A Study to Evaluate the Efficacy and Safety of MLTA3698A in Combination With a Disease-Modifying Anti-Rheumatic Drug (DMARD) Compared With Adalimumab in Combination With a DMARD in Patients With Active Rheumatoid Arthritis

NCT ID: NCT01225393

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

PHASE2

Total Enrollment

211 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Brief Summary

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This is a Phase II, randomized, double-blind, placebo-controlled, parallel-group, multicenter study enrolling patients with active rheumatoid arthritis (RA).

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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A

Group Type EXPERIMENTAL

MLTA3698A

Intervention Type DRUG

Subcutaneous repeating dose

leflunomide

Intervention Type DRUG

Stable dose if not on methotrexate

methotrexate

Intervention Type DRUG

Stable dose if not on leflunomide

B

Group Type ACTIVE_COMPARATOR

adalimumab

Intervention Type DRUG

Subcutaneous repeating dose

leflunomide

Intervention Type DRUG

Stable dose if not on methotrexate

methotrexate

Intervention Type DRUG

Stable dose if not on leflunomide

placebo

Intervention Type DRUG

Subcutaneous repeating dose

C

Group Type PLACEBO_COMPARATOR

leflunomide

Intervention Type DRUG

Stable dose if not on methotrexate

methotrexate

Intervention Type DRUG

Stable dose if not on leflunomide

placebo

Intervention Type DRUG

Subcutaneous repeating dose

Interventions

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MLTA3698A

Subcutaneous repeating dose

Intervention Type DRUG

adalimumab

Subcutaneous repeating dose

Intervention Type DRUG

leflunomide

Stable dose if not on methotrexate

Intervention Type DRUG

methotrexate

Stable dose if not on leflunomide

Intervention Type DRUG

placebo

Subcutaneous repeating dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of RA according to the 1987 revised ACR Criteria for the Classification of RA for at least 6 months prior to screening
* Positive for rheumatoid factor or anti-cyclic citrullinated peptide (CCP) antibody, or both
* Active disease, defined as: CRP \>= 1.0 mg/dL; swollen joint count \>= 6 (66 joint count); tender joint count \>= 6 (68 joint count)
* Previous inadequate clinical response to at least one disease-modifying anti-rheumatic drug (DMARD) consisting of either methotrexate (MTX) or leflunomide (LFU)
* For patients currently receiving corticosteroids: Treatment at a stable dose during last 4 weeks prior to screening
* For patients currently receiving non-steroidal anti-inflammatory drugs (NSAIDs): Treatment at a stable dose during last 4 weeks prior to screening
* For patients currently receiving sulfasalazine or anti-malarials: Treatment initiated and continued for at least the last 6 months prior to screening and on a stable dose
* For patients of reproductive potential (males and females): Willing to use a highly effective birth control method for the duration of the study according to local guidelines

Exclusion Criteria

* Pregnant, planning to become pregnant during the study, or breastfeeding
* Clinically significant abnormal laboratory values or abnormal ECG or vital signs
* History of anaphylactic reactions
* Rheumatic autoimmune disease other than RA, or significant systemic involvement secondary to RA (including but not limited to vasculitis, pulmonary fibrosis, or Felty's syndrome), however patients with secondary Sjogren's syndrome are eligible for the study
* History of or current inflammatory joint disease other than RA (e.g., gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthritis, 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)
* Current or recent (within 4 weeks prior to screening) infection, including signs, symptoms or serology of any infection, including HIV, hepatitis B or C, tuberculosis
* Administration of a live, attenuated vaccine within 1 month before dosing or anticipation that such a live attenuated vaccine will be required during the study
* Previous treatment with anti-TNF biologics or other biologic agents, including anti-CD20-directed therapy (e.g. rituximab), anti-IL6-directed therapy (e.g. tocilizumab), or T cell-directed therapy (e.g. abatacept)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 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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John C. Davis, Jr., M.D., M.P.H.

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Anniston, Alabama, United States

Site Status

Birmingham, Alabama, United States

Site Status

Peoria, Arizona, United States

Site Status

Los Angeles, California, United States

Site Status

Upland, California, United States

Site Status

Ormond Beach, Florida, United States

Site Status

Lexington, Kentucky, United States

Site Status

Kalamazoo, Michigan, United States

Site Status

Flowood, Mississippi, United States

Site Status

Reno, Nevada, United States

Site Status

Charleston, South Carolina, United States

Site Status

San Antonio, Texas, United States

Site Status

Chesapeake, Virginia, United States

Site Status

Clarksburg, West Virginia, United States

Site Status

Sofia, , Bulgaria

Site Status

Sofia, , Bulgaria

Site Status

Sofia, , Bulgaria

Site Status

Santiago, , Chile

Site Status

Santiago, , Chile

Site Status

Santiago, , Chile

Site Status

Bad Nauheim, , Germany

Site Status

Berlin, , Germany

Site Status

Cologne, , Germany

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Erfurt, , Germany

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Freiburg im Breisgau, , Germany

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Herne, , Germany

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Kiel, , Germany

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Zerbst, , Germany

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Békéscsaba, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Veszprém, , Hungary

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Culiacán, , Mexico

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Guadalajara, , Mexico

Site Status

Guadalajara, , Mexico

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Guadalajara, , Mexico

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León, , Mexico

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Mexicali, , Mexico

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Mexico City, , Mexico

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Mérida, , Mexico

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México, , Mexico

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Monterrey, NL, , Mexico

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Lima, , Peru

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Lima, , Peru

Site Status

Lima, , Peru

Site Status

Lima, , Peru

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Lima, , Peru

Site Status

Lima, , Peru

Site Status

San Isidro, , Peru

Site Status

San Isidro, , Peru

Site Status

Bialystok, , Poland

Site Status

Bialystok, , Poland

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Elblag, , Poland

Site Status

Kościan, , Poland

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Krakow, , Poland

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Lublin, , Poland

Site Status

Warsaw, , Poland

Site Status

Baia Mare, , Romania

Site Status

Bucharest, , Romania

Site Status

Bucharest, , Romania

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Cluj-Napoca, , Romania

Site Status

Galati, , Romania

Site Status

Torrelavega, Cantabria, Spain

Site Status

A Coruña, La Coruña, Spain

Site Status

Seville, Sevilla, Spain

Site Status

S. Cristobal de La Laguna, Tenerife, Spain

Site Status

Countries

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United States Bulgaria Chile Germany Hungary Mexico Peru Poland Romania Spain

References

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Kennedy WP, Simon JA, Offutt C, Horn P, Herman A, Townsend MJ, Tang MT, Grogan JL, Hsieh F, Davis JC. Efficacy and safety of pateclizumab (anti-lymphotoxin-alpha) compared to adalimumab in rheumatoid arthritis: a head-to-head phase 2 randomized controlled study (The ALTARA Study). Arthritis Res Ther. 2014 Oct 30;16(5):467. doi: 10.1186/s13075-014-0467-3.

Reference Type DERIVED
PMID: 25359150 (View on PubMed)

Other Identifiers

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GA00932

Identifier Type: OTHER

Identifier Source: secondary_id

ALT4864g

Identifier Type: -

Identifier Source: org_study_id