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Namilumab

Phase 2

Plaque Psoriasis | Small molecule | Dermatology |Takeda Pharmaceutical Company Limited|Last Updated: Sep 14, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment122

FDA Designations

No designations recorded

Clinical trial landscape

Namilumab · 3 trials · 2 indications

Phase 2 2Phase 1 1
NCT02379091Dose Finding Study of Namilumab in Combination With Methotrexate in Participants With Moderate to Severe Rheumatoid Arthritis (RA)Rheumatoid Arthritis
COMPLETED108 Analytics
NCT02129777Efficacy and Safety of Namilumab (MT203) for Plaque PsoriasisPlaque Psoriasis
COMPLETED122 Analytics
PHASE2COMPLETED
Dose Finding Study of Namilumab in Combination With Methotrexate in Participants With Moderate to Severe Rheumatoid Arthritis (RA)
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Namilumab (MT203) for Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28-CRP) at Week 12
Baseline and Week 12

The DAS28-CRP score is a measure of the participant's disease activity calculated using the tender joint count (TJC) \[28 joints\], swollen joint count (SJC) \[28 joints\], general health: patient's global assessment of disease activity \[visual analog scale: 0=no disease activity to 100=maximum disease activity\] and acute phase response: C-Reactive Protein (CRP) for a total possible score of 0 (best) to approximately 10 (worst). Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. A negative change from Baseline indicates improvement. A mixed model repeated measures (MMRM) model with main effects for study site, treatment, visit, and previously failed medication with interactions between visit and treatment, visit and previously failed medication, and visit and baseline value as a covariate and participant as a random effect with an unstructured covariance structure was used for analysis.

Percentage of Participants Achieving 75 Percent Reduction From Baseline Psoriasis Area and Severity Index (PASI) Score (PASI75 Response) at Week 12
Week 12

PASI is an assessment of psoriasis lesion severity and affected body area combined into single score. The body was divided into 4 sections: head (h), trunk (t), upper (u) and lower (l) extremities. For each section, percent body surface area (A) involved was estimated: 0= No involvement to 6= 90-100 percent (%). Severity was estimated by clinical signs: erythema (E), induration (I), and desquamation (D); scale: 0= no symptoms to 4= very marked. Final PASI = 0.1(Eh + Ih + Dh)Ah + 0.3(Et + It + Dt)At + 0.2(Eu + Iu + Du)Au + 0.4(El + Il + Dl)Al where head: 0.1, upper extremities (arms): 0.2, trunk: 0.3, lower extremities (legs): 0.4 (corresponding to approximately 10%, 20%, 30%, and 40% of body surface area, respectively); total possible score range: 0= no disease to 72= maximal disease. Participants showing at least 75% reduction in PASI score relative to baseline PASI Score are reported.

Number of Participants With Clinically Significant Clinical Laboratory Results
From Day 1 Up to Day 118

Blood was collected for Haematology, Chemistry and Coagulation. Urine was collected for Urinalysis. Alert values for laboratory results include the following: Aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT), gamma-glutamyl-transpeptidase (GGT), alkaline phosphatase (AP), total bilirubin (TBil): \> 3 times upper limit of normal (ULN). Creatinine and Glucose: \> 2 times ULN. Potassium \> 6.0 or \< 3.0 mmol/L. Haemoglobin: Male \< 8.0 ;Female \< 7.0 g/dL. Erythrocytes :Male \< 3.5 x 10\^12/L or \> 7 x 10\^12/L;Female \< 3.0 x 10\^12/L or \> 6.5 x 10\^12/L. White Blood Cells (WBC): \< 2.8 x10\^9/L or \> 16.0 x 10\^9/L. Eosinophils \> 20 % of cells in the WBC differential. Platelet Count \< 75 x 10\^9/L or 600 x 10\^9/L. No alert values were identified for Coagulation or Urinalysis.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Findings
From Day 1 Up to Day 118

Alert values for ECG were: Heart rate \< 35 bpm or \> 120 bpm, QTc acc. to Bazett (absolute value)\> 500 ms or QTc acc. to Bazett (increase versus Baseline (pre-treatment).

Number of Participants With Clinically Significant Vital Signs
From Day 1 Up to Day 118

Vital signs included Systolic Blood Pressure (BP), Diastolic BP, body temperature, heart rate. Alert values were: BP systolic \> 170 mmHg or \< 85 mmHg, BP diastolic \> 105 mmHg, Difference BP systolic vs. Baseline (pre-treatment) \> 40 mmHg or Pulse rate \< 35 bpm or \> 120 beats per minute (bpm).

Number of Participants With Clinically Significant Pulmonary Function Tests
From Day 1 Up to Day 118

Pulmonary function was determined by forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and peak flow.

Number of Participants With Clinically Significant Physical Examination Findings
From Day 1 Up to Day 118

The physical examination included body system assessments: eyes, head and neck (including thyroid), ears, nose and throat, lymph nodes, cardiovascular, lungs, mammae, abdomen (liver, spleen), genitals, limbs, central and peripheral nervous system, musculoskeletal system, skin \& nails, mucosae. The Investigator classified abnormal findings as either clinically significant or not clinically significant.

Number of Participants Reporting One or More Treatment Emergent Adverse Events
From Day 1 Up to Day 118

An Adverse Event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.

Secondary Endpoints

Percentage of Participants Achieving American College of Rheumatology 20% (ACR20), 50% (ACR 50) and 70% (ACR70) Response at Weeks 12 and 24
Baseline and Weeks 12 and 24
ACR Numeric (N) Index (ACRn) at Week 12
Baseline and Week 12
ACR Numeric (N) Index (ACRn) at Week 24
Baseline and Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORNamilumab placebo-matching, SC injection, once on Days 1, 15, 43, 71 and every 4 weeks for 12 weeks. Participants were assessed for response (a 20% improvement from Baseline in both swollen and tender joint counts). If the participant was a responder, the current treatment continued every 4 weeks up to Week 24. If the participant was a non-responder, the participant entered an open-label period and received namilumab 150 mg/mL, SC injection, every 4 Weeks up to Week 24. All participants were on a stable dose of methotrexate tablets (15-25 mg weekly) and folic acid (at least 5 mg/week) orally throughout the duration of the study.
Namilumab 20 mg/mLEXPERIMENTALNamilumab 20 mg/mL, subcutaneous (SC) injection, once on Days 1, 15, 43, 71 and every 4 weeks for 12 Weeks. Participants were assessed for response (a 20% improvement from Baseline in both swollen and tender joint counts). If the participant was a responder, the current treatment continued every 4 weeks up to Week 24. If the participant was a non-responder, the participant entered an open-label period and received namilumab 150 mg/mL, SC injection, every 4 Weeks up to Week 24. All participants were on a stable dose of methotrexate tablets (15-25 mg weekly) and folic acid (at least 5 mg/week) orally throughout the duration of the study.
Namilumab 80 mg/mLEXPERIMENTALNamilumab 80 mg/mL, SC injection, once on Days 1, 15, 43, 71 and every 4 weeks for 12 Weeks. Participants were assessed for response (a 20% improvement from Baseline in both swollen and tender joint counts). If the participant was a responder, the current treatment continued every 4 weeks up to Week 24. If the participant was a non-responder, the participant entered an open-label period and received namilumab 150 mg/mL, SC injection, every 4 Weeks up to Week 24. All participants were on a stable dose of methotrexate tablets (15-25 mg weekly) and folic acid (at least 5 mg/week) orally throughout the duration of the study.
Namilumab 150 mg/mLEXPERIMENTALNamilumab 150 mg/mL, SC injection, once on Days 1, 15, 43, 71 and every 4 weeks for 12 Weeks. Participants were assessed for response (a 20% improvement from Baseline in both swollen and tender joint counts). If the participant was a responder, the current treatment continued every 4 weeks up to Week 24. If the participant was a non-responder, the participant was discontinued from the study. All participants were on a stable dose of methotrexate tablets (15-25 mg weekly) and folic acid (at least 5 mg/week) orally throughout the duration of the study.
Blinded period: Namilumab 300 mg + namilumab 150 mgEXPERIMENTALNamilumab 300 mg (2 separate injections of 150 mg), subcutaneous injection, on Day 1, followed by namilumab 150 mg subcutaneous injection, on Days 15, 43 and 71.
Blinded period: Namilumab 160 mg + namilumab 80 mgEXPERIMENTALNamilumab 160 mg (2 separate injections of 80 mg), subcutaneous injection, on Day 1, followed by namilumab 80 mg subcutaneous injection, on Days 15, 43 and 71.
Blinded period: Namilumab 100 mg + namilumab 50 mgEXPERIMENTALNamilumab 100 mg (2 separate injections of 50 mg), subcutaneous injection, on Day 1, followed by namilumab 50 mg subcutaneous injection, on Days 15, 43 and 71.
Blinded period: Namilumab 40 mg + namilumab 20 mgEXPERIMENTALNamilumab 40 mg (2 separate injections of 20 mg), subcutaneous injection, on Day 1, followed by namilumab 20 mg subcutaneous injection, on Days 15, 43 and 71.
Blinded period: PlaceboPLACEBO_COMPARATORPlacebo (2 separate injections), subcutaneous injection, on Day 1, followed by placebo, subcutaneous injection, on Days 15, 43 and 71.
Open label: Namilumab 80 mgEXPERIMENTALNamilumab 80 mg subcutaneous injection, at Week 0 and every 4 weeks thereafter up to 52 weeks (active extension period) - if appropriate on the basis of treatment response.
Open label: Namilumab 150 mgEXPERIMENTALNamilumab 150 mg, subcutaneous injection, from Week 8 and then every 4 weeks thereafter up to 52 weeks (active extension period) - if appropriate on the basis of treatment response.
Namilumab 150 mgEXPERIMENTALNamilumab (MT203) 150 mg (low dose), subcutaneous (SC) injection, on Days 1, 15 and 29.
Namilumab 300 mgEXPERIMENTALNamilumab (MT203) 300 mg (high dose), SC injection, on Days 1, 15 and 29.

Interventions

NameTypeDescription
NamilumabDRUGNamilumab subcutaneous injection
PlaceboDRUGNamilumab placebo-matching subcutaneous injection
MethotrexateDRUGMethotrexate tablets
Folic/folinic acidDRUGFolic/folinic acid tablets
namilumab (MT203)DRUGadministered three times, subcutaneous in the abdomen
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: 1. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any requi...

Countries:BulgariaCzechiaJapanPolandRussiaSouth KoreaSpainUnited KingdomCanadaNetherlands
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Frequently asked questions about Namilumab

What is Namilumab used for?

Namilumab is an investigational drug being studied for plaque psoriasis and rheumatoid arthritis. It is in Phase 2 clinical development for these indications. The drug is being developed by Takeda Pharmaceutical Company Limited (TAK).

What does Namilumab target?

Namilumab is a small molecule that targets granulocyte-macrophage colony-stimulating factor (GM-CSF). It is being studied for its potential to treat plaque psoriasis and rheumatoid arthritis by modulating this target.

Who makes Namilumab?

Namilumab is being developed by Takeda Pharmaceutical Company Limited, which is publicly traded under the ticker symbol TAK. The drug is currently in Phase 2 clinical trials for plaque psoriasis and rheumatoid arthritis.

What phase is Namilumab in?

Namilumab is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials have been completed for plaque psoriasis and rheumatoid arthritis.

What clinical trials is Namilumab in?

Namilumab has completed three clinical trials. NCT01317797 was a Phase 1 trial in rheumatoid arthritis with 24 participants. NCT02129777 was a Phase 2 trial in plaque psoriasis with 122 participants. NCT02379091 was a Phase 2 trial in rheumatoid arthritis with 108 participants.

Is Namilumab the same as MT203?

Yes, Namilumab is also known as MT203. Clinical trial records refer to the drug as Namilumab (MT203), confirming that these names refer to the same investigational compound.