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VX-509

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Vertex Pharmaceuticals Incorporated|Trials Updated: Nov 20, 2015

VX-509 development status

Highest phase Phase 2
Registered trials 6 across 1 sponsor since Nov 2008

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment675

FDA Designations

No designations recorded

VX-509 clinical trials

VX-509 · 5 trials · 2 indications

Phase 2 4Phase 1 1
NCT01830985A Phase 2/3 Open-label Extension Study to Evaluate Long-Term Safety and Efficacy With VX-509 in Subjects With Rheumatoid ArthritisRheumatoid Arthritis
COMPLETED39 Analytics
NCT01754935A Magnetic Resonance Imaging Study and Arthroscopic Biopsy Substudy in Subjects With Active Rheumatoid Arthritis Receiving VX-509, an Oral JAK3 InhibitorRheumatoid Arthritis
COMPLETED43 Analytics
NCT0159045924-week Study With Open Label Extension of VX-509, an Oral JAK3 Inhibitor, in Subjects Taking MethotrexateRheumatoid Arthritis
COMPLETED359 Analytics
NCT01052194A 12-week Study of 4 Doses of VX-509 in Subjects With Active Rheumatoid ArthritisRheumatoid Arthritis
COMPLETED206 Analytics
PHASE2COMPLETED
A Phase 2/3 Open-label Extension Study to Evaluate Long-Term Safety and Efficacy With VX-509 in Subjects With Rheumatoid Arthritis
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
A Magnetic Resonance Imaging Study and Arthroscopic Biopsy Substudy in Subjects With Active Rheumatoid Arthritis Receiving VX-509, an Oral JAK3 Inhibitor
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
24-week Study With Open Label Extension of VX-509, an Oral JAK3 Inhibitor, in Subjects Taking Methotrexate
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
A 12-week Study of 4 Doses of VX-509 in Subjects With Active Rheumatoid Arthritis
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Long-term safety and tolerability of VX-509 treatment
Baseline through 104 weeks

Measured by clinical laboratory tests

Proportion of subjects achieving a ≥20% improvement in disease severity according to the American College of Rheumatology criteria (ACR20), using C reactive protein (CRP) (ACR20 CRP)
Week 12
Change from baseline in Disease Activity Score 28 using CRP (4-component) (DAS28-4[CRP])
Week 12
Change from baseline in OMERACT RAMRIS synovitis score in designated hand wrist
Week 12
Change from baseline in OMERACT RAMRIS bone marrow edema (osteitis) in designated hand wrist
Week 12
Change from baseline in OMERACT RAMRIS erosion score in designated hand wrist
Week 12
Proportion of subjects who achieve a 20% improvement in disease severity according to the American College of Rheumatology criteria, assessed using the C-reactive protein level (ACR20-CRP) response
Week 12
Change from baseline in Disease Activity Score 28 using C-reactive protein (DAS28- CRP)
Week 12
Safety and tolerability
Week 12

Measured by incidence of treatment-emergent adverse events

Proportion of subjects who achieve an ACR20 response
Week 12
Change from baseline in DAS28
Week 12
PK parameters including Cmax, area under the concentration-time curve from the time of dosing extrapolated to infinity (AUC0 ∞), and AUC0-last for prednisone and its metabolite prednisolone with or without VX-509
Multiple blood samples will be obtained over the 10 day open-label treatment phase
PK parameters including Cmax, area under the concentration-time curve from the time of dosing extrapolated to infinity (AUC0 ∞), and AUC0-last for methylprednisolone with or without VX-509
Multiple blood samples will be obtained over the 10 day open-label treatment phase

Secondary Endpoints

Proportion of subjects who achieve CDAI LDA (≤10) or CDAI remission (≤2.8)
Baseline through 104 weeks
Proportion of subjects who achieve ≥20% (50%, 70%) improvement in disease severity according to the ACR criteria, using CRP (ACR20 CRP, ACR50 CRP, ACR70 CRP)
Baseline through 104 weeks
Change from baseline in DAS28 using CRP (4-component) (DAS28 4[CRP])
Baseline through 104 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single Arm VX-509EXPERIMENTAL -
VX-509 100 mg qd ArmEXPERIMENTAL -
VX-509 200 mg qd ArmEXPERIMENTAL -
VX-509 300 mg qd ArmEXPERIMENTAL -
Placebo ArmPLACEBO_COMPARATOR -
VX-509 150 mg qd ArmEXPERIMENTAL -
VX-509 100 mg bid ArmEXPERIMENTAL -
25 mg b.i.d. VX-509EXPERIMENTAL -
50 mg b.i.d. VX-509EXPERIMENTAL -
100 mg b.i.d. VX-509EXPERIMENTAL -
150 mg b.i.d. VX-509EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Cohort 1EXPERIMENTALPrednisone 10 mg tablet on Day 1 and 7; VX-509 200 mg tablets on Days 2 thru 7
Cohort 2EXPERIMENTALMethylprednisolone 8 mg tablet on Day 1 and 7; VX-509 200 mg tablets on Days 2 thru 7

Interventions

NameTypeDescription
VX-509DRUGVX-509 dose may be increased every 8 weeks in a stepwise fashion from 100 to 150 mg and from 150 to 200 mg, as needed (determined by ongoing disease activity by CDAI)
VX-509 matching placeboDRUG0 mg oral tablet
PlaceboDRUGtablet, placebo b.i.d. for 12 weeks
PrednisoneDRUG -
MethylprednisoloneDRUG -
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: * Subjects must have completed the assigned study drug treatment phase of a previous VX-509 study (e.g., Study 103). * Subjects must voluntarily sign and date the Study 104 informed consent document. * Subject must be willing and able to comply with the scheduled visits, treatme...

Countries:United StatesEstoniaLithuaniaSouth AfricaDenmarkNetherlandsArgentinaBulgariaCzechiaGermanyHungaryMexicoPolandRomaniaRussiaSerbiaSlovakiaUkraineBelgiumCroatiaPuerto Rico
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Frequently asked questions about VX-509

What is VX-509?

VX-509 is an oral small molecule drug developed by Vertex Pharmaceuticals for rheumatoid arthritis and drug interaction studies. It is described in trial records as an oral JAK3 inhibitor. It has been studied in Phase 1 and Phase 2 clinical trials, including a 24-week study in patients taking methotrexate.

What does VX-509 target?

VX-509 targets JAK3, a Janus kinase enzyme. Trial titles describe VX-509 as an oral JAK3 inhibitor, meaning it is designed to inhibit JAK3 activity. This mechanism was studied in rheumatoid arthritis patients, including a substudy using magnetic resonance imaging and arthroscopic biopsy.

Who is developing VX-509?

VX-509 is developed by Vertex Pharmaceuticals Incorporated, which trades under the ticker VRTX. The company sponsored the clinical trials of VX-509 in rheumatoid arthritis and drug interaction studies.

What phase is VX-509 in?

VX-509 is an investigational drug that has been studied in Phase 1 and Phase 2 clinical trials. It is not described as approved. The trials include a Phase 1 drug interaction study and Phase 2 studies in rheumatoid arthritis, all of which are completed.

What clinical trials is VX-509 in?

VX-509 has been studied in four completed trials: NCT01886209, a Phase 1 drug interaction study with prednisone or methylprednisolone; NCT01830985, a Phase 2/3 open-label extension in rheumatoid arthritis; NCT01754935, a Phase 2 MRI and biopsy substudy; and NCT01590459, a Phase 2 study in patients taking methotrexate.

What is VX-509 used for in rheumatoid arthritis?

VX-509 was studied in rheumatoid arthritis, including patients taking methotrexate. Trials evaluated it in active rheumatoid arthritis, with one study using magnetic resonance imaging and arthroscopic biopsy. All rheumatoid arthritis trials of VX-509 are listed as completed.