A Study Comparing Sirukumab (CNTO 136) Monotherapy With Adalimumab (HUMIRA®) Monotherapy in the Treatment of Active Rheumatoid Arthritis

NCT ID: NCT02019472

Last Updated: 2017-10-26

Study Results

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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

PHASE3

Total Enrollment

559 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-04

Study Completion Date

2016-08-17

Brief Summary

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The primary objective is to investigate the efficacy of sirukumab monotherapy compared with adalimumab monotherapy in biologic naïve subjects with active rheumatoid arthritis who are intolerant to methotrexate, who are considered inappropriate for treatment with methotrexate or who are inadequate responders to methotrexate.

Detailed Description

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This is a randomized, double-blind, parallel-group, global, multicenter study of subcutaneous (SC) sirukumab monotherapy compared with adalimumab monotherapy in subjects with active rheumatoid arthritis. Approximately 510 subjects will be randomly assigned in a 1:1:1 ratio to receive treatment with adalimumab 40 mg SC every 2 weeks, sirukumab 100 mg SC every 2 weeks, or 50 mg SC every 4 weeks, with approximately 170 subjects per treatment group. At Week 16, subjects in all treatment groups who have \< 20% improvement from baseline in both swollen and tender joint counts will qualify for early escape. The expected duration of the study is 68 weeks. This includes 52 weeks of treatment with study agent and 16 weeks of safety follow-up after the last study agent administration. The study will end when the last subject completes the last scheduled visit (Week 68 visit or completes the 16 week safety follow-up, whichever is later). Subject safety will be monitored through the end of the study.

Conditions

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Arthritis, Rheumatoid

Keywords

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Rheumatoid arthritis CNTO 136 Sirukumab Adalimumab HUMIRA®

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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Group 1 (adalimumab 40 mg)

Adalimumab 40 mg SC at Weeks 0, 2, and every 2 weeks through Week 52. At Week 16, subjects who have \< 20% improvement from baseline in both swollen and tender joint counts will early escape in a blinded fashion and receive adalimumab 40 mg every week through Week 52.

Group Type EXPERIMENTAL

adalimumab 40 mg

Intervention Type BIOLOGICAL

SC injections

Group 2 (sirukumab 100 mg)

Sirukumab 100 mg SC at Weeks 0, 2, and every 2 weeks through Week 52. Subjects may meet the early escape criteria at Week 16 (\< 20% improvement from baseline in both swollen and tender joint counts) but no sirukumab dose adjustments will made for these subjects. However, these subjects will receive placebo injections every 2 weeks between the sirukumab injections (ie, subjects that early escape will receive a weekly injection of alternating sirukumab and placebo, to preserve the blind).

Group Type EXPERIMENTAL

sirukumab 100 mg

Intervention Type BIOLOGICAL

SC injections

Placebo

Intervention Type DRUG

SC injections

Group 3 (sirukumab 50 mg)

Sirukumab 50 mg SC at Weeks 0, 4, and every 4 weeks through Week 52. Between sirukumab injections, placebo SC injections will be administered at Weeks 2, 6, and every 4 weeks through Week 50. At Week 16, subjects who have \< 20% improvement from baseline in both swollen and tender joint counts will early escape in a blinded fashion and receive sirukumab 100 mg every 2 weeks through Week 52 and placebo injections every 2 weeks between the sirukumab injections (ie, subjects that early escape will receive a weekly injection of alternating sirukumab and placebo, to preserve the blind).

Group Type EXPERIMENTAL

sirukumab 50 mg

Intervention Type BIOLOGICAL

SC injections

Placebo

Intervention Type DRUG

SC injections

Interventions

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adalimumab 40 mg

SC injections

Intervention Type BIOLOGICAL

sirukumab 100 mg

SC injections

Intervention Type BIOLOGICAL

sirukumab 50 mg

SC injections

Intervention Type BIOLOGICAL

Placebo

SC injections

Intervention Type DRUG

Other Intervention Names

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HUMIRA® CNTO 136 CNTO 136

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of rheumatoid arthritis (RA) for at least 6 months before screening
* Have moderately to severely active RA with at least 8 of 68 tender joints and 6 of 66 swollen joints, at screening and at baseline
* Have previous or current treatment with methotrexate (MTX) and are considered intolerant to MTX, and/or are considered inappropriate for treatment with MTX, (including MTX-naïve subjects for whom it is inappropriate to administer MTX) and/or an inadequate responder to methotrexate
* Must not have received MTX or any other non-biologic DMARD including but not limited to sulfasalazine, hydroxychloroquine, chloroquine, and bucillamine for at least 2 weeks prior to the first administration of the study agent
* C-reactive protein \>= 10.00 mg/L or erythrocyte sedimentation rate \>=28 mm/hr at screening

Exclusion Criteria

* Has Functional Class IV as defined by the ACR Classification of Functional Status in Rheumatoid Arthritis
* Has ever received biologic therapy for RA, including but not limited to the following: TNF-alpha inhibitors, tocilizumab, rituximab, anakinra, abatacept
* Has ever used tofacitinib therapy or any other JAK inhibitor
* Has received intra-articular, intramuscular, or IV corticosteroids for RA, including adrenocorticotrophic hormone during the 4 weeks prior to first study agent administration
* Has received leflunomide within 24 months before the first study agent administration and has not undergone a drug elimination procedure, unless the M1 metabolite is measured and is undetectable
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Birmingham, Alabama, United States

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Phoenix, Arizona, United States

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Arvin, California, United States

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El Cajon, California, United States

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Huntington Beach, California, United States

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Pleasanton, California, United States

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Thousand Oaks, California, United States

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Tustin, California, United States

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Whittier, California, United States

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Newark, Delaware, United States

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Aventura, Florida, United States

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Dunedin, Florida, United States

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Miami, Florida, United States

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New Port Richey, Florida, United States

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Palm Harbor, Florida, United States

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Plantation, Florida, United States

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Tampa, Florida, United States

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Kansas City, Kansas, United States

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Elizabethtown, Kentucky, United States

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Paducah, Kentucky, United States

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Frederick, Maryland, United States

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Wheaton, Maryland, United States

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St Louis, Missouri, United States

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Las Vegas, Nevada, United States

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Salisbury, North Carolina, United States

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Wilmington, North Carolina, United States

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Dayton, Ohio, United States

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Portland, Oregon, United States

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Duncansville, Pennsylvania, United States

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Wexford, Pennsylvania, United States

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Wyomissing, Pennsylvania, United States

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Jackson, Tennessee, United States

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Nashville, Tennessee, United States

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Austin, Texas, United States

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Carrollton, Texas, United States

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Corpus Christi, Texas, United States

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Cypress, Texas, United States

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Lubbock, Texas, United States

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McKinney, Texas, United States

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Mesquite, Texas, United States

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Chesapeake, Virginia, United States

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Clarksburg, West Virginia, United States

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Port Montt, , Chile

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Temuco, , Chile

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Barranquilla, , Colombia

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Bogotá, , Colombia

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Bucaramanga, , Colombia

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Bad Doberan, , Germany

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Berlin, , Germany

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Cologne, , Germany

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Ratingen, , Germany

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Vogelsang-Gommern, , Germany

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Debrecen, , Hungary

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Gödöllő, , Hungary

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Klaipėda, , Lithuania

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Šiauliai, , Lithuania

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Vilnius, , Lithuania

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Chihuahua City, , Mexico

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Guadalajara, , Mexico

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Jalisco, , Mexico

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Mexicali, , Mexico

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Chisinau, , Moldova

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Bydgoszcz, , Poland

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Bytom, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Nadarzyn, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Bucharest, , Romania

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Constanța, , Romania

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Ploieşti, , Romania

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Arkhangelsk, , Russia

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Kazan', , Russia

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Kemerovo, , Russia

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Kursk, , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Petrozavodsk, , Russia

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Ryazan, , Russia

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Saint Petersburg, , Russia

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Tomsk, , Russia

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Tver', , Russia

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Vladimir, , Russia

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Yaroslavl, , Russia

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Belgrade, , Serbia

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Novi Sad, , Serbia

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Zemun, , Serbia

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Cape Town, , South Africa

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Durban, , South Africa

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Kempton Park, , South Africa

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Stellenbosch, , South Africa

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A Coruña, , Spain

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Madrid, , Spain

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Chernihiv, , Ukraine

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Kryvyi Rih, , Ukraine

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Kyiv, , Ukraine

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Lviv, , Ukraine

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Odesa, , Ukraine

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Poltava, , Ukraine

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Sumy, , Ukraine

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Ternopil, , Ukraine

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Vinnytsia, , Ukraine

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Zaporizhzhia, , Ukraine

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Countries

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Argentina Peru United States Bulgaria Chile Colombia Germany Hungary Lithuania Mexico Moldova Poland Romania Russia Serbia South Africa Spain Ukraine

References

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Taylor PC, Schiff MH, Wang Q, Jiang Y, Zhuang Y, Kurrasch R, Daga S, Rao R, Tak PP, Hsu B. Efficacy and safety of monotherapy with sirukumab compared with adalimumab monotherapy in biologic-naive patients with active rheumatoid arthritis (SIRROUND-H): a randomised, double-blind, parallel-group, multinational, 52-week, phase 3 study. Ann Rheum Dis. 2018 May;77(5):658-666. doi: 10.1136/annrheumdis-2017-212496. Epub 2018 Feb 26.

Reference Type DERIVED
PMID: 29483080 (View on PubMed)

Other Identifiers

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CNTO136ARA3005

Identifier Type: OTHER

Identifier Source: secondary_id

2013-001417-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR103111

Identifier Type: -

Identifier Source: org_study_id