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NCT02328027

99mTc-rhAnnexin V-128 a Phase I/IIa Study in Patients With Rheumatoid Arthritis (RA) or Ankylosing Spondylitis (AS)

Terminated Phase 1, PHASE2 Results posted Last updated 8 October 2020
What this trial tests

Phase 1, PHASE2 trial testing 99mTc-rhAnnexin V-128 in Rheumatoid Arthritis in 16 participants. Terminated before completion.

Timeline
11 December 2014
Primary endpoint
17 October 2017
17 October 2017

Quick facts

Lead sponsorAdvanced Accelerator Applications
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment16
Start date11 December 2014
Primary completion17 October 2017
Estimated completion17 October 2017
Sites1 location across Switzerland

Drugs / interventions tested

Conditions studied

Sponsor

Advanced Accelerator Applications — full company profile →

Who can join

18 and older, any sex, with Rheumatoid Arthritis or Ankylosing Spondylitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAE) and Death Primary · From screening up to Day 90

An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with the study medication. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease, temporally associated with the use of a study medication, whether or not causally related to the study medication. TEAEs are defined as all AEs reported after the first dose. An SAE is any untoward medical occurrence that at any dose: results in death, is life-threatening, life-threatening, results in persis

TEAEs
GroupValue95% CI
99mTc-rhAnnexin V-128: Ankylosing Spondylitis3
99mTc-rhAnnexin V-128: Rheumatoid Arthritis11
SAEs
GroupValue95% CI
99mTc-rhAnnexin V-128: Ankylosing Spondylitis0
99mTc-rhAnnexin V-128: Rheumatoid Arthritis1
Death
GroupValue95% CI
99mTc-rhAnnexin V-128: Ankylosing Spondylitis0
99mTc-rhAnnexin V-128: Rheumatoid Arthritis0
Area Under the Curve Extrapolated to Infinity (AUC) of 99mTc-rhAnnexin V-128 Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50, 2.00, 4.00 and 24.00 hours)

AUC is defined as area under the curve extrapolated to infinity of 99mTc-rhAnnexin V-128.

Blood
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA41.2± 13.7
Serum
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA53.6± 22.6
Distribution Volume (Vz) of 99mTc-rhAnnexin V-128 Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50, 2.00, 4.00 and 24.00 hours)

Vz is defined as the distribution volume of 99mTc-rhAnnexin V-128.

Blood
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA30.3± 9.0
Serum
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA26.1± 11.5
Systemic Clearance (Cl) of 99mTc-rhAnnexin V-128 Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50, 2.00, 4.00 and 24.00 hours)

Cl is defined as the systemic clearance of 99mTc-rhAnnexin V-128.

Blood
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA5.82± 1.59
Serum
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA4.68± 1.67
Elimination Half-life (t1/2) of 99mTc-rhAnnexin V-128 Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50, 2.00, 4.00 and 24.00 hours)

t1/2 is defined as the elimination half-life of 99mTc-rhAnnexin V-128.

Blood
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA3.6± 0.2
Serum
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA3.8± 0.3
99mTc-rhAnnexin V-128 Blood Cpm Decay Corrected Data (Counts Per Minute in 1 mL Sample) Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50 to 2.00, 3.00 to 4.00 and 24.00 hours)

Total radioactivity count per minute in whole blood samples were reported.

0 (Predose)
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA0.0± 0.00
5 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA1667814± 209478
10 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA1188917± 162265
15 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA976977± 168240
30 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA560111± 183995
1h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA270715± 101320
1.5h to 2.0h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA140730± 30842
3.0h to 4.0h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA64421± 20850
99mTc-rhAnnexin V-128 Serum Cpm Decay Corrected Data (Counts Per Minute in 1 mL Sample) Secondary · Day 1 (0 (Predose), 0.05, 0.10, 0.15, 0.30, 1.00, 1.50 to 2.00, 3.00 to 4.00, 6.00 and 24.00 hours)

Total radioactivity count per minute in serum samples were reported.

Predose
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA0.0± 0.00
5 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA2043946± 654557
10 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA1432102± 453282
15 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA1176933± 299437
30 min
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA719880± 287310
1h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA349309± 103963
1.5h to 2.0h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA223067± 51303
3.0h to 4.0h
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA106070± 31082
99mTc-rhAnnexin V-128 Urine Cpm Decay Corrected Data (Counts Per Minute in 1 mL Sample) Secondary · Day 1 (0 (Predose), 1.00, 4.00, 6.00 and 24.00 hours)

Total radioactivity count per minute in urine samples were reported.

0 (Predose)
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA12± 26
1 hour
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA6613620± 1786521
4 hours
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA9135076± 3248412
16 hours
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA1517263± 1180019
24 hours
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA96155.2± 84394.79
Number of Annexin Related Species as Assessed Size-Exclusion HPLC- High-Performance Liquid Chromatography (SEC-HPLC) Analysis Secondary · Day 1 (0 (Predose), up to 1.00 hour, from 1.00 to 4.00 hours, from 4.00 to 6.00 hours, from 16.00 to 24.00 hours)

Urine samples (10 mL aliquots) were analysed as a function of time by SEC-HPLC technique at the local laboratory in order to gain information on the chemical status of 99mTc-rhAnnexin V-128 and on the presence of 99mTc-rhAnnexin V-128-related species.

0 (Predose)-HPLC Performed?=Yes
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA5
99mTc-rhAnnexin V-128: AS and RA0
Up to 1 hour-HPLC Performed?=Yes
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA5
99mTc-rhAnnexin V-128: AS and RA0
From 1 to 4 hours-HPLC Performed?=Yes
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA5
99mTc-rhAnnexin V-128: AS and RA0
From 4 to 6 hours-HPLC Performed?=Yes
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA5
99mTc-rhAnnexin V-128: AS and RA0
From 16 to 24 hours-HPLC Performed?=Yes
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA4
99mTc-rhAnnexin V-128: AS and RA0
From 16 to 24 hours-HPLC Performed?=No
GroupValue95% CI
99mTc-rhAnnexin V-128: AS and RA0
99mTc-rhAnnexin V-128: AS and RA1

Adverse events — posted to ClinicalTrials.gov

Time frame: From start of screening up to Day 90. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

99mTc-rhAnnexin V-128: Ankylosing Spondylitis
Serious: 0/5 (0%)
Deaths: 0/5
99mTc-rhAnnexin V-128: Rheumatoid Arthritis
Serious: 1/11 (9%)
Deaths: 0/11

Serious adverse events (1 terms)

ReactionSystem99mTc-rhAnnexin V-128: Ank…99mTc-rhAnnexin V-128: Rhe…
DepressionPsychiatric disorders
Other adverse events (56 terms — click to expand)

ReactionSystem99mTc-rhAnnexin V-128: Ank…99mTc-rhAnnexin V-128: Rhe…
FatigueGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Influenza like illnessGeneral disorders
PyrexiaGeneral disorders
Urinary tract infectionInfections and infestations
Angina pectorisCardiac disorders
CyanosisCardiac disorders
PalpitationsCardiac disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Dry mouthGastrointestinal disorders
Faeces discolouredGastrointestinal disorders
HaematocheziaGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
MalaiseGeneral disorders
PainGeneral disorders
Cytokine release syndromeImmune system disorders
GastroenteritisInfections and infestations
InfectionInfections and infestations
NasopharyngitisInfections and infestations
FallInjury, poisoning and procedural complications
Procedural dizzinessInjury, poisoning and procedural complications
Procedural painInjury, poisoning and procedural complications
Blood urine presentInvestigations
Oxygen saturation decreasedInvestigations
Weight decreasedInvestigations
Weight increasedInvestigations
DehydrationMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Cognitive disorderNervous system disorders

Most-reported serious reactions: Depression.

Data from ClinicalTrials.gov NCT02328027 adverse events section.

Sponsor's own description

This was a monocentric, open label, Phase I-IIa study. Eligible patients who signed the ICF received two single intravenous (IV) bolus of the imaging agent 99mTc-rhAnnexin V-128. The first dose was administered on Day 1, and the second dose on Day 42 (±2 weeks). All patients were to start a new disease modifying treatment for RA or AS on Day 2. This disease modifying treatment was at the discretion of the investigator and was not chosen by the sponsor. Safety was monitored at every visit. Whole body scintigraphic imaging was performed at Day 1 and Day 42 after 99mTc-rhAnnexin V-128 dosing. Clinical disease assessments were performed at screening, Day 42 and Day 90 to assess response to RA or AS treatment. Blood was drawn to test for 99mTc-rhAnnexin V-128 immunogenicity at screening and on Days 30, 56 and 90. Patients participating in the pharmacokinetic (PK)/dosimetric sub-study had additional assessments in the 24 hours following the Day 1 dose of 99mTc-rhAnnexin V-128.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02328027.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing