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A Study of Two Doses of MRC375 in Moderate to Severe Rheumatoid Arthritis Patients

Information source: Molecular Research Center, Inc.
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Rheumatoid Arthritis

Intervention: MRC375 (Drug); Matching Placebo (Drug); MRC375 150mg (Drug)

Phase: Phase 2

Status: Active, not recruiting

Sponsored by: Molecular Research Center, Inc.

Summary

This study will treat moderate to severe rheumatoid arthritis with MRC375 (either 75 mg 3 times a day, 150 mg 3 times a day or placebo 3 times a day)in patients 18 years of age or older that can be currently on low doses of methotrexate or can stop treatment of current RA medications to enter the study. Safety of MRC375 will also be evaluated. There are up to 8 clinic visits over 24 weeks.

Clinical Details

Official title: A 24-week, Phase 2, Double-blind, Placebo-controlled, Randomized Study to Assess the Safety and Efficacy of 2 Doses of MRC375 in Patients With Moderate to Severe Rheumatoid Arthritis

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Primary outcome: Efficacy evaluated of both doses of MRC375 compared to placebo after 24 weeks of treatment as measured by the rate of achievement of 20% improvement in ACR criteria

Secondary outcome:

Safety and tolerability of both doses of MRC375

Compare the Efficacy of two doses of MRC375 when compared to a placebo for the change from baseline screening in each of the individual ACR components measuring RA after 24 weeks of treatment

Detailed description: This is a double-blind, randomized, placebo-controlled study to assess the safety and efficacy of MRC375 at 75 mg or 150 mg with matching placebo (taken tid with meal or light snack) in patients with moderate to severe RA. Patients will be randomized to one of the following study arms for 24 weeks:

- Treatment 1, Placebo: 2 tablets taken tid

- Treatment 2, MRC375: 1 tablet of 75 mg tetracycline HCL plus 1 matching placebo tablet

taken tid. Total daily dose = 225 mg.

- Treatment 3, MRC375: 2 tablets of 75 mg tetracycline HCL taken tid. Total daily dose =

450 mg. Study medication should be taken within 30 minutes of a meal or light snack (either before or after).

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria: 1. Is 18 years of age 2. Is diagnosed with moderate to severe adult onset RA > = 6 months duration, as defined by the 1987 ACR classification criteria 3. Has moderate to severe RA as defined by:

- ≥4 tender joints/painful (28 joint count) at screening

- ≥4 swollen joints (28 joint count) at screening

4. Has a Health Assessment Questionnaire (HAQ) of >0 5. Has a physician global assessment (Likert scale) of >0 6. Has a patient global assessment of pain (Likert scale) of >0 7. Has a patient assessment of pain (Likert scale) of >0 8. Has stable doses of the following allowable medications during the study, if applicable:

- Stable dose of NSAIDs or other analgesics for at least 2 weeks prior to

administration of study drug at regulatory approved doses

- Stable dose of methotrexate 7. 5 mg to 25 mg/day once weekly for at least 6 weeks

prior to administration of study drug (no changes in dosing regimen for 4 weeks prior to screening)

- Stable dose of hydroxychloroquine either monotherapy or in combination with

methotrexate 8 weeks prior to administration of study drug 9. Is a non-pregnant, non-lactating female who is postmenopausal, naturally or surgically sterile, or who agree to use effective contraceptive methods throughout the course of the study. Postmenopausal is defined as at least 12 months natural spontaneous amenorrhea 10. If female of childbearing potential, must agree to use one of the following acceptable birth control methods:

- Surgically sterile (bilateral tubal ligation with surgery at least 6 weeks prior

to screening, hysterectomy, or bilateral oophorectomy);

- Intrauterine device (IUD) in place for at least 3 months prior to first dose of

study drug;

- Abstinence (not having sexual intercourse);

- Barrier method (condom or diaphragm) with spermicide for at least 14 days prior

to screening and through study completion;

- Stable hormonal contraceptive for at least 3 months prior to study and through

study completion 11. If female of childbearing potential, has a negative serum hCG pregnancy test at screening 12. Is able to swallow whole tablets of orally administered medication 13. Is able to understand and provide signed informed consent. Exclusion Criteria: 1. Has been diagnosed with any other inflammatory arthritis (eg, psoriatic arthritis) 2. Has a secondary type of arthritis (eg, osteoarthritis) that would interfere with study evaluations 3. Has taken the following drugs within the timeframe specified below:

- Infliximab, etanercept, adalimumab, abatacept, or other biological therapies

(except rituximab) - Within 12 weeks prior to the administration of study drug;

- Rituximab - Within 12 months prior to the administration of study drug;

- Disease-modifying antirheumatic drugs (DMARDs) or other anti-rheumatic therapies

not specified above including but not limited to: sulfasalazine, gold, leflunomide, penicillamine, dapsone, azathioprine, 6-mercaptopurine,

chlorambucil, cyclophosphamide, cyclosporin, mycophenolate mofetil - Within 12

weeks prior to the administration of study drug;

- Any steroids (glucocorticoids); glucocorticoids must be discontinued for at

least 4 weeks prior to administration of study drug. Intraarticular, intramuscular, or intravenous glucocorticoids must not have been given at least 6 weeks prior to administration of study drug.

- Note: Use of probiotics is allowed and is NOT an exclusion criterion.

4. Has a uncontrolled symptoms of fibromyalgia with sufficient symptoms requiring treatment (NOTE: patients on a stable dose of treatment for symptoms of fibromyalgia ≥ 4 weeks will be allowed in the study.) 5. Has a history of allergic reaction to tetracycline or other related drugs 6. Had major surgery or trauma within 28 days prior to screening 7. Is concurrently using minocycline or doxycycline (washout of 4 weeks required before the administration of study drug) 8. Patients who are on chronic antibiotics or who are on antibiotics for GI infections (such as Clostridium difficile) 9. Has clinically significant ECG abnormalities 10. Has any clinically significant abnormal laboratory test results found during medical screening including: AST or ALT > 2 x upper limit of normal or serum creatinine > 2. 0 mg/dL 11. Has clinically significant history or presence of any gastrointestinal pathology (eg, chronic diarrhea, inflammatory bowel disease, acute diverticulitis), irritable bowel syndrome, unresolved gastrointestinal symptoms (eg. diarrhea, vomiting, symptoms of acute diverticulitis), liver or kidney disease, gastric bypass, gastric stapling, use of Lap-Band®, or other conditions known to or which might interfere with the absorption, distribution, metabolism, or excretion of the drug 12. Has any historical or active neurological, endocrine, cardiovascular, pulmonary, hematological, psychiatric, or metabolic disease that is considered clinically significant by the Investigator 13. Has known history of HIV, hepatitis B or C (patients that have positive hepatitis B serology due to prior vaccination will be allowed in the study) 14. Has an active malignancy of any type or history of malignancy. Patients who have a history of a successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma (ie. non melanoma skin cancer)and/or localized carcinoma in situ of the cervix are eligible. Patients with a history of other malignancies that have been treated and who have no evidence of recurrence for at least 5 years before study enrollment are also eligible. 15. Has difficulty swallowing tablets 16. Is ACR Functional Class IV (limited ability to perform usual self-care, vocational, and avocational activities) 17. Has known or suspected pregnancy, planned pregnancy, or lactation (for female patients) 18. Has clinically significant mental illness (to be determined by the Investigator) 19. Has a history in the last 2 years or current evidence of abuse of illicit drugs, prescription medications, or alcohol that, in the opinion of the Investigator, would interfere with adherence to study requirements. Has exposure to any investigational agent within 30 days prior to study entry. 20. Was previously enrolled in this study 21. Has recent history of bacterial intestinal tract infection (gastroenteritis, colitis, diverticulitis, appendicitis) 22. Has a condition the Investigator believes would interfere with the ability to provide informed consent or comply with study instructions, or that might confound the interpretation of the study results or put the patient at undue risk

Locations and Contacts

Mobile Diagnostic Center Rheumatology, Mobile, Alabama 36608, United States

Valerius Medical Group, Long Beach, California 90806, United States

Trial Concierge/Pacific Clinical Studies, Los Alamitos, California 90720, United States

Axis Clinical Trials, Los Angeles, California 90036, United States

Riverside Clinical Research, Edgewater, Florida 32132, United States

Global Clinical Professionals, Miami, Florida 33156, United States

The Arthritis Center, Palm Harbor, Florida 34684, United States

Lakeview Medical Research, Summerfield, Florida 34491, United States

Analan Clinical Research, Lenexa, Kansas 66219, United States

Trial Concierge, Owensboro, Kentucky 42303, United States

Quality Clinical Research, Inc., Omaha, Nebraska 68114, United States

Advanced BioMedical Research of America, Las Vegas, Nevada 89123, United States

Arthritis Center of Reno, Reno, Nevada 89502, United States

PMG Research of Salisbury, Salisbury, North Carolina 28144, United States

Providence Health Partners, Dayton, Ohio 45439, United States

Paramount Medical Research & Consulting, LLC, Middleburg Heights, Ohio 44130, United States

The Center for Excellence in Aging and Geriatric Health, Williamsburg, Virginia 23185, United States

Apex Clinical Research, Kennewick, Washington 99336, United States

South Puget Sound Clinical Research Center, Olympia, Washington 98502, United States

Additional Information

Starting date: November 2011
Last updated: May 9, 2014

Page last updated: August 23, 2015

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