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This study is in two stages:
Stage 1 purpose is to assess safety, tolerability, and efficacy of multiple TAB08 doses in patients with active Rheumatoid Arthritis in which methotrexate (MTX) treatment is not enough effective.
Stage 2 purpose is to assess efficacy parameters (ACR criteria) of at least one selected TAB08 dose in extended patient population with active Rheumatoid Arthritis in which methotrexate (MTX) treatment with at least 10 mg/week is not enough effective.
Stage 1 is designed as standard phase 1 study with one arm and sequential dose cohorts with ascending doses. Each patient in each dose cohort will be administered TAB08 several times. After last TAB08 administration each patient will undergo investigational-treatment-free follow-up period.
At Stage 2 at least one TAB08 dose, selected during Stage 1 will be studied during longer timeframe in extended patient population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAB08 | Experimental | Multiple TAB08 administrations as intravenous infusions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAB08 | Drug | Weekly intravenous administration in escalating doses. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose-limiting toxicity in every dose cohort | From study drug infusion (Day 1) untill week 2 (Day 15) for each patient |
| Measure | Description | Time Frame |
|---|---|---|
| Number of adverse events | From study drug infusion (Day 1) untill the end of study stage 1 (Day 85) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics parameters of TAB08 after single and multiple i.v. administrations | Following specific pharmacokinetics parameters will be used: C max - maximal concentration, AUC(0-t) - area under the curve concentration-time until the last time point of concentration measurement, AUC(0-∞) - area under the curve concentration-time extrapolated to infinity, T1/2 - final elimination half-life, Lambda z - elimination rate constant, CL - clearance, Vss - volume of distribution in steady state, C trough - trough concentration after multiple administration. |
Inclusion Criteria:
Patients must sign and date informed consent prior to any study procedures.
Male and female patients aged 18-65 years.
Rheumatoid arthritis (RA) diagnosed from 6 months to 10 years ago in accordance with American College of Rheumatology (ACR) diagnostic criteria of rheumatoid arthritis, 1987, or ACR / European League against Rheumatism (EULAR), 2010.
Patients for whom standard treatment does not result in sufficient control of symptoms of RA, per investigator opinion.
Treatment with Methotrexate for at least 3 months before Screening visit, and a stable dose of ≥ 10 mg weekly for at least 28 days before the first infusion of the study drug. Patients should be also treated with folic acid.
Active disease of RA despite standard treatment:
Rheumatoid factor > 20 IU/mL.
Adequate hematological, renal and hepatic laboratory values.
For men and women of childbearing potential: consent to use double barrier methods of contraception during the entire study period.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniil G Nemenov, M.D. | Theramab LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Scientific and Research Rheumatology Institute | Moscow | 115522 | Russia | |||
| Clinical Emergency Hospital of Yaroslavl |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| C509303 | TGN-1412 |
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| From study drug infusion (Day 1) untill Week 4 (Day 29) |
| Proportion of patients with American College of Rheumatology (ACR) 20 (50, 70) response criteria after 4 weeks of TAB08 treatment | From study drug infusion (Day 1) untill the Week 4 (Day 29) |
| Proportion of patients with ACR20 (50, 70) response criteria after 4 weeks of TAB08 treatment at the end of study stage 1 | From study drug infusion (Day 1) untill tenf of study stage 1 (Day 85) |
| Yaroslavl |
| 150003 |
| Russia |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |