Atacicept in Combination With Rituximab in Subjects With Rheumatoid Arthritis (August III)

NCT ID: NCT00664521

Last Updated: 2016-12-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2010-10-31

Brief Summary

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The primary objective of this study is to assess the safety and tolerability of combined treatment with atacicept and rituximab in subjects with active rheumatoid arthritis (RA) receiving re-treatment with rituximab.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rituximab Plus Atacicept

Rituximab will be administered as an intravenous infusion at a dose of 1000 mg at Weeks 1 and 3, followed by atacicept 150 mg subcutaneously once a week from Week 7 to 32.

Group Type EXPERIMENTAL

Rituximab

Intervention Type BIOLOGICAL

Rituximab will be administered as an intravenous infusion at a dose of 1000 mg at Weeks 1 and 3.

Atacicept

Intervention Type DRUG

Atacicept will be administered at a dose of 150 mg subcutaneously once a week from Week 7 to 32.

Rituximab Plus Placebo

Rituximab will be administered as an intravenous infusion at a dose of 1000 mg at Weeks 1 and 3, followed by placebo matched to atacicept subcutaneously once a week from Week 7 to 32.

Group Type PLACEBO_COMPARATOR

Rituximab

Intervention Type BIOLOGICAL

Rituximab will be administered as an intravenous infusion at a dose of 1000 mg at Weeks 1 and 3.

Placebo matched to atacicept

Intervention Type DRUG

Placebo matched to atacicept will be administered subcutaneously once a week from Week 7 to 32.

Interventions

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Rituximab

Rituximab will be administered as an intravenous infusion at a dose of 1000 mg at Weeks 1 and 3.

Intervention Type BIOLOGICAL

Atacicept

Atacicept will be administered at a dose of 150 mg subcutaneously once a week from Week 7 to 32.

Intervention Type DRUG

Placebo matched to atacicept

Placebo matched to atacicept will be administered subcutaneously once a week from Week 7 to 32.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects
* Greater than and equal to (\>=) 18 years of age at the time of Informed Consent
* Who have rheumatoid arthritis satisfying American College of Rheumatology (ACR) criteria with a disease history of at least 12 months
* Subjects must have active disease defined by DAS28 \>3.2
* Subjects must have received previous treatment with rituximab and must be candidates for re-treatment with rituximab
* Female subjects of childbearing potential must be willing to avoid pregnancy by using an adequate method of contraception for 4 weeks before study day 1 (SD1), during the treatment period and for 12 months after the last dose of rituximab, and must have a negative urine pregnancy test at the screening visit and SD1

Exclusion Criteria

* Current neurological disease excluding migraine
* Inflammatory joint disease other than rheumatoid arthritis
* Any contraindication to rituximab as per national label
* Use of disease-modifying anti-rheumatic drugs (DMARDs; including methotrexate) for less than 3 months or change in dosing regimen within 28 days before SD1, or methotrexate dose regimen \>25 mg/week
* Participation in any interventional clinical trial within 1 month before SD1 (or within 5 half-lives of the investigated compound before SD1, whichever is longer)
* Prednisone dose regimen \>10 mg/day (or equivalent), or change in steroid dosing regimen within 28 days before SD1
* Active or latent tuberculosis within the year before screening or major infection requiring hospitalization or intravenous anti-infectives within 28 days before SD1
* Serum Immunoglobulin G (IgG) below 6 gram per liter (g/L)
* Known hypersensitivity to atacicept or to any of the components of the formulated atacicpet
* Known hypersensitivity to rituximab, to any of the components of the formulated rituximab or to murine proteins
* Breastfeeding or pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Nice, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Strasbourg, , France

Site Status

Research Site

Amsterdam, , Netherlands

Site Status

Research Site

Malmo, , Sweden

Site Status

Research Site

Stockholm, , Sweden

Site Status

Research Site

Newcastle, , United Kingdom

Site Status

Research Site

Norwich, , United Kingdom

Site Status

Countries

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Finland France Netherlands Sweden United Kingdom

References

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van Vollenhoven RF, Wax S, Li Y, Tak PP. Safety and efficacy of atacicept in combination with rituximab for reducing the signs and symptoms of rheumatoid arthritis: a phase II, randomized, double-blind, placebo-controlled pilot trial. Arthritis Rheumatol. 2015 Nov;67(11):2828-36. doi: 10.1002/art.39262.

Reference Type RESULT
PMID: 26137975 (View on PubMed)

Other Identifiers

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28155

Identifier Type: -

Identifier Source: org_study_id