESTIMATE)
December 17, 2010
Study Record Updates
Last Update Posted (ESTIMATE)
January 23, 2013
Last Update Submitted That Met QC Criteria
December 17, 2012
Last Verified
December 1, 2012
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- A3921130
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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