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CompletedNCT05279417Updated Sep 28, 2026Results posted

ATI-450 Plus Methotrexate (MTX) Versus Placebo Plus MTX in Participants With Moderate to Severe Active Rheumatoid Arthritis (RA)

A Phase 2 interventional study of ATI-450 50 mg oral tablet BID and Placebo oral tablet in Rheumatoid Arthritis, sponsored by Aclaris Therapeutics, Inc.. Completed at 50 sites in 4 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Aclaris Therapeutics, Inc. · Phase 2, Interventional, and Treatment

Updated Sep 28, 2026Results postedStudy documents posted+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
251
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study evaluates ATI-450 plus MTX versus placebo plus MTX in participants with moderate to severe active RA who have had an inadequate response to MTX alone.

Read the detailed description

This is a Phase 2b, randomized, multicenter, double-blind, parallel group, placebo controlled, dose ranging study to investigate the efficacy, safety, tolerability, pharmacokinetics, and pharmacodynamics of multiple doses of ATI-450 plus MTX versus placebo plus MTX in participants with moderate to severe active RA who have had an inadequate response to MTX alone.

02

Conditions studied

  • Rheumatoid Arthritis

Keywords

  • Rheumatoid
  • Arthritis
  • RA
03

In context

Arthritis, Rheumatoid

3,332 studies on the registry are indexed under Arthritis, Rheumatoid; 443 are open to participants now.

This study's enrollment of 251 is above the median of 96 across 2,220 interventional studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

Aclaris Therapeutics, Inc. is the lead sponsor of 33 studies on the registry; none are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 22 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Able to comprehend and be willing to sign the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved participant ICF prior to administration of any study-related procedures.
  • Diagnosis of adult-onset RA as defined by the 2010 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria.
  • Have active moderate to severe RA at Screening.
  • A minimum of 12 weeks on MTX with a stable MTX dose.

Exclusion criteria

Exclusion Criteria:

  • Current acute or chronic immunoinflammatory disease other than RA which may impact the course or assessment of RA.
  • Uncontrolled non-immunoinflammatory disease that may place the participant at increased risk during the study or impact the interpretation of results (eg, previous , recurrent infection, previous venous thromboembolism).
  • Participant has experience with > 2 biologics, > 1 JAK inhibitor, or a combination of 1 biologic experience and 1 JAK inhibitor.
  • Currently receiving at doses > 10 mg/day of prednisone (or equivalent) or have been receiving an unstable dosing regimen of corticosteroids within 2 weeks of screening.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
251 participants (actual)

Study arms

  • Experimental
    ATI-450 20 mg BID plus Methotrexate

    ATI-450 20 mg oral tablet twice daily (BID) with a stable weekly dose of methotrexate for 12 weeks

    Drug: Methotrexate · Drug: ATI-450 20 mg oral tablet BID

  • Experimental
    ATI-450 50 mg BID plus Methotrexate

    ATI-450 50 mg oral tablet BID with a stable weekly dose of methotrexate for 12 weeks

    Drug: ATI-450 50 mg oral tablet BID · Drug: Methotrexate

  • Placebo comparator
    Placebo plus Methotrexate

    Placebo oral tablet BID with a stable weekly dose of methotrexate for 12 weeks

    Drug: Placebo oral tablet · Drug: Methotrexate

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving ACR20 at Week 12

    Participants achieving American College of Rheumatology (ACR) 20 (responders) were defined as having ≥20% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥20% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), Health Assessment Questionnaire-Disability Index (HAQ-DI), Physician's Global Assessment of Disease Activity (VAS), and acute phase reactant as measured by hsCRP. Model-based estimates and 95% confidence intervals (CIs) were produced.

    Time frame: Week 12

Secondary outcomes

  1. Percentage of Participants Achieving ACR50 at Week 12

    Participant achieving ACR50 (responders) were defined as having ≥50% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥50% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), HAQ-DI, Physician's Global Assessment of Disease Activity (VAS), Acute phase reactant as measured by hsCRP. Model-based estimates and 95% CIs were produced.

    Time frame: Week 12

  2. Percentage of Participants Achieving ACR70 at Week 12

    Participants achieving ACR70 (responders) were defined as having ≥70% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥70% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), HAQ-DI, Physician's Global Assessment of Disease Activity (VAS), Acute phase reactant as measured by hsCRP. Model-based estimates and 95% CIs were produced.

    Time frame: Week 12

  3. Change From Baseline in DAS28-CRP at Week 12

    The DAS28-CRP consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP was used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. The least square (LS) mean change from baseline in DAS28-CRP at Week 12 was estimated from the Mixed Model Repeated Measures (MMRM) model.

    Time frame: Baseline, Week 12

  4. Percentage of Participants Achieving DAS28-CRP Remission (Score <2.6) at Week 12

    The Disease Activity Score using 28 Joint Count-C-reactive protein (DAS28-CRP) consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP is used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

    Time frame: Week 12

  5. Percentage of Participants Achieving DAS28-CRP Low Disease Activity (Score ≤ 3.2) at Week 12

    The DAS28-CRP consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP is used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

    Time frame: Week 12

  6. Change From Baseline in HAQ-DI Score at Week12

    The HAQ-DI (standard disability method calculation) was utilized to assess the participant's physical function or disability according to the participant. The HAQ-DI is a 20-item, validated questionnaire used to assess the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and activities \[errands and chores\]). Responses in each functional area are scored from 0 (no difficulty) to 3 (inability to perform a ask in that area). Overall score was computed as the sum of category scores and divided by the number of categories answered, ranging from 0 to 3. A lower score demonstrated less disability. LS mean change from baseline in HAQ-DI score at Week 12 was estimated from the MMRM model.

    Time frame: Baseline, Week 12

  7. Change From Baseline in CDAI Score at Week 12

    The Clinical Disease Activity Index (CDAI) was the sum of 4 outcome parameters: * Tender joint count out of 28 joints (TJC28) * Swollen joint count out of 28 joints (SJC28) * Patient's Global Assessment of Disease Activity; and * Physician's Global Assessment of Disease Activity. Interpretation of the CDAI disease activity was measured on a scale of 0 to 76, where ≤2.8 was considered remission, \>2.8 to ≤10 was considered low/minimal disease activity, \>10 to ≤22 was considered moderate disease activity, and \>22.0 was considered high/severe disease activity. LS mean change from baseline in CDAI score at Week 12 was estimated from the MMRM model.

    Time frame: Baseline, Week 12

  8. Percentage of Participants Achieving CDAI Remission (Score ≤ 2.8)

    The CDAI was the sum of 4 outcome parameters: * Tender joint count out of 28 joints (TJC28) * Swollen joint count out of 28 joints (SJC28) * Patient's Global Assessment of Disease Activity; and * Physician's Global Assessment of Disease Activity. Interpretation of the CDAI disease activity was measured on a scale of 0 to 76, where ≤2.8 was considered remission, \>2.8 to ≤10 was considered low/minimal disease activity, \>10 to ≤22 was considered moderate disease activity, and \>22.0 was considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

    Time frame: Week 12

  9. Percent Change From Baseline in hsCRP Level at Week 12

    Blood samples were evaluated to measure levels of hsCRP.

    Time frame: Baseline, Week 12

  10. Change From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 12

    The PCS is composed of 4 scales of the Short Form-36 Health Status Survey Questionnaire (SF-36) version 2 assessing physical function, role limitations caused by physical problems, bodily pain, and general health. The range of the SF-36 PCS is between 0 and 100, where higher scores represent better physical functioning. A 2.5 to 5-point change from baseline is established as the minimum clinically-important difference for the PCS in RA participants. LS mean change from baseline in SF-36 PCS score at Week 12 was estimated from the MMRM model.

    Time frame: Baseline, Week 12

  11. Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) Score at Week 12

    The FACIT-Fatigue is a 13-item questionnaire that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a 4 point Likert scale (4 = not at all fatigued to 0 = very much fatigued). The total score range is from 0 to 52. The higher the score, the lower the fatigue level. LS mean change from baseline in FACIT-Fatigue score at Week 12 was estimated from the MMRM model.

    Time frame: Baseline, Week 12

  12. ATI-450 and Metabolite (CDD-2164) Concentrations

    Time frame: 2 hours postdose on Days 1, 8, and 85

07

Results

Posted Sep 28, 2026

Participant flow

Participant flow — Overall Study
MilestoneATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Started838484
Itt population838484
Safety population828583
Completed666373
Not completed172111
Withdrew: Adverse event380
Withdrew: Lack of efficacy105
Withdrew: Lost to follow-up321
Withdrew: Protocol violation100
Withdrew: Withdrawal by subject9114
Withdrew: Did not meet inclusion criteria; discontinued prior to dosing001

Outcome measures

PrimaryPercentage of Participants Achieving ACR20 at Week 12

Participants achieving American College of Rheumatology (ACR) 20 (responders) were defined as having ≥20% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥20% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), Health Assessment Questionnaire-Disability Index (HAQ-DI), Physician's Global Assessment of Disease Activity (VAS), and acute phase reactant as measured by hsCRP. Model-based estimates and 95% confidence intervals (CIs) were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving ACR20 at Week 12
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving ACR20 at Week 1242.2 (31.5 to 52.9)34.7 (24.2 to 44.9)46.5 (35.7 to 57.2)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.585 (Significance level = 0.05.) · Difference in model estimate: -4.22 · 95% CI -19.38 to 10.95Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or janus kinase (JAK) RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.120 (Significance level = 0.05.) · Difference in model estimate: -11.78 · 95% CI -26.63 to 3.07Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
SecondaryPercentage of Participants Achieving ACR50 at Week 12

Participant achieving ACR50 (responders) were defined as having ≥50% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥50% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), HAQ-DI, Physician's Global Assessment of Disease Activity (VAS), Acute phase reactant as measured by hsCRP. Model-based estimates and 95% CIs were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving ACR50 at Week 12
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving ACR50 at Week 1220.9 (12.1 to 29.7)20.7 (12.0 to 29.4)27.7 (18.1 to 37.3)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.305 (Significance level = 0.05.) · Difference in model estimate: -6.80 · 95% CI -19.84 to 6.23Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.286 (Significance level = 0.05.) · Difference in model estimate: -7.05 · 95% CI -20.02 to 5.93
SecondaryPercentage of Participants Achieving ACR70 at Week 12

Participants achieving ACR70 (responders) were defined as having ≥70% improvement in both the number of swollen and tender joints (66/68 joint counts) and ≥70% improvement in ≥3 of the following 5 measures: Patient's Global Assessment of Disease Activity (VAS), Patient's Assessment of Arthritis Pain (VAS), HAQ-DI, Physician's Global Assessment of Disease Activity (VAS), Acute phase reactant as measured by hsCRP. Model-based estimates and 95% CIs were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving ACR70 at Week 12
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving ACR70 at Week 128.9 (2.8 to 15.1)7.6 (1.9 to 13.3)14.7 (7.1 to 22.3)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.246 (Significance level = 0.05.) · Difference in model estimate: -5.77 · 95% CI -15.53 to 3.99Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.144 (Significance level = 0.05.) · Difference in model estimate: -7.05 · 95% CI -16.53 to 2.43Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
SecondaryChange From Baseline in DAS28-CRP at Week 12

The DAS28-CRP consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP was used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. The least square (LS) mean change from baseline in DAS28-CRP at Week 12 was estimated from the Mixed Model Repeated Measures (MMRM) model.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline in DAS28-CRP at Week 12
units on a scaleATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Change From Baseline in DAS28-CRP at Week 12-1.66 ± 0.170-1.64 ± 0.167-1.60 ± 0.162
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.797 (Significance level = 0.05.) · Difference in ls means: -0.06 · 95% CI -0.53 to 0.40Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.870 (Significance level = 0.05.) · Difference in ls means: -0.04 · 95% CI -0.49 to 0.41Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
SecondaryPercentage of Participants Achieving DAS28-CRP Remission (Score <2.6) at Week 12

The Disease Activity Score using 28 Joint Count-C-reactive protein (DAS28-CRP) consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP is used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving DAS28-CRP Remission (Score <2.6) at Week 12
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving DAS28-CRP Remission (Score <2.6) at Week 1219.8 (11.1 to 28.4)14.8 (7.2 to 22.4)21.9 (13.0 to 30.8)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.736 (Significance level = 0.05.) · Difference in model estimate: -2.12 · 95% CI -14.49 to 10.25Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.236 (Significance level = 0.05.) · Difference in model estimate: -7.06 · 95% CI -18.77 to 4.65Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
SecondaryPercentage of Participants Achieving DAS28-CRP Low Disease Activity (Score ≤ 3.2) at Week 12

The DAS28-CRP consists of a composite score of the following variables: TJC28, SJC28, CRP (hsCRP is used for the purposes of this study), and Patient's Global Assessment of Disease Activity. Interpretation of the DAS28-CRP is on a scale of 0 to 9.4, where \<2.6 is considered remission, ≥2.6 to \<3.2 is considered low/minimal disease activity, ≥3.2 to ≤5.1 is considered moderate disease activity, and \>5.1 is considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving DAS28-CRP Low Disease Activity (Score ≤ 3.2) at Week 12
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving DAS28-CRP Low Disease Activity (Score ≤ 3.2) at Week 1224.1 (14.8 to 33.4)19.1 (10.7 to 27.6)29.8 (19.9 to 39.7)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.414 (Significance level = 0.05.) · Difference in model estimate: -5.63 · 95% CI -19.19 to 7.93Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.108 (Significance level = 0.05.) · Difference in model estimate: -10.64 · 95% CI -23.65 to 2.37Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
SecondaryChange From Baseline in HAQ-DI Score at Week12

The HAQ-DI (standard disability method calculation) was utilized to assess the participant's physical function or disability according to the participant. The HAQ-DI is a 20-item, validated questionnaire used to assess the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping, and activities \[errands and chores\]). Responses in each functional area are scored from 0 (no difficulty) to 3 (inability to perform a ask in that area). Overall score was computed as the sum of category scores and divided by the number of categories answered, ranging from 0 to 3. A lower score demonstrated less disability. LS mean change from baseline in HAQ-DI score at Week 12 was estimated from the MMRM model.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline in HAQ-DI Score at Week12
units on a scaleATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Change From Baseline in HAQ-DI Score at Week12-0.24 ± 0.072-0.33 ± 0.067-0.37 ± 0.063
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.136 · Difference in ls means: 0.14 · 95% CI -0.04 to 0.31Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.622 (Significance level = 0.05.) · Ls mean difference: 0.04 · 95% CI -0.13 to 0.21Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
SecondaryChange From Baseline in CDAI Score at Week 12

The Clinical Disease Activity Index (CDAI) was the sum of 4 outcome parameters: * Tender joint count out of 28 joints (TJC28) * Swollen joint count out of 28 joints (SJC28) * Patient's Global Assessment of Disease Activity; and * Physician's Global Assessment of Disease Activity. Interpretation of the CDAI disease activity was measured on a scale of 0 to 76, where ≤2.8 was considered remission, \>2.8 to ≤10 was considered low/minimal disease activity, \>10 to ≤22 was considered moderate disease activity, and \>22.0 was considered high/severe disease activity. LS mean change from baseline in CDAI score at Week 12 was estimated from the MMRM model.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline in CDAI Score at Week 12
units on a scaleATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Change From Baseline in CDAI Score at Week 12-18.39 ± 1.595-17.79 ± 1.669-17.89 ± 1.524
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.812 (Significance level = 0.05.) · Difference in ls means: -0.50 · 95% CI -4.66 to 3.65Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.963 (Significance level = 0.05.) · Difference in ls means: 0.10 · 95% CI -4.10 to 4.30
SecondaryPercentage of Participants Achieving CDAI Remission (Score ≤ 2.8)

The CDAI was the sum of 4 outcome parameters: * Tender joint count out of 28 joints (TJC28) * Swollen joint count out of 28 joints (SJC28) * Patient's Global Assessment of Disease Activity; and * Physician's Global Assessment of Disease Activity. Interpretation of the CDAI disease activity was measured on a scale of 0 to 76, where ≤2.8 was considered remission, \>2.8 to ≤10 was considered low/minimal disease activity, \>10 to ≤22 was considered moderate disease activity, and \>22.0 was considered high/severe disease activity. Model-based estimates and 95% CIs were produced.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Achieving CDAI Remission (Score ≤ 2.8)
percentage of participantsATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percentage of Participants Achieving CDAI Remission (Score ≤ 2.8)6.6 (1.3 to 12.0)6.6 (1.2 to 11.9)7.7 (2.0 to 13.5)
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.780 (Significance level = 0.05.) · Difference in model estimate: -1.11 · 95% CI -8.94 to 6.72Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · Regression, Logistic · p = 0.765 · Difference in model estimate: -1.18 · 95% CI -8.97 to 6.60Firth's penalized likelihood logistic regression model with fixed effects for treatment, and use of prior biologic or JAK RA treatment.
SecondaryPercent Change From Baseline in hsCRP Level at Week 12

Blood samples were evaluated to measure levels of hsCRP.

Time frame:
Baseline, Week 12
Reported as:
Median · percent change
Percent Change From Baseline in hsCRP Level at Week 12
percent changeATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Percent Change From Baseline in hsCRP Level at Week 12-28.274 (-89.766 to 1121.053)-22.779 (-86.392 to 528.571)1.546 (-93.280 to 838.047)
SecondaryChange From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 12

The PCS is composed of 4 scales of the Short Form-36 Health Status Survey Questionnaire (SF-36) version 2 assessing physical function, role limitations caused by physical problems, bodily pain, and general health. The range of the SF-36 PCS is between 0 and 100, where higher scores represent better physical functioning. A 2.5 to 5-point change from baseline is established as the minimum clinically-important difference for the PCS in RA participants. LS mean change from baseline in SF-36 PCS score at Week 12 was estimated from the MMRM model.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 12
units on a scaleATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Change From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 126.48 ± 1.0257.08 ± 1.0577.01 ± 0.935
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.687 (Significance level = 0.05.) · Ls mean difference: -0.53 · 95% CI -3.14 to 2.07Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.958 (Significance level = 0.05.) · Ls mean difference: 0.07 · 95% CI -2.52 to 2.66Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
SecondaryChange From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) Score at Week 12

The FACIT-Fatigue is a 13-item questionnaire that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a 4 point Likert scale (4 = not at all fatigued to 0 = very much fatigued). The total score range is from 0 to 52. The higher the score, the lower the fatigue level. LS mean change from baseline in FACIT-Fatigue score at Week 12 was estimated from the MMRM model.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) Score at Week 12
units on a scaleATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) Score at Week 124.21 ± 1.2966.93 ± 1.3136.53 ± 1.168
Statistical analysis
  • ATI-450 20 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.174 (Significance level = 0.05.) · Ls mean difference: -2.32 · 95% CI -5.66 to 1.03Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
  • ATI-450 50 mg Plus MTX vs Placebo Plus MTX · MMRM · p = 0.816 (Significance level = 0.05.) · Ls mean difference: 0.40 · 95% CI -3.01 to 3.81Model included baseline, fixed factors for treatment group, time, treatment-by-time interaction, one stratification factor (prior biologic or JAK inhibitor RA treatment).
SecondaryATI-450 and Metabolite (CDD-2164) Concentrations
Time frame:
2 hours postdose on Days 1, 8, and 85
Reported as:
Mean · ng/milliliters (mL)
ATI-450 and Metabolite (CDD-2164) Concentrations
ng/milliliters (mL)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
ATI-450 Day 179.289 ± 46.0493177.627 ± 120.94910.398 ± 0.7727
ATI-450 Day 8104.032 ± 41.8903245.377 ± 113.56190.272 ± 0.1887
ATI-450 Day 8594.615 ± 58.6913244.670 ± 127.96540.303 ± 0.3185
CDD-2164 Day 130.609 ± 18.897766.602 ± 47.04670.407 ± 0.9181
CDD-2164 Day 836.375 ± 15.628089.692 ± 48.02160.261 ± 0.0890
CDD-2164 Day 8533.219 ± 21.587089.196 ± 50.62670.285 ± 0.2916

Adverse events

Collected over Day 1 (after dosing) through Week 16. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ATI-450 20 mg Plus MTX0/83 (0%)0/82 (0%)20/82 (24.4%)
ATI-450 50 mg Plus MTX0/84 (0%)3/85 (3.5%)31/85 (36.5%)
Placebo Plus MTX0/84 (0%)1/83 (1.2%)12/83 (14.5%)
Most frequent serious events
Most frequent serious events
EventATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Rheumatoid arthritisMusculoskeletal and connective tissue disorders0/821/851/83
Hepatic cirrhosisHepatobiliary disorders0/821/850/83
Gastrointestinal bacterial infectionInfections and infestations0/821/850/83
PyelonephritisInfections and infestations0/821/850/83
Ultrasound ovary abnormalInvestigations0/821/850/83
Most frequent other events
Showing 10 of 25
Most frequent other events
EventATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTX
Upper respiratory tract infectionInfections and infestations5/822/851/83
NauseaGastrointestinal disorders2/824/851/83
NasopharyngitisInfections and infestations2/823/853/83
DiarrhoeaGastrointestinal disorders1/823/851/83
Blood creatine phosphokinase increasedInvestigations2/823/851/83
AnaemiaBlood and lymphatic system disorders2/820/850/83
Ventricular extrasystolesCardiac disorders2/820/850/83
Abdominal pain upperGastrointestinal disorders2/822/850/83
Urinary tract infectionInfections and infestations2/822/851/83
DizzinessNervous system disorders2/821/851/83

Baseline characteristics

ITT Population: All participants who were randomized.

Age, Continuous
Age, Continuous(years)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Mean55.9 ± 10.2855.8 ± 10.7955.5 ± 11.8655.8 ± 10.96
Sex: Female, Male
Sex: Female, Male(Participants)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Female626472198
Male21201253
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Hispanic or Latino7141233
Not Hispanic or Latino726167200
Unknown or Not Reported49518
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Black or African American3238
White767375224
Asian0101
Not reported48618
High-sensitivity C-reactive protein (hsCRP)
High-sensitivity C-reactive protein (hsCRP)(mg/L)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Median5.58 (0.17 to 74.63)6.22 (0.15 to 127.53)4.40 (0.46 to 74.58)5.29 (0.15 to 127.53)
Disease Activity Score using 28 Joint Count-C-reactive Protein (DAS28-CRP)
Disease Activity Score using 28 Joint Count-C-reactive Protein (DAS28-CRP)(units on a scale)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
Mean5.43 ± 0.7695.47 ± 0.8665.45 ± 0.8065.45 ± 0.812
DAS28-CRP (Categorical)
DAS28-CRP (Categorical)(Participants)ATI-450 20 mg Plus MTXATI-450 50 mg Plus MTXPlacebo Plus MTXTotal
≥ 3.2 to ≤ 5.1 (Moderate Disease Activity)27302784
> 5.1 (High/Severe Disease Activity)565456166
08

Study locations

50 sites
  • Aclaris Investigational Site
    El Cajon, California 92020, United States
  • Aclaris Investigational Site
    Encino, California 91436, United States
  • Aclaris Investigational Site
    La Jolla, California 92093, United States
  • Aclaris Investigational Site
    Palm Desert, California 92260, United States
  • Aclaris Investigational Site
    Tampa, Florida 33613, United States
  • Aclaris Investigational Site
    Oklahoma City, Oklahoma 73103, United States
  • Aclaris Investigational Site
    Duncansville, Pennsylvania 16635, United States
  • Aclaris Investigational Site
    Jackson, Tennessee 38305, United States
  • Aclaris Investigational Site
    Cypress, Texas 77429, United States
  • Aclaris Investigational Site
    Mesquite, Texas 75150, United States
  • Aclaris Investigational Site
    San Antonio, Texas 78229, United States
  • Aclaris Investigational Site
    Pleven, 5800, Bulgaria
  • Aclaris Investigational Site
    Plovdiv, 4000, Bulgaria
  • Aclaris Investigational Site
    Plovdiv, 4001, Bulgaria
  • Aclaris Investigational Site
    Plovdiv, 4002, Bulgaria
  • Aclaris Investigational Site
    Plovdiv, 4004, Bulgaria
  • Aclaris Investigational Site
    Sofia, 1336, Bulgaria
  • Aclaris Investigational Site
    Sofia, 1431, Bulgaria
  • Aclaris Investigational Site
    Sofia, 1606, Bulgaria
  • Aclaris Investigational Site
    Varna, 9000, Bulgaria
  • Aclaris Investigational Site
    Brno, 615 00, Czechia
  • Aclaris Investigational Site
    Hlučín, 748 01, Czechia
  • Aclaris Investigational Site
    Ostrava, 702 00, Czechia
  • Aclaris Investigational Site
    Pardubice, 530 02, Czechia
  • Aclaris Investigational Site
    Prague, 128 50, Czechia
  • Aclaris Investigational Site
    Prague, 140 00, Czechia
  • Aclaris Investigational Site
    Uherské Hradiště, 686 01, Czechia
  • Aclaris Investigational Site
    Krakow, Lesser Poland Voivodeship 30-002, Poland
  • Aclaris Investigational Site
    Tomaszów Lubelski, Lubelski 22-600, Poland
  • Aclaris Investigational Site
    Lublin, Lublin Voivodeship 20-362, Poland
  • Aclaris Investigational Site
    Nadarzyn, Masovian Voivodeship 05-830, Poland
  • Aclaris Investigational Site
    Grodzisk Mazowiecki, Mzowieckie 05-825, Poland
  • Aclaris Investigational Site
    Bialystok, Podlaskie Voivodeship 15-351, Poland
  • Aclaris Investigational Site
    Katowice, Silesian Voivodeship 40-282, Poland
  • Aclaris Investigational Site
    Elblag, Warm.Maz. 82-300, Poland
  • Aclaris Investigational Site
    Olsztyn, Warmińsko-Mazurskien 10-117, Poland
  • Aclaris Investigational Site
    Poznan, Wielkopolska 61-113, Poland
  • Aclaris Investigational Site
    Bialystok, 15-297, Poland
  • Aclaris Investigational Site
    Bialystok, 15-879, Poland
  • Aclaris Investigational Site
    Dąbrówka, 62-069, Poland
  • Aclaris Investigational Site
    Krakow, 30-363, Poland
  • Aclaris Investigational Site
    Lublin, 20-607, Poland
  • Aclaris Investigational Site
    Nowa Sól, 67-100, Poland
  • Aclaris Investigational Site
    Poznan, 60-218, Poland
  • Aclaris Investigational Site
    Poznan, 60-446, Poland
  • Aclaris Investigational Site
    Poznan, 61-397, Poland
  • Aclaris Investigational Site
    Sochaczew, 96-500, Poland
  • Aclaris Investigational Site
    Torun, 87-100, Poland
  • Aclaris Investigational Site
    Warsaw, 04-141, Poland
  • Aclaris Investigational Site
    Wroclaw, 52-442, Poland
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

1 registry update since Sep 25, 2026
Results
Results posted
posted Sep 28, 2026
Sites
18 sites added, 18 sites removed
Show 18 added (16 Poland, 2 Czechia)
  • Aclaris Investigational Site · Prague, Czechia
  • Aclaris Investigational Site · Prague, Czechia
  • Aclaris Investigational Site · Krakow, Poland
  • Aclaris Investigational Site · Lublin, Poland
  • Aclaris Investigational Site · Nadarzyn, Poland
  • Aclaris Investigational Site · Bialystok, Poland
  • Aclaris Investigational Site · Katowice, Poland
  • Aclaris Investigational Site · Elblag, Poland
  • Aclaris Investigational Site · Poznan, Poland
  • Aclaris Investigational Site · Bialystok, Poland
  • Aclaris Investigational Site · Bialystok, Poland
  • Aclaris Investigational Site · Krakow, Poland
  • Aclaris Investigational Site · Poznan, Poland
  • Aclaris Investigational Site · Poznan, Poland
  • Aclaris Investigational Site · Poznan, Poland
  • Aclaris Investigational Site · Torun, Poland
  • Aclaris Investigational Site · Warsaw, Poland
  • Aclaris Investigational Site · Wroclaw, Poland
Show 18 removed
  • Aclaris Investigational Site · Praha, Czechia
  • Aclaris Investigational Site · Praha, Czechia
  • Aclaris Investigational Site · Lublin, Poland
  • Aclaris Investigational Site · Kraków, Poland
  • Aclaris Investigational Site · Nadarzyn, Poland
  • Aclaris Investigational Site · Białystok, Poland
  • Aclaris Investigational Site · Katowice, Poland
  • Aclaris Investigational Site · Elbląg, Poland
  • Aclaris Investigational Site · Poznań, Poland
  • Aclaris Investigational Site · Białystok, Poland
  • Aclaris Investigational Site · Białystok, Poland
  • Aclaris Investigational Site · Kraków, Poland
  • Aclaris Investigational Site · Poznań, Poland
  • Aclaris Investigational Site · Poznań, Poland
  • Aclaris Investigational Site · Poznań, Poland
  • Aclaris Investigational Site · Toruń, Poland
  • Aclaris Investigational Site · Warszawa, Poland
  • Aclaris Investigational Site · Wrocław, Poland
Sep 28, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedProportionPercentage of patients achievingParticipants Achieving ACR20 at Week 12Time frame: Baseline to Week 12 → Week 12
Sep 28, 2026
Documents
Secondary outcomes
9 edited, 3 added, 4 removed
What changed in the outcomes
  • EditedProportionPercentage of patients achievingParticipants Achieving ACR50/70 at Week 12Time frame: Baseline to Week 12 → Week 12
  • EditedMean change from baselineChange From Baseline in DAS28-CRP over timeat Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
  • EditedProportionPercentage of patients achievingParticipants Achieving DAS28-CRP remissionRemission (scoreScore < 2.6) over timeat Week 12Time frame: Up to 12 Weeks → Week 12
  • EditedProportionPercentage of patients achievingParticipants Achieving DAS28-CRP low disease activityLow Disease Activity (scoreScore ≤ 3.2) over timeat Week 12Time frame: Up to 12 Weeks → Week 12
  • EditedMean change from baselineChange From Baseline in CDAI over timeScore at Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
  • EditedProportionPercentage of patients achievingParticipants Achieving CDAI remissionRemission (scoreScore ≤ 2.8) over timeTime frame: Up to 12 Weeks → Week 12
  • EditedPercent change from baselineChange From Baseline in hsCRP level over timeLevel at Week 12Time frame: Up to 30 days after 12 weeks of treatment → Baseline, Week 12
  • EditedChange From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) score over timeScore at Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
  • EditedTrough ATI-450 and metaboliteMetabolite (CDD-2164) concentrations at clinic visits (trough and 2-hour post dose will be collected).ConcentrationsTime frame: Study Days 1, 8, and 85 → 2 hours postdose on Days 1, 8, and 85
  • AddedPercentage of Participants Achieving ACR70 at Week 12Time frame: Week 12
  • AddedChange From Baseline in HAQ-DI Score at Week12Time frame: Baseline, Week 12
  • AddedChange From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 12Time frame: Baseline, Week 12
  • RemovedProportion of patients achieving ACR20/50/70 over timeTime frame: Up to 12 Weeks
  • RemovedHealth Assessment Questionnaire-Disability Index (HAQ-DI) score over timeTime frame: Up to 12 Weeks
  • RemovedShort Form Health Survey version-2.0 (SF-36v2) score over timeTime frame: Up to 12 Weeks
  • RemovedIncidence of adverse events (AEs), serious AEs (SAEs), laboratory value abnormalities, electrocardiogram (ECG) abnormalities, vital signs abnormalitiesTime frame: Baseline to Week 12
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Results posted
    18 sites added, 18 sites removed
    Show 18 added (16 Poland, 2 Czechia)
    • Aclaris Investigational Site · Prague, Czechia
    • Aclaris Investigational Site · Prague, Czechia
    • Aclaris Investigational Site · Krakow, Poland
    • Aclaris Investigational Site · Lublin, Poland
    • Aclaris Investigational Site · Nadarzyn, Poland
    • Aclaris Investigational Site · Bialystok, Poland
    • Aclaris Investigational Site · Katowice, Poland
    • Aclaris Investigational Site · Elblag, Poland
    • Aclaris Investigational Site · Poznan, Poland
    • Aclaris Investigational Site · Bialystok, Poland
    • Aclaris Investigational Site · Bialystok, Poland
    • Aclaris Investigational Site · Krakow, Poland
    • Aclaris Investigational Site · Poznan, Poland
    • Aclaris Investigational Site · Poznan, Poland
    • Aclaris Investigational Site · Poznan, Poland
    • Aclaris Investigational Site · Torun, Poland
    • Aclaris Investigational Site · Warsaw, Poland
    • Aclaris Investigational Site · Wroclaw, Poland
    Show 18 removed
    • Aclaris Investigational Site · Praha, Czechia
    • Aclaris Investigational Site · Praha, Czechia
    • Aclaris Investigational Site · Lublin, Poland
    • Aclaris Investigational Site · Kraków, Poland
    • Aclaris Investigational Site · Nadarzyn, Poland
    • Aclaris Investigational Site · Białystok, Poland
    • Aclaris Investigational Site · Katowice, Poland
    • Aclaris Investigational Site · Elbląg, Poland
    • Aclaris Investigational Site · Poznań, Poland
    • Aclaris Investigational Site · Białystok, Poland
    • Aclaris Investigational Site · Białystok, Poland
    • Aclaris Investigational Site · Kraków, Poland
    • Aclaris Investigational Site · Poznań, Poland
    • Aclaris Investigational Site · Poznań, Poland
    • Aclaris Investigational Site · Poznań, Poland
    • Aclaris Investigational Site · Toruń, Poland
    • Aclaris Investigational Site · Warszawa, Poland
    • Aclaris Investigational Site · Wrocław, Poland
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedProportionPercentage of patients achievingParticipants Achieving ACR20 at Week 12Time frame: Baseline to Week 12 → Week 12
    Secondary outcomes 9 edited, 3 added, 4 removed
    What changed in the outcomes
    • EditedProportionPercentage of patients achievingParticipants Achieving ACR50/70 at Week 12Time frame: Baseline to Week 12 → Week 12
    • EditedMean change from baselineChange From Baseline in DAS28-CRP over timeat Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
    • EditedProportionPercentage of patients achievingParticipants Achieving DAS28-CRP remissionRemission (scoreScore < 2.6) over timeat Week 12Time frame: Up to 12 Weeks → Week 12
    • EditedProportionPercentage of patients achievingParticipants Achieving DAS28-CRP low disease activityLow Disease Activity (scoreScore ≤ 3.2) over timeat Week 12Time frame: Up to 12 Weeks → Week 12
    • EditedMean change from baselineChange From Baseline in CDAI over timeScore at Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
    • EditedProportionPercentage of patients achievingParticipants Achieving CDAI remissionRemission (scoreScore ≤ 2.8) over timeTime frame: Up to 12 Weeks → Week 12
    • EditedPercent change from baselineChange From Baseline in hsCRP level over timeLevel at Week 12Time frame: Up to 30 days after 12 weeks of treatment → Baseline, Week 12
    • EditedChange From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) score over timeScore at Week 12Time frame: Up to 12 Weeks → Baseline, Week 12
    • EditedTrough ATI-450 and metaboliteMetabolite (CDD-2164) concentrations at clinic visits (trough and 2-hour post dose will be collected).ConcentrationsTime frame: Study Days 1, 8, and 85 → 2 hours postdose on Days 1, 8, and 85
    • AddedPercentage of Participants Achieving ACR70 at Week 12Time frame: Week 12
    • AddedChange From Baseline in HAQ-DI Score at Week12Time frame: Baseline, Week 12
    • AddedChange From Baseline in Short Form Health Survey SF-36 Physical Component Summary (PCS) Score at Week 12Time frame: Baseline, Week 12
    • RemovedProportion of patients achieving ACR20/50/70 over timeTime frame: Up to 12 Weeks
    • RemovedHealth Assessment Questionnaire-Disability Index (HAQ-DI) score over timeTime frame: Up to 12 Weeks
    • RemovedShort Form Health Survey version-2.0 (SF-36v2) score over timeTime frame: Up to 12 Weeks
    • RemovedIncidence of adverse events (AEs), serious AEs (SAEs), laboratory value abnormalities, electrocardiogram (ECG) abnormalities, vital signs abnormalitiesTime frame: Baseline to Week 12
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT05279417
Responsible party
Sponsor
First posted
Mar 15, 2022
Start date
Feb 1, 2022
Primary completion
Sep 5, 2023
Completion
Oct 11, 2023
Results posted
Sep 28, 2026
Last update
Sep 28, 2026

Study contacts

Ajay Aggarwal
study director · Aclaris Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Zunsemetinib

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