The current study is designed to evaluate the safety and efficacy, including MRI imaging, across a range of VX-509 doses in subjects with active rheumatoid arthritis (RA) who have had an inadequate response to disease-modifying antirheumatic drugs (DMARDs).
VX-509 is an oral, selective Janus kinase 3 (JAK3) inhibitor being developed by Vertex. In autoimmune diseases, JAK3 is an essential component of the immune signaling cascade. This cascade ultimately contributes to abnormal immune response that results in chronic inflammation and, in the case of rheumatoid arthritis (RA), irreversible damage to cartilage and bones. Selective inhibition of JAK3 offers a new disease modifying approach to the treatment of RA, and a broad range of other autoimmune diseases.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
43
50 mg oral tablet
0 mg oral tablet
Proportion of subjects achieving a ≥20% improvement in disease severity according to the American College of Rheumatology criteria (ACR20), using C reactive protein (CRP) (ACR20 CRP)
Time frame: Week 12
Change from baseline in Disease Activity Score 28 using CRP (4-component) (DAS28-4[CRP])
Time frame: Week 12
Change from baseline in OMERACT RAMRIS synovitis score in designated hand wrist
Time frame: Week 12
Change from baseline in OMERACT RAMRIS bone marrow edema (osteitis) in designated hand wrist
Time frame: Week 12
Change from baseline in OMERACT RAMRIS erosion score in designated hand wrist
Time frame: Week 12
Proportion of subjects achieving a ACR50 CRP and ACR70 CRP responses
Time frame: Week 12
Proportion of subjects with DAS28 CRP <2.6, and those who achieve a remission, moderate response or good response according to the European League Against Rheumatism (EULAR) response criteria
Time frame: Week 12
ACR hybrid scores
Time frame: Week 12
Change from baseline in Health Assessment Questionnaire -Disability Index (HAQ-DI)
Time frame: Week 12
Change from baseline in OMERACT RAMRIS synovitis, bone marrow edema (osteitis), erosion scores
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Vertex Investigational Site
Stanford, California, United States
Vertex Investigational Site
Upland, California, United States
Vertex Investigational Site
Fort Lauderdale, Florida, United States
Vertex Investigational Site
Venice, Florida, United States
Vertex Investigational Site
West Palm Beach, Florida, United States
Vertex Investigational Site
Canton, Georgia, United States
Vertex Investigational Site
Decatur, Georgia, United States
Vertex Investigational Site
Kansas City, Kansas, United States
Vertex Investigational Site
Elizabethtown, Kentucky, United States
Vertex Investigational Site
Frederick, Maryland, United States
...and 20 more locations
Time frame: Week 6
PK parameters of VX-509 and its metabolite in plasma (maximum observed concentration [Cmax] and area under the concentration versus time curve [AUC])
Time frame: Week 12
Safety and tolerability as indicated by adverse events, laboratory tests, electrocardiograms (ECGs) and vital signs
Time frame: Week 12
Change from baseline in the Physical Function subscale of the 36-item Short Form (SF-36)
Time frame: Week 12
Change from baseline in the Physical Component and Mental Health Components of the SF-36
Time frame: Week 12