Safety and Efficacy of tocilizuMAb Versus Placebo in Polymyalgia rHeumatica With glucocORticoid dEpendence SEMAPHORE

NCT ID: NCT02908217

Last Updated: 2020-12-04

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

PHASE3

Total Enrollment

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-15

Study Completion Date

2020-11-12

Brief Summary

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Patients are treated with infusions of Tocilizumab (TCZ) or placebo for 5 months. Clinical evaluation is performed using PMR-AS.

The PMR-AS is computed by summing the 5 variables after multiplying by 0.1 for weighting purposes: PMR-AS (activity scale = AS) = C reactive protein (CRP) (mg/dl) + patient scale (VASp) (0-10 scale) + physician scale (VASph) (0-10 scale) + morning stiffness(MST) \[min\]×0.1) + elevation of upper limbs (EUL) (0-3 scale).

All the patients included are treated with glucocorticoid (GC).GC are reduced at each visit until the end of the study, depending on response to treatment and PMR-AS.

Detailed Description

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Conditions

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Polymyalgia Rheumatica

Keywords

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Polymyalgia Rheumatica Tocilizumab Glucocorticoid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tocilizumab

6 Intravenous infusions of tocilizumab in a dosage of 8 mg/kg (or 4 mg/kg depending on biological results as mentioned by the SPC of Tocilizumab for the rheumatoid arthritis) every 4 weeks.

Group Type EXPERIMENTAL

Tocilizumab

Intervention Type DRUG

6 Intravenous infusions of tocilizumab in a dosage of 8 mg/kg (or 4 mg/kg depending on biological results as mentioned by the SPC of Tocilizumab for the rheumatoid arthritis) every 4 weeks.

Placebo

6 Intravenous infusions of placebo (sterile sodium chloride solution) every 4 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

6 Intravenous infusions of placebo every 4 weeks.

Interventions

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Tocilizumab

6 Intravenous infusions of tocilizumab in a dosage of 8 mg/kg (or 4 mg/kg depending on biological results as mentioned by the SPC of Tocilizumab for the rheumatoid arthritis) every 4 weeks.

Intervention Type DRUG

Placebo

6 Intravenous infusions of placebo every 4 weeks.

Intervention Type DRUG

Other Intervention Names

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Intravenous infusions of tocilizumab Intravenous infusions of placebo

Eligibility Criteria

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Inclusion Criteria

* Age older than 50 years
* Fulfilled the Chuang criteria
* And currently:

* PMR-AS\> 10
* Absence of signs or symptoms of other musculoskeletal or connective tissue conditions
* Able to give informed consent
* Concomitant treatments with methotrexate or hydroxy-chloroquine are permitted if stable dose since 3 months.

Exclusion Criteria

* Clinical symptoms of giant cell arteritis
* Uncontrolled dyslipidemia, high blood pressure or cardiovascular disease
* History of major organ or haematopoietic stem cell/marrow transplant
* Clinical evidence of significant unstable or uncontrolled acute or chronic diseases not due to PMR
* Planned surgical procedure within 12 months after randomization.
* History of malignant neoplasm within the last 5 years.
* Current active infection
* Patient with elevated ALT or AST\> 5 ULN
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche Chugai

INDUSTRY

Sponsor Role collaborator

University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Valérie Devauchelle-Pensec, Pr

Role: PRINCIPAL_INVESTIGATOR

CHRU de Brest

Locations

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Hopital Nord service de rhumatologie-Franche Comté

Belfort, , France

Site Status

CIC Besançon

Besançon, , France

Site Status

CHU Besançon

Besançon, , France

Site Status

CHU Bordeaux

Bordeaux, , France

Site Status

CHRU Brest

Brest, , France

Site Status

Centre hospitalier Sud-Francilien

Corbeil-Essonnes, , France

Site Status

CHU Dijon

Dijon, , France

Site Status

CH Le Mans

Le Mans, , France

Site Status

Hôpital européen

Marseille, , France

Site Status

Ch Des Pays de Morlaix

Morlaix, , France

Site Status

CH Mulhouse

Mulhouse, , France

Site Status

CHU de Nancy

Nancy, , France

Site Status

CHU Nantes

Nantes, , France

Site Status

hôpital Sapêtrière -APHP

Paris, , France

Site Status

CHU Rennes

Rennes, , France

Site Status

CHU St Etienne

Saint-Etienne, , France

Site Status

CHRU de Strasbourg

Strasbourg, , France

Site Status

Countries

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France

References

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Devauchelle-Pensec V, Carvajal-Alegria G, Dernis E, Richez C, Truchetet ME, Wendling D, Toussirot E, Perdriger A, Gottenberg JE, Felten R, Fautrel BJ, Chiche L, Hilliquin P, Le Henaff C, Dervieux B, Direz G, Chary-Valckenaere I, Cornec D, Guellec D, Marhadour T, Nowak E, Saraux A. Effect of Tocilizumab on Disease Activity in Patients With Active Polymyalgia Rheumatica Receiving Glucocorticoid Therapy: A Randomized Clinical Trial. JAMA. 2022 Sep 20;328(11):1053-1062. doi: 10.1001/jama.2022.15459.

Reference Type DERIVED
PMID: 36125471 (View on PubMed)

Other Identifiers

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SEMAPHORE (RB15.210)

Identifier Type: -

Identifier Source: org_study_id