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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00365001
Registration number
NCT00365001
Ethics application status
Date submitted
15/08/2006
Date registered
16/08/2006
Date last updated
11/06/2010
Titles & IDs
Public title
A Drug Interaction Study Between Tocilizumab, Methotrexate and Simvastatin on Patients With Rheumatoid Arthritis.
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Scientific title
A Randomized, Open-label Study to Assess the Pharmacokinetics of Simvastatin and Methotrexate in Combination With Tocilizumab in Patients With Rheumatoid Arthritis.
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Secondary ID [1]
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WP18663
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rheumatoid Arthritis
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Inflammatory and Immune System
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Rheumatoid arthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - tocilizumab [RoActemra/Actemra]
Treatment: Drugs - Methotrexate
Treatment: Drugs - Simvastatin
Experimental: 1 -
Active comparator: 2 -
Treatment: Drugs: tocilizumab [RoActemra/Actemra]
10mg/kg iv on day 8
Treatment: Drugs: Methotrexate
10-25mg po/week
Treatment: Drugs: Simvastatin
40mg po on days 1, 15 and 43
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pharmacokinetic parameters for simvastatin and metabolite, and methotrexate and metabolite.
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Assessment method [1]
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Timepoint [1]
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Days 1, 15 and 43
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Secondary outcome [1]
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Pharmacokinetic parameters for tocilizumab.
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Assessment method [1]
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Timepoint [1]
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Days 11, 22, 29 and 36.
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Secondary outcome [2]
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CRP, IL-6, sIL-6R changes
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Assessment method [2]
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Timepoint [2]
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Throughout study
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Secondary outcome [3]
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AEs, laboratory parameters.
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Assessment method [3]
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Timepoint [3]
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Throughout study
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Eligibility
Key inclusion criteria
* adult patients, 18-75 years of age;
* rheumatoid arthritis for >=6 months;
* methotrexate for >=12 weeks prior to day 1 (stable at 10-25mg/week for 8 weeks).
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* history of, or current inflammatory joint disease or rheumatic autoimmune disease other than RA;
* concurrent treatment with any DMARD other than methotrexate;
* prior treatment with tocilizumab.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2008
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Sample size
Target
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Accrual to date
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Final
23
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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United States of America
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State/province [2]
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Arizona
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United States of America
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Arkansas
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Florida
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United States of America
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Michigan
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United States of America
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Nebraska
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United States of America
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Oklahoma
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United States of America
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Pennsylvania
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United States of America
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Texas
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New Zealand
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State/province [10]
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Christchurch
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This 2 arm study will investigate the pharmacokinetics of simvastatin and methotrexate in combination with tocilizumab to assess any potential drug interactions. Patients will be randomized to receive either tocilizumab (10mg/kg iv infusion on day 8) + methotrexate (10-25mg po /week) or tocilizumab + methotrexate + simvastatin (40mg po on days 1, 15 and 43). Blood samples will be taken for analysis at intervals up to day 44. The anticipated time on study treatment is \<3 months, and the target sample size is \<100 individuals.
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Trial website
https://clinicaltrials.gov/study/NCT00365001
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Trial related presentations / publications
Schmitt C, Kuhn B, Zhang X, Kivitz A, Grange S. Tocilizumab has no clinically relevant effects on methotrexate pharmacokinetics in patients with rheumatoid arthritis. Int J Clin Pharmacol Ther. 2012 Mar;50(3):218-23. doi: 10.5414/cp201613.
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Public notes
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Contacts
Principal investigator
Name
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Clinical Trials
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Address
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Hoffmann-La Roche
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00365001
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