Targeted treatment with lutikizumab and ravagalimab for rheumatoid arthritis
A Phase 2, Multicenter, Platform Study of Targeted Therapies for the Treatment of Adult Subjects With Moderately to Severely Active Rheumatoid Arthritis
This Phase 2 trial will test whether lutikizumab, ravagalimab, or their combination reduce symptoms in people with moderately to severely active rheumatoid arthritis who have failed 1–2 prior biologic or targeted therapies.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 180 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | AbbVie Industry-sponsored |
| Drugs / interventions | methotrexate, prednisone, lutikizumab, ravagalimab |
| Locations | 71 sites (Peoria, Arizona and 70 other locations) |
| Trial ID | NCT06972446 on ClinicalTrials.gov |
What this trial studies
This Phase 2, randomized, placebo-controlled program includes three substudies testing lutikizumab alone, ravagalimab alone, and the two drugs combined in participants with moderately to severely active rheumatoid arthritis who have had an inadequate response to 1–2 prior biologic/targeted synthetic DMARDs. Approximately 180 participants will be enrolled across about 65 sites worldwide and will remain on stable methotrexate while receiving study treatment or placebo. Each substudy compares the active drug(s) to placebo to measure safety and efficacy endpoints over the treatment period. The protocol excludes people with other inflammatory joint diseases or childhood-onset arthritis and may require frequent clinic visits and monitoring.
Who should consider this trial
Good fit: Adults with moderately to severely active RA who have failed 1–2 prior b/tsDMARDs and are on a stable dose of methotrexate would be the ideal candidates.
Not a fit: Patients who have not tried at least one biologic/targeted therapy, who have other inflammatory joint diseases or childhood-onset arthritis, or who cannot maintain stable concomitant medications are unlikely to qualify or benefit.
Why it matters
Potential benefit: If successful, these targeted therapies could provide an additional treatment option for patients with RA who did not respond to prior biologic or targeted medications.
How similar studies have performed: Other targeted biologic and small-molecule therapies (for example TNF, IL-6, and JAK inhibitors) have improved RA, but lutikizumab and ravagalimab use different mechanisms and have limited prior clinical data in RA.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * At any time prior to the Screening Visit, participant must have been treated for \> or = 3 months with at least 1 b/tsDMARD therapy but continued to exhibit active RA, or had to discontinue due to intolerability or toxicity, irrespective of treatment duration. The maximum cap for prior use of b/tsDMARD is 2. * Participant must be on a stable dose of methotrexate (MTX) Exclusion Criteria: * Participant is taking nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen/paracetamol, low-potency opioids (tramadol, codeine, hydrocodone, alone or in combination with acetaminophen), oral corticosteroids (equivalent to ≤ 10 mg/day of prednisone), or inhaled corticosteroids for stable medical conditions unless they have been on stable doses for ≥ 1 week prior to Baseline Visit. * History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than rheumatoid arthritis.
Where this trial is running
Peoria, Arizona and 70 other locations
- Sun Valley Arthritis Center /ID# 278331 — Peoria, Arizona, United States (Recruiting)
- Private Practice - Dr. David S. Hallegua /ID# 277608 — Beverly Hills, California, United States (Recruiting)
- Advanced Clinical Research Center, LLC dba TriWest Research Associates /ID# 277826 — Chula Vista, California, United States (Recruiting)
- Newport Huntington Medical Group /ID# 272439 — Huntington Beach, California, United States (Recruiting)
- Cohen Medical Centers /ID# 278341 — Thousand Oaks, California, United States (Recruiting)
- The Lundquist Institute /ID# 272481 — Torrance, California, United States (Recruiting)
- Inland Rheumatology & Osteoporosis Medical Group /ID# 272449 — Upland, California, United States (Recruiting)
- Tekton Research - Fort Collins - East Harmony Road /ID# 272472 — Fort Collins, Colorado, United States (Recruiting)
- Highlands Advanced Rheumatology And Arthritis Center - Avon Park /ID# 272298 — Avon Park, Florida, United States (Recruiting)
- Clinical Research Of West Florida - Phase I Unit /ID# 272428 — Clearwater, Florida, United States (Recruiting)
- Neoclinical Research - Hialeah /ID# 272070 — Hialeah, Florida, United States (Recruiting)
- South Florida Rheumatology /ID# 278339 — Hollywood, Florida, United States (Recruiting)
- Swati Shah, MD Rheumatology /ID# 273624 — Jacksonville, Florida, United States (Recruiting)
- Life Clinical Trials /ID# 272589 — Margate, Florida, United States (Recruiting)
- HMD Research LLC /ID# 272432 — Orlando, Florida, United States (Recruiting)
- Clinical Research Of West Florida - Tampa - North Howard Avenue /ID# 272755 — Tampa, Florida, United States (Recruiting)
- Northwestern Medicine - Northwestern Memorial Hospital /ID# 275422 — Chicago, Illinois, United States (Recruiting)
- Deerbrook Medical Associates /ID# 273439 — Libertyville, Illinois, United States (Recruiting)
- Advanced Quality Medical Research /ID# 277824 — Orland Park, Illinois, United States (Recruiting)
- Willow Rheumatology and Wellness, PLLC /ID# 272691 — Willowbrook, Illinois, United States (Recruiting)
- Accurate Clinical Research (SMO/Network/Consortium) /ID# 272650 — Lake Charles, Louisiana, United States (Recruiting)
- AA Medical Research Center - Grand Blanc /ID# 272496 — Grand Blanc, Michigan, United States (Recruiting)
- Albuquerque Center For Rheumatology /ID# 272301 — Albuquerque, New Mexico, United States (Recruiting)
- Joint And Muscle Research Institute /ID# 277290 — Charlotte, North Carolina, United States (Recruiting)
- DJL Clinical Research, PLLC /ID# 272387 — Charlotte, North Carolina, United States (Recruiting)
- Paramount Medical Research and Consulting /ID# 272474 — Middleburg Heights, Ohio, United States (Recruiting)
- Altoona Center For Clinical Research /ID# 272479 — Duncansville, Pennsylvania, United States (Recruiting)
- Low Country Rheumatology /ID# 277607 — Summerville, South Carolina, United States (Recruiting)
- West Tennessee Research Institute /ID# 272453 — Jackson, Tennessee, United States (Recruiting)
- Arthritis & Rheumatology Research Institute /ID# 272299 — Allen, Texas, United States (Recruiting)
- Tekton Research - West Gate /ID# 272270 — Austin, Texas, United States (Recruiting)
- Trinity Universal Research Associates - Carrollton /ID# 272577 — Carrollton, Texas, United States (Recruiting)
- Arthritis Care Of Texas /ID# 277961 — Corpus Christi, Texas, United States (Recruiting)
- Accurate Clinical Research - Houston /ID# 272271 — Houston, Texas, United States (Recruiting)
- Private Practice - Dr. Laila A. Hassan /ID# 272297 — Houston, Texas, United States (Recruiting)
- Southwest Rheumatology Research /ID# 272268 — Mesquite, Texas, United States (Recruiting)
- Texas Rheumatology Research Institute Llc /Id# 278010 — Plano, Texas, United States (Recruiting)
- Epic Medical Research /ID# 272656 — Red Oak, Texas, United States (Recruiting)
- DM Clinical Research - Tomball /ID# 272452 — Tomball, Texas, United States (Recruiting)
- Care Clinic - Calgary /ID# 274405 — Calgary, Alberta, Canada (Recruiting)
- Dr. Latha Naik Medical Professional Corporation /ID# 274403 — Saskatoon, Saskatchewan, Canada (Recruiting)
- L.K.N. Arthrocentrum /ID# 271932 — Hlučín, Moravian-Silesian Region, Czechia (Recruiting)
- MEDICAL PLUS Research s.r.o /ID# 271926 — Uherské Hradiště, Czechia (Recruiting)
- PV Medical Services s.r.o. /ID# 271934 — Zlín, Czechia (Recruiting)
- Rheumateam Lahn-Dill-Siegerland /ID# 274858 — Wetzlar, Hesse, Germany (Recruiting)
- Universitaetsklinikum Bonn /ID# 272808 — Bonn, North Rhine-Westphalia, Germany (Recruiting)
- Krankenhaus Porz Am Rhein /ID# 272903 — Cologne, North Rhine-Westphalia, Germany (Recruiting)
- MVZ Rheumatologie und Autoimmunmedizin in Hamburg /ID# 272795 — Hamburg, Germany (Recruiting)
- Complex Rendelo Med Zrt. /ID# 272859 — Székesfehérvár, Fejér, Hungary (Recruiting)
- Vital-Medicina Kft. /ID# 272858 — Veszprém, Fejér, Hungary (Recruiting)
+21 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Abbvie Call Center
- Email: abbvieclinicaltrials@abbvie.com
- Phone: 844-663-3742
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.