Single Ascending Dose Study of Safety and Tolerability of Sarilumab and Methotrexate in Japanese Patients With Rheumatoid Arthritis

NCT ID: NCT01850680

Last Updated: 2014-01-28

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

PHASE1

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2013-12-31

Brief Summary

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Primary Objective:

To assess the safety and tolerability of a single dose of subcutaneously administered sarilumab in Japanese patients with rheumatoid arthritis (RA) who are receiving concomitant treatment with methotrexate.

Secondary Objective:

To assess the pharmacokinetic profile of a single subcutaneous (SC) dose of sarilumab in Japanese RA patients.

Detailed Description

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Total study duration per patient is up to 88 days

1. Screening: 3 to 28 days
2. Treatment: 1 day
3. Follow-up: 57± 3 days after dosing

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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Sarilumab (SAR153191, REGN88) Dose 1

First dose of Sarilumab in a single SC injection. Methotrexate (stable dose) and folic acid are continued as background therapy

Group Type EXPERIMENTAL

sarilumab SAR153191 (REGN88)

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

methotrexate

Intervention Type DRUG

Pharmaceutical form:capsule Route of administration: oral

folic acid

Intervention Type DRUG

Pharmaceutical form:tablet Route of administration: oral

Sarilumab (SAR153191, REGN88) Dose 2

Second dose of Sarilumab in a single SC injection. Methotrexate (stable dose) and folic acid are continued as background therapy

Group Type EXPERIMENTAL

sarilumab SAR153191 (REGN88)

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

methotrexate

Intervention Type DRUG

Pharmaceutical form:capsule Route of administration: oral

folic acid

Intervention Type DRUG

Pharmaceutical form:tablet Route of administration: oral

Sarilumab (SAR153191, REGN88) Dose 3

Third dose of Sarilumab in a single SC injection. Methotrexate (stable dose) and folic acid are continued as background therapy

Group Type EXPERIMENTAL

sarilumab SAR153191 (REGN88)

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

methotrexate

Intervention Type DRUG

Pharmaceutical form:capsule Route of administration: oral

folic acid

Intervention Type DRUG

Pharmaceutical form:tablet Route of administration: oral

Sarilumab (SAR153191, REGN88) Dose 4

Fourth dose of Sarilumab in a single SC injection. Methotrexate (stable dose) and folic acid are continued as background therapy

Group Type EXPERIMENTAL

sarilumab SAR153191 (REGN88)

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

methotrexate

Intervention Type DRUG

Pharmaceutical form:capsule Route of administration: oral

folic acid

Intervention Type DRUG

Pharmaceutical form:tablet Route of administration: oral

Placebo Dose 5

Placebo to match Sarilumab (SAR153191, REGN88) in a single SC injection. Methotrexate (stable dose) and folic acid are continued as background therapy

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: subcutaneous

methotrexate

Intervention Type DRUG

Pharmaceutical form:capsule Route of administration: oral

folic acid

Intervention Type DRUG

Pharmaceutical form:tablet Route of administration: oral

Interventions

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sarilumab SAR153191 (REGN88)

Pharmaceutical form:solution Route of administration: subcutaneous

Intervention Type DRUG

placebo

Pharmaceutical form:solution Route of administration: subcutaneous

Intervention Type DRUG

methotrexate

Pharmaceutical form:capsule Route of administration: oral

Intervention Type DRUG

folic acid

Pharmaceutical form:tablet Route of administration: oral

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female Japanese who are 20 to 65 years of age
2. Diagnosis of rheumatoid arthritis (RA) ≥ 3 months duration
3. Treated for a minimum of 8 weeks with Methotrexate (MTX) and with a stable dose of MTX (6-16 mg/week) for a minimum of 4 weeks prior to the screening visit

Exclusion Criteria

1. Autoimmune or inflammatory systemic or localized joint disease other than RA
2. Women of a positive pregnancy test
3. Latent or active tuberculosis
4. Prior treatment with anti-interleukin-6 (anti-IL-6) or anti-interleukin-6 receptor (IL-6R) antagonist
5. Treatment with anti-TNF agents, as follows:

1. Etanercept: within 28 days prior to randomization
2. Infliximab, adalimumab, golimumab, certolizumab pegol: within 42 days prior to randomization
6. Received any live, attenuated vaccine within 3 months prior to the randomization visit (eg, varicella-zoster, oral polio, rubella vaccines)
7. Significant concomitant illness such as, but not limited to, cardiovascular, renal, neurological, endocrinological, gastrointestinal, hepato-biliary, metabolic, pulmonary or lymphatic disease that would adversely affect the patient's participation in the study.
8. Received surgery within 4 weeks prior to the screening visit or planned surgery during the study
9. History of a systemic hypersensitivity reaction

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

20 Years

Maximum Eligible Age

65 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 392001

Sendai, , Japan

Site Status

Investigational Site Number 392002

Sendai, , Japan

Site Status

Countries

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Japan

Other Identifiers

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U1111-1134-0048

Identifier Type: OTHER

Identifier Source: secondary_id

TDU13402

Identifier Type: -

Identifier Source: org_study_id

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