A Phase 1b, Randomized, Placebo-controlled, Multi-center Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Imvotamab in Participants with Moderate to Severe Rheumatoid Arthritis who have Failed Prior Therapies

Primary Objective

The purpose of this study is to test different doses of the study drug, Imvotamab, to see if it is safe and can be tolerated to treat people with moderate to severe rheumatoid arthritis (RA). Imvotamab is a new type of antibody, which is a protein made in the laboratory. Antibodies are a part of the immune system that identify and attach to specific foreign things like bacteria or viruses. In this case, imvotamab targets two different cell types. One of these targets is CD20, found on the surface of the cells that trigger the body to think that the tissues are foreign (B cells). The other target is CD3, which is present on a different group of immune cells (T cells). Imvotamab brings these two cell types together and allows the immune cells in your body to kill the B cells. Lowering the number of B cells in the body may reduce the severity of RA.

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Description

Screening period (6 weeks): During this period, you will have screening tests and procedures done to see if you meet the requirements to be in this research study. The initial screening tests are planned to be done on a single day and may take a total of approximately 2-4 hours. Study Treatment Period (4 weeks): This study will use a drug called Imvotamab. If you are eligible to enter the study, you will enter the Study Treatment period and will be randomly assigned to receive either the study drug (Imvotamab) or placebo. The study drug or placebo will be given once a week for four weeks and given through a vein (also called intravenous [IV] administration). Safety Follow Up Period (48 weeks): There will be six follow up visits at approximately 5, 6, 12, 24, 36, and 52 weeks after your first dose of study drug or placebo. You will be asked to return to the clinic for these visits to perform safety assessments. The study team will determine how you are doing, and you will be asked if you have started any new therapies. These visits will continue until the end of the study, or until you withdraw consent.

Details
Age
Adult
Eligibility
To be eligible for this study a participant must meet all the following criteria: - Age 18 years or older - Diagnosis of moderate to severe rheumatoid arthritis (RA) that is not well managed by current medications - Have tried and failed to respond to medications for the treatment of RA - Have swollen and/or tender joints - Up-to-date on COVID-19 vaccinations according to the CDC's recommendations for immunocompromised individuals- Have tried and failed to respond to at least 2 biologic or targeted synthetic disease-modifying antirheumatic drugs (DMARDs) for the treatment of RA, which includes but is not limited to Humira, Enbrel, Simponi, Remicade, Actemra, Kevzara, Orencia, Rituxan, Xeljanz, and Rinvoq
Locations

Barbara Davis Center
Cherry Creek Medical Center
CTRC Inpatient
University of Colorado Hospital

Principal Investigator
Photograph of Larry Moreland

Larry Moreland

Study ID

Protocol Number: 23-1290

More information available at ClinicalTrials.gov: NCT06087406

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