Trial Review

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT02165345




Registration number
NCT02165345
Ethics application status
Date submitted
13/06/2014
Date registered
17/06/2014
Date last updated
23/02/2022

Titles & IDs
Public title
Extension Study Evaluating the Safety and Efficacy of Subcutaneous Tocilizumab (RoActemra/Actemra) Administration in Systemic and Polyarticular-Course Juvenile Idiopathic Arthritis
Scientific title
Long-Term Extension Study to Evaluate the Safety and Efficacy of Subcutaneous Tocilizumab in Patients With Polyarticular-Course and Systemic Juvenile Idiopathic Arthritis
Secondary ID [1] 0 0
2013-005212-98
Secondary ID [2] 0 0
WA29231
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Juvenile Idiopathic 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 - Tocilizumab

Experimental: Tocilizumab - Participants will receive tocilizumab until the commercial availability of the drug or up to 5 years, whichever is earlier.


Treatment: Drugs: Tocilizumab
162 mg tocilizumab will be administered by SC injection at the following intervals: pJIA participants less than (<) 30 kilograms (kg): every 3 weeks; pJIA participants greater than or equal to (>=) 30 kg: every 2 weeks; sJIA participants <30 kg: every 2 weeks; sJIA participants >/= 30 kg: once weekly
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Juvenile Arthritis Disease Activity Score (JADAS-71)
Timepoint [1] 0 0
Baseline up to 3 years
Primary outcome [2] 0 0
Percentage of Participants With Adverse Events (AEs), Serious AEs (AEs) and AEs of Special Interest
Timepoint [2] 0 0
Baseline up to 5 years
Secondary outcome [1] 0 0
Childhood Health Assessment Questionnaire (CHAQ) Score
Timepoint [1] 0 0
Baseline up to 3 years
Secondary outcome [2] 0 0
Percentage of Participants With Protocol Defined Inactive Disease/Clinical Remission
Timepoint [2] 0 0
Baseline up to 3 years

Eligibility
Key inclusion criteria
- Completion of either of the JIGSAW studies, study WA28117 (for participants with pJIA)
or study WA28118 (for participants with sJIA)

- Adequate disease control with the use of SC tocilizumab(TCZ)(comparable to the use of
IV TCZ, if received prior to enrollment in the JIGSAW study), per clinical judgment of
the investigator

- For participants of reproductive potential: agreement to remain abstinent or use of
effective contraception as defined by the study protocol
Minimum age
2 Years
Maximum age
18 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Prior discontinuation of SC tocilizumab because of inadequate clinical response during
participation in a JIGSAW study

- Poorly controlled disease (in opinion of treating physician) despite treatment with SC
tocilizumab in the JIGSAW study

- Prior discontinuation of intravenous tocilizumab because of inadequate clinical
response or safety events (including hypersensitivity)

- Therapy with biologic agents (except tocilizumab) in the period between completion of
the JIGSAW study and screening for the current study

- Concurrent treatment with disease-modifying anti-rheumatic drugs (DMARDs) (including
methotrexate), nonsteroidal anti-inflammatory drugs (NSAIDs), and oral corticosteroids
is permitted at the discretion of the investigator

- Use of live or attenuated vaccines and immunosuppressants, such as cyclosporine and
cyclophosphamide

- Any significant concurrent medical or surgical conditions or findings that would
jeopardize the participant's safety or ability to complete the study, including but
not limited to disease of the nervous, renal, hepatic, cardiac, pulmonary, gastric, or
endocrine system or any infection

- History of alcohol, drug, or chemical abuse within 6 months prior to screening

- History of atypical tuberculosis (TB) or active TB requiring treatment within 2 years
prior to screening

- Known human immunodeficiency virus infection or other acquired forms of immune
compromise or inborn conditions characterized by a compromised immune system

- Clinical signs or symptoms of acute or chronic viral hepatitis or chronic autoimmune
hepatitis arising since enrollment in the JIGSAW study

- History of concurrent serious gastrointestinal disorders, such as ulcer or
inflammatory bowel disease, Crohn's disease, ulcerative colitis, or other symptomatic
lower gastrointestinal conditions

- History of or current cancer or lymphoma

- Uncontrolled diabetes mellitus with elevated glycosylated hemoglobin (HbA1c), defined
with the use of age-specific standards

- Any abnormal laboratory values, an elevation of hepatic transaminases ([aspartate
aminotransferase [AST] or alanine aminotransferase [ALT]), lowering of neutrophil
count, or thrombocytopenia attributed to tocilizumab use by investigator at screening,
the participant may be enrolled; however, the initial tocilizumab dose may be delayed
to adhere to the protocol risk mitigation strategy or per the investigator's clinical
judgment

- Prior stem cell transplant at any time

Study design
Purpose of the study
Treatment
Allocation to intervention
N/A
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
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
16/07/2014
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
24/11/2021
Sample size
Target
Accrual to date
Final
82
Recruitment in Australia
Recruitment state(s)
NSW,VIC
Recruitment hospital [1] 0 0
Westmead Hospital; Paediatric Rheumatology - Westmead
Recruitment hospital [2] 0 0
Royal Children'S Hospital; Paediatric Rheumatology - Parkville
Recruitment postcode(s) [1] 0 0
2145 - Westmead
Recruitment postcode(s) [2] 0 0
3052 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arkansas
Country [2] 0 0
United States of America
State/province [2] 0 0
Illinois
Country [3] 0 0
United States of America
State/province [3] 0 0
New Jersey
Country [4] 0 0
United States of America
State/province [4] 0 0
North Carolina
Country [5] 0 0
United States of America
State/province [5] 0 0
Ohio
Country [6] 0 0
United States of America
State/province [6] 0 0
Oklahoma
Country [7] 0 0
United States of America
State/province [7] 0 0
Utah
Country [8] 0 0
United States of America
State/province [8] 0 0
Washington
Country [9] 0 0
Argentina
State/province [9] 0 0
Buenos Aires
Country [10] 0 0
Argentina
State/province [10] 0 0
Cordoba
Country [11] 0 0
Brazil
State/province [11] 0 0
SP
Country [12] 0 0
Canada
State/province [12] 0 0
Alberta
Country [13] 0 0
Canada
State/province [13] 0 0
Ontario
Country [14] 0 0
France
State/province [14] 0 0
Le Kremlin Bicêtre
Country [15] 0 0
Germany
State/province [15] 0 0
Berlin
Country [16] 0 0
Germany
State/province [16] 0 0
Freiburg
Country [17] 0 0
Germany
State/province [17] 0 0
Sankt Augustin
Country [18] 0 0
Italy
State/province [18] 0 0
Lazio
Country [19] 0 0
Mexico
State/province [19] 0 0
Mexico
Country [20] 0 0
Mexico
State/province [20] 0 0
Monterrey
Country [21] 0 0
Russian Federation
State/province [21] 0 0
Moscow
Country [22] 0 0
Spain
State/province [22] 0 0
Barcelona
Country [23] 0 0
Spain
State/province [23] 0 0
Madrid
Country [24] 0 0
Spain
State/province [24] 0 0
Valencia
Country [25] 0 0
United Kingdom
State/province [25] 0 0
Bristol
Country [26] 0 0
United Kingdom
State/province [26] 0 0
Liverpool

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Hoffmann-La Roche
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This open-label extension of the JIGSAW studies (WA28117 [NCT01904279] and WA28118
[NCT01904292]) is designed to evaluate the long-term safety and efficacy of subcutaneous (SC)
tocilizumab treatment in participants with polyarticular-course and systemic juvenile
idiopathic arthritis (pJIA and sJIA). Participants from the 2 JIGSAW studies will continue to
receive 162 milligrams (mg) of SC tocilizumab with treatment schedule according to arthritis
subtype and body weight. Participants will receive the treatment until commercial
availability of the drug or for a maximum of 5 years, whichever is earlier.
Trial website
https://clinicaltrials.gov/ct2/show/NCT02165345
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Trials
Address 0 0
Hoffmann-La Roche
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/NCT02165345