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A phase 2a open-label study to evaluate the long-term safety and efficacy of ABX464 50mg as maintenance therapy in patients with moderate to severe rheumatoid arthritis.
This Phase 2a open-label study aims at investigating the long-term safety and efficacy of an oral dose of ABX464 in patients who have been previously enrolled in the ABX464-301 clinical study and who are willing to continue their treatment.
All patients will receive ABX464 given at 50mg o.d. irrespectively of their previous treatment received in the ABX464-301 study (i.e. ABX464 or Placebo).
The enrolment in this follow-up study will be based on the willingness of the subject to carry on his/her participation and also based on investigator's judgement.
Patients will be treated with ABX464 for a period of 52 weeks. If they achieve a clinical response on Week 52 (defined as DAS28-CRP ≤ 2,6 for anti-TNFα naïve patients or DAS-28-CRP ≤ 3,2 for patients previously treated by anti-TNFα), they will be eligible to continue treatment for up to 104 weeks.Patients will be followed up at week , week 2 and then, on a monthly basis the first year (up to W52), and quaterly the second year (up to W104).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ABX464 50 mg | Experimental | All subjects will receive ABX464 administered at 50 mg o.d for an overall period of 2 years (104 weeks) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ABX464 | Drug | All subjects will receive ABX464 administered at 50 mg o.d for an overall period of 2 years (104 weeks). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment-emergent adverse events in the ABX464 treated Patients, categorized by severity | Incidence of adverse events emerging during the treatment | through study completion (average of 104 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients achieving Low Disease Activity (LDA) | Low Disease Activity (LDA) is defined as DAS28-ESR <=3.2 | Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Proportion of patients achieving American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean remission |
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Inclusion Criteria:
Criteria that should be met by patients at week 52 to be eligible for 52 additional weeks of study treatment:
▪ Patients should be in clinical response. Clinical response is defined as: DAS28-CRP ≤ 2,6 for anti-TNFα naïve patients or DAS-28-CRP ≤ 3,2 for patients previously treated by anti-TNFα.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Laurence Desroys du Roure, PharmD | Abivax S.A. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques Universitaires Saint-Luc | Brussels | Belgium | ||||
| UZ Gent |
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Open-label, follow-up study
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The ACR/EULAR boolean-based remission is a validated criteria based on: Tender/painful Joint Count (28), Swollen Joint Count (28), C-Reactive Protein, patient global assessment of disease, All ≤ 1 |
| Week 4, Week 12, Week24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Proportion of patients achieving Simplified Disease Activity Score (SDAI) remission | The SDAI remission is considered achieved if the SDAI score ≤ 3.3 | Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Proportion of patients achieving Clinical Disease Activity (CDAI) remission | The CDAI remission is considered achieved if the CDAI score ≤ 2.8 | Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Proportion of patients achieving ACR20/50/70 response | The categorical American College of Rheumatology 20% or 50% or 70% (ACR20/50/70) response is a validated index of rheumatoid arthritis disease activity, defined by the number of patients who achieved at least 20% or 50% or 70% improvement in the ACR response. | Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Proportion of patients achieving categorical Disease Activity Scores (DAS) (measured on 28 joints) - C-Reactive Protein (DAS28-CRP) response | Proportion of patients achieving categorical Disease Activity Score (DAS) DAS28-C-Reactive Protein (CRP) [DAS28-CRP] response will be measured as moderate/good European League Against Rheumatism (EULAR) response | Week 4, Week 12, Week 24, Week36, Week 52, Week 65, Week 78, Week 91 and Week 104 |
| Time to onset of the Low Disease Activity (LDA) remission | time when DAS28-ESR <=3.2 | up to 104 weeks |
| Time to onset of the American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean remission | The ACR/EULAR remission is a validated criteria based on: Tender/painful Joint Count (28), Swollen Joint Count (28), C-Reactive Protein, patient global assessment of disease, All ≤ 1. Time to onset will be when this criteria will be ≤ 1 | up to 104 weeks |
| Ghent |
| Belgium |
| CHU de Brest - Hôpital Cavale Blanche | Brest | France |
| CHU DE MONTPELLIER - Hôpital Lapeyronie | Montpellier | France |
| CHR d'Orléans | Orléans | France |
| Complex Medical Centre - Déli Klinika | Budapest | Hungary |
| CRU Hungary Ltd. | Miskolc | Hungary |
| CMed Rehabilitációs és Diagnosztikai Központ | Székesfehérvár | Hungary |
| ClinicMed Daniluk, Nowak Sp. J. | Bialystok | Poland |
| Pratia MCM | Krakow | Poland |
| Zespół Poradni Specjalistycznych REUMED | Lublin | Poland |
| NZOZ Lecznica MAK-MED S.C. | Nadarzyn | Poland |
| Medyczne Centrum Hetmańska | Poznan | Poland |
| National Institute of Geriatrics | Warsaw | Poland |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C000623073 | ABX464 |
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