Clinical trial NCT01962337: Phase 1 Single and Multiple Dose Study of FPA008 in Healthy Volunteers and Rheumatoid Arthritis Subjects
Official title: A Phase 1, Randomized, Double Blind, Placebo Controlled, Single and Multiple Ascending Dose Study of FPA008 in Healthy Volunteers and Subjects With Rheumatoid Arthritis
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: PHASE1
Conditions: Healthy
Rheumatoid Arthritis
Lead sponsor: Five Prime Therapeutics, Inc.
Sponsor class: INDUSTRY
First posted: 2013-10-14
Enrollment: 66
Sex: ALL
Minimum age (years): 21
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is a Phase 1, randomized, double-blind, placebo-controlled study designed in 3 parts to assess the safety, tolerability, and PK of single and multiple ascending doses of FPA008 in adult healthy volunteers (Parts 1 and 2) and adult subjects with active RA (Part 3).

Detailed description: Approximately 56 healthy volunteers will be enrolled at 1 study center in the Netherlands for Parts 1 and 2, and approximately 39 subjects will be enrolled at up to 6 sites in Central and Eastern Europe for Part 3. Dose escalations in Parts 1 and 2 will be driven by an assessment of the safety profile. Review of safety and PK parameters may inform decisions to add cohorts with intermediate dose levels in order to reach an optimal target exposure.

Eligibility criteria: Inclusion Criteria:

Part 1 and 2:

* Healthy adult male and female subjects between the ages of 21-55 years inclusive.
* Subject must be willing to remain in the Clinical Research Unit (CRU) for a minimum of 72 hours after each dose.

Part 3:

* RA male and female subjects between the ages of 21-70 years inclusive
* Evidence of active RA disease
* Inadequate response to biologic or non-biologic DMARDs
* Subjects will be required to be on background therapy with methotrexate.

Exclusion Criteria:

Parts 1, 2 and 3:

* BMI \<18 or \>32 kg/m2
* Clinically significant findings in physical exams and laboratory tests at screening and/or baseline
* Unwilling to abstain from alcohol for 48 hours prior to study start, during CRU confinement, as applicable, and for 48 hours prior to study visits.
* Unwilling to abstain from exercise more strenuous than walking during CRU confinement, as applicable, and for 48 hours prior to study visits.

Parts 1 and 2:

* Use of any prescription, non-prescription, or herbal medications as well as supplements or vitamins within 4 weeks prior to dosing, unless approved by the Investigator.
* Smoking more than 10 cigarettes, or the equivalent, per day.

Part 3:

* Current or previous history of inflammatory joint disease other than RA
* Evidence of extra-articular RA disease or systemic involvement
* Currently taking any medications other than those allowed per protocol guidelines
* Any surgical procedure including bone or joint surgery within 12 weeks prior to dosing
* Use of intra-articular (IA), intramuscular (IM), or IV corticosteroids for RA
* Neuropathies and neurovasculopathies
* Concomitant use of statins while on study.

Primary outcomes:
measure: Incidence of adverse events and dose-limiting toxicities of FPA008 administered in healthy volunteers and RA subjects
timeFrame: within 4-12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Budapest
country: Hungary
facility: BIK-Betegápoló Irgalmas rend-Budai Irgalmasrendi Kórház/Polyclinic of the Hospitaller Brothers of St. John of God in Budapest
city: Budapest
country: Hungary
facility: PRA Clinical Unit
city: Kaposvar
country: Hungary
facility: Drug Research Center
city: Groningen
country: Netherlands
facility: PRA Early Development Services
city: Krakow
country: Poland
facility: Oddział Kliniczny Kliniki Chorób Wewnętrznych Szpitala Uniwersyteckiego w Krakowie
city: Poznan
country: Poland
facility: MedPolina
Study officials:
affiliation: Five Prime Therapeutics
name: Medical Lead
role: STUDY_DIRECTOR
References: