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

NCT ID: NCT00106548

Last Updated: 2010-06-11

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

623 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2007-10-31

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, 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.

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

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

4mg/kg iv / month

Methotrexate

Intervention Type DRUG

10-25mg/week

2

Group Type EXPERIMENTAL

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

8mg/kg iv / month

Methotrexate

Intervention Type DRUG

10-25mg/week

3

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

iv / month

Methotrexate

Intervention Type DRUG

10-25mg/week

Interventions

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tocilizumab [RoActemra/Actemra]

4mg/kg iv / month

Intervention Type DRUG

tocilizumab [RoActemra/Actemra]

8mg/kg iv / month

Intervention Type DRUG

Placebo

iv / month

Intervention Type DRUG

Methotrexate

10-25mg/week

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 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.
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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Hoffmann-La Roche

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Buenos Aires, , Argentina

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Adelaide, , Australia

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Douglas, , Australia

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Maroochydore, , Australia

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Shenton Park, , Australia

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Vienna, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Porto Alegre, , Brazil

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São Paulo, , Brazil

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Victoria, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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St. John's, Newfoundland and Labrador, Canada

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Burlington, Ontario, Canada

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Newmarket, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Sainte-Foy, Quebec, Canada

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Hong Kong, , China

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Hong Kong, , China

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Besançon, , France

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Créteil, , France

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Le Mans, , France

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Montpellier, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Bad Bramstedt, , Germany

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Bad Nauheim, , Germany

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Baden-Baden, , Germany

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Berlin, , Germany

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Cologne, , Germany

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Erlangen, , Germany

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Heidelberg, , Germany

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Tübingen, , Germany

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Budapest, , Hungary

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Debrecen, , Hungary

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Pécs, , Hungary

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Beersheba, , Israel

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Haifa, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Tel Aviv, , Israel

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Ferrara, , Italy

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Gazzi, , Italy

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Palermo, , Italy

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Siena, , Italy

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Udine, , Italy

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Chihuahua City, , Mexico

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Guadalajara, , Mexico

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Guadalajara, , Mexico

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Mexico City, , Mexico

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Mexico City, , Mexico

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San Luis Potosí City, , Mexico

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Singapore, , Singapore

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Singapore, , Singapore

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Piešťany, , Slovakia

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Bern, , Switzerland

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Lausanne, , Switzerland

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Sankt Gallen, , Switzerland

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Countries

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Argentina Australia Austria Brazil Bulgaria Canada China France Germany Hungary Israel Italy Mexico Singapore Slovakia Switzerland Thailand

References

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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)

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.

Reference Type DERIVED
PMID: 22491018 (View on PubMed)

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.

Reference Type DERIVED
PMID: 20039425 (View on PubMed)

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.

Reference Type DERIVED
PMID: 18358926 (View on PubMed)

Other Identifiers

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WA17822

Identifier Type: -

Identifier Source: org_study_id

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