Trial Review

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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01764997




Registration number
NCT01764997
Ethics application status
Date submitted
8/01/2013
Date registered
10/01/2013
Date last updated
27/07/2017

Titles & IDs
Public title
An Evaluation of Sarilumab Plus Methotrexate Compared to Etanercept Plus Methotrexate in RA Patients Not Responding to Adalimumab Plus Methotrexate
Scientific title
A Randomized, Controlled Study of Sarilumab and Methotrexate (MTX) Versus Etanercept and MTX in Patients With Rheumatoid Arthritis (RA) and an Inadequate Response to 4 Months of Treatment With Adalimumab and MTX
Secondary ID [1] 0 0
2012-001984-66
Secondary ID [2] 0 0
EFC11574
Universal Trial Number (UTN)
Trial acronym
RA-COMPARE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Rheumatoid Arthritis 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Osteoarthritis
Inflammatory and Immune System 0 0 0 0
Rheumatoid arthritis

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Sarilumab
Treatment: Drugs - Etanercept
Treatment: Drugs - Methotrexate
Treatment: Drugs - Placebo (for sarilumab)
Treatment: Drugs - Placebo (for etanercept)
Treatment: Drugs - Adalimumab

Experimental: Adalimumab Open Label run-in - Adalimumab 40 mg every 2 weeks (Q2W) for 16 weeks added to stable dose of MTX.

Active Comparator: Etanercept + MTX (Randomized) - Etanercept 50 mg in combination with Placebo for sarilumab Q2W and etanercept 50 mg on alternating weeks for 24 weeks added to stable dose of MTX.

Experimental: Sarilumab 150 mg + MTX (Randomized) - Sarilumab 150 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX.

Experimental: Sarilumab 200 mg + MTX (Randomized) - Sarilumab 200 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX.

Experimental: Sarilumab 150 mg + MTX Open Label Sub-study - Sarilumab 150 mg Q2W for 52 weeks added to stable dose of MTX.


Treatment: Drugs: Sarilumab
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous

Treatment: Drugs: Etanercept
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous

Treatment: Drugs: Methotrexate
Dispensed according to local practice.

Treatment: Drugs: Placebo (for sarilumab)


Treatment: Drugs: Placebo (for etanercept)


Treatment: Drugs: Adalimumab
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change From Baseline in Disease Activity Score for 28 Joints - C-Reactive Protein (DAS28-CRP) Score at Week 24
Timepoint [1] 0 0
Baseline, Week 24
Secondary outcome [1] 0 0
Number of Participants With at Least 20% Improvement in American College of Rheumatology (ACR20), at Least 50% Improvement in ACR (ACR50) and at Least 70% Improvement in ACR (ACR70) Efficacy Response Rates at Week 12 and Week 24
Timepoint [1] 0 0
Week 12 and Week 24
Secondary outcome [2] 0 0
Percentage of Participants Achieving Clinical Remission Score (DAS28-CRP) <2.6 at Week 12 and Week 24
Timepoint [2] 0 0
Week 12 and Week 24
Secondary outcome [3] 0 0
Change From Baseline in DAS28-CRP Score at Week 12
Timepoint [3] 0 0
Baseline, Week 12

Eligibility
Key inclusion criteria
Inclusion criteria:

- Diagnosis of RA >/= 3 months duration.

- Continuous treatment of MTX 10 - 25 mg/week (or per local labeling requirements if the
dose range differs) for at least 12 weeks before screening visit and on a stable dose
for 8 weeks before screening visit.

- Active disease defined as: at least 6/66 swollen and 8/68 tender joints and high
sensitivity C-reactive protein > 10 mg/L.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion criteria:

- Age < 18 years.

- Use of parenteral corticosteroids or intra-articular corticosteroids within 4 weeks of
the screening visit.

- Use of oral corticosteroids in a dose higher than prednisone 10 mg or equivalent per
day, or a change in dosage within 4 weeks of the screening visit.

- Prior treatment with a tumor necrosis factor (TNF)-alpha inhibitor, or other
biological disease modifying anti-rheumatoid drug (DMARD) or Janus Kinase inhibitor.

- New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drugs
(NSAIDs) or cyclo-oxygenase-2 (COX-2) inhibitors within 4 weeks of the screening
visit.

- Treatment with traditional oral DMARD /immunosuppressive agents other than MTX within
4 weeks or 12 weeks before the screening visit, depending on DMARD.

The above information is not intended to contain all considerations relevant to a
participant's potential participation in a clinical trial.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Terminated
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/04/2013
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
1/01/2015
Sample size
Target
Accrual to date
Final
776
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Investigational Site Number 036020 - Camperdown
Recruitment hospital [2] 0 0
Investigational Site Number 036004 - Heidelberg West
Recruitment hospital [3] 0 0
Investigational Site Number 036014 - Victoria Park
Recruitment hospital [4] 0 0
Investigational Site Number 036007 - Woodville
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
3081 - Heidelberg West
Recruitment postcode(s) [3] 0 0
6100 - Victoria Park
Recruitment postcode(s) [4] 0 0
5011 - Woodville
Recruitment outside Australia
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United States of America
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Alabama
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Zhytomyr
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Barnsley
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Birmingham
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Dudley
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Durham
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Harlow
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Wigan

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Sanofi
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
Regeneron Pharmaceuticals
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Primary Objective:

To demonstrate the treatment effect of sarilumab and methotrexate (MTX) compared to
etanercept and MTX in participants with rheumatoid arthritis (RA) and an inadequate response
to adalimumab and MTX by evaluation of the Disease Activity Score for 28 joints (DAS28).

Secondary Objectives:

To assess the signs and symptoms of RA in participants taking sarilumab in combination with
MTX.

To assess the quality of life of participants with RA taking sarilumab in combination with
MTX.

To assess the safety and tolerability of sarilumab in combination with MTX in participants
with RA.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01764997
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Sciences & Operations
Address 0 0
Sanofi
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01764997