Method for treating joint damage

a joint damage and joint technology, applied in the field of joint damage treatment, can solve the problems of joint damage and damag, poor long-term prognosis of ra, and loss of daily function, and achieve the effect of reducing joint damag

a joint damage and joint technology, applied in the field of joint damage treatment, can solve the problems of joint damage and damag, poor long-term prognosis of ra, and loss of daily function, and achieve the effect of reducing joint damag

US20090238762A1Inactive Publication Date: 2009-09-24F HOFFMANN LA ROCHE & CO AG +2

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  • Method for treating joint damage
  • Method for treating joint damage
  • Method for treating joint damage

Examples

Experimental program
Comparison scheme
Effect test

example 1

Efficacy and Safety of Rituximab in Patients with an Inadequate Response or Lack of Tolerance to Prior Anti-TNF Therapy

[0351]This is a Phase III randomized, double-blind, parallel-group multicenter clinical trial, called: Randomised Evaluation oFLong-term Efficacy of Rituximab in RA (REFLEX). The study design is shown in FIG. 1.

The objectives of this study were:[0352]To determine the efficacy and safety of rituximab when used in combination with methotrexate (MTX) in 517 patients with active rheumatoid arthritis who have an inadequate response to one or more anti-TNF therapies.[0353]To explore the pharmacokinetics and pharmacodynamics of rituximab in this patient population (e.g. extent of duration of B-cell depletion and effects on immunoglobulins and rheumatoid factor).

The outcomes of this study were:[0354]Primary endpoint[0355]The proportion of patients with an ACR20 response at Week 24.[0356]Secondary Endpoints[0357]Proportion of patients with ACR50 and ACR70 responses at Week 2...

example 2

Rituximab in RA: Phase III Program

[0417]An important outcome to assess in RA includes the inhibition of progression of structural joint damage and the improvement in physical function. This outcome is particularly important for patients who have recently been diagnosed with RA, since early impact on these has potentially higher long-term benefit. Genovese et al., Arthritis Rheum. 46: 1443-1450 (2002). A population of early RA patients would therefore be an appropriate population to study for these important outcomes.

[0418]With regard to a suitable control treatment for these patients, the current gold standard therapy for early RA is MTX. Consequently, selecting a population of MTX-naïve patients and comparing rituximab plus MTX to MTX alone provides a comparison of this new treatment approach against the current gold standard for these patients.

[0419]This study is a randomized Phase III controlled soluble-blind, parallel-group multicenter study to evaluate the safety and efficacy o...

example 3

Study of Efficacy of Retreatment with Rituximab in Patients with Rheumatoid Arthritis

[0579]This example describes a phase III randomized double-blind, placebo-controlled multicenter study of retreatment with rituximab in subjects with RA receiving background methotrexate.

[0580]The primary objective of this study is to evaluate the efficacy of retreatment with rituximab in subjects with active RA who are receiving MTX and who have had an inadequate response to TNF inhibitors.

[0581]The secondary objectives of this study are as follows:[0582]To evaluate the safety of retreatment with rituximab in subjects with active RA who are receiving MTX and who have had an inadequate response to TNF inhibitors[0583]To evaluate the safety of rituximab in subjects with active RA who are receiving MTX and who have had an inadequate response to TNF inhibitors

[0584]This is a Phase III, randomized, double-blind, placebo-controlled, multicenter study evaluating the efficacy of retreatment with rituximab ...

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Abstract

Methods of treating joint damage in a subject eligible for treatment are provided involving administering an antagonist that binds to a B-cell surface marker, such as CD20 antibody, to the subject in an amount effective to slow progression of the joint damage as measured by radiography. Further provided are articles of manufacture useful for such methods.

Description

CROSS REFERENCE TO RELATED APPLICATIONS[0001]This application is a National Stage application filed under 35 USC § 371 of PCT Application No. PCT / US2006 / 044290, filed Nov. 14, 2006, which claims the benefit of priority under 35 U.S.C. §119(e) of provisional application Nos. 60 / 864,463, filed Nov. 6, 2006, and 60 / 737,291, filed Nov. 15, 2005. The contents of each application listed in this paragraph are fully incorporated by reference herein.FIELD OF THE INVENTION[0002]The present invention concerns methods for treating joint damage in subjects suffering therefrom.BACKGROUND OF THE INVENTIONJoint Destruction and Damage[0003]Inflammatory arthritis is a prominent clinical manifestation in diverse autoimmune disorders including rheumatoid arthritis (RA), psoriatic arthritis (PsA), systemic lupus erythematosus (SLE), Sjögren's syndrome and polymyositis. Most of these patients develop joint deformities on physical examination but typically only RA and PsA patients manifest bone erosions o...

Claims

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Application Information

Patent Timeline
24 Sep 2009
Publication
US20090238762A1
IPC
A61K39/395; A61P19/02; A61P37/00; A61B10/00
CPC
A61K2039/505; C07K16/2896; C07K2317/565; C07K2317/56; C07K2317/24; A61K47/6849; A61P1/04; A61P17/06
Inventors
TOTORITIS, MARK; SHAW, TIMOTHY MARK