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NCT02628028: RAjuvenate

A Study of LY3337641 in Rheumatoid Arthritis

Terminated Phase 2 Results posted Last updated 9 October 2019
What this trial tests

Phase 2 trial testing LY3337641 in Rheumatoid Arthritis in 286 participants. Terminated before completion.

Timeline
22 August 2016
Primary endpoint
25 April 2018
15 August 2018

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment286
Start date22 August 2016
Primary completion25 April 2018
Estimated completion15 August 2018
Sites71 locations across Italy, South Africa, Japan, Slovakia, Austria, Poland, Mexico, South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

Adults 18 to 65, any sex, with Rheumatoid Arthritis. 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 One or More Treatment-Emergent Adverse Events (TEAEs) or Adverse Events of Special Interest (AESIs) or Any Serious AEs (SAEs) in Part A Primary · Up to 6 Weeks

TEAEs are any untoward medical occurrence that either occurs or worsens at any time after treatment baseline, and in the opinion of the investigators is possibly related to study drug. Skin Rash was the only event that was considered an AESI. A serious AE is defined as an event that results in death, initial or prolonged hospitalization, is life-threatening, leads to persistent or significant disability/incapacity, is associated with congenital anomaly/birth defect, or is considered significant by the investigator for any other reason. A summary of SAEs and other non-serious AEs, regardless of

TEAEs
GroupValue95% CI
Part A: Placebo3
Part A: 5 mg LY33376411
Part A: 10 mg LY33376416
Part A: 30 mg LY33376412
AESIs
GroupValue95% CI
Part A: Placebo0
Part A: 5 mg LY33376410
Part A: 10 mg LY33376410
Part A: 30 mg LY33376410
SAEs
GroupValue95% CI
Part A: Placebo0
Part A: 5 mg LY33376410
Part A: 10 mg LY33376410
Part A: 30 mg LY33376410
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B Primary · Week 12

ACR20 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis (RA). "ACR20 Responder" is a participant who has at least 20% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using visual analog scale (VAS), Health Assessment Questionnaire - Disability Index (HAQ-DI) and high-sensitivity C-reactive protein (hsCRP). Participants with missing responses and /

GroupValue95% CI
Part B: Placebo48.134.8 – 61.5
Part B: 5 mg LY333764155.442.3 – 68.4
Part B: 10 mg LY333764144.230.7 – 57.7
Part B: 30 mg LY333764150.937.7 – 64.1
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B Secondary · Week 12

ACR50 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR50 Responder" is a participant who has at least 50% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.

GroupValue95% CI
Part B: Placebo27.815.8 – 39.7
Part B: 5 mg LY333764125.013.7 – 36.3
Part B: 10 mg LY333764115.45.6 – 25.2
Part B: 30 mg LY333764129.117.1 – 41.1
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B Secondary · Week 12

ACR70 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR70 Responder" is a participant who has at least 70% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.

GroupValue95% CI
Part B: Placebo16.76.7 – 26.6
Part B: 5 mg LY33376418.91.5 – 16.4
Part B: 10 mg LY33376411.90.0 – 5.7
Part B: 30 mg LY333764116.46.6 – 26.1
Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B Secondary · Baseline, Week 12

Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56\*square root (sqrt)(TJC28)+0.28\*sqrt(SJC28)+0.36\*natural log(CRP+1)+0.014\*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.

GroupValue95% CI
Part B: Placebo-1.62± 1.447
Part B: 5 mg LY3337641-1.55± 1.182
Part B: 10 mg LY3337641-1.24± 1.146
Part B: 30 mg LY3337641-1.80± 1.453
Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B Secondary · Week 12

Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56\*square root (sqrt)(TJC28)+0.28\*sqrt(SJC28)+0.36\*natural log(CRP+1)+0.014\*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.

GroupValue95% CI
Part B: Placebo27.815.8 – 39.7
Part B: 5 mg LY333764132.119.9 – 44.4
Part B: 10 mg LY333764121.210.1 – 32.3
Part B: 30 mg LY333764129.117.1 – 41.1
Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B Secondary · Week 12

Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using visual analog scale (VAS) (participant global VAS). DAS28 was calculated using following formula: DAS28-CRP=0.56\*square root (sqrt)(TJC28)+0.28\*sqrt(SJC28)+0.36\*natural log(CRP+1)+0.014\*Patient's Global VAS+0.96. Clinical remission is defined as DAS28-hsCRP \<2.6.

GroupValue95% CI
Part B: Placebo20.49.6 – 31.1
Part B: 5 mg LY333764119.69.2 – 30.0
Part B: 10 mg LY33376417.70.4 – 14.9
Part B: 30 mg LY333764125.513.9 – 37.0
Pharmacokinetics (PK): Clearance Parameter of LY3337641 Secondary · Part A: Weeks 1, 2, and 4, Day 1 (0.5 to 2 hours postdose); Part B: Weeks 2, 4, 8, and 12, Day 1 (0.5 to 2 hours postdose)

Apparent total body clearance of drug after oral administration based on population PK analysis was evaluated. As prespecified per protocol, an overall population estimate of clearance is generated and data from Part A and B were combined for the analysis. The sparse data was then analyzed using population PK methods in Non linear Mixed Effects Model (NONMEM) to generate an overall population estimate of clearance.

GroupValue95% CI
LY333764129.1± 5.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 88 Weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: Placebo
Serious: 0/9 (0%)
Deaths: 0/9
Part A: 5 mg LY3337641
Serious: 0/9 (0%)
Deaths: 0/9
Part A: 10 mg LY3337641
Serious: 0/10 (0%)
Deaths: 0/10
Part A: 30 mg LY3337641
Serious: 0/8 (0%)
Deaths: 0/8
Part B: Placebo
Serious: 2/62 (3%)
Deaths: 0/62
Part B: 5 mg LY3337641
Serious: 0/63 (0%)
Deaths: 0/63
Part B: 10 mg LY3337641
Serious: 0/62 (0%)
Deaths: 0/62
Part B: 30 mg LY3337641
Serious: 3/63 (5%)
Deaths: 1/63
Long-Term Extension: 5 mg LY3337641
Serious: 1/61 (2%)
Deaths: 0/61
Long-Term Extension: 10 mg LY3337641
Serious: 3/58 (5%)
Deaths: 0/58
Long-Term Extension: 30 mg LY3337641
Serious: 1/61 (2%)
Deaths: 0/61

Serious adverse events (13 terms)

ReactionSystemPart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Long-Term Extension: 5 mg …Long-Term Extension: 10 mg…Long-Term Extension: 30 mg…
Cholecystitis acuteHepatobiliary disorders
PneumoniaInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Foot fractureInjury, poisoning and procedural complications
Hand fractureInjury, poisoning and procedural complications
Joint dislocationInjury, poisoning and procedural complications
Multiple injuriesInjury, poisoning and procedural complications
Patella fractureInjury, poisoning and procedural complications
Pubis fractureInjury, poisoning and procedural complications
Wrist fractureInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
NephrolithiasisRenal and urinary disorders
Venous thrombosisVascular disorders
Other adverse events (22 terms — click to expand)

ReactionSystemPart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Long-Term Extension: 5 mg …Long-Term Extension: 10 mg…Long-Term Extension: 30 mg…
NasopharyngitisInfections and infestations
FatigueGeneral disorders
Urinary tract infectionInfections and infestations
Rheumatoid arthritisMusculoskeletal and connective tissue disorders
BronchitisInfections and infestations
PharyngitisInfections and infestations
DiarrhoeaGastrointestinal disorders
SinusitisInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
NauseaGastrointestinal disorders
Non-cardiac chest painGeneral disorders
LaryngitisInfections and infestations
HypertriglyceridaemiaMetabolism and nutrition disorders
OsteopeniaMusculoskeletal and connective tissue disorders
Carotid artery aneurysmNervous system disorders
DizzinessNervous system disorders
Benign prostatic hyperplasiaReproductive system and breast disorders
Erectile dysfunctionReproductive system and breast disorders

Most-reported serious reactions: Cholecystitis acute, Pneumonia, Ankle fracture, Foot fracture, Hand fracture, Joint dislocation, Multiple injuries, Patella fracture.

Data from ClinicalTrials.gov NCT02628028 adverse events section.

Sponsor's own description

The main purpose of this study is to evaluate the safety and effectiveness of LY3337641 in adults with rheumatoid arthritis (RA).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Small Molecule NF-κB Pathway Inhibitors in Clinic.
    Ramadass V, Vaiyapuri T, Tergaonkar V. · · 2020 · cited 154× · PMID 32708302 · DOI 10.3390/ijms21145164
  2. Bruton's Tyrosine Kinase (BTK) Inhibitors and Autoimmune Diseases: Making Sense of BTK Inhibitor Specificity Profiles and Recent Clinical Trial Successes and Failures.
    Ringheim GE, Wampole M, Oberoi K. · · 2021 · cited 100× · PMID 34803999 · DOI 10.3389/fimmu.2021.662223
  3. Bruton's Kinase Inhibitors for the Treatment of Immunological Diseases: Current Status and Perspectives.
    Robak E, Robak T. · · 2022 · cited 45× · PMID 35628931 · DOI 10.3390/jcm11102807
  4. Recent Advances in BTK Inhibitors for the Treatment of Inflammatory and Autoimmune Diseases.
    Zhang D, Gong H, Meng F. · · 2021 · cited 45× · PMID 34443496 · DOI 10.3390/molecules26164907
  5. Bruton's Tyrosine Kinase Inhibition as an Emerging Therapy in Systemic Autoimmune Disease.
    Neys SFH, Rip J, Hendriks RW, Corneth OBJ. · · 2021 · cited 41× · PMID 34609725 · DOI 10.1007/s40265-021-01592-0
  6. Recent developments in systemic lupus erythematosus pathogenesis and applications for therapy.
    Lo MS, Tsokos GC. · · 2018 · cited 31× · PMID 29206660 · DOI 10.1097/bor.0000000000000474
  7. Safety and Efficacy of Poseltinib, Bruton's Tyrosine Kinase Inhibitor, in Patients With Rheumatoid Arthritis: A Randomized, Double-blind, Placebo-controlled, 2-part Phase II Study.
    Genovese MC, Spindler A, Sagawa A, Park W, et al · · 2021 · cited 13× · PMID 33323529 · DOI 10.3899/jrheum.200893
  8. Target modulation and pharmacokinetics/pharmacodynamics translation of the BTK inhibitor poseltinib for model-informed phase II dose selection.
    Byun JY, Koh YT, Jang SY, Witcher JW, et al · · 2021 · cited 5× · PMID 34548595 · DOI 10.1038/s41598-021-98255-7

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Other trials of LY3337641

Trials testing the same drug.

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Trials by the same sponsor.

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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/NCT02628028.

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