Safety, Pharmacokinetic (PK), Pharmcodynamic (PD), and Drug-Drug Interaction of PLX3397 in Patients With Rheumatoid Arthritis Who Are Receiving Methotrexate

This study has been withdrawn prior to enrollment.
Sponsor:
Information provided by:
Plexxikon
ClinicalTrials.gov Identifier:
NCT01090570
First received: March 15, 2010
Last updated: October 4, 2010
Last verified: October 2010
  Purpose

PLX3397 is a selective inhibitor of Fms and Kit activity. The objective of this study is to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and drug-drug interaction (DDI) of orally administered PLX3397 during 2 weeks of dosing in patients with rheumatoid arthritis (RA) who are on maintenance methotrexate. This study is planned to provide data to inform dose selection for a subsequent 12 week dose ranging study in RA.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: PLX3397
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment

Resource links provided by NLM:


Further study details as provided by Plexxikon:

Primary Outcome Measures:
  • To assess the drug-drug interaction of PLX3397 and Methotrexate in patients with rheumatoid arthritis [ Time Frame: 2 weeks + 2 weeks follow up ] [ Designated as safety issue: Yes ]
    Blood samples will be taken at multiple time points during the 2 week time frame plus a 2 week follow up time frame to study the pharmacokinetics of PLX3397 and Methotrexate in patients.


Secondary Outcome Measures:
  • To assess the safety and tolerability of PLX3397 when taken once daily with concomitant methotrexate administration [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]
    Adverse events and safety lab tests (including a hematology panel, blood chemistry panel, coagulation and urinalysis) will be monitored throughout the study time frame.

  • To assess the pharmacokinetics of PLX3397 when taken once daily for 2 weeks at either a 25, 50, 100, 200 or 300 mg dose. [ Time Frame: 2 weeks ] [ Designated as safety issue: Yes ]
    The pharmacokinetic profile of plasma PLX3397 will be analyzed by measurement of area under the plasma concentration-time curve (AUC0-t, AUC0-inf), peak concentration (Cmax), time to peak concentration (Tmax), half-life (t1/2), and terminal elimination rate constant (Kel).

  • To assess the pharmacodynamics of PLX3397 when taken once daily for 2 weeks at either a 25, 50, 100, 200 or 300 mg dose. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Measured by looking at the factors in the blood that may include, but are not limited to pro- and anti-inflammatory cytokines and mediators of the inflammatory process that may correlate with the activity of the disease and the response to PLX3397 in combination with methotrexate


Estimated Enrollment: 36
Study Start Date: May 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: PLX3397 25 mg Drug: PLX3397
Once-daily oral capsules
Experimental: PLX3397 50 mg Drug: PLX3397
Once-daily oral capsules
Experimental: PLX3397 100 mg Drug: PLX3397
Once-daily oral capsules
Experimental: PLX3397 200 mg Drug: PLX3397
Once-daily oral capsules
Experimental: PLX3397 300 mg Drug: PLX3397
Once-daily oral capsules
Placebo Comparator: Placebo Drug: PLX3397
Once-daily oral capsules

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female patients ≥ 18 years old with a diagnosis of rheumatoid arthritis by ACR criteria for ≥ 3 months.
  • Prior to Baseline, patients must be on oral or subcutaneous methotrexate (≥ 10 mg/week and ≤ 25 mg/week) for at least 12 weeks (with a stable dose for at least 4 weeks) and folate (≥ 5 mg/week) for at least 6 weeks, and willing to continue on this regimen for the duration of the study.
  • Adequate hematologic, hepatic, and renal function (absolute neutrophil count ≥ 1.5 X 109/L, Hgb > 9 g/dL, platelet count ≥ 100 X 109/L, AST/ALT WNL, albumin ≥ 3 g/dL, calculated CrCl>60 mL/min using Cockcroft-Gault formula).
  • Women of child-bearing potential must have a negative pregnancy test within 7 days prior to initiation of dosing and must agree to use a double barrier method of birth control from the time of the negative pregnancy test up to 30 days after the last dose of study drug. Women of non-childbearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥1 year.
  • Fertile men must agree to use an acceptable method of birth control while on study drug. Acceptable methods of contraception must include either abstinence from the first dose of study drug through 4 weeks after the last dose of study drug, or use of a condom with instructions to the female partner of child-bearing potential to also be protected as above.
  • Willing and able to provide written informed consent prior to any study related procedures and to comply with all study requirements.

Exclusion Criteria:

  • Use of biologic response modifiers within the following periods prior to Day 1 Baseline: 4 weeks for Kineret (anakinra) and Enbrel (etanercept); 12 weeks for Remicade (infliximab), Humira (adalimumab), Simponi (golimumab), Orencia (abatacept), Actemra (tocilizumab), or Cimzia (certolizumab); 12 months for Rituxan.
  • Use of Arava (leflunomide) within 12 weeks prior to Day 1 Baseline or any immunosuppressive agents other then hydroxychloroquine or sulfasalazine within 4 weeks of Day 1 Baseline.
  • Investigational drug use within 4 weeks of Day 1 Baseline.
  • Concomitant use of DMARDs (other than methotrexate), biological response modifiers, or known strong inducers or inhibitors of CYP3A4.
  • Positive HepBsAg or HCV, or presence of clinically significant hepatic or biliary disease.
  • Uncontrolled intercurrent illness.
  • Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption.
  • QTc ≥ 450 msec at Screening.
  • The presence of a medical or psychiatric condition that, in the opinion of the Principal Investigator, makes the patient inappropriate for inclusion in this study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01090570

Locations
United States, Alabama
Tuscaloosa, Alabama, United States
United States, Arkansas
Little Rock, Arkansas, United States
United States, California
San Francisco, California, United States
United States, Pennsylvania
Altoona, Pennsylvania, United States
United States, Texas
Dallas, Texas, United States
Sponsors and Collaborators
Plexxikon
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT01090570     History of Changes
Other Study ID Numbers: PLX108-02
Study First Received: March 15, 2010
Last Updated: October 4, 2010
Health Authority: United States: Food and Drug Administration

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 April 15, 2014