The purpose of this study is to determine the PK/PD, efficacy and safety of GP2013 in patients with severe rheumatoid arthritis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
312
1000 mg iv infusion on two separate occasions, two weeks apart (i.e. on Day 1 and on Day 15)
1000 mg iv infusion on two separate occasions, two weeks apart (i.e. on Day 1 and on Day 15)
1000 mg iv infusion on two separate occasions, two weeks apart (i.e. on Day 1 and on Day 15)
AUC(0-inf) of GP2013, MabThera and Rituxan Following IV Infusion in Patients With RA
Area under the curve AUC(0-inf) calculated based on serum samples, collected from baseline up to 24 weeks: Day 1, 4, 8, 15, 18, 29, 57, 85,113 and 169
Time frame: From baseline to 24 weeks
Maximum Serum Concentration (Cmax) of GP2013, MabThera and Rituxan Following IV Infusion in Patients With RA
Maximum serum concentration (Cmax) after the first infusion of GP2013, MabThera and Rituxan in patients with RA. Samples collected from baseline up to 24 weeks: Day 1, 4, 8, 15, 18, 29, 57, 85,113 and 169.
Time frame: From baseline to week 24
Area Under the Effect Curve From Baseline to Day 14 (AUEC(0-14d)) of Percent B-cells of GP2013, MabThera and Rituxan in Patients With RA
Area under the effect curve of percent change of peripheral B-cell count from baseline to Day 14 (AUEC(0-14d)) of GP2013, MabThera and Rituxan in patients with RA
Time frame: 14 days
Change From Baseline in DAS28(CRP) at Week 24
Change from baseline in Disease Activity Score 28 joint count - C-reactive proteine DAS28(CRP) at Week 24. In order to calculate the DAS28(CRP) the number of tender joints and swollen joints were assessed using 28-joint count (tender28 and swollen28).The patient's global assessment of disease activity (GH) measured on a Visual Analogue Scale (VAS from 0mm - best to 100mm - worst) was obtained. DAS28(CRP) = 0.56 \* sqrt(tender28) + 0.28\* sqrt(swollen28) + 0.36 \* ln(CRP+1) + 0.014 \* GH + 0.96 The DAS28(CRP) provides a number on a scale from 0 to 10 indicating the current activity of the RA, while lower values correspond with less disease activity. A decrease in DAS28 signifies a clinical improvement.
Time frame: 24 weeks
Number of Patients With ACR20 (CRP) Response
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Miller Clinical Research
Los Angeles, California, United States
Bluegrass Community Research, Inc.
Lexington, Kentucky, United States
Klein & Associates
Cumberland, Maryland, United States
Klein & Associates
Hagerstown, Maryland, United States
Clinical Pharmacology Study Group
Worcester, Massachusetts, United States
Physician Research Collaboration, LLC
Lincoln, Nebraska, United States
Innovative Health Research
Las Vegas, Nevada, United States
DJL Clinical Research PLLC
Charlotte, North Carolina, United States
Health Research of Oklahoma
Oklahoma City, Oklahoma, United States
Altoona Center for Clinical Research
Duncansville, Pennsylvania, United States
...and 47 more locations
A patient will be considered as improved according the ACR20 criteria * at least 20 % improvement from baseline in tender joint count, using the 68-joint count * at least 20 % improvement from baseline in swollen joint count, using the 66-joint count * and at least 20% improvement from baseline in a least 3 of the following 5 measures: * Patient's assessment of RA pain (VAS 100 mm) * Patient's global assessment of disease activity (VAS 100 mm) * Physician's global assessment of disease activity (VAS 100 mm) * Patient self-assessed disability (Health Assessment Questionnaire disability index) * Acute phase reactant (C-reactive protein or erythrocyte sedimentation rate)
Time frame: 24 weeks
Summary of Disease Activity According to CDAI
In order to calculate the Clinical Disease Activity Index (CDAI) the number of tender and swollen joints were assessed using the 28 -joint count (tender28 and swollen28). The patient's global assessment of disease activity and the physician's global assessment of disease activity were measured using a Visual Analogue Scale (VAS) of 10 cm (from 0=best to 10=worst). CDAI = tender28 + swollen28 + patient's global assessment (in cm) + physician's global assessment (in cm)
Time frame: At week 24
Summary of Disease Activity According to SDAI
In order to calculate the Simplified Disease Activity Index (SDAI) the number of tender and swollen joints were assessed using the 28 -joint count (tender28 and swollen28). The patient's global assessment of disease activity and the physician's global assessment of disease activity were measured using a Visual Analogue Scale (VAS) of 10 cm (from 0=best to 10=worst). SDAI = CDAI + CRP (in mg/dL) (CDAI = tender28 + swollen28 + patient's global assessment (in cm) + physician's global assessment (in cm))
Time frame: At week 24
Participant Response as Assessed by EULAR Response Criteria
Present DAS28 ≤ 3.2 (low): good response (if improvement \> 1.2), moderate response (if improvement \>0.6 and ≤ 1.2), no response (if improvement ≤ 0.6). Present DAS28 \> 3.2 to ≤ 5.1 (moderate): moderate response (if improvement \> 1.2), moderate response (if improvement \>0.6 and ≤ 1.2), no response (if improvement ≤ 0.6). Present DAS28 \> 5.1 (high): moderate response (if improvement \> 1.2), no response (if improvement \>0.6 and ≤ 1.2), no response (if improvement ≤ 0.6).
Time frame: At week 24