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Rheumatoid ArthritisPhase 2NCT03813199

Study of Two Doses of ABX464 in Participants With Moderate to Severe Rheumatoid Arthritis

A Phase 2 study testing ABX464 50mg, ABX464 100mg and Methotrexate in people with Rheumatoid Arthritis, run by Abivax S.A. at 24 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This Phase IIa study aims at investigating the safety and tolerability of 2 dose-levels of ABX464 administered daily in combination with methotrexate (MTX) in patients with moderate to severe active Rheumatoid Arthritis (RA) who had an inadequate response to MTX or/and to one or more anti- tumor necrosis factor alpha… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
ABX464 50mg, ABX464 100mg and Methotrexate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
24 sitesin 5 countries
Study dates
4 Jul 2019to 27 Apr 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with a confirmed and documented diagnosis of adult-onset rheumatoid arthritis, for at least 12 weeks, according to the revised 2010 American College of Rheumatology- European League Against Rheumatism (ACR-EULAR) classification criteria, including at least one positive criteria among the following: Rheumatoid Factor (RF), Anti-Citrullinated Peptide Antibody (ACPA) or bone erosion;
  • Swollen joint count (SJC) of ≥ 4 (28-joint count) and tender joint count (TJC) ≥4 (28-joint count) at screening;
  • Patient with a moderate to severe disease activity score Disease Activity Score (28 joints) C-Reactive Protein [DAS28 CRP] ≥ 3.2 and C-reactive Protein (CRP) ≥ 5 mg/L (≥ 4.76 nmol)/L) at screening;
  • Patient who had an inadequate response (IR), or failed either methotrexate (MTX) or/and anti- Tumor Necrosis Factor alpha (TNFα) therapy (both administered for at least 12 weeks before IR) or were intolerant to anti- TNFα therapy.

Who cannot join

  • Patient with a known positive anti-double stranded deoxyribonucleic acid (DNA [anti-dsDNA]) and confirmed diagnosis of systemic lupus erythematosus (SLE);
  • Patient with known active infections at screening such as CytoMegaloVirus (CMV), herpes virus and/or recent infectious hospitalization;
  • Acute, chronic or history of clinically relevant pulmonary, cardiovascular, hepatic, pancreatic or renal functional abnormality, encephalopathy, neuropathy or unstable Central Nervous System (CNS) pathology such as seizure disorder, angina or cardiac arrhythmias, active malignancy or any other clinically significant medical problems as determined by physical examination and/or laboratory screening tests and/or medical history;
  • Acute, chronic or history of immunodeficiency or other autoimmune disease;
  • Patient previously treated with any non-anti-TNF biological Disease-Modifying AntiRheumatic Drugs (bDMARDs), and targeted DMARDs (tDMARDS) prior to baseline.

Trial locations and contacts

24 sites in 5 countries.

24 sites in 5 countries

France8 sites
  • CHU de Brest - Hôpital Cavale Blanche

    Brest

  • CHD Vendée

    La Roche-sur-Yon

  • CHU de Montpellier - Lapeyronie

    Montpellier

  • GHR Mulhouse Sud-Alsace

    Mulhouse

  • CHU de Nice - Hôpital Pasteur

    Nice

  • CHR d'Orléans

    Orléans

  • APHP - Hôpital Salpétrière

    Paris

  • CHU de Tours - Hôpital Trousseau

    Tours

Other trials in France

Poland7 sites
  • ClinicMed Daniluk, Nowak Sp. J.

    Bialystok

  • Pratia MCM

    Krakow

  • Zespół Poradni Specjalistycznych REUMED

    Lublin

  • NZOZ Lecznica MAK-MED S.C.

    Nadarzyn

  • Medyczne Centrum Hetmańska

    Poznan

  • National Institute of Geriatrics

    Warsaw

  • RHEUMA MEDICUS Zakład Opieki Zdrowotnej

    Warsaw

Other trials in Poland

Belgium4 sites
  • Cliniques Universitaires Saint-Luc

    Brussels

  • UZ Gent

    Ghent

  • UZ Leuven

    Leuven

  • ZNA Jan Palfijn

    Merksem

Other trials in Belgium

Hungary3 sites
  • Complex Medical Centre - Déli Klinika

    Budapest

  • CRU Hungary Ltd.

    Miskolc

  • CMed Rehabilitációs és Diagnosztikai Központ

    Székesfehérvár

Other trials in Hungary

Czechia2 sites
  • Fakultni Tomayerova nemocnice

    Prague

  • Revmatologicky ustav

    Prague

Other trials in Czechia

About this study

Official title: Phase IIa Randomized, Double Blind, Placebo Controlled, Multiple Dose Study on ABX464 in Combination With Methotrexate (MTX), in Patients With Moderate to Severe Active Rheumatoid Arthritis Who Have Inadequate Response to MTX or/and to Anti-Tnfα, or Intolerance to Anti-Tnfα

This Phase IIa study aims at investigating the safety and tolerability of 2 dose-levels of ABX464 administered daily in combination with methotrexate (MTX) in patients with moderate to severe active Rheumatoid Arthritis (RA) who had an inadequate response to MTX or/and to one or more anti- tumor necrosis factor alpha (TNFα) therapies.

Read the detailed description

This is a randomized, double-blind, placebo-controlled, multicenter study. The study will consist of 3 phases: a screening phase, a treatment phase, and a follow-up phase.

Approximately 60 participants with active Rheumatoid Arthritis will be randomly assigned to receive placebo, 50mg ABX464 or 100mg ABX464 during the treatment phase.

The maximum period of active treatment will be 12 weeks. The maximum duration of study participation will be 17 weeks.

Participant safety will be monitored throughout the study. In addition, several experimental and clinical endpoints will be assessed to obtain information on preliminary efficacy.

Being tested
ABX464 50mg, Matching Placebo, ABX464 100mg, Methotrexate
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ABX464 50mgDrug

    Also called obefazimod 50mg

    ABX464 is a new anti-inflammatory drug

  • Matching PlaceboDrug

    Also called Placebo

    placebo matching with ABX464

  • ABX464 100mgDrug

    Also called obefazimod 100mg

    ABX464 is a new anti-inflammatory drug

  • MethotrexateDrug

    Also called MTX

    MTX ≥ 10 mg/week will be given at previous dose regimen kept stable throughout the study

Study groups in NCT03813199
Study groupRoleWhat they receive
ABX464 50mg + methotrexateExperimentalParticipants will receive one capsule of 50mg ABX464 plus one capsule of matching placebo once daily for 12 weeks + methotrexate
Receives: Drug: ABX464 50mg; Drug: Matching Placebo; Drug: Methotrexate
ABX464 100mg + methotrexateExperimentalParticipants will receive two capsules of 50mg ABX464 once daily for 12 weeks + methotrexate
Receives: Drug: ABX464 100mg; Drug: Methotrexate
Placebo + methotrexatePlacebo comparatorParticipants will receive two capsules of matching placebo once daily for 12 weeks + methotrexate
Receives: Drug: Matching Placebo; Drug: Methotrexate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Treatment-emergent Adverse Events in the ABX464 Treated Patients Versus Placebo

    TEAE definition is undesirable events not present prior to medical treatment, or an already present event that worsens either in intensity or frequency following the treatment

    Measured: through study completion, an average of 15 weeks

Secondary outcomes (20)
  1. Number of Patients Achieving ACR20 Response

    The categorical American College of Rheumatology 20% (ACR20) response is a validated index of rheumatoid arthritis disease activity, defined by the number of patients who achieved at least 20% improvement in the ACR response.

    Measured: at Week 12

  2. Number of Patients Achieving ACR20/50/70 Response

    Number of patients who achieved at least 20%, 50% or 70% improvement in the American College of Rheumatology (ACR) response.

    Measured: Week 12

  3. Change From Baseline in C-reactive Protein (CRP)

    Change from baseline in C-reactive protein (CRP) at Week 12

    Measured: Week 12

  4. Number of Patients Achieving DAS28-CRP Response

    Number of patients achieving categorical Disease Activity Score (DAS) DAS28-C-Reactive Protein (CRP) [DAS28-CRP] response will be measured as moderate/good European League Against Rheumatism (EULAR) response

    Measured: Week 12

  5. Change From Baseline in Disease Activity Scores (DAS-CRP) (28 Joints) [DAS28]

    The DAS28 is a validated index of rheumatoid arthritis disease activity. The DAS28 assessment include 28 tender and swollen joint counts (TJC and SJC), acute phase reactant (CRP ), and patient's global assessment of disease activity (PtGA).

    DAS28-CRP = 0.56 √ (TJC28) + 0.28 √ (SJC28) + 0.36 Ln [CRP(mg/L)+1] + 0.014 PtGA(VAS100mm) + 0.96 Score scale range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.

    Measured: Week 12

  6. Change From Baseline in Erythrocyte Sedimentation Rate (ESR)

    Change from baseline in erythrocyte sedimentation rate (ESR) at Week 12

    Measured: Week 12

  7. Number of Patients Achieving Disease Activity Score (DAS) DAS28-Erythrocyte Sedimentation Rate (ESR) [DAS28-ESR] Remission

    Number of patients achieving Disease Activity Score (DAS) DAS28-Erythrocyte Sedimentation Rate (ESR) [DAS28-ESR]remission, which is defined as DAS2-ESR < 2.6

    Measured: Week 12

  8. Change From Baseline in Disease Activtiy Score (DAS)28-Erythrocyte Sedimentation Rate (ESR)

    The DAS28 is a validated index of rheumatoid arthritis disease activity. The DAS28 assessment include 28 tender and swollen joint counts (TJC and SJC), acute phase reactant (ESR), and patient's global assessment of disease activity (PtGA).

    DAS28-ESR = 0.56 √ (TJC28) + 0.28 √ (SJC28) + 0.70 Ln [ESR(mm/h)] + 0.014 PtGA(VAS100mm) Score scale range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.

    change from baseline at weeks 12: the bigger negative score shows a bigger improvment

    Measured: 12 weeks

  9. Change From Baseline in Simplified Disease Activity Index Score (SDAI)

    SDAI is a validated index of rheumatoid arthritis disease activity. The SDAI calculation is based on 28 tender and swollen joint counts, C-Reactive Protein (CRP), patient's global assessment of disease activity (PtGA) and physician's global assessment of disease activity (PrGA).

    SDAI score= tender28 + swollen28 + CRP + (PtGA/10) + (PrGA/10). A moderate activity is defined by a SDAI score >11 to 26 included. A high activity is defined by a SDAI score >26. Change from Baseline: the higher negative number shows a bigger improvment

    Measured: Week 12

  10. Change From Baseline in Clinical Disease Activity Index Score (CDAI)

    CDAI is a validated index of rheumatoid arthritis disease activity. The CDAI calculation is based on 28 tender and swollen joint counts, patient's global assessment of disease activity (PtGA) and physician's global assessment of disease activity (PrGA).

    CDAI score= tender28 + swollen28 + (PtGA/10) + (PrGA/10). A moderate activity is defined by a CDAI score >10 to 22 included. A high activity is defined by a CDAI score >22. Change from Baseline: the higher negative number shows a bigger improvment

    Measured: Week 12

  11. Number of Patients Achieving Low Disease Activity (LDA)

    Number of patients achieving a Low Disease Activity (LDA) which is defined as DAS28-ESR <=3.2

    Measured: Week 12

  12. Number of Patients Achieving Simplified Disease Activity Score (SDAI) Remission

    Number of patients achieving Simplified Disease Activity Score (SDAI) remission, which is considered achieved if the SDAI score ≤ 3.3

    Measured: Week 12

  13. Number of Patients Achieving Clinical Disease Activity (CDAI) Remission

    Number of patients achieving Clinical Disease Activity (CDAI) remission, which is considered achieved if the CDAI score ≤ 2.8

    Measured: Week 12

  14. Number of Patients Achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean Remission

    The ACR/EULAR boolean-based remission is a validated criteria based on: Tender/painful Joint Count (28), Swollen Joint Count (28), C-Reactive Protein, patient global assessment of disease, All ≤ 1

    Measured: Week 12

  15. Change From Baseline in Tender/Painful Joint Count (TJC28)

    Change from Baseline in Tender/painful joint count based on 28-joint assessment (TJC28) at Week 12 TJC28 score range from 0 to 28 Change from Baseline: the higher the negative number is, the better improvment is

    Measured: 12 weeks

  16. Change From Baseline in Swollen Joint Count (SJC)

    Change from Baseline in Swollen joint count based on 28-joint assessment (SJC28) at Week 12 SJC28 score range from 0 to 28 Change from Baseline: the higher the negative number is, the better improvment is

    Measured: 12 weeks

  17. Change From Baseline in Pain Visual Analog Scale

    Change from Baseline in Pain Visual Analog Scale (Pain-VAS) at week 12 The VAS range from 0 to 10 cm (the higher, the more painful) A bigger negative change from baseline shows a bigger improvment

    Measured: 12 weeks

  18. Change From Baseline in Patient Global Assessment of Disease (PtGA)

    Change from Baseline in Patient Global Assessment of Disease (PtGA) . This is a patient's self assessment of overall RA disease activity on a scale 1-10 where 10 is maximal activity The change from baseline: a bigger negative number shows a bigger improvment

    Measured: 12 weeks

  19. Change From Baseline in Investigator Global Assessment of Disease (PrGA)

    Change from Baseline in Investigator global assessment of disease (PrGA): investigator's assessment of overall RA disease activity on a scale 1-10 where 10 is maximal activity The change from baseline: the higher negative number shows a better improvement

    Measured: 12 weeks

  20. Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI)

    Change from Baseline in Health Assessment questionnaire disability index (HAQ-DI) at Week 12 There are 8 sections in this questionnaire: dressing, arising, eating, walking, hygiene, reach, grip, and activities. There are 2 or 3 questions for each section. Scoring within each section is from 0 (without any difficulty) to 3 (unable to do). For each section the score given to that section is the worst score within the section, i.e. if one question is scored 1 and another 2, then the score for the section is 2. In addition, if an aide or device is used or if help is required from another individual, then the minimum score for that section is 2.

    The 8 scores of the 8 sections are summed and divided by the number of section answered.

    This gives a score range from 0 to 3 (the bigger the worst activity). The change from Baseline: the bigger negative number shows a bigger improvment

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2019
  2. Study start4 Jul 2019
  3. Primary completion27 Apr 2021
  4. Study completion27 Apr 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03813199
Sponsor's protocol ID
ABX464-301
Status last verified
May 2022
First submitted
15 Jan 2019
Last updated
15 Feb 2023
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Daien C, Krogulec M, Gineste P, Steens JM, Desroys du Roure L, Biguenet S, Scherrer D, Santo J, Ehrlich H, Durez P. Safety and efficacy of the miR-124 upregulator ABX464 (obefazimod, 50 and 100 mg per day) in patients with active rheumatoid arthritis and inadequate response to methotrexate and/or anti-TNFalpha therapy: a placebo-controlled phase II study. Ann Rheum Dis. 2022 Jul 12;81(8):1076-1084. doi: 10.1136/annrheumdis-2022-222228.

    PubMed 35641124

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ABX464 50mg, ABX464 100mg and Methotrexate in people with Rheumatoid Arthritis, run by Abivax S.A. at 24 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in France, Poland, Belgium, Hungary, Czechia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Apr 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Treatment-emergent Adverse Events in the ABX464 Treated Patients Versus Placebo (time frame: through study completion, an average of 15 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03813199, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Feb 2023.

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