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OpenTrials
Completed

NCT Number: NCT00686868

Study to Evaluate SC Route of Administration of Ofatumumab in RA Patients

This study will examine the safety and tolerability, PK and PD of subcutaneously administered GSK1841157 in patients with RA on stable dose Methotrexate. The study comprises a single dose escalation/de-escalation phase to investigate the minimal efficacious dose based on PD markers with an acceptable safety profile.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

GSK Investigational Site, Randwick, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Male or female aged ≥ 18 years
  • A diagnosis of rheumatoid arthritis according to the American College of Rheumatology (ACR1987 classification) of at least six months prior to screening
  • Subjects must be treated with MTX, 7.5-25 mg/week, for at least 12 weeks prior to Visit 2, with the last 4 weeks prior to Day 2 at a stable dosage
  • Patient must be willing to receive folic acid ≥5mg/wk 4 weeks prior to baseline administered according to locally accepted practice
  • Body mass index (BMI) < 35kg/m2 (inclusive)
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form

Key Exclusion Criteria:

  • Subjects with a history of a rheumatic autoimmune disease other than RA (except secondary Sjögren's syndrome), or with significant systemic involvement secondary to RA (vasculitis, pulmonary fibrosis or Felty's syndrome)
  • Previous exposure to biologic cell depleting anti-rheumatic therapies, including investigational compounds (e.g. anti-CD11a, anti-CD19, anti-CD20, anti-CD22, anti-BLyS/BAFF, anti-CD3, anti-CD4, anti-CD5, anti-CD52)
  • Exposure to etanercept < 4 weeks, infliximab or adalimumab < 8 weeks, or abatacept or anakinra < 12 weeks prior to visit 2
  • Received any of the following treatments within 4 weeks prior to Visit 2:
  • Anti-cancer therapy (e.g. alkylating agents, anti-metabolites, purine analogues, monoclonal antibodies)
  • Glucocorticoid unless given in doses equivalent to ≤ 10 mg of prednisolone /day
  • Intra-articular, i.m. or IV corticosteroids
  • Live/attenuated vaccinations
  • Cyclosporine
  • Azathioprine
  • Penicillamine
  • Sulfasalazine
  • Bucillamine
  • Hydroxychloroquine
  • Chloroquine
  • Exposure to leflunomide within 12 weeks prior to visit 2 unless the subject has completed peroral cholestyramine treatment
  • Exposure to gold therapy ≤ 12 weeks prior to Visit 2
  • Exposure to IV immunogammaglobulins ≤ 24 weeks prior to Visit 2
  • Past or current malignant melanoma
  • Chronic or ongoing active infectious disease requiring systemic treatment such as, but not limited to, renal infection, chest infection with bronchiectasis, tuberculosis and active hepatitis B and C
  • History of significant cerebrovascular disease
  • Positive plasma / white cell JC Virus (JCV) PCR (either compartment)

Treatment and study plan

Placebo

Other

placebo

ofatumumab

Drug

fully human anti-CD20 monoclonal antibody

Primary outcomes

  1. Safety and tolerability as described by the incidence and severity of adverse events [AEs], clinical laboratory parameters and vital signs.

    Time frame: throughout the study

Secondary outcomes

  1. Requirement for the use of pre-medication, including the timing, type and dose required.

    Time frame: throughout study

  2. Pharmacodynamics (B-cell depletion and re-population) as measured by CD-19 peripheral blood B- lymphocyte count via routine fluorescent activated cell sorting (FACS) analysis.

    Time frame: throughout study

  3. PK/PD parameters including estimation of time to re-population of CD-19 peripheral blood B-cells to above LLQ (and/or <95% depletion) following single subcutaneous dose of Ofatumumab.

    Time frame: throughout study

  4. Immunogenicity as measured by the incidence, titre and type of human anti-human antibody (HAHA) immune response.

    Time frame: throughout study

  5. Other pharmacodynamic/biomarkers of disease activity and immune status may include high sensitivity C-reactive protein (hsCRP), Erythrocyte Sedimentation Rate (ESR), B-Lymphocyte Stimulator (BLyS/BAFF), B-Lymphocyte Chemokine (BLC), IL-6,

    Time frame: throughout study

  6. Immunoglobulins (IgA, IgG, IgM), Complement (CH50, C3, C4), IgM Rheumatoid Factor (IgM-RF), IgA-RF and IgG-RF, anti-cyclic citrullinated peptide antibody (aCCP),

    Time frame: throughout study

  7. serum amyloid A (SAA), CD-3+, CD-4+ and CD-8+ lymphocytes or other biomarkers, as data permit.

    Time frame: throughout study

  8. Pharmacodynamics (B-cell depletion and re-population) as measured by CD-19 peripheral blood B- lymphocyte count via routine FACS analysis.Other Secondary Endpoints

    Time frame: throughout study

Sponsors and collaborators

Lead sponsor

GlaxoSmithKline

Industry

Registry information

Official study title

Clinical Phase I/IIA Study of Subcutaneously Administration of Ofatumumab in Rheumatoid Arthritis Patients on Stable Dose Methotrexate

Important dates

Study start
2008
Primary completion
2011
Study completion
2011
First posted
May 30, 2008
Registry last updated
Jun 26, 2017

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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