This is a randomized, double-blinded, placebo-controlled adaptive, dose finding study to investigate the safety, tolerability, PK, PD and efficacy of single and repeat intravenous infusions of GSK315243A in patients with active rheumatoid arthritis. The study is divided into 2 parts: Part A is an adaptive, dose finding phase which will provide safety, tolerability, PK and PD on single intravenous infusions. Part B is a repeat dose phase which will provide safety, tolerability, PK, PD and efficacy following repeat intravenous infusions of a selected dose level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
135
Part A single IV dose; Part B 3 repeat IV dose at Day 1, Day 28 and Day 56; Part C single SC dose
matching placebo
GSK Investigational Site
Woolloongabba, Queensland, Australia
GSK Investigational Site
Heidelberg, Victoria, Australia
• To assess the safety and tolerability of GSK315234A after single and repeat intravenous infusions in subjects with active rheumatoid arthritis on a background of methotrexate.
safety assessment includes AEs, vital signs, ECG, clinical laboratory tests.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
• To assess the effect of GSK315234A on disease activity [as defined by Disease Activity Score (DAS) 28 score] on Day 28 after a single intravenous infusion
DAS28 at Day 28 and DAS28 at Day 56
Time frame: Part A total of 150 days
• To assess the effect of GSK315234A on disease activity [as defined by Disease Activity Score (DAS) 28 score] on Day 56 in subjects with active rheumatoid arthritis on a background of methotrexate (Part B and Part C).
DAS28 scores on Day 56 (Part B and C)
Time frame: Part B total of 236 days and Part C total of 180 days
Weighted mean DAS28 after single and repeat intravenous doses
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Plasma PK parameters of GSK315234A after single and repeat intravenous doses including free, and bound GSK315234A (serum) concentrations, AUC(0-¥), Cmax, clearance, volume of distribution and accumulation ratio
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
DAS28 and EULAR response criteria after single and repeat intravenous doses
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
ACR20/ACR50/ACR70 response after single and repeat intravenous doses
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GSK Investigational Site
Melbourne, Victoria, Australia
GSK Investigational Site
Christchurch, New Zealand
GSK Investigational Site
Hamilton, New Zealand
GSK Investigational Site
Wellington, New Zealand
GSK Investigational Site
Moscow, Russia
GSK Investigational Site
Moscow, Russia
GSK Investigational Site
Novosibirsk, Russia
GSK Investigational Site
Smolensk, Russia
...and 9 more locations
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Number of swollen joints assessed using 28-joint counts.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Number of tender/painful joints assessed using 28-joint counts.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Subject's pain assessment
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Physician's global assessment of arthritis condition.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Patients' global assessment of arthritis condition.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Functional disability index (Health Assessment Questionnaire)
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
C-reactive Protein (CRP).
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
ESR
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Global Fatigue Index
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
HAQ disability index
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Pharmacodynamic biomarkers after single and repeat intravenous doses:
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Characteristic AUC50 and EC50 for clinical endpoint changes with plasma exposure model, as assessed by sigmoid Emax and indirect response PK/PD models.
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
Immunogenicity (Human anti-GSK315234A antibodies)
Time frame: Part A total of 150Days; Part B total of 236 days and Part C total of 180 days
• To assess the relative bioavailability of GSK315234A administered subcutaneously (Part C) as compared to intravenous administration in subjects with active rheumatoid arthritis on a background of methotrexate
Time frame: Part C total of 180days