A Study of the Safety and Preliminary Efficacy of MOR103, a Human Antibody to Granulocyte Macrophage Colony-stimulating Factor (GM-CSF), in Patients With Active Rheumatoid Arthritis
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Purpose
GM-CSF is considered to have a key role in the initiation and progression of arthritic inflammation. The purpose of this study is to evaluate the safety, preliminary efficacy, pharmacokinetics, and immunogenicity of multiple doses of MOR103, a human antibody to GM-CSF, in patients with active rheumatoid arthritis.
| Condition | Intervention | Phase |
|---|---|---|
|
Rheumatoid Arthritis |
Drug: MOR103 |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Multi-center, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Preliminary Clinical Activity and Immunogenicity of Multiple Doses of MOR103 Administered Intravenously to Patients With Active Rheumatoid Arthritis |
- Adverse event rate and safety profile [ Time Frame: weekly or bi-weekly up to 16 weeks ] [ Designated as safety issue: No ]
- DAS28, ACR core set measures and EULAR28 response criteria, hematology, blood chemistry, Ig levels, cytokines, synovitis, bone edema [ Time Frame: weekly or bi-weekly up to 16 weeks ] [ Designated as safety issue: No ]
- MRI related endpoints [ Time Frame: 3 times in the course of the study ] [ Designated as safety issue: No ]
| Enrollment: | 96 |
| Study Start Date: | December 2009 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group 1: MOR103, experimental
Biological: MOR103 0.3 mg/kg or placebo
|
Drug: MOR103
MOR103 0.3 mg/kg or placebo iv x 4 doses
|
|
Experimental: Group 2: MOR103, experimental
Biological: MOR103 1.0 mg/kg or placebo
|
Drug: MOR103
MOR103 1.0 mg/kg or placebo iv x 4 doses
|
|
Experimental: Group 3: MOR103, experimental
Biological: MOR103 1.5 mg/kg or placebo
|
Drug: MOR103
MOR103 1.5 mg/kg or placebo iv x 4 doses
|
Detailed Description:
Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease that affects 0.5% to 1% of the adult population world wide. RA primarily affects the joints and is characterized by chronic inflammation of the synovial tissue, which eventually leads to the destruction of cartilage, bone and ligaments and can cause joint deformity.
Pro-inflammatory cytokines, such as tumor necrosis factor-alpha (TNFα), interleukin (IL)-1, IL-6 and granulocyte macrophage colony stimulating factor (GM-CSF), which lead to the activation and proliferation of immune cells, are found to be increased in the inflamed joint. Several preclinical findings support an anti-GM-CSF therapy for RA.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Rheumatoid arthritis (RA) per revised 1987 ACR criteria
- Active RA: ≥3 swollen and 3 tender joints with at least 1 swollen joint in the hand, excluding the PIP joint
- CRP > 5.0 mg/L (RF and anti-CCP seronegative); CRP >2 mg/l (RF and/or anti-CCP seropositive)
- DAS28 ≤ 5.1
- Stable regimen of concomitant RA therapy (NSAIDs, steroids, non- biological DMARDs).
- Negative PPD tuberculin skin test
Exclusion Criteria:
- Previous therapy with B or T cell depleting agents other than Rituximab (e.g. Campath). Prior treatment with Rituximab, TNF-inhibitors, other biologics (e.g. anti-IL-1 therapy) and systemic immunosuppressive agents is allowed with a washout period.
- Any history of ongoing, significant or recurring infections
- Any active inflammatory diseases other than RA
- Treatment with a systemic investigational drug within 6 months prior to screening
- Women of childbearing potential, unless receiving stable doses of methotrexate or leflunomide
- Significant cardiac or pulmonary disease (including methotrexate- associated lung toxicity)
- Hepatic or renal insufficiency
Contacts and Locations| Bulgaria | |
| MorphoSys Investigative sites, Bulgaria | |
| Germany | |
| MorphoSys Investigative sites, Germany | |
| Netherlands | |
| MorphoSys Investigative sites, Netherlands | |
| Poland | |
| MorphoSys Investigative sites, Poland | |
| Ukraine | |
| MorphoSys investigatíve sites, Ukraine | |
| Study Director: | Roman P Korolkiewicz, MD, PhD | MorphoSys AG |
More Information
No publications provided
| Responsible Party: | MorphoSys AG |
| ClinicalTrials.gov Identifier: | NCT01023256 History of Changes |
| Other Study ID Numbers: | MSC-1001 |
| Study First Received: | November 19, 2009 |
| Last Updated: | July 18, 2012 |
| Health Authority: | Germany: Paul-Ehrlich-Institut Bulgaria: Bulgarian Drug Agency Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Ukraine: Ministry of Health |
Keywords provided by MorphoSys AG:
|
Rheumatoid arthritis GM-CSF MOR103 |
Additional relevant MeSH terms:
|
Arthritis Arthritis, Rheumatoid Joint Diseases Musculoskeletal Diseases |
Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013