The mean steady state exposure parameters following multiple oral doses of CP 690,550 co administered with single Letrozole dose MTX were similar to exposures following multiple dosing of CP 690,550 alone. The exposure parameters observed following multiple dosing of CP 690,550 alone are consistent with those seen previously in patients with RA. Neither total amounts of CP 690,550 excreted in urine nor renal clearance were affected by a single dose of MTX. In both treatment periods, CP 690,550 peak plasma concentration was reached within 0. 5C1 h following administration. All 90%
of biological and nonbiological DMARDs with MTX has proven to be more effective mapk inhibitor than monotherapy. Even with this approach, 40C60% of patients fail to achieve signicant improvements in disease activity, therefore, the possibility that combinations of MTX with new agents,such as CP 690,550, will offer superior efcacy and tolerability proles remains, and should be investigated. The results of this study show that co administration of CP 690,550 with MTX had no statistically
with MTX could lead to more frequent or severe haematological AEs. In the current study only two haematological AEs, of anaemia, occurred. Overall, co administration of CP 690,550 with MTX appeared to be safe and well tolerated with no serious or severe AEs reported. Furthermore, NSCLC in a larger subsequent study, CP 690,550 and MTX co administration was efcacious compared with placebo for up to 12 weeks and only minor changes in haemoglobin were recorded. Following previous Phase II studies of CP 690,550 in patients with RA, which evaluated doses of CP 690,550 up to 30 mg, a maximum dose of 10 mg b. i. d. is being investigated in Phase III studies. The dose of CP 690,550 used in this present study is three times higher than the highest dose planned for Phase III studies of the combination, which should cover the extremes of exposures observed with the therapeutic dose.
Thursday, March 21, 2013
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