- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00106548
A Study to Assess the Effect of Tocilizumab + Methotrexate on Signs and Symptoms in Patients With Moderate to Severe Active Rheumatoid Arthritis
June 10, 2010 updated by: Hoffmann-La Roche
A Randomized, Double-blind Study of Safety and Reduction in Signs and Symptoms During Treatment With Tocilizumab Versus Placebo, in Combination With Methotrexate, in Patients With Moderate to Severe Rheumatoid Arthritis
This 3 arm study will compare the safety and efficacy, with regard to reduction of signs and symptoms, of tocilizumab versus placebo, both in combination with methotrexate (MTX). in patients with moderate to severe active rheumatoid arthritis (RA) who currently have an inadequate response to MTX.
Patients wil be randomized to receive tocilizumab 4mg/kg iv, tocilizumab 8mg/mg iv, or placebo iv, every 4 weeks; all patients will also receive methotrexate 10-25mg weekly.
The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
623
Phase
- 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
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Buenos Aires, Argentina, C1015ABO
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Buenos Aires, Argentina, 1405
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Buenos Aires, Argentina, C1428CQG
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Adelaide, Australia, 5041
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Douglas, Australia, 4184
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Maroochydore, Australia, 4558
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Shenton Park, Australia, 6008
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Wien, Austria, 1100
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Wien, Austria, 1130
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Wien, Austria, 1160
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Wien, Austria, 1090
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Porto Alegre, Brazil, 91350-200
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Sao Paulo, Brazil, 05651-901
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Sofia, Bulgaria, 1784
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Sofia, Bulgaria, 1606
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Varna, Bulgaria, 9010
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Alberta
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Calgary, Alberta, Canada, T2N 4N1
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1L7
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Victoria, British Columbia, Canada, V8V 3P9
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Manitoba
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Winnipeg, Manitoba, Canada, R3A 1M3
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Newfoundland and Labrador
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St John's, Newfoundland and Labrador, Canada, A1B 3E1
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Ontario
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Burlington, Ontario, Canada, L7M 4Y1
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Newmarket, Ontario, Canada, L3Y 3R7
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Ottawa, Ontario, Canada, K1H 1A2
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Toronto, Ontario, Canada, M4N 3M5
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Quebec
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Montreal, Quebec, Canada, H2L 1S6
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Montreal, Quebec, Canada, H1T 4B3
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Sainte-foy, Quebec, Canada, G1W 4R4
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Hong Kong, China
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Hong Kong, China, 852
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Besancon, France, 25030
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Creteil, France, 94010
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Le Mans, France, 72000
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Montpellier, France, 34295
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Paris, France, 75014
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Paris, France, 75010
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Paris, France, 75012
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Bad Bramstedt, Germany, 24576
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Bad Nauheim, Germany, 61231
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Baden-baden, Germany, 76530
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Berlin, Germany, 14059
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Erlangen, Germany, 91056
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Heidelberg, Germany, 69120
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Köln, Germany, 50924
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Tübingen, Germany, 72076
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Budapest, Hungary, 1023
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Debrecen, Hungary, 4004
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Pécs, Hungary, 7632
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Beer Sheva, Israel, 84101
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Haifa, Israel, 31048
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Haifa, Israel, 31096
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Jerusalem, Israel, 91120
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Petach Tikva, Israel, 49100
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Tel Aviv, Israel, 64239
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Ferrara, Italy, 44100
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Gazzi, Italy, 98125
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Palermo, Italy, 90127
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Siena, Italy, 53100
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Udine, Italy, 33100
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Chihuahua, Mexico, 31000
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Guadalajara, Mexico, 44620
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Guadalajara, Mexico, 44690
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Mexico City, Mexico, 14080
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Mexico City, Mexico, 07760
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San Luis Potosi, Mexico, 78240
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Singapore, Singapore, 119074
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Singapore, Singapore, 258499
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Piestany, Slovakia, 921 01
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Bern, Switzerland, 3010
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Lausanne, Switzerland, 1011
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St Gallen, Switzerland, 9007
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Bangkok, Thailand, 10400
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Bangkok, Thailand, 10700
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Chiang Mai, Thailand, 50200
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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
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- adult patients at least 18 years of age with moderate to severe active RA for at least 6 months;
- inadequate response to a stable dose of MTX;
- patients of reproductive potential must be using reliable methods of contraception.
Exclusion Criteria:
- major surgery (including joint surgery) within 8 weeks before entering study, or planned surgery within 6 months after entering study;
- prior treatment failure with an anti-tumor necrosis factor agent;
- women who are pregnant or breast-feeding.
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 |
Intervention / Treatment |
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Experimental: 1
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4mg/kg iv / month
8mg/kg iv / month
10-25mg/week
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Experimental: 2
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4mg/kg iv / month
8mg/kg iv / month
10-25mg/week
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Placebo Comparator: 3
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10-25mg/week
iv / month
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Percentage of patients with ACR 20 response
Time Frame: Week 24
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Week 24
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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AEs, laboratory parameters, vital signs
Time Frame: Throughout study
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Throughout study
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Percentage of patients ACR 50/70 responses; change from baseline in ACR core set components.
Time Frame: Week 24
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Week 24
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Wang J, Bansal AT, Martin M, Germer S, Benayed R, Essioux L, Lee JS, Begovich A, Hemmings A, Kenwright A, Taylor KE, Upmanyu R, Cutler P, Harari O, Marchini J, Criswell LA, Platt A. Genome-wide association analysis implicates the involvement of eight loci with response to tocilizumab for the treatment of rheumatoid arthritis. Pharmacogenomics J. 2013 Jun;13(3):235-41. doi: 10.1038/tpj.2012.8. Epub 2012 Apr 10.
- Keystone EC, Anisfeld A, Ogale S, Devenport JN, Curtis JR. Continued benefit of tocilizumab plus disease-modifying antirheumatic drug therapy in patients with rheumatoid arthritis and inadequate clinical responses by week 8 of treatment. J Rheumatol. 2014 Feb;41(2):216-26. doi: 10.3899/jrheum.130489. Epub 2014 Jan 15.
- Garnero P, Thompson E, Woodworth T, Smolen JS. Rapid and sustained improvement in bone and cartilage turnover markers with the anti-interleukin-6 receptor inhibitor tocilizumab plus methotrexate in rheumatoid arthritis patients with an inadequate response to methotrexate: results from a substudy of the multicenter double-blind, placebo-controlled trial of tocilizumab in inadequate responders to methotrexate alone. Arthritis Rheum. 2010 Jan;62(1):33-43. doi: 10.1002/art.25053.
- Smolen JS, Beaulieu A, Rubbert-Roth A, Ramos-Remus C, Rovensky J, Alecock E, Woodworth T, Alten R; OPTION Investigators. Effect of interleukin-6 receptor inhibition with tocilizumab in patients with rheumatoid arthritis (OPTION study): a double-blind, placebo-controlled, randomised trial. Lancet. 2008 Mar 22;371(9617):987-97. doi: 10.1016/S0140-6736(08)60453-5.
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 Completion (Actual)
October 1, 2007
Study Registration Dates
First Submitted
March 25, 2005
First Submitted That Met QC Criteria
March 25, 2005
First Posted (Estimate)
March 28, 2005
Study Record Updates
Last Update Posted (Estimate)
June 11, 2010
Last Update Submitted That Met QC Criteria
June 10, 2010
Last Verified
June 1, 2010
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Immune System Diseases
- Autoimmune Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Arthritis
- Arthritis, Rheumatoid
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Antirheumatic Agents
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Dermatologic Agents
- Reproductive Control Agents
- Abortifacient Agents, Nonsteroidal
- Abortifacient Agents
- Folic Acid Antagonists
- Methotrexate
Other Study ID Numbers
- WA17822
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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