The safety and efficacy of CCX354-C in subjects with rheumatoid arthritis

ISRCTN ISRCTN50655730
DOI https://doi.org/10.1186/ISRCTN50655730
ClinicalTrials.gov number NCT01027728
Secondary identifying numbers CL003_354
Submission date
11/12/2009
Registration date
19/02/2010
Last edited
25/10/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Vittorio Marchesin
Scientific

850 Maude Avenue
Mountain View
California
94043
United States of America

Email vmarchesin@chemocentryx.com

Study information

Study designRandomised double-blind placebo-controlled phase I/II study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA randomised, double-blind, placebo-controlled, phase I/II study to evaluate the safety and efficacy of CCX354-C in subjects with rheumatoid arthritis
Study acronymCARAT-1
Study objectivesCCX354-C is safe and well tolerated in subjects with stable rheumatoid arthritis (RA) based on subject incidence of adverse events.
Ethics approval(s)1. Belgium: Comite d'ethique Hospitalo-Facultaire Universitaire de Liege approved on 30/10/2009, ref: 2009/200

Added 15/03/2010:
2. Romania: National Ethic Commission for the Clinical Studies of Medicine approved on 03/12/2009, ref: 3243,3863
Health condition(s) or problem(s) studiedRheumatoid arthritis
Intervention1. 100 mg CCX354-C or placebo once daily for 14 days
2. 100 mg CCX354-C or placebo twice daily for 14 days
3. 200 mg CCX354-C or placebo once daily for 14 days

Total duration of treatment: 14 days
Total duration of follow-up: 14 days
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase I/II
Drug / device / biological / vaccine name(s)CCX354-C
Primary outcome measureSubject incidence of adverse events over 14 days of dosing
Secondary outcome measuresEvaluate possible interaction with methotrexate at a number of dose levels in subjects with stable RA; pharmacokinetic (PK) measurements on Day 14 and 15
Overall study start date08/12/2009
Completion date30/03/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants24
Key inclusion criteria1. Male or female subjects, aged 18 - 75 years inclusive, with stable RA based on American College of Rheumatology (ACR) criteria for at least 3 months (subjects do not need to have active RA for Stage A of the study)
2. Subjects must have been on a stable dose of methotrexate (7.5 to 25 mg/week) taken orally, subcutaneously, or intramuscularly, but not intravenously, for greater than or equal to 8 weeks prior to randomisation
3. If a subject is also taking sulfasalazine or hydroxychloroquine, the subject must have been on a stable dose of these medications for at least 8 weeks prior to randomisation
4. If a subject is on corticosteroid therapy, the dose must not exceed 10 mg prednisone or equivalent and the subject must have been on a stable dose for at least 4 weeks prior to randomisation
5. Willing and able to give written Informed Consent and to comply with the requirements of the study protocol
6. Negative result of the human immunodeficiency virus (HIV) screen, the hepatitis B screen, and the hepatitis C screen
7. Judged to be otherwise healthy by the Investigator, based on medical history, physical examination (including electrocardiogram [ECG]), and clinical laboratory assessments
8. Female subjects of childbearing potential, and male subjects with partners of childbearing potential, may participate if adequate contraception is used during, and for at least the four weeks after, any administration of study medication. Adequate contraception is defined as usage by at least one of the partners of a barrier method of contraception, together with usage by the female partner, commencing at least three months prior to screening, of a stable regimen of any form of hormonal contraception or an intra-uterine device. Use of abstinence alone is not considered adequate. Use of a barrier method alone is considered adequate only if the male partner was vasectomized at least six months prior to Screening. Use of a double-barrier method of contraception is acceptable.
Key exclusion criteria1. Diagnosed with RA prior to 16 years of age
2. Women who are pregnant, breastfeeding, or have a positive serum pregnancy test at Screening
3. History within one year prior to randomisation of illicit drug use
4. History of alcohol abuse at any time in the past
5. Use of infliximab, adalimumab, abatacept, certolizumab, golimumab, or tocilizumab within 8 weeks of randomisation
6. Use of leflunomide within 6 months of randomisation
7. Use of etanercept or anakinra within 4 weeks of randomisation
8. Use of rituximab or ocrelizumab, or cytotoxic agents, such as cyclophosphamide or chlorambucil, within one year of randomisation
9. Currently taking cytochrome P450 inhibitors including protease inhibitors such as ritonavir, indinavir, nelfinavir, or macrolide antibiotics such as erythromycin, telithromycin, clarithromycin, or azole antifungals such as fluconazole, ketoconazole, itraconazole, or cimetidine, nefazodone, bergamottin (constituent of grapefruit juice), quercetin, aprepitant, or verapamil
10. History or presence of any form of cancer within the 10 years prior to randomisation, with the exception of excised basal cell or squamous cell carcinoma of the skin, or cervical carcinoma in situ or breast carcinoma in situ that has been excised or resected completely and is without evidence of local recurrence or metastasis
11. Evidence of tuberculosis based on chest X rays, tuberculin skin test, QuantiFERON®-TB Gold test, or T-SPOT®.TB test performed during screening
12. Presence of Felty's syndrome, psoriatic arthritis, or other auto-immune diseases
13. Major surgery (including joint surgery) within 12 weeks prior to randomisation
14. Subject's haemoglobin is less than 11 g/dL (6.83 mmol/L) at screening
15. Subject has any evidence of hepatic disease; aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, or bilirubin greater than 1.5 x the upper limit of normal
16. Subject has any evidence of renal impairment; serum creatinine greater than 1.5 x upper limit of normal
17. The subject had an infection requiring antibiotic treatment within 4 weeks of randomisation
18. History or presence of any medical or psychiatric condition or disease, or laboratory abnormality that, in the opinion of the Investigator, may place the subject at unacceptable risk for study participation and may prevent the subject from completing the study
19. Participated in any clinical study of an investigational product within 30 days prior to randomisation
Date of first enrolment08/12/2009
Date of final enrolment30/03/2010

Locations

Countries of recruitment

  • Belgium
  • Romania
  • United States of America

Study participating centre

ChemoCentryx, Inc.
California
94043
United States of America

Sponsor information

ChemoCentryx, Inc. (USA)
Industry

850 Maude Avenue
Mountain View
California
94043
United States of America

Website http://www.chemocentryx.com
ROR logo "ROR" https://ror.org/04gp12571

Funders

Funder type

Industry

ChemoCentryx, Inc. (USA)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Editorial Notes

08/03/2019: The following changes were made to the trial record:
1. Publication reference added (abstract uploaded ISRCTN50655730_ABSTRACT_09NOV2010)
2. A link to basic results (scientific) was added.
28/02/2019: No publications found. Verifying results with principal investigator.
08/03/2010: This record was updated to include a new study site in Romania. Details of this have been added to the country of recruitment field.