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Comparative Study (Double-Blind) of MRA for Rheumatoid Arthritis (RA)

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
MRA(Tocilizumab)
MRA placebo
MTX
MTX placebo
Sponsored by
Chugai Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria Diagnosis of RA based on the 1987 classification criteria of the American College of Rheumatology (ACR) Disease duration of 6 months or more Treated with 8 mg/week of MTX for at least 8 weeks immediately preceding enrollment, and continued on this treatment up to initiation of the study drug Active disease at enrollment (less than 2 weeks before initiating treatment with a study drug), Which is defined as having at least 6 tender and 6 swollen joints among 49 and 46 joints stipulated by the Japanese Rheumatism Foundation's Drug Evaluation Committee and ESR at least 30 mm/hr and CRP not less than 1.0 mg/dL Exclusion criteria Assessed as having Class IV Steinbrocker functional activity in the 4 weeks preceding treatment with the study drug Treated with infliximab, etanercept or leflunomide in the 12 weeks preceding treatment with the study drug Received any of the following therapies in the 2 weeks preceding initiation of treatment with the study drug. Administration of any DMARD or immunosuppressant other than MTX Administration of corticosteroids exceeding 10 mg/day as prednisolone Dose escalation or initiation of corticosteroids Received any of the following therapies in the 4 weeks preceding treatment with the study drug Plasma exchange therapy Surgical treatment (operation, etc.)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    1

    2

    Arm Description

    Outcomes

    Primary Outcome Measures

    Frequency of ACR 20% improvement

    Secondary Outcome Measures

    Frequency and severity of adverse events and adverse drug reactions
    Time course of DAS28
    time course of the frequency of ACR 20%, 50% and 70%

    Full Information

    First Posted
    September 2, 2005
    Last Updated
    January 30, 2009
    Sponsor
    Chugai Pharmaceutical
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00144521
    Brief Title
    Comparative Study (Double-Blind) of MRA for Rheumatoid Arthritis (RA)
    Official Title
    A Double-Blind, Phase III Study to Evaluate the Efficacy and Safety of MRA in Patients With RA
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2004 (undefined)
    Primary Completion Date
    August 2004 (Actual)
    Study Completion Date
    April 2006 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Chugai Pharmaceutical

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to investigate the clinical efficacy and safety of MRA in a double-blind, parallel-group, controlled study using MRA or methotrexate (MTX) in rheumatoid arthritis (RA) patients with MTX administered.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rheumatoid Arthritis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    127 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Title
    2
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    MRA(Tocilizumab)
    Intervention Description
    8mg/kg/4week(i.v.)for 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    MRA placebo
    Intervention Description
    0mg/kg/4week(i.v.) for 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    MTX
    Intervention Description
    8mg/week(p.o.) for 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    MTX placebo
    Intervention Description
    0mg/week(p.o.) for 24 weeks
    Primary Outcome Measure Information:
    Title
    Frequency of ACR 20% improvement
    Time Frame
    week 24
    Secondary Outcome Measure Information:
    Title
    Frequency and severity of adverse events and adverse drug reactions
    Time Frame
    throughout study
    Title
    Time course of DAS28
    Time Frame
    throughout study
    Title
    time course of the frequency of ACR 20%, 50% and 70%
    Time Frame
    throughout study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion criteria Diagnosis of RA based on the 1987 classification criteria of the American College of Rheumatology (ACR) Disease duration of 6 months or more Treated with 8 mg/week of MTX for at least 8 weeks immediately preceding enrollment, and continued on this treatment up to initiation of the study drug Active disease at enrollment (less than 2 weeks before initiating treatment with a study drug), Which is defined as having at least 6 tender and 6 swollen joints among 49 and 46 joints stipulated by the Japanese Rheumatism Foundation's Drug Evaluation Committee and ESR at least 30 mm/hr and CRP not less than 1.0 mg/dL Exclusion criteria Assessed as having Class IV Steinbrocker functional activity in the 4 weeks preceding treatment with the study drug Treated with infliximab, etanercept or leflunomide in the 12 weeks preceding treatment with the study drug Received any of the following therapies in the 2 weeks preceding initiation of treatment with the study drug. Administration of any DMARD or immunosuppressant other than MTX Administration of corticosteroids exceeding 10 mg/day as prednisolone Dose escalation or initiation of corticosteroids Received any of the following therapies in the 4 weeks preceding treatment with the study drug Plasma exchange therapy Surgical treatment (operation, etc.)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Takahiro Kakehi
    Organizational Affiliation
    Chugai Pharmaceutical
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Comparative Study (Double-Blind) of MRA for Rheumatoid Arthritis (RA)

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