A Phase IIb Study for ALX-0061 Monotherapy in Subjects With Rheumatoid Arthritis

NCT ID: NCT02287922

Last Updated: 2019-08-21

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

251 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2016-07-31

Brief Summary

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The primary objective of this study is:

\- To assess the efficacy and safety of dose regimens of ALX-0061 monotherapy administered subcutaneously (s.c.) to subjects with active rheumatoid arthritis (RA).

The secondary objectives of this study are:

* To assess the effects of ALX-0061 on quality of life, the pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of ALX-0061 and to explore potential dose regimens for ALX-0061 monotherapy, based on safety and efficacy, for further clinical development.
* To obtain parallel descriptive information concerning the efficacy and safety of tocilizumab (TCZ) s.c. in the same clinical trial RA population.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ALX-0061 150 mg q4w

ALX-0061 150 mg every 4 weeks from baseline through Week 12 + placebo every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.

Group Type EXPERIMENTAL

ALX-0061

Intervention Type BIOLOGICAL

Placebo

Intervention Type BIOLOGICAL

ALX-0061 150 mg q2w

ALX-0061 150 mg every 2 weeks from baseline through Week 12 + placebo every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.

Group Type EXPERIMENTAL

ALX-0061

Intervention Type BIOLOGICAL

Placebo

Intervention Type BIOLOGICAL

ALX-0061 225 mg q2w

ALX-0061 225 mg every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.

Group Type EXPERIMENTAL

ALX-0061

Intervention Type BIOLOGICAL

TCZ 162 mg q1w or q2w

Open-label TCZ. Injections were to be performed q1w or q2w depending on the approved label per region (last injection was administered at Week 10 or Week 11, depending on the dose regimen).

Group Type ACTIVE_COMPARATOR

Tocilizumab

Intervention Type BIOLOGICAL

Interventions

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ALX-0061

Intervention Type BIOLOGICAL

Placebo

Intervention Type BIOLOGICAL

Tocilizumab

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of RA (according to the 2010 EULAR/American College of Rheumatology (ACR) classification criteria) for at least 6 months prior to screening, and ACR functional class I-III.
* Received previous or current treatment with methotrexate (MTX), and is considered intolerant to MTX, or for whom continued treatment with MTX is inappropriate or has contraindications for MTX use.
* Subjects must not have received MTX for at least 4 weeks before first administration of the study drug.
* Have active RA with at least 6 swollen and 6 tender joints(66/68 joint count) at the time of screening and baseline
* Others as defined in the protocol

Exclusion Criteria

* Have been treated with DMARDs (Disease Modifying Antirheumatic Drugs)/systemic immunosuppressive drugs during the 4 weeks, or 12 weeks for hydroxychloroquine, chloroquine, or leflunomide (except when an adequate wash-out procedure for leflunomide was completed), prior to first administration of study drug.
* Have received approved or investigational biological or targeted synthetic DMARD therapies for RA (including tumor necrosis factor alpha-inhibitors, abatacept, rituximab, or Janus kinase \[JAK\]-inhibitors) less than 6 months prior to screening.
* Have a history of toxicity, non-tolerance, primary non-response or inadequate response to a biological therapy, or targeted synthetic DMARDs (including JAK inhibitors), for RA.
* Have received prior therapy blocking the interleukin-6 (IL-6) pathway, at any time.
* Others as defined in the protocol.
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ablynx, a Sanofi company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor, MD

Role: STUDY_DIRECTOR

Ablynx, a Sanofi company

Locations

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Investigator Site

Birmingham, Alabama, United States

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Hemet, California, United States

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La Palma, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Ventura, California, United States

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Hialeah, Florida, United States

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Homestead, Florida, United States

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Orlando, Florida, United States

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Stockbridge, Georgia, United States

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Overland Park, Kansas, United States

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Worcester, Massachusetts, United States

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Albuquerque, New Mexico, United States

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New York, New York, United States

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Charleston, South Carolina, United States

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Memphis, Tennessee, United States

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Mesquite, Texas, United States

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Brussels, , Belgium

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Ghent, , Belgium

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Liège, , Belgium

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Burgas, , Bulgaria

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Pleven, , Bulgaria

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Plovdiv, , Bulgaria

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Brno, , Czechia

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Olomouc, , Czechia

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Ostrava, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Zlín, , Czechia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Berlin, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Baja, , Hungary

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Budapest, , Hungary

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Esztergom, , Hungary

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Gyula, , Hungary

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Székesfehérvar, , Hungary

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Szikszó, , Hungary

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Szombathely, , Hungary

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Veszprém, , Hungary

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Culiacán, , Mexico

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León, , Mexico

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Mexico City, , Mexico

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Mexico City, , Mexico

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Mexico City, , Mexico

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Monterrey, , Mexico

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Monterrey, , Mexico

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Chisinau, , Moldova

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Chisinau, , Moldova

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Skopje, , North Macedonia

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Skopje, , North Macedonia

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Bydgoszcz, , Poland

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Elblag, , Poland

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Elblag, , Poland

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Gdynia, , Poland

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Grodzisk Mazowiecki, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Sochaczew, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Bucharest, , Romania

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Oradea, , Romania

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Timișoara, , Romania

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Belgrade, , Serbia

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Belgrade, , Serbia

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Belgrade, , Serbia

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Niška Banja, , Serbia

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Córdoba, , Spain

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Madrid, , Spain

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Santander, , Spain

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Santander, , Spain

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Santiago de Compostela, , Spain

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Santiago de Compostela, , Spain

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Countries

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United States Belgium Bulgaria Czechia Georgia Germany Hungary Mexico Moldova North Macedonia Poland Romania Serbia Spain

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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2014-003012-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ALX0061-C202

Identifier Type: -

Identifier Source: org_study_id

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