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Completed

NCT Number: NCT02531178

A Study to Assess the Safety, Tolerability and Pharmacokinetics of Multiple Subcutaneous Injections of ABBV-257 in Subjects With Rheumatoid Arthritis

This is a Phase 1, randomized, double-blind, placebo-controlled, multiple dose study designed to assess the safety, tolerability, pharmacokinetics, and immunogenicity of different dose levels of ABBV-257 given with methotrexate. ABBV-257 or placebo will be administered once every other week (EOW) for a total of 4 doses. Subjects will continue on their stable dose of methotrexate weekly throughout participation in the study.

This study will be conducted in approximately 24 subjects in 3 dose groups, with 8 subjects per group. Within each group, 6 subjects will be randomized to receive ABBV-257 and 2 subjects will receive placebo. Subjects participating in one dose group will be ineligible to participate in another dose group in the study.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Site Reference ID/Investigator# 139394

Berlin, 10117, Germany

About this study

Multiple dose study designed to assess the safety, tolerability, pharmacokinetics, and immunogenicity of different dose levels of ABBV-257 given with methotrexate.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of Rheumatoid Arthritis based on the 2010 American College of Rheumatology (ACR)/European League against Rheumatism (EULAR) criteria, or ACR 1987 for patients with diagnosis prior 2011 ≥ 3 months.
  • Except for methotrexate (MTX), the subject must have discontinued all disease modifying anti-rheumatic drugs (DMARD) for at least 5 half-lives before the first dose of study drug, and undergone cholestyramine washout if received Leflunomide within the past 3 months.
  • Subject must have been on MTX therapy > 3 months and on a stable dose (7.5 - 25 mg/week), for at least 4 weeks prior to the first dose of study drug. Subject must be able to continue on stable dose of MTX for the duration of study participation.
  • Body Mass Index (BMI) is 19 to 35, inclusive. (BMI is calculated as weight [kg] divided by height [m2].)
  • Judged to be in good general health as determined by the Investigator based upon the results of medical history, laboratory profile, physical examination and 12-lead electrocardiogram (ECG) performed at screening

Exclusion criteria

  • Evidence of anti-ABBV-257 antibody results in a pre-study serum sample.
  • History of significant allergic reaction or significant sensitivity to any constituents of the study drug; or history of anaphylactic reaction to any agent (e.g., food products and bee sting); or history of a major reaction to any Immunoglobulin G (IgG) containing product.
  • History of persistent chronic or active infection(s) requiring hospitalization or treatment with intravenous or oral antimicrobials/antibiotics within 30 days prior to initial study drug administration.
  • History or evidence of active tuberculosis (TB) or the subject has evidence of risk factor for latent TB.
  • Clinically significant abnormal screening laboratory results as evaluated by the Investigator, including serum values of Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) greater than 2.25 × the upper limit of normal, or creatinine greater than 1.5 × the upper limit of normal, or absolute neutrophil count < 1500 μ/L.
  • Subject has any medical condition or illness other than RA that is not well controlled with treatment that would, in the opinion of the investigator, preclude study participation or interfere with other symptoms of Rheumatoid Arthritis (RA).

Treatment and study plan

ABBV-257

Biological

subcutaneous injection

Placebo

Biological

Placebo for ABBV-257

Primary outcomes

  1. Proportion of subjects with adverse events

    Time frame: Up to day 193

    This will be collected through out the study

  2. Change in Vital signs

    Time frame: From day 1 to day 193

    Vital signs including blood pressure and heart rate will be assessed

  3. Change in Physical examination

    Time frame: From day 1 to day 193

    Changes in any physical exam assessed by the physician will be assessed.

  4. Changes in Electrocardiogram (ECG)

    Time frame: From day 1 to day 193

    ECG measurements will be assessed

  5. Maximum observed serum concentration (Cmax)

    Time frame: Up to day 50

    This will be assessed using non-compartmental methods.

  6. Time to maximum observed serum concentration (Tmax)

    Time frame: Up to day 50

    This will be assessed using non-compartmental methods.

Secondary outcomes

  1. Immunogenicity by measurement of Anti-drug antibody

    Time frame: Up to day 193

    Immunogenicity will be measured to see if the body has produced an immune response to ABBV-257

Other outcomes

  1. American College of Rheumatology (ACR) 20 response rate

    Time frame: Up to day 193

    ACR criteria measure improvements in tender and swollen joint counts, patient assessments of pain, global disease activity and physical function, physician global assessment of disease activity and acute phase reactant.

  2. American College of Rheumatology (ACR) 50 response rate

    Time frame: Up to day 193

    ACR criteria measure improvements in tender and swollen joint counts, patient assessments of pain, global disease activity and physical function, physician global assessment of disease activity and acute phase reactant.

  3. American College of Rheumatology (ACR) 70 response rate

    Time frame: Up to day 193

    ACR criteria measure improvements in tender and swollen joint counts, patient assessments of pain, global disease activity and physical function, physician global assessment of disease activity and acute phase reactant.

  4. Change in Disease Activity Score 28

    Time frame: From day 1 to day 193

    Calculated from tender joint, swollen joint and high sensitive C-reactive protein

Sponsors and collaborators

Lead sponsor

AbbVie

Industry

Registry information

Official study title

A Randomized, Double-Blind, Placebo-Controlled Study in Subjects With Rheumatoid Arthritis to Evaluate the Safety, Tolerability and Pharmacokinetics of Multiple Doses of ABBV-257

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Aug 24, 2015
Registry last updated
Mar 3, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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