MabionCD20® Compared to MabThera® in Patients With Rheumatoid Arthritis

May 13, 2020 updated by: Mabion SA

A Randomized, Double-blind, Parallel-group Comparative Bioequivalence Trial of MabionCD20® (Mabion SA) Compared to MabThera® (Rituximab, Roche) in Patients With Rheumatoid Arthritis

The purpose of this study is to evaluate biosimilarity between test product MabionCD20® and the reference product - MabThera® (rituximab) and to demonstrate comparative safety and tolerability of a single course of treatment of MabionCD20® and MabThera® in patients with moderate to severe active rheumatoid arthritis.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Subjects who meet the criteria for participation in this study receive 2 intravenous infusions of MabionCD20® or MabThera® with two weeks interval in combination with methotrexate and folic acid. After the treatment period, patients are followed for 24 weeks, in order to continue checking safety. Therefore, the total study lasts 48 weeks. There is a possibility to repeat treatment after 6 months of the first infusions if subject meets the retreatment criteria.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
709

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Bosnia and Herzegovina
      • Banja Luka, Bosnia and Herzegovina, 78 000
        • Clinical Centre Banja Luka Location Paprikovac
      • Mostar, Bosnia and Herzegovina, 88 000
        • University Clinical Hospital Mostar
      • Sarajevo, Bosnia and Herzegovina, 71 000
        • Clinical Centre University of Sarajevo
      • Sarajevo, Bosnia and Herzegovina, 71 000
        • General Hospital "Dr. Abdulah Nakas"
      • Tuzla, Bosnia and Herzegovina, 75 000
        • University Clinical Centre Tuzla
  • Georgia
      • Tbilisi, Georgia, 0159
        • Carabs Medline Ltd
      • Tbilisi, Georgia, 0159
        • Cardio-Reanimation Center Ltd
      • Tbilisi, Georgia, 0159
        • Diagnostic Service ltd
      • Tbilisi, Georgia, 0159
        • Tbilisi Heart and Vascular Clinic
      • Tbilisi, Georgia, 0160
        • Mediclub Georgia
      • Tbilisi, Georgia, 0186
        • Medicore Ltd
      • Tbilisi, Georgia, 0186
        • Medulla-Chemotherapy and Immunotherapy Clinic
  • Poland
      • Białystok, Poland, 15-297
        • Centrum Miriada
      • Bydgoszcz, Poland, 85-168
        • Szpital Uniwersytecki nr 2 im. dr Jana Biziela w Bydgoszczy
      • Częstochowa, Poland, 42-202
        • Centrum Położnicze św Łukasza Sp.z.o.o
      • Dopiewo, Poland, 62-069
        • NSZOZ Unica CR
      • Elbląg, Poland, 82-300
        • Wojewodzki Szpital Zespolony
      • Kraków, Poland, 30-510
        • Małopolskie Centrum Medyczne s.c.
      • Kraków, Poland, 31-531
        • Szpital Uniwersytecki, Oddział Kliniczny Kliniki Chorób Wewnętrznych
      • Kraków, Poland, 90-119
        • Szpital Specjalistyczny im. J. Dietla
      • Lublin, Poland, 20-022
        • Osrodek Badan Klinicznych
      • Lublin, Poland, 20-582
        • Reumed
      • Nadarzyn, Poland, 05-830
        • NZOZ Lecznica MAK-MED. S.C.
      • Nowa Sól, Poland, 67-100
        • Centrum Medyczne Nowa Sól
      • Poznań, Poland, 60-529
        • SOLUMED
      • Poznań, Poland, 61-113
        • AL Klinika
      • Stalowa Wola, Poland, 37-450
        • NZOZ Poradnia Leczenia Osteoporozy i Chorób Narządu Ruchu
      • Sucha Beskidzka, Poland, 34-200
        • Zespół Opieki Zdrowotnej w Suchej Beskidzkiej
      • Ustroń, Poland, 43-450
        • Śląski Szpital Reumatologiczo-Rehabilitacyjny im. Generała Jerzego Ziętka
      • Warsaw, Poland, 01-868
        • Medica Pro Familia Sp. z o.o. S.K.A
      • Warszawa, Poland, 01-518
        • Centrum Medyczne AMED
      • Warszawa, Poland, 00-235
        • Linea Corporis Spółka z Ograniczoną Odpowiedzialnością
      • Warszawa, Poland, 01-157
        • IRMED
      • Warszawa, Poland, 02-637
        • Instytut Reumatologii
      • Zamość, Poland, 22-400
        • KO-MED Centra Kliniczne
  • Serbia
      • Belgrade, Serbia, 11000
        • Institute for Rheumatology - Belgrade
      • Kragujevac, Serbia, 34000
        • Clinical Center Kragujevac
      • Niska Banja, Serbia, 18205
        • Institute For Treatment and Rehabilitation "Niska Banja"
      • Novi Sad, Serbia, 21000
        • Clinical center of Vojvodina, Clinic for medical rehabilitation
  • Ukraine
      • Chernivtsi, Ukraine
        • Communal Medical Institution "City Clinical Hospital no 3"
      • Ivano-Frankivsk, Ukraine
        • National Medical University, Chair of Internal Medicine based on Ivano-Frankivsk Central Clinical City Hospital
      • Kharkiv, Ukraine
        • Kharkiv City Clinical Hospital no 27
      • Kharkiv, Ukraine
        • Regional Hospital Veterans of War
      • Kharkiv, Ukraine
        • State Institute "L T Malaya Institute of Therapy of NAMS of Ukraine"
      • Kharkiv,, Ukraine
        • Department of Cardiology and Functional Diagnostics, Kharkiv Medical Academy of Postgraduated Education
      • Kyiv, Ukraine
        • Administration of Medical Service and Rehabilitation of "ARTEM" State Holding Company
      • Kyiv, Ukraine
        • National Scientific Center "M.D. STRAZHESKO INSTITUTE OF CARDIOLOGY, MAS OF UKRAINE"
      • Ternopil, Ukraine
        • Chair of Internal Medicine no 2 of Ternopil State Medical University
      • Uzhgorod, Ukraine
        • Uzhgorod Clinical Hospital of the Lviv Railways, Department of Therapy
      • Zaporizhzhia, Ukraine
        • Clinical City Hospital no 7
      • Zaporizhzhia, Ukraine
        • Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients with active rheumatoid arthritis with disease duration minimum 6 months prior to screening visit
  • Patients who are naive to tumor necrosis factor (TNF) antagonists or any other monoclonal antibody therapies
  • Patients who have had an inadequate response to an adequate regimen of methotrexate

Exclusion Criteria:

  • History of current rheumatic autoimmune disease other than RA and current inflammatory joint disease other than RA
  • Contraindications according to the MabThera SmPC and every serious coexisting diseases which, in the Investigator's opinion, would preclude subject participation
  • Positive tests for HIV, hepatitis B surface antigen (HBsAg) Anti-HBc antibody, hepatitis C antibody
  • Prior treatment with rituximab, other anti-CD20 mAb, anti-TNF-alpha drug or any other monoclonal antibodies
  • Pregnancy or lactation or women planning to get pregnant during the course of the study and/or within 12 months post last study drug infusion
  • Allergic reaction or intolerance to rituximab, MabionCD20 or any of their components
  • Severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or previous treatment of any lymphocyte-depleting therapies

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: MabionCD20®
A course of MabionCD20® in rheumatoid arthritis patients consists of two 1000 mg intravenous infusions with two weeks interval.
Drug: Rituximab
Active Comparator: MabThera®
A course of MabThera® (Rituximab, Roche) in rheumatoid arthritis patients consists of two 1000 mg intravenous infusions with two weeks interval.
Drug: Rituximab

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Time Frame
Percentage of patients in each treatment group achieving the primary efficacy endpoint of a ≥ 20% improvement on the American College of Rheumatology score (ACR20) at Week 24.
Time Frame: 24 weeks
24 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Mabion SA

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
May 1, 2013

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
May 1, 2017

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
October 1, 2017

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
June 9, 2015

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 10, 2015

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
June 11, 2015

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
May 14, 2020

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
May 13, 2020

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
May 1, 2020

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • MabionCD20-001RA

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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