A Study of RoActemra/Actemra (Tocilizumab) Given Subcutaneously in Combination With Traditional DMARDs in Patients With Moderate to Severe Active Rheumatoid Arthritis

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT01232569
First received: November 1, 2010
Last updated: December 3, 2012
Last verified: December 2012
  Purpose

This randomized, parallel-group, placebo-controlled, multicenter study will evaluate the reduction in disease activity and the safety of RoActemra/Actemra (tocilizumab) in combination with traditional disease-modifying antirheumatic drugs (DMARDs) in patients with active moderate to severe rheumatoid arthritis. In the double-blind part of the study, patients will be randomized to receive either 162 mg RoActemra/Actemra or placebo subcutaneously every 2 weeks for 24 weeks using a pre-filled syringe. In the open-label part of the study, patients will be randomized to receive 162 mg RoActemra/Actemra subcutaneously every 2 weeks from Week 24 to Week 96 using a pre-filled syringe or an autoinjector.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: tocilizumab [RoActemra/Actemra]
Drug: placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Randomized, Double-blind, Parallel Group Study of the Safety and the Effect on Clinical Outcome of Tocilizumab SC Versus Placebo SC in Combination With Traditional Disease Modifying Antirheumatic Drugs (DMARDs) in Patients With Moderate to Severe Active Rheumatoid Arthritis

Resource links provided by NLM:


Further study details as provided by Hoffmann-La Roche:

Primary Outcome Measures:
  • Reduction in disease activity according to American College of Rheumatology (ACR) 20 criteria [ Time Frame: Week 24 ] [ Designated as safety issue: No ]
  • Safety (incidence of adverse events) [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Prevention of progression of structural damage [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
  • Improvement of physical function [ Time Frame: Week 24 ] [ Designated as safety issue: No ]
  • Pharmacokinetics (change in RoActemra/Actemra serum levels) [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
  • Pharmacodynamics (interleukin levels) [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
  • Immunogenicity of RoActemra/Actemra [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Enrollment: 656
Study Start Date: March 2011
Estimated Study Completion Date: April 2014
Estimated Primary Completion Date: April 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: A1 Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using a pre-filled syringe every two weeks for 24 weeks
Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using an autoinjector every 2 weeks from week 24 to week 96
Experimental: A2 Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using a pre-filled syringe every two weeks for 24 weeks
Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using a pre-filled syringe every 2 weeks from week 24 to week 96
Placebo Comparator: B1 Drug: placebo
subcutaneously using a pre-filled syringe every two weeks for 24 weeks
Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using an autoinjector every 2 weeks from week 24 to week 96
Placebo Comparator: B2 Drug: placebo
subcutaneously using a pre-filled syringe every two weeks for 24 weeks
Drug: tocilizumab [RoActemra/Actemra]
162 mg subcutaneously using a pre-filled syringe every 2 weeks from week 24 to week 96

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult patients, >/=18 years of age
  • Moderate to severe rheumatoid arthritis of >/=6 months duration
  • Receiving treatment on an outpatient basis
  • Swollen joint count (SJC) >/=6 (66 joint count) and tender joint count (TJC) >/=8 (68 joint count) at screening and study start
  • On a stable dose of disease-modifying antirheumatic drugs for at least 8 weeks prior to study start

Exclusion Criteria:

  • Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months following randomization
  • Rheumatic autoimmune disease other than rheumatoid arthritis, Secondary Sjögren's syndrome with rheumatoid arthritis is allowed
  • Functional class IV as defined by the American College of Rheumatology (ACR) Classification of Functional Status in Rheumatoid Arthritis
  • Diagnosis of juvenile idiopathic arthritis or juvenile rheumatoid arthritis and/or rheumatoid arthritis before the age of 16 years
  • Prior history of or current inflammatory joint disease other than rheumatoid arthritis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01232569

  Hide Study Locations
Locations
United States, Arizona
Peoria, Arizona, United States, 85381
Scottsdale, Arizona, United States, 85258
Tucson, Arizona, United States, 85723
Tucson, Arizona, United States, 85724
United States, California
Fullerton, California, United States, 92835
San Diego, California, United States, 92108
San Leandro, California, United States, 94578
West Hills, California, United States, 91307
United States, Connecticut
Trumbull, Connecticut, United States, 06611
United States, Florida
Boca Raton, Florida, United States, 33486
Jupiter, Florida, United States, 33458
Ormond Beach, Florida, United States, 32174
Sarasota, Florida, United States, 34292
United States, Georgia
Gainesville, Georgia, United States, 30501
United States, Idaho
Idaho Falls, Idaho, United States, 83404
Meridan, Idaho, United States, 83642
United States, Illinois
Springfield, Illinois, United States, 62704
Vernon Hills, Illinois, United States, 60061
United States, Maryland
Crofton, Maryland, United States, 21114
Hagerstown, Maryland, United States, 21740
Wheaton, Maryland, United States, 20902
United States, Mississippi
Flowood, Mississippi, United States, 39232
Jackson, Mississippi, United States, 39202
United States, Missouri
Saint Louis, Missouri, United States, 63128
St Louis, Missouri, United States, 63141
United States, Nebraska
Lincoln, Nebraska, United States, 68516
United States, New York
Brooklyn, New York, United States, 11201
United States, North Carolina
Belmont, North Carolina, United States, 28012
Charlotte, North Carolina, United States, 28211
Charlotte, North Carolina, United States, 28207
Charlotte, North Carolina, United States, 28204
United States, Oklahoma
Oklahoma City, Oklahoma, United States, 73104
United States, Pennsylvania
Allentown, Pennsylvania, United States, 18103
Bethlehem, Pennsylvania, United States, 18015
Duncansville, Pennsylvania, United States, 16635
Wexford, Pennsylvania, United States, 15090
Wyomissing, Pennsylvania, United States, 19610
United States, Tennessee
Memphis, Tennessee, United States, 38104
United States, Texas
Dallas, Texas, United States, 75246
Fort Worth, Texas, United States, 76107
Houston, Texas, United States, 77034
Houston, Texas, United States, 77459
San Antonio, Texas, United States, 78232
United States, Washington
Tacoma, Washington, United States, 98405
Argentina
Buenos Aires, Argentina, C1015ABO
Córdoba, Argentina, 5000
San Miguel de Tucuman, Argentina, 4000
Australia
Cairns, Australia, 4870
Kogarah, Australia, 2217
Brazil
Curitiba, Brazil, 80060-240
Goiania, Brazil, 74043-011
Juiz de Fora, Brazil, 36010-570
Porto Alegre, Brazil, 90610-000
Porto Alegre, Brazil, 91350-200
Rio de Janeiro, Brazil, 22271-100
Salvador, Brazil, 40050-410
Sao Paulo, Brazil, 5403900
Sao Paulo, Brazil, 04266-010
Sao Paulo, Brazil, 05437-010
São Paulo, Brazil, 1244030
São Paulo, Brazil, 04026-000
Vitoria, Brazil, 29055-450
Bulgaria
Plovdiv, Bulgaria, 4002
Plovdiv, Bulgaria, 4003
Sofia, Bulgaria, 1612
Sofia, Bulgaria, 2233
Varna, Bulgaria, 9010
Canada, Alberta
Calgary, Alberta, Canada, T2N 2T9
Canada, Manitoba
Winnipeg, Manitoba, Canada, R3A 1M3
Winnipeg, Manitoba, Canada, R3N 0K6
Canada, Ontario
London, Ontario, Canada, N6A 4V2
Ottawa, Ontario, Canada, K1H 1A2
Canada, Quebec
Pointe-claire, Quebec, Canada, H9R 3J1
Colombia
Bogota, Colombia
Chia-cundinamarca, Colombia
Medellin, Colombia
Greece
Athens, Greece, 15121
Athens, Greece, 11527
Thessaloniki, Greece, 54636
Guatemala
Guatemala City, Guatemala, 01013
Guatemala City, Guatemala, 01015
Guatemala City, Guatemala, 01010
Hungary
Budapest, Hungary, 1036
Debrecen, Hungary, 4004
Israel
Ashkelon, Israel, 78306
Beer Sheva, Israel, 84101
Haifa, Israel, 31096
Haifa, Israel, 31048
Ramat Gan, Israel, 52621
Rishon Lezion, Israel
Tel Aviv, Israel, 64239
Malaysia
Batu Caves, Malaysia, 68100
Kota Kinabalu, Malaysia, 88586
Kuala Lumpur, Malaysia, 50603
Mexico
Chihuahua, Mexico, 31000
Culiacan, Mexico, 80000
Guadalajara, Mexico, 44158
Leon, Mexico, 37320
Merida, Mexico, 97000
Mexicali, Mexico, 21100
Mexico, Mexico, 44620
Morelia, Mexico, 58070
Obregon, Mexico, 85000
Queretaro, Mexico, 76178
Queretaro, Mexico, 76000
New Zealand
Otahuhu, New Zealand, 1006
Panama
Panama City, Panama, 32400
Philippines
Cebu, Philippines, 6000
Davao, Philippines, 8006
Manila, Philippines, 1780
Poland
Bytom, Poland, 41902
Dzialdowo, Poland, 13-200
Elblag, Poland, 82-300
Koscian, Poland, 64-000
Krakow, Poland, 31-121
Torun, Poland, 87-100
Warszawa, Poland, 02-653
Russian Federation
Kemerovo, Russian Federation, 650099
Moscow, Russian Federation, 115522
Moscow, Russian Federation, 129327
Moscow, Russian Federation, 117049
Novosibirsk, Russian Federation, 630099
Petrozavodsk, Russian Federation, 185019
Ryazan, Russian Federation, 390026
Saint-petersburg, Russian Federation, 197341
St Petersburg, Russian Federation, 197022
St Petersburg, Russian Federation, 190068
UFA, Russian Federation, 450005
Voronezh, Russian Federation, 394066
South Africa
Durban, South Africa, 4013
Pinelands, South Africa, 7405
Pretoria, South Africa, 0002
Spain
La Coruna, Spain, 15006
Oviedo, Spain, 33006
Sevilla, Spain, 41009
Switzerland
Fribourg, Switzerland, 1708
Genève, Switzerland, 1211
Lausanne, Switzerland, 1011
Zürich, Switzerland, 8063
Thailand
Bangkok, Thailand, 10700
Bangkok, Thailand, 10400
Sponsors and Collaborators
Hoffmann-La Roche
Investigators
Study Director: Clinical Trials Hoffmann-La Roche
  More Information

No publications provided

Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT01232569     History of Changes
Other Study ID Numbers: NA25220, 2010-019912-18
Study First Received: November 1, 2010
Last Updated: December 3, 2012
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Arthritis
Arthritis, Rheumatoid
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Antirheumatic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 23, 2013