A 12-week Study of 4 Doses of VX-509 in Subjects With Active Rheumatoid Arthritis

Vertex Pharmaceuticals

Status and phase: Completed; Phase 2

Conditions: Rheumatoid Arthritis

Treatments: Drug: Placebo; Drug: VX-509

Study type: Interventional

Funder types: Industry

Identifiers

NCT01052194

VX09-509-101

2009-017438-32 (EudraCT Number)

Details and patient eligibility

About

This study is designed to evaluate safety and assess initial efficacy of VX-509, a JAK3 inhibitor, for treatment of subjects with active RA. This study will assess the clinical response of 4 doses of VX-509 compared to placebo when administered for 12 weeks to patients with active RA. The study will also evaluate the safety and tolerability of VX-509 compared to placebo when administered for 12 weeks to subjects with active RA.

Enrollment: 206 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All subjects must have been diagnosed with RA as defined by the ACR revised criteria with disease duration of at least 6 months from confirmed diagnosis
• Subjects must have a swollen joint count of ≥6 out of 28 joints and tender joint count of ≥6 out of 28 joints. Joints that have had prior surgery are to be excluded from the joint count.
• Baseline CRP level must be 1.5 times greater than the upper limit of normal at Screening.
• Subjects must have failed at least 1 nonbiologic DMARD for any reason.
• Subjects may have previously failed no more than 1 biologic DMARD and discontinued treatment for reasons other than inadequate response. Subjects must not have been treated with Rituximab previously.
• Subjects must be willing to comply with contraception requirements.

Exclusion criteria

• Subjects with inflammatory rheumatological disorders other than RA.
• History or evidence of a clinically significant disorder other than RA (including but not limited to cardiopulmonary, oncologic, renal, metabolic, hematologic or psychiatric disorders), condition or disease that, in the opinion of the investigator and medical monitor, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
• Subjects with clinically important abnormalities in screening physical examination or in screening laboratory test results (including the presence of either hepatitis B surface antigen, hepatitis C virus antibody, or HIV types 1 -- Subjects with elevation in alanine aminotransferase or aspartate aminotransferase above the upper limit of normal.
• History of hematologic disorders including neutropenia and thrombocytopenia.
• Subjects with an acute or chronic active infection requiring systemic antimicrobial treatment, or subjects who are at high risk of developing an infection due to a compromised immune system. Antifungals for onychomycosis or low-dose antibiotics for rosacea, that are not inhibitors or inducers of CYP3A, will be allowed.
• Subjects who require concomitant use of any inhibitors or inducers of cytochrome P450 (CYP) 3A.
• Subjects who have been treated with intra-articular injections of corticosteroids within 28 days prior to Day 1.
• Subjects who have planned major surgery (e.g., joint replacement) or any procedures during the study.
• Have received any live, attenuated vaccinations within 1 month prior to study drug administration.
• History of drug or alcohol abuse or excessive alcohol as determined by the investigator, during the last 12 months before the screening visit.
• History of TB infection of any kind (pulmonary or extrapulmonary, active or latent), regardless of history of anti-TB treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

206 participants in 5 patient groups, including a placebo group

25 mg b.i.d. VX-509

Experimental group

Treatment:

Drug: VX-509

Drug: VX-509

Drug: VX-509

Drug: VX-509

50 mg b.i.d. VX-509

Experimental group

Treatment:

Drug: VX-509

Drug: VX-509

Drug: VX-509

Drug: VX-509

100 mg b.i.d. VX-509

Experimental group

Treatment:

Drug: VX-509

Drug: VX-509

Drug: VX-509

Drug: VX-509

150 mg b.i.d. VX-509

Experimental group

Treatment:

Drug: VX-509

Drug: VX-509

Drug: VX-509

Drug: VX-509

Placebo

Placebo Comparator group

Treatment:

Drug: Placebo