<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT02209779</url>
  </required_header>
  <id_info>
    <org_study_id>1175.11</org_study_id>
    <nct_id>NCT02209779</nct_id>
  </id_info>
  <brief_title>Efficacy and Safety of Different Doses of BIRB 796 BS in Patients With Active Rheumatoid Arthritis</brief_title>
  <official_title>A Randomised, Parallel, Double-blind, Placebo-controlled Study to Investigate Efficacy and Safety of Different Doses (5, 10, 20 and 30 mg) of BIRB 796 BS Administered Twice a Day Orally Over 4 Weeks in Patients With Active Rheumatoid Arthritis Who Have Failed at Least One DMARD</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Boehringer Ingelheim</agency>
      <agency_class>Industry</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Boehringer Ingelheim</source>
  <brief_summary>
    <textblock>
      The objective was to determine the effects of BIRB 796 BS on CRP and clinical parameters in&#xD;
      Rheumatoid Arthritis as measures of efficacy, and on population pharmacokinetics and safety&#xD;
      parameters&#xD;
    </textblock>
  </brief_summary>
  <overall_status>Completed</overall_status>
  <start_date>May 2001</start_date>
  <primary_completion_date type="Actual">June 2002</primary_completion_date>
  <phase>Phase 2</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Treatment</primary_purpose>
    <masking>Double</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Absolute difference to baseline in concentrations of C-reactive Protein (CRP)</measure>
    <time_frame>before and after 4 weeks of treatment</time_frame>
  </primary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in tender joint count (TJC, 68 joint count)</measure>
    <time_frame>before and after 4 weeks of treatment</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in swollen joint count (SJC, 66 joint count)</measure>
    <time_frame>before and after 4 weeks of treatment</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Patients assessment of pain on a visual analogue scale (VAS)</measure>
    <time_frame>up to 57 days</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Patients global assessment of disease activity (PADA) on a VAS</measure>
    <time_frame>up to 57 days</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Physicians global assessment of disease activity on a VAS</measure>
    <time_frame>up to 57 days</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assessment of physical function by a standardised health assessment questionnaire (HAQ)</measure>
    <time_frame>up to 57 days</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in Erythrocyte sedimentation rate (ESR)</measure>
    <time_frame>up to 57 days</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in Cytokines Tumor Necrosis Factor (TNF)-α, soluble TNF-Receptor (sTNF-R), Interleukin (IL)-1ra, IL-6</measure>
    <time_frame>Day 1, 8 and 29</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in Matrix metalloprotease-3 (MMP-3)</measure>
    <time_frame>Day 1, 8 and 29</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Absolute difference to baseline in Vascular endothelial growth factor (VEGF)</measure>
    <time_frame>Day 1, 8 and 29</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Number of responders to American College of Rheumatology (ACR) preliminary response criteria for 20% improvement (ACR 20), ACR 50, ACR 70</measure>
    <time_frame>after 4 weeks of treatment</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Number of responders to European League against Rheumatism (EULAR) response criteria</measure>
    <time_frame>after 4 weeks of treatment</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Number of drop-outs due to lack of efficacy, according to final assessment of investigator</measure>
    <time_frame>after 4 weeks of treatment</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assessment of maximum concentration (Cmax)</measure>
    <time_frame>Day 15, 22, 29</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assessment of area under the curve (AUC) at steady state</measure>
    <time_frame>Day 15, 22, 29</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Number of patients with Adverse events</measure>
    <time_frame>up to day 73</time_frame>
  </secondary_outcome>
  <number_of_arms>5</number_of_arms>
  <enrollment type="Actual">167</enrollment>
  <condition>Arthritis, Rheumatoid</condition>
  <arm_group>
    <arm_group_label>BIBR 796 BS, low dose</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>twice daily doses of 5 mg for 4 weeks</description>
  </arm_group>
  <arm_group>
    <arm_group_label>BIBR 796 BS, medium dose 1</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>twice daily doses of 10 mg for 4 weeks</description>
  </arm_group>
  <arm_group>
    <arm_group_label>BIBR 796 BS, medium dose 2</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>twice daily doses of 20 mg for 4 weeks</description>
  </arm_group>
  <arm_group>
    <arm_group_label>BIBR 796 BS, high dose</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>twice daily doses of 30 mg for 4 weeks</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Placebo</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>BIBR 796 BS</intervention_name>
    <arm_group_label>BIBR 796 BS, high dose</arm_group_label>
    <arm_group_label>BIBR 796 BS, low dose</arm_group_label>
    <arm_group_label>BIBR 796 BS, medium dose 1</arm_group_label>
    <arm_group_label>BIBR 796 BS, medium dose 2</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Placebo</intervention_name>
    <arm_group_label>BIBR 796 BS, low dose</arm_group_label>
    <arm_group_label>BIBR 796 BS, medium dose 1</arm_group_label>
    <arm_group_label>BIBR 796 BS, medium dose 2</arm_group_label>
    <arm_group_label>Placebo</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Male or female from 18 to 75 years of age&#xD;
&#xD;
          -  Diagnosis of Rheumatoid Arthritis (RA) established according to ACR criteria and date&#xD;
             of diagnosis &gt;1 year to ≤ 15 years. The exclusion of patients with a disease duration&#xD;
             &gt; 15 years was deleted in Amendment 2, effective January 22, 2002&#xD;
&#xD;
          -  Patient belonging to functional class I, II, or III&#xD;
&#xD;
          -  Failure of at least one Disease Modifying Antirheumatic Drug (DMARD) due to inefficacy&#xD;
&#xD;
          -  Active disease, documented at visit 3, defined by ≥10 swollen joints in a 66 joint&#xD;
             count and ≥ 12 tender joints in a 68 joint count&#xD;
&#xD;
          -  CRP ≥ 2.0 mg/dl at visit 1 or visit 2&#xD;
&#xD;
          -  Written informed consent in accordance with Good Clinical Practice and local&#xD;
             legislation given prior to any study procedures, including washout of prohibited&#xD;
             medications&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Pregnancy (to be excluded by serum and urine β Human Chorion-Gonadotropin-test in&#xD;
             women of childbearing potential) or breast feeding&#xD;
&#xD;
          -  Female of childbearing potential (not 6 months post-menopausal or surgically&#xD;
             sterilized) not using an approved form of birth control (hormonal contraceptives, oral&#xD;
             or injectable/implantable, intra-uterine device (IUD))&#xD;
&#xD;
          -  Inflammatory rheumatic disease other than RA&#xD;
&#xD;
          -  Active vasculitis or any history of vasculitis (characterised by e.g. nail bed&#xD;
             hemorrhages or infarcts, vasculitic purpura, ulcers or gangrenes, multisensory&#xD;
             neuropathy, vasculitic retinopathy or scleritis of eyes). Isolated rheumatoid nodules&#xD;
             of the skin are not a criterion for exclusion&#xD;
&#xD;
          -  Treatment failure to a TNF-blocking agent. Treatment failure is defined as not&#xD;
             achieving at least an ACR 20 response (e.g. in a clinical trial) or - in clinical&#xD;
             practice - having the TNF-blocking agent discontinued due to ineffectiveness&#xD;
&#xD;
          -  DMARD treatment within 4 weeks before visit 3&#xD;
&#xD;
          -  Last dose given within the specified time period before visit 3 for one of the&#xD;
             following compounds or drugs:&#xD;
&#xD;
               -  Infliximab (Remicade®): 3 months&#xD;
&#xD;
               -  D2E7 (a human TNF-α antibody): 3 months&#xD;
&#xD;
               -  Leflunomide (Arava®): 1 year, with exception of patients having undergone&#xD;
                  elimination therapy (colestyramin 8 grams t.i.d. po for eleven consecutive days),&#xD;
                  this exclusion criterion was deleted in Amendment 1, effective September 3, 2001&#xD;
&#xD;
               -  Drug classified as proton pump inhibitor: 7 days&#xD;
&#xD;
               -  Drug classified as H2-receptor-blocker or antacid: 2 days&#xD;
&#xD;
               -  Investigational agent: 5-fold of the respective plasma half life or 4 weeks,&#xD;
                  whichever is longer&#xD;
&#xD;
          -  Treatment with systemic corticosteroids in a dose higher than 10 mg/day prednisone&#xD;
             equivalent within 4 weeks prior to visit 3&#xD;
&#xD;
          -  Change in treatment with nonsteroidal antiinflammatory drugs (NSAIDs) or systemic&#xD;
             corticosteroids within 4 weeks prior to visit 3&#xD;
&#xD;
          -  Synovectomy, joint surgery, radio-/chemo synoviorthesis or steroid injections&#xD;
             (intraarticular, intravenous or intramuscular) within 4 weeks before visit 3&#xD;
&#xD;
          -  Active infection or serious infectious diseases resulting in hospitalisation or&#xD;
             requiring systemic anti-infective therapy within 4 weeks before visit 3&#xD;
&#xD;
          -  Serologic evidence of active hepatitis B and/or C&#xD;
&#xD;
          -  Known HIV-infection&#xD;
&#xD;
          -  History of prior tuberculosis infection or suspicion of active infection at screening&#xD;
             based on chest x-ray done within 6 month before visit 1&#xD;
&#xD;
          -  History of cardiovascular, renal, neurologic, psychiatric, liver, gastrointestinal,&#xD;
             immunologic or endocrine dysfunction if they are clinically significant. A clinically&#xD;
             significant disease is defined as one which in the opinion of the investigator may&#xD;
             either put the patient at risk because of participation in the study or a disease&#xD;
             which may influence the results of the study or the patient's ability to participate&#xD;
             in the study&#xD;
&#xD;
          -  Recent history of heart failure, defined according to New York Heart Association&#xD;
             criteria as being stage III or IV (i.e. three years or less) or myocardial infarction&#xD;
             (i.e. one year or less) or patients with any cardiac arrhythmia requiring drug&#xD;
             therapy. This exclusion criterion was slightly modified in Amendment 2, effective&#xD;
             January 22, 2002.&#xD;
&#xD;
          -  ECG results outside of the reference range of clinical relevance including, but not&#xD;
             limited to QTcB &gt; 480 msec, PR interval &gt; 240 msec, QRS interval &gt; 110 msec&#xD;
&#xD;
          -  History of malignant disease in the last 5 years or suspicion of active malignant&#xD;
             disease except successfully treated squamous or basal cell carcinoma of the skin&#xD;
&#xD;
          -  Clinically significant abnormal baseline hematology, blood chemistry or urinalysis if&#xD;
             the abnormality defines a disease listed as an exclusion criterion&#xD;
&#xD;
          -  Any of the following specific laboratory abnormalities:&#xD;
&#xD;
               -  Alanine aminotransferase, aspartate aminotransferase, or total bilirubin greater&#xD;
                  than upper limit of normal (ULN) at visit 1 or measured within the last six&#xD;
                  months before visit 3. This exclusion criterion was modified in Amendment 1,&#xD;
                  effective September 3, 2001, allowing for a retest at Visit 2.&#xD;
&#xD;
               -  Gamma-Glutamyltransferase, alkaline phosphatase or Lactate Dehydrogenase greater&#xD;
                  than 1.5 x ULN at visit 1&#xD;
&#xD;
               -  creatinine or white blood cell count greater than 1.5 x ULN at visit 1&#xD;
&#xD;
          -  History of drug or alcohol abuse within the past two years or active drug or alcohol&#xD;
             abuse, present alcohol intake more than three drinks per day&#xD;
&#xD;
          -  Inability to comply with the protocol&#xD;
&#xD;
          -  Participation in another clinical trial within 30 days before visit 3&#xD;
&#xD;
          -  Previous enrolment in this trial&#xD;
&#xD;
          -  Hypersensitivity to trial drug&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>75 Years</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <link>
    <url>http://trials.boehringer-ingelheim.com</url>
    <description>Related Info</description>
  </link>
  <verification_date>August 2014</verification_date>
  <study_first_submitted>August 5, 2014</study_first_submitted>
  <study_first_submitted_qc>August 5, 2014</study_first_submitted_qc>
  <study_first_posted type="Estimate">August 6, 2014</study_first_posted>
  <last_update_submitted>August 5, 2014</last_update_submitted>
  <last_update_submitted_qc>August 5, 2014</last_update_submitted_qc>
  <last_update_posted type="Estimate">August 6, 2014</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Arthritis</mesh_term>
    <mesh_term>Arthritis, Rheumatoid</mesh_term>
  </condition_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT02209779
org study id: 1175.11
nct id: NCT02209779
lead sponsor: 
The objective was to determine the effects of BIRB 796 BS on CRP and clinical parameters in
      Rheumatoid Arthritis as measures of efficacy, and on population pharmacokinetics and safety
      parameters
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Treatment
masking: Double
measure: Absolute difference to baseline in concentrations of C-reactive Protein (CRP)
time frame: before and after 4 weeks of treatment
measure: Absolute difference to baseline in tender joint count (TJC, 68 joint count)
time frame: before and after 4 weeks of treatment
measure: Absolute difference to baseline in swollen joint count (SJC, 66 joint count)
time frame: before and after 4 weeks of treatment
measure: Patients assessment of pain on a visual analogue scale (VAS)
time frame: up to 57 days
measure: Patients global assessment of disease activity (PADA) on a VAS
time frame: up to 57 days
measure: Physicians global assessment of disease activity on a VAS
time frame: up to 57 days
measure: Assessment of physical function by a standardised health assessment questionnaire (HAQ)
time frame: up to 57 days
measure: Absolute difference to baseline in Erythrocyte sedimentation rate (ESR)
time frame: up to 57 days
measure: Absolute difference to baseline in Cytokines Tumor Necrosis Factor (TNF)-α, soluble TNF-Receptor (sTNF-R), Interleukin (IL)-1ra, IL-6
time frame: Day 1, 8 and 29
measure: Absolute difference to baseline in Matrix metalloprotease-3 (MMP-3)
time frame: Day 1, 8 and 29
measure: Absolute difference to baseline in Vascular endothelial growth factor (VEGF)
time frame: Day 1, 8 and 29
measure: Number of responders to American College of Rheumatology (ACR) preliminary response criteria for 20% improvement (ACR 20), ACR 50, ACR 70
time frame: after 4 weeks of treatment
measure: Number of responders to European League against Rheumatism (EULAR) response criteria
time frame: after 4 weeks of treatment
measure: Number of drop-outs due to lack of efficacy, according to final assessment of investigator
time frame: after 4 weeks of treatment
measure: Assessment of maximum concentration (Cmax)
time frame: Day 15, 22, 29
measure: Assessment of area under the curve (AUC) at steady state
time frame: Day 15, 22, 29
measure: Number of patients with Adverse events
time frame: up to day 73
arm group label: BIBR 796 BS, low dose
arm group type: Experimental
description: twice daily doses of 5 mg for 4 weeks
arm group label: BIBR 796 BS, medium dose 1
arm group type: Experimental
description: twice daily doses of 10 mg for 4 weeks
arm group label: BIBR 796 BS, medium dose 2
arm group type: Experimental
description: twice daily doses of 20 mg for 4 weeks
arm group label: BIBR 796 BS, high dose
arm group type: Experimental
description: twice daily doses of 30 mg for 4 weeks
arm group label: Placebo
arm group type: Active Comparator
intervention type: Drug
intervention name: BIBR 796 BS
arm group label: BIBR 796 BS, high dose
arm group label: BIBR 796 BS, low dose
arm group label: BIBR 796 BS, medium dose 1
arm group label: BIBR 796 BS, medium dose 2
intervention type: Drug
intervention name: Placebo
arm group label: BIBR 796 BS, low dose
arm group label: BIBR 796 BS, medium dose 1
arm group label: BIBR 796 BS, medium dose 2
arm group label: Placebo
criteria: 
gender: All
minimum age: 18 Years
maximum age: 75 Years
healthy volunteers: No
url: http://trials.boehringer-ingelheim.com
description: Related Info
responsible party type: Sponsor
mesh term: Arthritis
mesh term: Arthritis, Rheumatoid