The purpose of this study is to determine the safety and tolerability of PRTX-100 when various doses are given 5 times at weekly intervals to patients with active rheumatoid arthritis that are taking methotrexate or leflunomide. The drug is administered in a physician's office via an intravenous infusion. PRTX-100 may be effective in rheumatoid arthritis by suppressing the immune responses. PRTX-100 is a highly-purified bacterial protein called Staphylococcal Protein A. In this study, cohorts of patients with active RA will receive sequentially higher doses of PRTX-100. There will be an inactive placebo cohort for comparison. Patients who do not attain low RA disease activity, by a commonly used measure, will leave the study at 3 months after their first dose of study drug.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
61
Placebo administered via infusion once per week for 5 weeks
Protalex Investigative Site
Los Angeles, California, United States
Protalex Investigational Site
Sarasota, Florida, United States
Protalex Investigational Site
Coeur d'Alene, Idaho, United States
Protalex Investigational Site
Anderson, Indiana, United States
Protalex Investigational Site
Albuquerque, New Mexico, United States
Protalex Investigational Site
Salisbury, North Carolina, United States
Protalex Investigational Site
Duncansville, Pennsylvania, United States
Protalex Investigational Site
Allen, Texas, United States
Adverse Events
Number, severity and attribution of relatedness of Adverse Events
Time frame: Screening up to 53 Weeks
Vital Signs and Physical Examinations
Change from baseline in blood pressure, heart rate, body temperature, and physical examination parameters
Time frame: Screening up to 25 Weeks
ECG
Change from baseline in heart rate, PR interval, QT/QTc interval and QRS duration
Time frame: Screening, first dose, 5th dose, 9 weeks, and 25 weeks
Clinical Laboratory Testing
Change from baseline in blood chemistry, hematology, and urinalysis values
Time frame: Screening up to 25 weeks
Disease activity
Number and percentage of patients attaining an ACR20, ACR50 and ACR70 response at Week 13. Change from baseline in CDAI, RAPID 3, and DAS28-CRP scores.
Time frame: Screening up to 53 weeks
Immunogenicity
Proportion of patients sero-positive and/or with titers \> 512 at Week 4 and Week 9, the correlation between anti-product antibody and product clearance, and association between anti-product antibodies and adverse events.
Time frame: Prior to first dose, and at 4 weeks, 9 weeks, and 25 weeks
Pharmacokinetics
Plasma Cmax, AUC0-n, clearance and Vd.
Time frame: Prior to first dose up to 72 hours after last dose of PRTX-100
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