75 Participants Needed

GS-0151 for Rheumatoid Arthritis

Recruiting at 17 trial locations
GC
Overseen ByGilead Clinical Study Information Center
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Gilead Sciences
Must be taking: Methotrexate, Hydroxychloroquine, Sulfasalazine, Leflunomide

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines a new drug, GS-0151, to determine its safety and tolerability for people with rheumatoid arthritis (RA). Researchers aim to understand how the body processes this drug at different doses. Participants will receive either one of several doses of GS-0151 or a placebo (a substance with no active drug) to compare effects. The study seeks individuals with RA who are not currently using certain biologic treatments and experience consistent RA symptoms. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new drug.

Will I have to stop taking my current medications?

You may need to stop taking certain medications before joining the trial. You must stop biologic drugs at least 4 weeks before starting, except for B cell-depleting agents, which require a 6-month break. However, you can continue taking some conventional drugs like methotrexate, hydroxychloroquine, sulfasalazine, or leflunomide if they are stable.

Is there any evidence suggesting that GS-0151 is likely to be safe for humans?

Research has shown that GS-0151 is being tested for safety in people with rheumatoid arthritis. As GS-0151 is in Phase 1 trials, information about its safety in humans remains limited. In this phase, researchers first test a treatment in people, focusing primarily on safety. Some side effects may occur, but the main goal is to determine if GS-0151 is safe enough for further testing. More detailed safety information will emerge as the study progresses.12345

Why do researchers think this study treatment might be promising for rheumatoid arthritis?

Unlike the standard of care for rheumatoid arthritis, which often includes drugs like methotrexate and biologics that target the immune system broadly, GS-0151 offers a fresh approach. Researchers are excited about GS-0151 because it may have a unique mechanism of action that targets specific pathways involved in inflammation, potentially leading to more effective and faster relief with fewer side effects. This precision targeting could represent a significant advancement in how we treat rheumatoid arthritis, offering hope for patients who haven't responded well to existing therapies.

What evidence suggests that GS-0151 might be an effective treatment for rheumatoid arthritis?

Research on GS-0151 for rheumatoid arthritis (RA) remains in the early stages. This trial will evaluate different doses of GS-0151, with participants randomized to receive either Dose A, Dose B, Dose C, or a placebo. Direct evidence of its effectiveness for RA is not yet available. However, researchers are studying the drug because it might help reduce inflammation, a major issue in RA. Early lab studies showed that GS-0151 affects pathways related to inflammation. Although it is too soon to determine its effectiveness in people, these early signs offer researchers hope about its potential.12456

Who Is on the Research Team?

GS

Gilead Study Director

Principal Investigator

Gilead Sciences

Are You a Good Fit for This Trial?

This trial is for people with rheumatoid arthritis who are taking certain medications like methotrexate, leflunomide, sulfasalazine, hydroxychloroquine or low-dose corticosteroids. They must not be on strong painkillers or biologic disease-modifying drugs recently and should have at least 6 tender joints.

Inclusion Criteria

Individuals must meet all of the following cohort-specific inclusion criteria, in addition to meeting the inclusion criteria for all individuals, to be eligible for participation in Part B: Moderately to severely active RA defined by the following: 6 or more tender joints on the tender joint count based on 68 joints (TJC68), AND 6 or more swollen joints on the swollen joint count based on 66 joints (SJC66). The distal interphalangeal joints should be evaluated but not included in the total count to determine eligibility. Have a hsCRP ≥ ULN. Inadequate response or intolerance to at least 1 but no more than 3 b/tsDMARDs with no more than 2 mechanisms of action. A lack of response is defined as documented continued or recurrent disease activity after at least 12 weeks of treatment of RA. Intolerance is defined as any documented adverse effect associated with a b/tsDMARD used according to its respective label. Anti-cyclic citrullinated peptide antibody (Anti-CCP) positive and/or rheumatoid factor (RF) positive
I haven't taken any biologic arthritis drugs for 4 weeks, or B cell-depleting drugs for 6 months.
I have been on 1 or 2 approved arthritis drugs for over 12 weeks.
See 3 more

Exclusion Criteria

History of opportunistic infection or immunodeficiency syndrome that would put the individual at risk, as per investigator's judgment
I have had an organ or bone marrow transplant.
I have not received a live vaccine within 4 weeks before starting the study.
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive multiple ascending doses of GS-0151 or placebo for up to 12 weeks

12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • GS-0151
Trial Overview The study tests GS-0151's safety and how the body processes it when given multiple times to participants with RA. It compares GS-0151 against a placebo (a substance with no active drug) to see if there's any improvement in their condition.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Placebo Group
Group I: Part B: Cohort 3 (GS-0151 Dose C)Experimental Treatment1 Intervention
Group II: Part A: Cohort 2 (GS-0151 Dose B)Experimental Treatment1 Intervention
Group III: Part A: Cohort 1 (GS-0151 Dose A)Experimental Treatment1 Intervention
Group IV: Part A: Cohort 1 (Placebo)Placebo Group1 Intervention
Group V: Part A: Cohort 2 (Placebo)Placebo Group1 Intervention
Group VI: Part B: Cohort 3 (Placebo)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Gilead Sciences

Lead Sponsor

Trials
1,150
Recruited
878,000+
Daniel O'Day profile image

Daniel O'Day

Gilead Sciences

Chief Executive Officer since 2019

MBA from Columbia University

Dietmar Berger profile image

Dietmar Berger

Gilead Sciences

Chief Medical Officer

MD and PhD from Albert-Ludwigs University School of Medicine

Citations

Study of GS-0151 in Participants With Rheumatoid ArthritisThe goal of this clinical study is to learn more about the study drug GS-0151. The study is done to find how safe, well-tolerated the drug is.
Study of GS-0151 in Participants With Rheumatoid ArthritisThe primary objectives of this study is to assess the safety and tolerability of multiple ascending doses of GS-0151 in participants with RA and ...
GS-0151 by Gilead Sciences for Rheumatoid ArthritisAccording to GlobalData, Phase I drugs for Rheumatoid Arthritis have a 69% phase transition success rate (PTSR) indication benchmark for ...
Rheumatoid Arthritis clinical trials at University of California ...The goal of this clinical study is to learn more about the study drug GS-0151. The study is done to find how safe, well-tolerated the drug is.
GS-0151 for Rheumatoid ArthritisThe primary objectives of this study is to assess the safety and tolerability of multiple ascending doses of GS-0151 in participants with RA and to characterize ...
GS-0151 | Advanced Drug Monograph - MedPathGS-0151 is an investigational therapeutic antibody currently in Phase I clinical development for the treatment of Rheumatoid Arthritis (RA).
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