A Study to Evaluate Ocrelizumab in Combination With Methotrexate Compared With Infliximab Plus Methotrexate in Patients With Active Rheumatoid Arthritis Currently Responding Inadequately to Etanercept or Adalimumab

NCT ID: NCT00808210

Last Updated: 2020-11-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-05

Study Completion Date

2012-11-14

Brief Summary

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This is a Phase II, randomized, active-controlled, double-blind, double-dummy, parallel-group, multicenter study in the United States enrolling patients with active RA. The study will enroll approximately 290 patients at approximately 130 sites.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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RA Arthritis

Study Design

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Allocation Method

NA

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Ocrelizumab 200mg

Participants received two intravenous (IV) infusions of 200 mg ocrelizumab administered on Day 1 and Day 15 and placebo IV infliximab infusions administered on Day 1, Day 15, Week 6, and Week 14. In addition to the study medication, all patients were to receive methotrexate at a stable dose of 7.5-25 mg/week and folic acid or equivalent at a dose of 5 mg/week to minimize methotrexate toxicity.

Group Type EXPERIMENTAL

Methotrexate

Intervention Type DRUG

Oral or parenteral repeating dose

Methylprednisolone

Intervention Type DRUG

Intravenous repeating dose

Ocrelizumab

Intervention Type DRUG

Intravenous repeating dose

Placebo

Intervention Type DRUG

Intravenous repeating dose

Infliximab 5mg/kg

Participants received four IV infusions of 5 mg/kg infliximab administered on Day 1, Day 15, Week 6, and Week 14 and placebo ocrelizumab infusions administered on Day 1 and Day 15. In addition to the study medication, all patients were to receive methotrexate at a stable dose of 7.5-25 mg/week and folic acid or equivalent at a dose of 5 mg/week to minimize methotrexate toxicity.

Group Type ACTIVE_COMPARATOR

Infliximab

Intervention Type DRUG

Intravenous repeating dose

Methotrexate

Intervention Type DRUG

Oral or parenteral repeating dose

Methylprednisolone

Intervention Type DRUG

Intravenous repeating dose

Placebo

Intervention Type DRUG

Intravenous repeating dose

Interventions

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Infliximab

Intravenous repeating dose

Intervention Type DRUG

Methotrexate

Oral or parenteral repeating dose

Intervention Type DRUG

Methylprednisolone

Intravenous repeating dose

Intervention Type DRUG

Ocrelizumab

Intravenous repeating dose

Intervention Type DRUG

Placebo

Intravenous repeating dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \>= 18 years
* Current treatment for RA on an outpatient basis
* Active disease
* Currently receiving 50 mg etanercept subcutaneously (SC) every week or 40 mg adalimumab SC every other week.
* Considered by Investigator to be a primary non-responder to their first anti-TNFα treatment for efficacy reasons

Exclusion Criteria

* Rheumatic autoimmune disease other than RA, or significant systemic involvement secondary to RA
* History of, or current, inflammatory joint disease other than RA (e.g., gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme disease) or other systemic autoimmune disorder (e.g., systemic lupus erythematosus, inflammatory bowel disease, scleroderma, inflammatory myopathy, mixed connective tissue disease or other overlap syndrome)
* Previous treatment with a any biologic therapy for RA (including investigational products with the exception of etanercept or adalimumab
* Treatment with more than one prior anti-TNFα therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Rheumatology Associates

Birmingham, Alabama, United States

Site Status

NEA Baptist Clinic

Jonesboro, Arkansas, United States

Site Status

Dr. Brigid Freyne, MD

Murrieta, California, United States

Site Status

Agilence Arthritis and Osteoporosis Medical Center, Inc.

Whittier, California, United States

Site Status

Arthritis Assoc & Osteoporosis; Ctr of Colorado Springs

Colorado Springs, Colorado, United States

Site Status

RASF-Clinical Research Center

Boca Raton, Florida, United States

Site Status

Robert W. Levin MD - PP

Dunedin, Florida, United States

Site Status

Science and Research Institute, Inc.

Jupiter, Florida, United States

Site Status

Rheumatology Associates of Central Florida

Orlando, Florida, United States

Site Status

Lovelace Scientific Resources

Sarasota, Florida, United States

Site Status

Arthritis Res & Treatment

Macon, Georgia, United States

Site Status

Harbin Clinic

Rome, Georgia, United States

Site Status

Institute of Arthritis Research

Idaho Falls, Idaho, United States

Site Status

Illinois Bone & Joint Inst.

Morton Grove, Illinois, United States

Site Status

Springfield Clinic

Springfield, Illinois, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Graves Gilbert Clinic

Bowling Green, Kentucky, United States

Site Status

Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

Site Status

Hurley Medical Center

Flint, Michigan, United States

Site Status

Rheumatology, P.C.; Medical Arts Building

Kalamazoo, Michigan, United States

Site Status

Fiechtner Research Inc

Lansing, Michigan, United States

Site Status

Shores Rheumatology

Saint Clair Shores, Michigan, United States

Site Status

Jackson Arthritis Clinic

Flowood, Mississippi, United States

Site Status

Arthritis Associates of Mississippi

Jackson, Mississippi, United States

Site Status

Private Practice - Rosenberg

Florissant, Missouri, United States

Site Status

Clayton Medical Research

St Louis, Missouri, United States

Site Status

Billings Clinic; Research Center

Billings, Montana, United States

Site Status

Billings Clinic

Billings, Montana, United States

Site Status

Westroads Medical Group

Omaha, Nebraska, United States

Site Status

Arthritis Center of Reno

Reno, Nevada, United States

Site Status

Dartmouth-Hitchcock Medical Center, Rheumatology 5C

Lebanon, New Hampshire, United States

Site Status

Regional Clinical Research

Binghamton, New York, United States

Site Status

Arthritis & Osteoporosis Center

Brooklyn, New York, United States

Site Status

Southern Tier Arthritis & Rheumatism

Olean, New York, United States

Site Status

Buffalo Rheumatology Associates

Orchard Park, New York, United States

Site Status

Barada,Harrell,Toohey&Bellhorn

Durham, North Carolina, United States

Site Status

Physicians East Pa

Greenville, North Carolina, United States

Site Status

Ohio State Univ Med Center

Columbus, Ohio, United States

Site Status

Oklahoma Medical Research Foundation

Oklahoma City, Oklahoma, United States

Site Status

Healthcare Research Consultants

Tulsa, Oklahoma, United States

Site Status

Providence Arthritis Center

Portland, Oregon, United States

Site Status

Lehigh Valley Physicians Group

Allentown, Pennsylvania, United States

Site Status

Arthritis Associates

Erie, Pennsylvania, United States

Site Status

Columbia Arthritis Center (Partnership Practice)

Columbia, South Carolina, United States

Site Status

Piedmont Arthritis Clinic

Greenville, South Carolina, United States

Site Status

South Carolina Research Center

Myrtle Beach, South Carolina, United States

Site Status

Arthritis Associates

Hixson, Tennessee, United States

Site Status

Ramesh Gupta - PP

Memphis, Tennessee, United States

Site Status

Ctr for Inflammatory Disease

Nashville, Tennessee, United States

Site Status

Amarillo Center For Clinical Research

Amarillo, Texas, United States

Site Status

Phillip A Waller MD, PA

Houston, Texas, United States

Site Status

Southwest Rheumatology

Mesquite, Texas, United States

Site Status

Texas Arthritis Research Center

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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GA00931

Identifier Type: -

Identifier Source: secondary_id

ACT4562g

Identifier Type: -

Identifier Source: org_study_id