A Study of RoActemra/Actemra (Tocilizumab) in Combination With Methotrexate Versus RoActemra/Actemra Monotherapy in Patients With Rheumatoid Arthritis and an Inadequate Response to Methotrexate

NCT ID: NCT01399697

Last Updated: 2015-07-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

261 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2014-05-31

Brief Summary

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This randomized, double-blind, parallel-group study will evaluate the efficacy and safety of RoActemra/Actemra (tocilizumab) in combination with methotrexate versus RoActemra/Actemra monotherapy in patients with rheumatoid arthritis and an inadequate response to methotrexate. All patients will receive RoActemra/Actemra 8 mg/kg intravenously (iv) every 4 weeks plus oral methotrexate for 16 weeks. Patients achieving low disease activity at Week 16 will be randomized to receive a further 12 weeks of RoActemra/Actemra treatment plus either methotrexate or placebo. Anticipated time on study treatment is 28 weeks.

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

methotrexate

Intervention Type DRUG

orally, Week 1 - 16

methotrexate

Intervention Type DRUG

orally, Week 17-28

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

8 mg/kg iv every 4 weeks, 28 weeks

B

Group Type ACTIVE_COMPARATOR

methotrexate

Intervention Type DRUG

orally, Week 1 - 16

placebo

Intervention Type DRUG

methotrexate placebo orally, Week 17-28

tocilizumab [RoActemra/Actemra]

Intervention Type DRUG

8 mg/kg iv every 4 weeks, 28 weeks

Interventions

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methotrexate

orally, Week 1 - 16

Intervention Type DRUG

methotrexate

orally, Week 17-28

Intervention Type DRUG

placebo

methotrexate placebo orally, Week 17-28

Intervention Type DRUG

tocilizumab [RoActemra/Actemra]

8 mg/kg iv every 4 weeks, 28 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, \>/= 18 years of age
* Active moderate to severe rheumatoid arthritis (DAS28 \>/= 3.2) at baseline
* Currently receiving methotrexate for at least 12 weeks, at a stable oral dose of at least 15 mg/week for at least 6 weeks prior to treatment (Day 1)
* Body weight \< 150 kg
* Oral corticoids must have been at stable dose for at least 25 out of 28 days prior to baseline; maximum dose 10 mg/day

Exclusion Criteria

* Pregnant or nursing women
* Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months after baseline
* Rheumatic autoimmune disease other than RA
* Functional class IV as defined by the American College of Rheumatology (ACR) Classification of Functional Status in Rheumatoid Arthritis
* Prior history of or current inflammatory joint disease other than RA
* Treatment with a biologic agent at any time prior to baseline
* Treatment with traditional DMARDs other than methotrexate within 1 month (for leflunomide 3 months) prior to baseline
* Intraarticular or parenteral corticosteroids within 6 weeks prior to baseline
* Previous treatment with RoActemra/Actemra
* History of severe allergic or anaphylactic reactions to human, humanized, or murine monoclonal antibodies
* Known active current or history of recurrent infection
* History of or currently active primary or secondary immunodeficiency
* Active tuberculosis requiring treatment within the previous 3 years
* Positive for HIV infection
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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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Albacete, Albacete, Spain

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Orihuela, Alicante, Spain

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Torrevieja, Alicante, Spain

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Villajoyosa, Alicante, Spain

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Badajoz, Badajoz, Spain

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Mérida, Badajoz, Spain

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Menorca, Balearic Islands, Spain

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Badalona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Granollers, Barcelona, Spain

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Terrassa, Barcelona, Spain

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Cáceres, Caceres, Spain

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Cadiz, Cadiz, Spain

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Torrelavega, Cantabria, Spain

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Villarreal, Castellon, Spain

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Córdoba, Cordoba, Spain

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Granada, Granada, Spain

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Granada, Granada, Spain

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Guadalajara, Guadalajara, Spain

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A Coruña, La Coruña, Spain

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Santiago de Compostela, La Coruña, Spain

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Las Palmas de Gran Canaria, Las Palmas, Spain

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León, Leon, Spain

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Lugo, Lugo, Spain

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Alcalá de Henares, Madrid, Spain

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Fuenlabrada, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Valdemoro, Madrid, Spain

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Málaga, Malaga, Spain

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Cartagena, Murcia, Spain

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El Palmar, Murcia, Spain

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Vigo, Pontevedra, Spain

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Salamanca, Salamanca, Spain

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Seville, Sevilla, Spain

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Seville, Sevilla, Spain

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Santa Cruz de Tenerife, Tenerife, Spain

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Toledo, Toledo, Spain

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Manises, Valencia, Spain

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Valencia, Valencia, Spain

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Valencia, Valencia, Spain

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Valenica, Valencia, Spain

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Barakaldo, Vizcaya, Spain

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Bilbao, Vizcaya, Spain

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Galdakao, Vizcaya, Spain

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Countries

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Spain

Other Identifiers

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ML27828

Identifier Type: -

Identifier Source: org_study_id

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