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A Study to Assess the Pharmacokinetics of Certolizumab Pegol in Adults With Active Rheumatoid Arthritis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04740814
Recruitment Status : Completed
First Posted : February 5, 2021
Results First Posted : November 13, 2023
Last Update Posted : February 12, 2024
Sponsor:
Information provided by (Responsible Party):
UCB Pharma ( UCB Biopharma SRL )

Brief Summary:
The purpose of the study is to evaluate the pharmacokinetics and safety of certolizumab pegol in adults with active rheumatoid arthritis.

Condition or disease Intervention/treatment Phase
Rheumatoid Arthritis Drug: Certolizumab pegol Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 33 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: A Multi-Center, Open-Label Study to Evaluate the Pharmacokinetics of Certolizumab Pegol in Adults With Active Rheumatoid Arthritis Using an Electrochemiluminescent Immuno-Assay
Actual Study Start Date : February 11, 2021
Actual Primary Completion Date : January 24, 2022
Actual Study Completion Date : June 27, 2022

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Certolizumab pegol
Subjects in this arm will receive doses of certolizumab pegol for the treatment of Rheumatoid Arthritis, in accordance with the US label.
Drug: Certolizumab pegol
  • Pharmaceutical form: Solution for injection
  • Route of administration: Subcutaneous Subjects will receive certolizumab pegol in a pre-specified sequence during the study.




Primary Outcome Measures :
  1. Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing [ Time Frame: Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12) ]
    Cmin is the Minimum observed plasma drug concentration during a dosage interval.

  2. Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol [ Time Frame: Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12) ]
    AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10.


Secondary Outcome Measures :
  1. Plasma Concentration of Certolizumab Pegol (CZP) During the Study [ Time Frame: Predose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168 ]
    Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants.

  2. Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs) [ Time Frame: From Baseline to the Safety Follow-up Visit (up to Week 34) ]
    A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.

  3. Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal [ Time Frame: From Baseline to the Safety Follow-up Visit (up to Week 34) ]
    An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 69 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Participant must be 18 to 69 years of age inclusive, at the time of signing the informed consent
  • Participant must have a diagnosis of moderately-to-severely active rheumatoid arthritis (RA)
  • Participant must have had an inadequate response to, or intolerance to, at least 1 disease modifying antirheumatic drug (DMARD) (nonbiologic or biologic)
  • Participant has a negative interferon-gamma release assay (IGRA) at Screening
  • Participant has a body mass index within the range 18.0 kg/m2 to 35.0 kg/m2 (inclusive)
  • Male or female
  • A female participant is eligible to participate if:

    i) she is not pregnant, ii) not breastfeeding, iii) at least one of the following conditions applies:

    1. Not a woman of childbearing potential (WOCBP) OR
    2. A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and until the Safety Follow-up (SFU) Visit

      Exclusion Criteria:

  • Participant has a known hypersensitivity to any components of the study medication(including polyethylene glycol) or comparative drugs (and/or an investigational device) as stated in this protocol
  • Participant has clinically significant electrocardiogram (ECG) abnormalities at Screening
  • Participant has previously been exposed to certolizumab pegol (CZP)
  • Participant has failed treatment with ≥1 tumor necrosis factor (TNF) α inhibitor or was a primary failure for any TNFα antagonist. A primary failure is defined as no clinical disease improvement within the first 12 weeks of treatment (study participants who demonstrated clinical response within 12 weeks of treatment and subsequently lost response after 12 weeks of treatment are eligible)
  • Participant has received a live vaccination within 6 weeks prior to Screening or intends to have a live vaccination during the course of the study or within 3 months following CZP treatment in the study
  • Participant has received any investigational drug or experimental procedure within 90 days prior to the first dose of IMPinvestigational medicinal product (IMP)
  • Participant has a laboratory abnormality at Screening, including any of the following:

    1. >3.0x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP); or >ULN total bilirubin (>1.5x ULN total bilirubin if the participant has a documented pre-study diagnosis of Gilbert's syndrome)
    2. white blood cell count <3.00x103/μL
    3. absolute neutrophil count (ANC) <1.5x103/μL
    4. lymphocyte count <500 cells/μL
    5. hemoglobin <8.5 g/dL
    6. Any other laboratory abnormality, which, in the opinion of the Investigator, will prevent the study participant from completing the study or will interfere with the interpretation of the study results

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04740814


Locations
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United States, Arizona
Ra0138 1009
Phoenix, Arizona, United States, 85032
United States, California
Ra0138 1002
Covina, California, United States, 91722
Ra0138 1008
Upland, California, United States, 91786
United States, Florida
Ra0138 1015
Palm Harbor, Florida, United States, 34684
Ra0138 1004
Plantation, Florida, United States, 33324
United States, Kentucky
Ra0138 1001
Lexington, Kentucky, United States, 40504
United States, Maryland
Ra0138 1014
Rockville, Maryland, United States, 20850
United States, New Mexico
Ra0138 1005
Albuquerque, New Mexico, United States, 87102
United States, Pennsylvania
Ra0138 10025
Duncansville, Pennsylvania, United States, 16635
Ra0138 1003
Duncansville, Pennsylvania, United States, 16635
United States, Tennessee
Ra0138 1016
Memphis, Tennessee, United States, 38119
United States, Texas
Ra0138 1007
Austin, Texas, United States, 78731
Ra0138 1010
Dallas, Texas, United States, 75231
Ra0138 1011
Tomball, Texas, United States, 77375
Sponsors and Collaborators
UCB Biopharma SRL
Investigators
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Study Director: UCB Cares 001 844 599 2273 (UCB)
  Study Documents (Full-Text)

Documents provided by UCB Pharma ( UCB Biopharma SRL ):
Study Protocol  [PDF] March 18, 2021
Statistical Analysis Plan  [PDF] August 30, 2022

Additional Information:
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Responsible Party: UCB Biopharma SRL
ClinicalTrials.gov Identifier: NCT04740814    
Other Study ID Numbers: RA0138
First Posted: February 5, 2021    Key Record Dates
Results First Posted: November 13, 2023
Last Update Posted: February 12, 2024
Last Verified: February 2024
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
Keywords provided by UCB Pharma ( UCB Biopharma SRL ):
Rheumatoid arthritis
Phase 1
Cimzia
Certolizumab pegol
Electrochemiluminescent immune-assay
Additional relevant MeSH terms:
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Arthritis
Arthritis, Rheumatoid
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Certolizumab Pegol
Tumor Necrosis Factor Inhibitors
Anti-Inflammatory Agents
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Antirheumatic Agents