Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis

NCT ID: NCT01061723

Last Updated: 2017-08-08

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

301 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2011-06-30

Brief Summary

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Primary objective:

\- to evaluate the efficacy of Sarilumab in participants with Ankylosing Spondylitis (AS) using the assessment in AS working group criteria (ASAS) 20% response criteria (ASAS20)

Secondary objectives:

* to demonstrate that Sarilumab was effective on:

* assessment of higher level of response \[ASAS 40% response criteria (ASAS40)\]
* partial remission
* disease activity
* range of motion
* Magnetic Resonance Imaging (MRI) of the spine
* to assess the safety and tolerability of Sarilumab in participants with AS as well as the pharmacokinetic profile of Sarilumab in participants with AS

Detailed Description

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The duration of participation in this study for each participant was approximately 22 weeks; including up to 4 weeks screening period, 12-weeks double-blind treatment period and 6-weeks safety follow-up period.

Conditions

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Ankylosing Spondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Placebo (for sarilumab) weekly (qw) for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Sarilumab 100 mg q2w

Sarilumab 100 mg Subcutaneous (SC) injection alternating with placebo every other week (q2w) for 12 weeks.

Group Type EXPERIMENTAL

Sarilumab

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Sarilumab 150 mg q2w

Sarilumab 150 mg SC injection alternating with placebo q2w for 12 weeks.

Group Type EXPERIMENTAL

Sarilumab

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Sarilumab 100 mg qw

Sarilumab 100 mg SC injection qw for 12 weeks.

Group Type EXPERIMENTAL

Sarilumab

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Sarilumab 200 mg q2w

Sarilumab 200 mg SC injection alternating with placebo q2w for 12 weeks.

Group Type EXPERIMENTAL

Sarilumab

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Placebo

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Sarilumab 150 mg qw

Sarilumab 150 mg SC injection qw for 12 weeks.

Group Type EXPERIMENTAL

Sarilumab

Intervention Type DRUG

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Interventions

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Sarilumab

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Intervention Type DRUG

Placebo

Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Intervention Type DRUG

Other Intervention Names

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SAR153191 REGN88

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of AS according to the New York modified criteria
* Participants must had an adequate trial of at least 2 different Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) taken for at least 2 weeks in each case and, on a stable dose for ≥2 weeks or be intolerant to NSAIDs
* Participants must had active AS for ≥3 months before screening and active disease must be present at screening and at baseline; Active AS being defined by:

* Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of ≥4 (Numerical Rating Scale 0-10)
* Total back pain score ≥4 (Numerical Rating Scale 0-10)

Participants treated with corticosteroid must be on a stable dose for ≥2 weeks prior to baseline

Participants treated with the Disease Modifying Anti-Rheumatic Drugs (DMARDs) hydroxychloroquine, sulfasalazine and methotrexate (MTX) must be on stable dose ≥12 weeks prior to baseline

Exclusion Criteria

* \<18 years old or ≥75 years old
* Complete fusion of the spine
* Past history of non response to any anti-Tumor Necrosis Factors (TNFs) treatment or non response to any other biological treatment for AS
* Any past or current treatment with anti-TNF's or any biological agent within 3 months prior to screening
* Treatment with DMARDs except for hydroxychloroquine, sulfasalazine and MTX
* MTX \>25 mg/week
* hydroxychloroquine \>400 mg/day
* Sulfasalazine \>3 g/day
* Treatment with oral prednisone or equivalent corticosteroids \>10 mg/day within 6 weeks prior to screening
* Use of intramuscular or intra-articular corticosteroids within the last 4 weeks before screening
* Previous treatment with cyclosporine, azathioprine

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 840006

Birmingham, Alabama, United States

Site Status

Investigational Site Number 840033

Anaheim, California, United States

Site Status

Investigational Site Number 840027

Los Angeles, California, United States

Site Status

Investigational Site Number 840007

San Diego, California, United States

Site Status

Investigational Site Number 840013

San Francisco, California, United States

Site Status

Investigational Site Number 840017

Upland, California, United States

Site Status

Investigational Site Number 840009

Boca Raton, Florida, United States

Site Status

Investigational Site Number 840001

Naples, Florida, United States

Site Status

Investigational Site Number 840032

Orlando, Florida, United States

Site Status

Investigational Site Number 840015

Boise, Idaho, United States

Site Status

Investigational Site Number 840021

Rock Island, Illinois, United States

Site Status

Investigational Site Number 840018

Kansas City, Kansas, United States

Site Status

Investigational Site Number 840003

Wheaton, Maryland, United States

Site Status

Investigational Site Number 840029

Worcester, Massachusetts, United States

Site Status

Investigational Site Number 840008

Lansing, Michigan, United States

Site Status

Investigational Site Number 840002

St Louis, Missouri, United States

Site Status

Investigational Site Number 840028

Freehold, New Jersey, United States

Site Status

Investigational Site Number 840016

Albany, New York, United States

Site Status

Investigational Site Number 840036

Syracuse, New York, United States

Site Status

Investigational Site Number 840010

Toledo, Ohio, United States

Site Status

Investigational Site Number 840005

Oklahoma City, Oklahoma, United States

Site Status

Investigational Site Number 840023

Bethlehem, Pennsylvania, United States

Site Status

Investigational Site Number 840014

Duncansville, Pennsylvania, United States

Site Status

Investigational Site Number 840004

Dallas, Texas, United States

Site Status

Investigational Site Number 840030

Houston, Texas, United States

Site Status

Investigational Site Number 840034

Chesapeake, Virginia, United States

Site Status

Investigational Site Number 036003

Hobart, , Australia

Site Status

Investigational Site Number 036001

Malvern East, , Australia

Site Status

Investigational Site Number 036004

Shenton Park, , Australia

Site Status

Investigational Site Number 036002

Woolloongabba, , Australia

Site Status

Investigational Site Number 040001

Graz, , Austria

Site Status

Investigational Site Number 040002

Vienna, , Austria

Site Status

Investigational Site Number 056003

Brussels, , Belgium

Site Status

Investigational Site Number 056005

Genk, , Belgium

Site Status

Investigational Site Number 056001

Ghent, , Belgium

Site Status

Investigational Site Number 056002

Leuven, , Belgium

Site Status

Investigational Site Number 056004

Liège, , Belgium

Site Status

Investigational Site Number 124007

London, , Canada

Site Status

Investigational Site Number 124004

Montreal, , Canada

Site Status

Investigational Site Number 124008

Newmarket, , Canada

Site Status

Investigational Site Number 124003

Pointe-Claire, , Canada

Site Status

Investigational Site Number 124001

Québec, , Canada

Site Status

Investigational Site Number 124006

Saskatoon, , Canada

Site Status

Investigational Site Number 124005

Toronto, , Canada

Site Status

Investigational Site Number 124009

Trois-Rivières, , Canada

Site Status

Investigational Site Number 124002

Vancouver, , Canada

Site Status

Investigational Site Number 124010

Vancouver, , Canada

Site Status

Investigational Site Number 203003

Brno, , Czechia

Site Status

Investigational Site Number 203005

Hlučín, , Czechia

Site Status

Investigational Site Number 203002

Hradec Králové, , Czechia

Site Status

Investigational Site Number 203001

Prague, , Czechia

Site Status

Investigational Site Number 203004

Uherské Hradiště, , Czechia

Site Status

Investigational Site Number 250001

Besançon, , France

Site Status

Investigational Site Number 250005

Bordeaux, , France

Site Status

Investigational Site Number 250002

Créteil, , France

Site Status

Investigational Site Number 250003

Paris, , France

Site Status

Investigational Site Number 276002

Berlin, , Germany

Site Status

Investigational Site Number 276004

Erlangen, , Germany

Site Status

Investigational Site Number 276003

Frankfurt am Main, , Germany

Site Status

Investigational Site Number 276005

Hamburg, , Germany

Site Status

Investigational Site Number 276001

Herne, , Germany

Site Status

Investigational Site Number 348001

Budapest, , Hungary

Site Status

Investigational Site Number 348003

Debrecen, , Hungary

Site Status

Investigational Site Number 348005

Sátoraljaújhely, , Hungary

Site Status

Investigational Site Number 348004

Veszprém, , Hungary

Site Status

Investigational Site Number 440001

Kaunas, , Lithuania

Site Status

Investigational Site Number 440002

Vilnius, , Lithuania

Site Status

Investigational Site Number 528001

Amsterdam, , Netherlands

Site Status

Investigational Site Number 528002

Nijmegen, , Netherlands

Site Status

Investigational Site Number 616002

Bialystok, , Poland

Site Status

Investigational Site Number 616001

Krakow, , Poland

Site Status

Investigational Site Number 616004

Lublin, , Poland

Site Status

Investigational Site Number 616005

Torun, , Poland

Site Status

Investigational Site Number 616003

Warsaw, , Poland

Site Status

Investigational Site Number 724004

A Coruña, , Spain

Site Status

Investigational Site Number 724005

Barcelona, , Spain

Site Status

Investigational Site Number 724002

Madrid, , Spain

Site Status

Investigational Site Number 724001

Seville, , Spain

Site Status

Investigational Site Number 792002

Ankara, , Turkey (Türkiye)

Site Status

Investigational Site Number 792001

Izmir, , Turkey (Türkiye)

Site Status

Countries

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United States Australia Austria Belgium Canada Czechia France Germany Hungary Lithuania Netherlands Poland Spain Turkey (Türkiye)

References

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Sieper J, Braun J, Kay J, Badalamenti S, Radin AR, Jiao L, Fiore S, Momtahen T, Yancopoulos GD, Stahl N, Inman RD. Sarilumab for the treatment of ankylosing spondylitis: results of a Phase II, randomised, double-blind, placebo-controlled study (ALIGN). Ann Rheum Dis. 2015 Jun;74(6):1051-7. doi: 10.1136/annrheumdis-2013-204963. Epub 2014 Feb 18.

Reference Type RESULT
PMID: 24550171 (View on PubMed)

Other Identifiers

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2009-016068-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

DRI11073

Identifier Type: -

Identifier Source: org_study_id

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