Extension Study to Assess the Efficacy and Safety of Repeat Treatment With Rituximab (MabThera) in Participants With Active Rheumatoid Arthritis (RA)

NCT ID: NCT02093026

Last Updated: 2017-03-13

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

465 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-08-31

Study Completion Date

2012-12-31

Brief Summary

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This study will assess the long-term safety and efficacy of repeat treatment courses of rituximab, in combination with methotrexate in a disease-modifying anti-rheumatic drug (DMARD) inadequate responder population of participants who were previously randomized into studies WA16291 (NCT02693210) or WA17043/U2644g (NCT00074438). The study permits multiple re-treatments until the protocol-defined end-of-treatment date (31 December 2011). Participants will then enter a safety follow-up (SFU) period of at least 48 weeks. This will provide at least 7 years follow-up data on all participants initially randomized into WA16291 or WA17043/U2644g. Approximately 600 participants will potentially be eligible to enter this open label extension study from their respective feeder studies.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab

Participants will receive rituximab 1 gram intravenously (IV) on Days 1 and 15 of each course of retreatment. In addition, participants will receive methotrexate 10-25 milligrams per week (mg/week) orally or parenterally, methylprednisolone 100 mg IV 30 minutes prior to both rituximab infusions, and a stable dose of folic acid greater than or equal to (\>=) 5 mg/week or equivalent. Participants will receive retreatment (next course of rituximab repeat treatment) within 2 weeks of meeting the retreatment criteria as defined in the protocol (minimum of 24 weeks after the first \[Day 1\] infusion of the last course of rituximab). Repeat treatment will be based on the investigator's decision of prior clinical response to rituximab, clinical need and evidence of active disease (Disease Activity Score in 28 joints \>=2.6). Retreatment with rituximab will be continued until withdrawal of consent or study treatment completion on 31 December 2011, whichever is sooner.

Group Type EXPERIMENTAL

Rituximab

Intervention Type DRUG

Participants will receive rituximab 1 gram IV on Days 1 and 15 of each course of retreatment.

Methotrexate

Intervention Type DRUG

Participants will receive methotrexate 10-25 mg/week orally or parenterally.

Methylprednisolone

Intervention Type DRUG

Participants will receive methylprednisolone 100 mg IV 30 minutes prior to each rituximab infusion.

Folic Acid

Intervention Type DRUG

Participants will receive folic acid \>= 5 mg/week or equivalent.

Interventions

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Rituximab

Participants will receive rituximab 1 gram IV on Days 1 and 15 of each course of retreatment.

Intervention Type DRUG

Methotrexate

Participants will receive methotrexate 10-25 mg/week orally or parenterally.

Intervention Type DRUG

Methylprednisolone

Participants will receive methylprednisolone 100 mg IV 30 minutes prior to each rituximab infusion.

Intervention Type DRUG

Folic Acid

Participants will receive folic acid \>= 5 mg/week or equivalent.

Intervention Type DRUG

Other Intervention Names

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MabThera Rituxan

Eligibility Criteria

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Inclusion Criteria

* participants with active RA
* completed 24 weeks of treatment in WA16291 or WA17043
* eligible for re-treatment, based on clinical symptoms (Disease Activity Score in 28 joints \>=2.6)
* females of childbearing potential using reliable contraception

Exclusion Criteria

* participants who participated in rituximab studies WA16291 or WA17043 but withdrew into the safety follow-up phases of these trials
* previous rituximab non-responders
* current treatment with any other disease-modifying drug (apart from methotrexate), or any anti-tumor necrosis factor alfa, anti-interleukin-1, or other biologic therapies
* participants with known active infection of any kind
* evidence of any new or uncontrolled concomitant disease or development of any new contraindications which would preclude repeat treatment with rituximab
* history of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
* female participants who are pregnant or breastfeeding
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

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_CHAIR

Hoffmann-La Roche

Locations

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Birmingham, Alabama, United States

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Peoria, Arizona, United States

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Little Rock, Arkansas, United States

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La Jolla, California, United States

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Long Beach, California, United States

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Rancho Mirage, California, United States

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San Diego, California, United States

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Colorado Springs, Colorado, United States

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Aventura, Florida, United States

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Boca Raton, Florida, United States

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Fort Lauderdale, Florida, United States

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Largo, Florida, United States

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South Miami, Florida, United States

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Boise, Idaho, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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Boston, Massachusetts, United States

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Minneapolis, Minnesota, United States

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St Louis, Missouri, United States

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Lebanon, New Hampshire, United States

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Voorhees Township, New Jersey, United States

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Great Neck, New York, United States

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Plainview, New York, United States

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Rochester, New York, United States

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Smithtown, New York, United States

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Greenville, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Beachwood, Ohio, United States

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Dayton, Ohio, United States

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Mayfield, Ohio, United States

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Tulsa, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Portland, Oregon, United States

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Duncansville, Pennsylvania, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Salt Lake City, Utah, United States

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Seattle, Washington, United States

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Glendale, Wisconsin, United States

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Wausau, Wisconsin, United States

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Maroochydore, Queensland, Australia

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Melbourne, Victoria, Australia

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Perth, Western Australia, Australia

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Ghent, , Belgium

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Curtiba, Paraná, Brazil

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Campinas, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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St. John's, Newfoundland and Labrador, Canada

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London, Ontario, Canada

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Prague, , Czechia

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Heinola, , Finland

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Helsinki, , Finland

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Cologne, , Germany

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Leipzig, , Germany

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Ratingen, , Germany

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Regensburg, , Germany

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Würzburg, , Germany

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Haifa, , Israel

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Haifa, , Israel

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Modena, Emilia-Romagna, Italy

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Udine, Friuli Venezia Giulia, Italy

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Genoa, Liguria, Italy

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Milan, Lombardy, Italy

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Mexico City, , Mexico

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Mexico City, , Mexico

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México, , Mexico

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Monterrey, , Mexico

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Auckland, , New Zealand

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Auckland, , New Zealand

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Bialystok, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Mérida, Badajoz, Spain

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Santiago de Compostela, La Coruña, 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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Seville, Sevilla, Spain

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San Cristóbal de La Laguna, Tenerife, Spain

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Gothenburg, , Sweden

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Stockholm, , Sweden

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Birmingham, , United Kingdom

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Cambridge, , United Kingdom

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Cannock, , United Kingdom

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Leeds, , United Kingdom

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Stoke-on-Trent, , United Kingdom

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Countries

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United States Australia Belgium Brazil Canada Czechia Finland Germany Israel Italy Mexico New Zealand Poland Spain Sweden United Kingdom

Other Identifiers

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U2653g

Identifier Type: OTHER

Identifier Source: secondary_id

WA16855

Identifier Type: -

Identifier Source: org_study_id

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