New pill shows promise for early rheumatoid arthritis in Mid-Stage trial
NCT ID NCT06671054
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 2 trial tests an oral drug called AP1189 in 240 people with early rheumatoid arthritis who have not yet taken disease-modifying drugs. Participants receive one of three doses of AP1189 or a placebo, all alongside standard methotrexate, for 12 weeks. The goal is to see if AP1189 safely reduces joint inflammation and disease activity better than placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AP1189 (an oral tablet) taken alongside methotrexate
- What this could lead to
- If successful, this could point toward a new treatment option for early rheumatoid arthritis that helps control inflammation and disease activity.
- What could go wrong
- This is an early Phase 2 trial with only 240 participants, so results may not confirm effectiveness. The drug is still experimental, and side effects are not yet fully known.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Dec 2025
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Signed and dated informed consent obtained before undergoing any trial-specific procedure. * Participants with definite RA diagnosis according to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria. * Disease duration no longer than 6 months from diagnosis at the time of Baseline Visit and with a history of RA symptoms which does not exceed 18 months. * Participants must be naïve to any Disease-modifying anti-rheumatic drugs (DMARDs) * Participants with at least 6/68 tender and 6/66 swollen joints at Screening Visit and Baseline. * Participants with "high" disease activity as documented by a Disease Activity Score 28 (DAS28) (C-Reactive Protein - CRP) index score \> 5.1 at screening, and Clinical disease activity index (CDAI) \>22 at Screening Visit and Baseline. * Participants with serum high sensitive C-Reactive Protein (hsCRP) ≥3 mg/L at the time of screening. * Participants positive for serum rheumatoid factor (RF), AND/OR anti-cyclic citrullinated peptide antibodies (anti-CCP). If seronegative RA, hsCRP ≥6 mg/L at the time of screening. * Willing and able to comply with the scheduled study visits, the treatment plan, and all study procedures. * Females of childbearing potential must have a negative pregnancy test at screening and again at baseline. * Sexually active female participants of childbearing potential and male participants are excluded if not practicing two different methods of birth control with their partner during the study and for 90 days after the last dose of study drug or who will not remain abstinent during the study and for 90 days after the last dose. Exclusion Criteria: * Functional class IV of Global Functional Status in RA, as defined by the ACR Classification. * Rheumatic autoimmune disease other than RA, i.e. systemic lupus erythematosus, mixed connective tissue disease, scleroderma, polymyositis, or significant systemic involvement secondary to RA. * Current inflammatory joint disease other than RA. * Non-inflammatory type of musculoskeletal condition that in the Investigator's opinion is symptomatic and/or severe enough to interfere with the subject's primary diagnosis of RA or the evaluation of the effect of the study drug. * Gastrointestinal diseases known to interfere with the absorption or excretion of medications. * Severe, progressive, or uncontrolled renal, hepatic, hematologic, gastrointestinal, metabolic, endocrine, pulmonary, cardiac or neurologic disease. * Malignancy active during the 12 months preceding the Screening Visit. * Acute hepatitis, chronic hepatitis, or detection of any unexplained elevation of serum ALT or AST greater than 1.5-fold ULN, at least twice in the 6 months before the Screening Visit) or HIV infection. * History of alcohol or drug abuse during the 12 months preceding the Screening Visit. * Vaccination with live vaccines during the 6 weeks preceding the Screening Visit. * Haemoglobin \<9 g/dL or Haematocrit \<30% at the Screening Visit * White blood cell (WBC) count \<3.0 x 109/L at the Screening Visit. * Absolute neutrophil count \<1.2 x 109/L at the Screening Visit. * Platelet count \<100 x 109/L at the Screening Visit. * Serum alkaline-phosphatase, or gamma-glutamyl-transferase greater than 3-fold ULN; alanine aminotransferase, or aspartate aminotransferase, or total bilirubin greater than 2-fold ULN At the Screening Visit. * Estimated creatinine clearance less than 45 mL/min/1.73 m2 (MDRD) at the Screening Visit. * 12-lead electrocardiogram (ECG) with abnormal clinically significant findings, as judged by the Investigator, at the Screening Visit. * Positive QuantiFERON-in-Tube test (QFG-IT). * Use of hydroxychloroquine during the 30 weeks preceding the Screening Visit. * Treatment with any systemic or intraarticular corticosteroid within 6 weeks before the Screening Visit. * Intermittent use of nonsteroidal anti-inflammatory drugs (NSAIDs). Use of NSAIDs is allowed if used in a stable dose regimen for at least 4 weeks prior to the Screening Visit. * Use of other investigational drugs/treatments, or enrolment in a clinical trial during the 6 months preceding the Screening Visit. * Any other clinically relevant disease and condition that, in the opinion of the Investigator, may jeopardize efficacy or safety assessments or may compromise the subject's safety during trial participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
11 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Locations
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Altoona Center for Clinical Research
RECRUITINGDuncansville, Pennsylvania, 16635, United States
Contact Email: •••••@•••••
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DC-MED Michal Kowalski S.K.
RECRUITINGSwidnica, 58-100, Poland
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Diagnostic Consultative Center Aleksandrovska
RECRUITINGSofia, 1431, Bulgaria
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IMSP Spitalul Clinic Municipal "Sfanta Treime"
RECRUITINGChisinau, 2068, Moldova
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M2Mmed
RECRUITINGChorzów, 41-500, Poland
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Medical Center Tera Medico
RECRUITINGVratsa, 3000, Bulgaria
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Medyczne Centrum Hetmańska
RECRUITINGPoznan, 60-218, Poland
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Millennium Medical Research LLC
RECRUITINGMiami, Florida, 33126, United States
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Nouvelle Clinical Research LLC
RECRUITINGCutler Bay, Florida, 33189, United States
Contact Email: •••••@•••••
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Sanos Clinic Herlev
RECRUITINGHerlev, 2730, Denmark
Contact Email: •••••@•••••
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Vita Longa Sp. z o. o.
RECRUITINGKatowice, 41-500, Poland
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