A Study to Assess the Effect of Tocilizumab + Methotrexate on Signs and Symptoms in Patients With Moderate to Severe Active Rheumatoid Arthritis Currently on Methotrexate Therapy

NCT ID: NCT00106522

Last Updated: 2016-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

499 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2007-11-30

Brief Summary

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This 3 arm study will compare the safety and efficacy, with regard to reduction of signs and symptoms, of tocilizumab versus placebo in combination with methotrexate (MTX) in patients with moderate to severe active rheumatoid arthritis (RA) currently on MTX therapy, and who have had an inadequate response to prior therapy with an anti-tumor necrosis factor (anti-TNF) agent. Patients will be randomized to receive tocilizumab 4mg/kg iv, tocilizumab 8mg/kg or placebo iv, every 4 weeks. All patients will also receive methotrexate 10-25mg/week. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Group Type EXPERIMENTAL

Methotrexate

Intervention Type DRUG

10-25mg weekly

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

4mg/kg iv every 4 weeks

2

Group Type EXPERIMENTAL

Methotrexate

Intervention Type DRUG

10-25mg weekly

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

8mg/kg iv every 4 weeks

3

Group Type PLACEBO_COMPARATOR

Methotrexate

Intervention Type DRUG

10-25mg weekly

Placebo

Intervention Type DRUG

iv every 4 weeks

Interventions

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Methotrexate

10-25mg weekly

Intervention Type DRUG

Placebo

iv every 4 weeks

Intervention Type DRUG

tocilizumab [RoActemra/Actemra]

8mg/kg iv every 4 weeks

Intervention Type DRUG

tocilizumab [RoActemra/Actemra]

4mg/kg iv every 4 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adult patients at least 18 years of age with moderate to severe active RA for at least 6 months;
* inadequate response to current anti-rheumatic therapies, including MTX;
* inadequate response or intolerance to treatment with 1 or more anti-TNF therapies within 1 year of entering study;
* on stable MTX for at least 8 weeks before entering study;
* patients of reproductive potential must be using reliable methods of contraception.

Exclusion Criteria

* major surgery (including joint surgery) within 8 weeks before screening, or planned major surgery within 6 months after entering study;
* women who are pregnant or breast-feeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Birmingham, Alabama, United States

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Huntsville, Alabama, United States

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Scottsdale, Arizona, United States

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Hot Springs, Arkansas, United States

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Little Rock, Arkansas, United States

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Anaheim, California, United States

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Fullerton, California, United States

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Long Beach, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Palm Desert, California, United States

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San Diego, California, United States

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San Diego, California, United States

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Santa Maria, California, United States

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Torrance, California, United States

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Colorado Springs, Colorado, United States

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Aventura, Florida, United States

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Boca Raton, Florida, United States

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Fort Lauderdale, Florida, United States

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Palm Habor, Florida, United States

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Sarasota, Florida, United States

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Tampa, Florida, United States

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Tavares, Florida, United States

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West Palm Beach, Florida, United States

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Zephyrhills, Florida, United States

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Atlanta, Georgia, United States

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Boise, Idaho, United States

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Meridian, Idaho, United States

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Chicago, Illinois, United States

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Springfield, Illinois, United States

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Springfield, Illinois, United States

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Indianapolis, Indiana, United States

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Bowling Green, Kentucky, United States

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Elizabethtown, Kentucky, United States

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Lexington, Kentucky, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Portland, Maine, United States

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Baltimore, Maryland, United States

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Baltimore, Maryland, United States

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Wheaton, Maryland, United States

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Springfield, Massachusetts, United States

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Worcester, Massachusetts, United States

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Lansing, Michigan, United States

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Duluth, Minnesota, United States

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Rochester, Minnesota, United States

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Tupelo, Mississippi, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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Billings, Montana, United States

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Missoula, Montana, United States

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Las Vegas, Nevada, United States

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Medford, New Jersey, United States

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Mercerville, New Jersey, United States

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Teaneck, New Jersey, United States

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Albany, New York, United States

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Binghamton, New York, United States

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Great Neck, New York, United States

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Johnson City, New York, United States

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New York, New York, United States

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New York, New York, United States

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Orchard Park, New York, United States

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Rochester, New York, United States

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Asheville, North Carolina, United States

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Chapel Hill, North Carolina, United States

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Charlotte, North Carolina, United States

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Wilmington, North Carolina, United States

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Bismarck, North Dakota, United States

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Canton, Ohio, United States

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Cincinnati, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Eugene, Oregon, United States

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Bala-Cynwyd, Pennsylvania, United States

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Danville, Pennsylvania, United States

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Duncansville, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Willow Grove, Pennsylvania, United States

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Hickory Grove, South Carolina, United States

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Jackson, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Ogden, Utah, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Salem, Virginia, United States

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Seattle, Washington, United States

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Seattle, Washington, United States

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Glendale, Wisconsin, United States

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Malvern, , Australia

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Shenton Park, , Australia

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Sydney, , Australia

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Woolloongabba, , Australia

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Aalst, , Belgium

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Hasselt, , Belgium

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Merksem, , Belgium

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Winnipeg, Manitoba, Canada

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Burlington, Ontario, Canada

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Kitchener, Ontario, Canada

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London, Ontario, Canada

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Mississauga, Ontario, Canada

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Newmarket, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Amiens, , France

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Bordeaux, , France

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Le Kremlin-Bicêtre, , France

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Lille, , France

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Lyon, , France

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Nice, , France

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Paris, , France

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Paris, , France

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Strasbourg, , France

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Toulouse, , France

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Berlin, , Germany

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Cologne, , Germany

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Dresden, , Germany

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Gommern, , Germany

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Herne, , Germany

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München, , Germany

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Wiesbaden, , Germany

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Würzburg, , Germany

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Reykjavik, , Iceland

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Brescia, , Italy

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Milan, , Italy

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Milan, , Italy

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Padua, , Italy

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Pavia, , Italy

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Pisa, , Italy

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Udine, , Italy

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Guadalajara, , Mexico

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Enschede, , Netherlands

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Nijmegen, , Netherlands

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Ponce, , Puerto Rico

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Jönköping, , Sweden

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Karlstad, , Sweden

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Malmo, , Sweden

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Stockholm, , Sweden

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Lausanne, , Switzerland

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Basingstoke, , United Kingdom

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Bath, , United Kingdom

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Birmingham, , United Kingdom

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Cannock, , United Kingdom

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Derby, , United Kingdom

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Lancaster, , United Kingdom

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Leeds, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Manchester, , United Kingdom

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Middlesbrough, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Norwich, , United Kingdom

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Oxford, , United Kingdom

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Salford, , United Kingdom

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Southampton, , United Kingdom

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Stoke-on-Trent, , United Kingdom

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Countries

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United States Australia Belgium Canada France Germany Iceland Italy Mexico Netherlands Puerto Rico Sweden Switzerland United Kingdom

References

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Vieira MC, Zwillich SH, Jansen JP, Smiechowski B, Spurden D, Wallenstein GV. Tofacitinib Versus Biologic Treatments in Patients With Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Tumor Necrosis Factor Inhibitors: Results From a Network Meta-analysis. Clin Ther. 2016 Dec;38(12):2628-2641.e5. doi: 10.1016/j.clinthera.2016.11.004. Epub 2016 Nov 24.

Reference Type DERIVED
PMID: 27889300 (View on PubMed)

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.

Reference Type DERIVED
PMID: 24429164 (View on PubMed)

Strand V, Burmester GR, Ogale S, Devenport J, John A, Emery P. Improvements in health-related quality of life after treatment with tocilizumab in patients with rheumatoid arthritis refractory to tumour necrosis factor inhibitors: results from the 24-week randomized controlled RADIATE study. Rheumatology (Oxford). 2012 Oct;51(10):1860-9. doi: 10.1093/rheumatology/kes131. Epub 2012 Jun 28.

Reference Type DERIVED
PMID: 22753773 (View on PubMed)

Karsdal MA, Schett G, Emery P, Harari O, Byrjalsen I, Kenwright A, Bay-Jensen AC, Platt A. IL-6 receptor inhibition positively modulates bone balance in rheumatoid arthritis patients with an inadequate response to anti-tumor necrosis factor therapy: biochemical marker analysis of bone metabolism in the tocilizumab RADIATE study (NCT00106522). Semin Arthritis Rheum. 2012 Oct;42(2):131-9. doi: 10.1016/j.semarthrit.2012.01.004. Epub 2012 Mar 6.

Reference Type DERIVED
PMID: 22397953 (View on PubMed)

Emery P, Keystone E, Tony HP, Cantagrel A, van Vollenhoven R, Sanchez A, Alecock E, Lee J, Kremer J. IL-6 receptor inhibition with tocilizumab improves treatment outcomes in patients with rheumatoid arthritis refractory to anti-tumour necrosis factor biologicals: results from a 24-week multicentre randomised placebo-controlled trial. Ann Rheum Dis. 2008 Nov;67(11):1516-23. doi: 10.1136/ard.2008.092932. Epub 2008 Jul 14.

Reference Type DERIVED
PMID: 18625622 (View on PubMed)

Other Identifiers

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WA18062

Identifier Type: -

Identifier Source: org_study_id