A phase II study examining the effects of GPLG0259, an inhibitor of MAP kinase-activated protein kinase 5 (MK5), in rheumatoid arthritis (RA) has been stopped. The MAP kinase cascade regulates cytokine production and is an attractive target for pharmacological intervention. 30 patients with methotrexate-refractory RA were randomly assigned to receive either GPLG0259 or placebo, along with a stable dose of methotrexate, for 12 weeks. The percentage of patients who achieved an American College of Rheumatology 20% improvement (ACR20) response was the same in the GPLG0259 group as in the placebo group.