NCT07409103
A Study to Assess the Safety and Efficacy of Different Doses of ELV001 to Treat Active Rheumatoid Arthritis in Patients With an Inadequate Response to Methotrexate and Tumor Necrosis Factor Inhibition (START SYNERGY)
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Record History
All 4 versions: 4 with changes below. See every version on ClinicalTrials.gov ↗
- Minor Trial sites expanded: 30 → 34 locations
- Eligibility criteria expanded, about 47 words
- Secondary endpoints: details revised at 6 of 20 entries
- Minor Study sites: 29 to 30v3
- Notable Recruitment opened
- Trial sites expanded: 0 → 29 locations
- Start date changed from estimate of Jan 31, 2026 to Feb 18, 2026
- Study First Submitted
- Notable: the plan changed
- Minor: routine updates
Endpoints
Primary
Change in Disease activity score 28- C-reactive protein between Baseline and Week 12.
Timeframe: From Baseline to week 12
Secondary (20)
Incidence and severity of TEAEs, SAEs, and AESIs.
Incidence and severity of SUSARs
Change from Baseline in 12-lead ECG parameters (including QTcF)
Change from Baseline in vital signs (Respiratory Rate)
Change from Baseline in laboratory parameters (hematology, biochemistry, coagulation, and urinalysis).'
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Percentage of participants reaching remission and low disease activity as defined by Disease activity score 28- C-reactive protein at Week 12 and at Week 24.
Percentage of participants reaching ACR20/ACR50/ACR70 at Week 12 and at Week 24
Change from Baseline to Week 12 and to Week24 in swollen joint count, tender joint count
Change From baseline to Weeks12 and 24 in Short form health survey36,
Assessment of any correlation between dose and disease activity scores.
Plasma drug and metabolite concentrations - area under the curve (AUC)
Plasma drug and metabolite concentration - maximum concentration (Cmax)
Change from Baseline in vital signs (Body Temperature)
Change from Baseline in vital signs (Blood Pressure)
Change from Baseline in vital signs (Heart Rate)
Change from Baseline to Week 12 and to Week 24 in simplified disease activity index (SDAI).
Change from Baseline to Week 12 and to Week 24 in Clinical disease activity index (CDAI).
participant's global assessments: disease activity (VAS),and arthritis pain (VAS)
Change from Baseline to Week 12 and to Week 24 in Health Assessment Questionnaire-Disability Index (HAQ-DI).
Functional Assessment of Chronic illness Therapy
Arms and interventions
ELV001 25 mg QDExperimental
ELV001 75 mg QDExperimental
ELV001 125 mg QDExperimental
PlaceboPlacebo comparator
Drugs: ELV001 25 mg, ELV001 75 mg, ELV001 125 mg, Placebo
Sites
34 sites in 3 countries
United States 22, South Africa 8, Serbia 4