Rheumatoid arthritis (RA) affects 1 percent of the population worldwide and up to 40 percent of patients don't respond to current treatments. MBS2320, the drug being tested in this trial, represents a new approach to treating RA, with the potential not only to reduce levels of inflammation but to also directly inhibit bone damage.The aim of this study is to test the safety of MBS2320 in healthy volunteers, to find out how MBS2320 levels change in the blood with dose, and to test the safety and compatibility of giving MBS2320 to patients with RA in combination with an existing treatment, methotrexate.
The study will be conducted in 4 parts (parts A to D). The principal aim of this study is to obtain safety and tolerability data when MBS2320 is administered orally as single and multiple doses to healthy subjects (parts A to C). The effect of MBS2320 on the pharmacokinetics (PK) of the first-line rheumatoid arthritis (RA) therapy, methotrexate (MTX), and the effect of MTX on the PK of MBS2320, will also be evaluated in a cohort consisting of subjects with RA (Part D).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
105
As described in the arm descriptions
As described in the arm descriptions
Background therapy as described in the arm descriptions
Covance Royal Liverpool Clinical Research Unit,Royal Liverpool University Hospital
Liverpool, Merseyside, United Kingdom
Covance Clinical Research Unit Ltd.
Leeds, West Yorkshire, United Kingdom
NIHR/Wellcome Trust Imperial Clinical Research Facility (CRF)
London, United Kingdom
Safety and tolerability (incidence of all grade adverse events and dose limiting toxicities during the observation period and/or study treatment periods)
Time frame: Within 7 days
Study Parts A, B and C - Peak Plasma Concentration (Cmax) of MBS2320
Time frame: Part A and C - Up to 72hrs post dose, Part B - Up to 72 hrs post day 14 dose
Study Parts A, B and C - Area under the plasma concentration versus time curve (AUC) of MBS2320
Time frame: Part A and C - Up to 72hrs post dose, Part B - Up to 72 hrs post day 14 dose
Study Parts A, B and C Time to peak plasma concentration (Tmax) of MBS2320
Time frame: Part A and C - Up to 72hrs post dose, Part B - Up to 72 hrs post day 14 dose
Part D - Peak Plasma Concentration (Cmax) of MBS2320 and methotrexate
Half-life (T1/2)
Time frame: During the study treatment period
Part D - Area under the plasma concentration versus time curve (AUC) of MBS2320 and methotrexate
Peak Plasma Concentration (Cmax), Area under the plasma concentration versus time curve (AUC), Time to peak plasma concentration (Tmax), Half-life (T1/2)
Time frame: During the study treatment period
Part D - Time to peak plasma concentration (Tmax) of MBS2320 and methotrexate
Time frame: During the study treatment period
Part D - Half-life (T1/2) of MBS2320 and methotrexate
Time frame: During the study treatment period
Part D - Early response biomarkers of disease activity and bone turnover
CRP and CTX
Time frame: Day 1 and 16.
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