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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00965653
Registration number
NCT00965653
Ethics application status
Date submitted
18/08/2009
Date registered
25/08/2009
Date last updated
2/11/2016
Titles & IDs
Public title
A Study of Subcutaneously Administered Tocilizumab in Patients With Rheumatoid Arthritis
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Scientific title
Open-label, Multicenter, Randomized, Parallel Study to Investigate pk, pd, Efficacy and Safety of Tocilizumab (TCZ, RO4877533) Following Subcutaneous Administration of TCZ 162 mg Weekly or Every Other Week in Combination With Methotrexate in Patients With Rheumatoid Arthritis
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Secondary ID [1]
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2009-011349-18
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Secondary ID [2]
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NP22623
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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 - folic acid
Treatment: Drugs - methotrexate
Treatment: Drugs - tocilizumab [RoActemra/Actemra]
Treatment: Drugs - tocilizumab [RoActemra/Actemra]
Experimental: 1 -
Active comparator: 2 -
Treatment: Drugs: folic acid
\>/= 5 mg po weekly
Treatment: Drugs: methotrexate
7.5 - 25 mg weekly (oral or parenteral)
Treatment: Drugs: tocilizumab [RoActemra/Actemra]
162 mg sc weekly (QW)for 12 weeks
Treatment: Drugs: tocilizumab [RoActemra/Actemra]
162 mg sc every other week (Q2W) for 12 weeks
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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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Pharmacokinetics of TCZ after QW or Q2W sc administration
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Assessment method [1]
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Timepoint [1]
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multiple sampling after 1st and last dose, weeks 1 and 12, at bi-weekly intervals during treatment and twice on follow-up
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Primary outcome [2]
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Pharmacodynamic responses of CRP
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Assessment method [2]
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Timepoint [2]
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sampling in weeks 1 and 2 and at weekly or bi-weekly intervals throughout treatment
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Primary outcome [3]
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Safety and tolerability, including injection site reaction
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Assessment method [3]
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Timepoint [3]
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laboratory assessments every 2nd week on treatment and after 3 weeks follow-up, injection site evaluation after 1st, 2nd and last injection.
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Secondary outcome [1]
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Efficacy according to ACR and DAS-EULAR parameters
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Assessment method [1]
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Timepoint [1]
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assessments on day 1 of weeks 1, 4, 8 and 12
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Secondary outcome [2]
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PD responses of IL-6, sIL-6R and anti TCZ antibody
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Assessment method [2]
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Timepoint [2]
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multiple sampling after 1st and last dose, weeks 1 and 12, at bi-weekly intervals during treatment and twice on follow-up
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Eligibility
Key inclusion criteria
* adults 18 - 75 years of age
* active rheumatoid arthritis of >/= 6 months duration
* inadequate response to at least 12 weeks of methotrexate, the last 8 prior to baseline on stable dose
* swollen joint count (SJC)>/=4, tender joint count (TJC)>/=6 at screening and baseline
* DMARDs and anti-TNFs, other than methotrexate, withdrawn prior to baseline
* oral corticosteroids (</= 10mg/day prednisone or equivalent) and NSAIDS on stable dose </= 4 weeks prior to baseline
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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
* rheumatic autoimmune disease other than rheumatoid arthritis
* prior history or current inflammatory joint disease other than rheumatoid arthritis
* major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months following enrollment
* functional class IV by ACR classification
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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
1/08/2009
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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
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Sample size
Target
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Accrual to date
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Final
29
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Newfoundland and Labrador
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Country [2]
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Canada
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State/province [2]
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Ontario
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Country [3]
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Canada
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State/province [3]
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Quebec
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Country [4]
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New Zealand
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State/province [4]
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Christchurch
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Country [5]
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Spain
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State/province [5]
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La Coruña
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Country [6]
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Spain
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State/province [6]
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Sevilla
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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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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This open-label randomized 2arm study will investigate the pharmacokinetics, pharmacodynamics, efficacy and safety of subcutaneously administered tocilizumab in patients with rheumatoid arthritis who have shown an inadequate response to methotrexate. Patients will be randomized to receive tocilizumab 162 mg sc either weekly or every other week, in combination with methotrexate, for 12 weeks. Assessments will be made at regular intervals during treatment and on the 3 weeks of follow-up.Target sample size is \< 50 individuals.
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Trial website
https://clinicaltrials.gov/study/NCT00965653
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Trial related presentations / publications
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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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Country
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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/NCT00965653
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