A Study to Evaluate Different Targeted Therapies for Patients With Rheumatoid Arthritis
Purpose
Rheumatoid Arthritis (RA) is a chronic inflammatory disease causing pain, stiffness, swelling and loss of joint function. This study will evaluate the efficacy and safety of targeted therapies through a series of substudies for the treatment of moderately to severely active Rheumatoid Arthritis (RA). This study currently includes 3 substudies evaluating different treatments in participants with RA. Substudy 1 will evaluate lutikizumab monotherapy (treatment given alone) compared to placebo (looks like the study treatment but contains no medicine). Substudy 2 will evaluate ravagalimab monotherapy compared to placebo and Substudy 3 will evaluate lutikizumab and ravagalimab combination therapy (treatments given together) compared to placebo. Approximately 180 participants who have failed 1 or 2 biologic/targeted synthetic disease-modifying antirheumatic drug (tsDMARD) therapies will be enrolled in the study at approximately 65 sites worldwide. There may be higher treatment burden for participants in this trial compared to their standard of care treatment without participating in this study. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Condition
- Rheumatoid Arthritis
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- At any time prior to the Screening Visit, participant must have been treated for > or = 3 months with at least 1 b/tsDMARD therapy but continued to exhibit active RA, or had to discontinue due to intolerability or toxicity, irrespective of treatment duration. The maximum cap for prior use of b/tsDMARD is 2. - Participant must be on a stable dose of methotrexate (MTX)
Exclusion Criteria
- Participant is taking nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen/paracetamol, low-potency opioids (tramadol, codeine, hydrocodone, alone or in combination with acetaminophen), oral corticosteroids (equivalent to ≤ 10 mg/day of prednisone), or inhaled corticosteroids for stable medical conditions unless they have been on stable doses for ≥ 1 week prior to Baseline Visit. - History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than rheumatoid arthritis.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Substudy 1: Lutikizumab Monotherapy |
Participants will be randomized to initially receive Lutikizumab Dose A followed by Lutikizumab Dose B |
|
|
Placebo Comparator Substudy 1: Matching Placebo Monotherapy |
Participants will be randomized to receive a matching placebo dose equivalent to the Lutikizumab monotherapy. |
|
|
Experimental Substudy 2: Ravagalimab Monotherapy |
Participants will be randomized to receive Ravagalimab |
|
|
Placebo Comparator Substudy 2: Matching Placebo Monotherapy |
Participants will be randomized to receive a matching placebo dose equivalent to the Ravagalimab monotherapy |
|
|
Experimental SubStudy 3: Lutikizumab and Ravagalimab Combination Therapy |
Participants will be randomized to be administered Lutikizumab and Ravagalimab doses |
|
|
Placebo Comparator Substudy 3: Matching Placebo Combination Therapy |
Participants will be randomized to receive matching placebo doses equivalent to the Lutikizumab and Ravagalimab combination therapy |
|
Recruiting Locations
Peoria 5308480, Arizona 5551752 85381
Beverly Hills 5328041, California 5332921 90211
Chula Vista 5336899, California 5332921 91910
Site Coordinator
619-334-4735
Huntington Beach 5358705, California 5332921 92648-5994
Upland 5404915, California 5332921 91786
Fort Collins 5577147, Colorado 5417618 80528
Avon Park 4146440, Florida 4155751 33825
Clearwater 4151316, Florida 4155751 33765
Hialeah 4158476, Florida 4155751 33016
Margate 4163407, Florida 4155751 33063
Orlando 4167147, Florida 4155751 32819
Tampa 4174757, Florida 4155751 33606
Site Coordinator
813-870-1292
Libertyville 4899739, Illinois 4896861 60048
Willowbrook 4916709, Illinois 4896861 60527
Lake Charles 4330236, Louisiana 4331987 70605
Grand Blanc 4994320, Michigan 5001836 48439
Albuquerque 5454711, New Mexico 5481136 87102
Charlotte 4460243, North Carolina 4482348 28204
Charlotte 4460243, North Carolina 4482348 28211-1064
Middleburg Heights 5162851, Ohio 5165418 44130
Duncansville 5187508, Pennsylvania 6254927 16635
Site Coordinator
814-693-0300
Summerville 4597919, South Carolina 4597040 29486
Jackson 4632595, Tennessee 4662168 38305
Allen 4670300, Texas 4736286 75013
Austin 4671654, Texas 4736286 78745
Corpus Christi 4683416, Texas 4736286 78415
Site Coordinator
713-487-8680
Houston 4699066, Texas 4736286 77089-6142
Houston 4699066, Texas 4736286 77089
Plano 4719457, Texas 4736286 75024
Red Oak 4721921, Texas 4736286 75154
Tomball 4737094, Texas 4736286 77375
Bayamón 4562831, Puerto Rico 00960
Guaynabo 4565119, Puerto Rico 00968-8050
More Details
- Status
- Recruiting
- Sponsor
- AbbVie