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LX3305

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Lexicon Pharmaceuticals, Inc.|Last Updated: Aug 2, 2012

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment233
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00903383Study of LX3305 in Subjects With Active Rheumatoid Arthritis on Stable MethotrexatePHASE2 COMPLETED 208Jul 1, 2009 -Dec 15, 201138 United States, Bulgaria +4
NCT01417052A Study to Determine the Safety and Efficacy of LX3305 in Subjects With Active Rheumatoid ArthritisPHASE1 COMPLETED 10Sep 1, 2011Jun 1, 2012Aug 2, 20121 United States
NCT00847886Study of LX3305 and Methotrexate in Subjects With Stable Rheumatoid ArthritisPHASE1 COMPLETED 15Feb 1, 2009Mar 1, 2009Jun 3, 20101 United States
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Study Endpoints
Primary Endpoints
ACR20 Response at Week 12
Baseline and 12 weeks

Evaluates the efficacy of LX3305 by utilizing the American College of Rheumatology 20% response criteria (ACR20) at 12 weeks in subjects with active RA also receiving stable doses of MTX. For a response of ACR20, there had to be ≥20% improvement in swollen joint count, ≥20% improvement in painful/tender joint count, and ≥20% improvement in at least 3 of the following: subject's assessment of pain, global assessment of disease activity, assessment of physical function, or acute phase reactant (C-reactive protein or erythrocyte sedimentation rate).

Number of subjects experiencing an adverse event (AE)
14 weeks
Methotrexate Maximum Plasma Concentration
Day 15
Time to Reach Maximum Plasma Concentration of Methotrexate
Day 15
Half-life of Methotrexate in Plasma
Day 15
Amount of Methotrexate Excreted in the Urine
Day 15
7-Hydroxymethotrexate (7-OH-MTX) Maximum Plasma Concentration
Day 15

7-OH-MTX is the primary metabolite of methotrexate.

Time to Reach Maximum Plasma Concentration of 7-OH-MTX
Day 15
Amount of 7-OH-MTX Excreted in the Urine
Day 15
Secondary Endpoints
ACR50 Response at Week 12
Baseline and 12 weeks
ACR70 Response at Week 12
Baseline and 12 weeks
Hybrid ACR Response at Week 12
Baseline and 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Low DoseEXPERIMENTALA low dose of LX3305; daily oral intake for 12 weeks
Mid DoseEXPERIMENTALA mid dose of LX3305; daily oral intake for 12 weeks
High DoseEXPERIMENTALA high dose of LX3305; daily oral intake for 12 weeks
PlaceboPLACEBO_COMPARATORMatching placebo dosing with daily oral intake for 12 weeks
50 mg LX3305 QDEXPERIMENTAL -
100 mg LX3305 QDEXPERIMENTAL -
150 mg LX3305 QDEXPERIMENTAL -
200 mg LX3305 QDEXPERIMENTAL -
250 mg LX3305 QDEXPERIMENTAL -
300 mg LX3305 QDEXPERIMENTAL -
400 mg LX3305 QDEXPERIMENTAL -
250 mg LX3305 BIDEXPERIMENTAL -
500 mg LX3305 QDEXPERIMENTAL -
LX3305EXPERIMENTALDaily oral intake of LX3305 for 14 days.
LX3305 PlaceboPLACEBO_COMPARATORMatching placebo dosing with daily oral intake for 14 days.
Interventions
NameTypeDescription
LX3305 low doseDRUGA low dose of LX3305; daily oral intake for 12 weeks
LX3305 mid doseDRUGA mid dose of LX3305; daily oral intake for 12 weeks
LX3305 high doseDRUGA high dose of LX3305; daily oral intake for 12 weeks
PlaceboDRUGMatching placebo dosing with daily oral intake for 12 weeks
50 mg LX3305 QDDRUG50 mg LX3305 once daily in capsule form
100 mg LX3305 QDDRUG100 mg LX3305 once daily in capsule form
150 mg LX3305 QDDRUG150 mg LX3305 once daily in capsule form
200 mg LX3305 QDDRUG200 mg LX3305 once daily in capsule form
250 mg LX3305 QDDRUG250 mg LX3305 once daily in capsule form
300 mg LX3305 QDDRUG300 mg LX3305 once daily in capsule form
400 mg LX3305 QDDRUG400 mg LX3305 once daily in capsule form
250 mg LX3305 BIDDRUG250 mg LX3305 twice daily in capsule form
500 mg LX3305 QDDRUG500 mg LX3305 once daily in capsule form
LX3305DRUGDaily oral intake of LX3305 for 14 days.
LX3305 PlaceboDRUGMatching placebo dosing with daily oral intake for 14 days.
MethotrexateDRUGOnce weekly stable-dose methotrexate.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Males and females aged 18-75 years old * Rheumatoid arthritis present for at least 6 months, functional class I, II, or III as defined by ACR criteria * Active disease as determined by the presence of ≥6 swollen joints, ≥6 tender joints, and serum C-reactive protein level \> u...

Countries:United StatesBulgariaCzechiaHungaryPolandSerbia
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