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Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis (ALIGN)

Primary Purpose

Ankylosing Spondylitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Sarilumab
Placebo
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ankylosing Spondylitis

Eligibility Criteria

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

Inclusion criteria:

  • Diagnosis of AS according to the New York modified criteria
  • Participants must had an adequate trial of at least 2 different Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) taken for at least 2 weeks in each case and, on a stable dose for ≥2 weeks or be intolerant to NSAIDs
  • Participants must had active AS for ≥3 months before screening and active disease must be present at screening and at baseline; Active AS being defined by:

    • Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of ≥4 (Numerical Rating Scale 0-10)
    • Total back pain score ≥4 (Numerical Rating Scale 0-10)

Participants treated with corticosteroid must be on a stable dose for ≥2 weeks prior to baseline

Participants treated with the Disease Modifying Anti-Rheumatic Drugs (DMARDs) hydroxychloroquine, sulfasalazine and methotrexate (MTX) must be on stable dose ≥12 weeks prior to baseline

Exclusion criteria:

  • <18 years old or ≥75 years old
  • Complete fusion of the spine
  • Past history of non response to any anti-Tumor Necrosis Factors (TNFs) treatment or non response to any other biological treatment for AS
  • Any past or current treatment with anti-TNF's or any biological agent within 3 months prior to screening
  • Treatment with DMARDs except for hydroxychloroquine, sulfasalazine and MTX
  • MTX >25 mg/week
  • hydroxychloroquine >400 mg/day
  • Sulfasalazine >3 g/day
  • Treatment with oral prednisone or equivalent corticosteroids >10 mg/day within 6 weeks prior to screening
  • Use of intramuscular or intra-articular corticosteroids within the last 4 weeks before screening
  • Previous treatment with cyclosporine, azathioprine

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

Sites / Locations

  • Investigational Site Number 840006
  • Investigational Site Number 840033
  • Investigational Site Number 840027
  • Investigational Site Number 840007
  • Investigational Site Number 840013
  • Investigational Site Number 840017
  • Investigational Site Number 840009
  • Investigational Site Number 840001
  • Investigational Site Number 840032
  • Investigational Site Number 840015
  • Investigational Site Number 840021
  • Investigational Site Number 840018
  • Investigational Site Number 840003
  • Investigational Site Number 840029
  • Investigational Site Number 840008
  • Investigational Site Number 840002
  • Investigational Site Number 840028
  • Investigational Site Number 840016
  • Investigational Site Number 840036
  • Investigational Site Number 840010
  • Investigational Site Number 840005
  • Investigational Site Number 840023
  • Investigational Site Number 840014
  • Investigational Site Number 840004
  • Investigational Site Number 840030
  • Investigational Site Number 840034
  • Investigational Site Number 036001
  • Investigational Site Number 036003
  • Investigational Site Number 036004
  • Investigational Site Number 036002
  • Investigational Site Number 040001
  • Investigational Site Number 040002
  • Investigational Site Number 056003
  • Investigational Site Number 056005
  • Investigational Site Number 056001
  • Investigational Site Number 056002
  • Investigational Site Number 056004
  • Investigational Site Number 124007
  • Investigational Site Number 124004
  • Investigational Site Number 124008
  • Investigational Site Number 124003
  • Investigational Site Number 124001
  • Investigational Site Number 124006
  • Investigational Site Number 124005
  • Investigational Site Number 124009
  • Investigational Site Number 124002
  • Investigational Site Number 124010
  • Investigational Site Number 203003
  • Investigational Site Number 203005
  • Investigational Site Number 203002
  • Investigational Site Number 203001
  • Investigational Site Number 203004
  • Investigational Site Number 250001
  • Investigational Site Number 250005
  • Investigational Site Number 250002
  • Investigational Site Number 250003
  • Investigational Site Number 276002
  • Investigational Site Number 276004
  • Investigational Site Number 276003
  • Investigational Site Number 276005
  • Investigational Site Number 276001
  • Investigational Site Number 348001
  • Investigational Site Number 348003
  • Investigational Site Number 348005
  • Investigational Site Number 348004
  • Investigational Site Number 440001
  • Investigational Site Number 440002
  • Investigational Site Number 528001
  • Investigational Site Number 528002
  • Investigational Site Number 616002
  • Investigational Site Number 616001
  • Investigational Site Number 616004
  • Investigational Site Number 616005
  • Investigational Site Number 616003
  • Investigational Site Number 724005
  • Investigational Site Number 724004
  • Investigational Site Number 724002
  • Investigational Site Number 724001
  • Investigational Site Number 792002
  • Investigational Site Number 792001

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Placebo

Sarilumab 100 mg q2w

Sarilumab 150 mg q2w

Sarilumab 100 mg qw

Sarilumab 200 mg q2w

Sarilumab 150 mg qw

Arm Description

Placebo (for sarilumab) weekly (qw) for 12 weeks.

Sarilumab 100 mg Subcutaneous (SC) injection alternating with placebo every other week (q2w) for 12 weeks.

Sarilumab 150 mg SC injection alternating with placebo q2w for 12 weeks.

Sarilumab 100 mg SC injection qw for 12 weeks.

Sarilumab 200 mg SC injection alternating with placebo q2w for 12 weeks.

Sarilumab 150 mg SC injection qw for 12 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants Who Achieved 20% Response According to the Assessment in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20) at Week 12
Clinical response to treatment for ASAS20 was assessed according to ASAS20 criteria. Treatment response for ASAS20 was defined as an improvement by a decrease of ≥20% and ≥1unit on a 0 (no pain) - 10 (most severe pain) numerical rating scale (NRS) in at least 3 of the 4 ASAS improvement criteria (ASAS-IC) domains: assessment of physical function (measured by Bath Ankylosing Spondylitis Functional Index [BASFI]), back pain (0-10 NRS), participant global assessment (0-10 NRS) and inflammation (measured as the mean of the last 2 Bath Ankylosing Spondylitis Disease Activity Index [BASDAI] questions) and no worsening (increase in score) of ≥20% and ≥1 unit on a 0-10 NRS in the remaining 4th domain.

Secondary Outcome Measures

Percentage of Participants Who Achieved 40% Response According to the Assessment in AS Working Group Criteria for Response (ASAS40) at Week 12
Clinical response to treatment for ASAS40 was assessed according to ASAS40 criteria. Treatment response for ASAS40 was defined as an improvement by a decrease of ≥40% and ≥2 units on a 0 (no pain)-10 (most severe pain) NRS in at least 3 of the 4 ASAS-IC domains (participant global assessment, back pain, physical function and inflammation) and no worsening (increase in score) at all in the remaining 4th domain.
Percentage of Participants Who Achieved Partial Remission According to the Assessment in AS Working Group Criteria for Response (ASAS) at Week 12
Participants were classified as having achieved ASAS partial remission if they had a value ≤ 2 units on a 0 -10 NRS in each of the 4 domains: (participant global assessment, back pain, physical function and inflammation) of the ASAS-IC.
Change From Baseline in Ankylosing Spondylitis Disease Activity Score (ASDAS) at Week 12
ASDAS consists of five components: (Total back pain assessed by BASDAI question 2 on a 0 [no pain] - 10 [most severe pain] NRS, participant global of disease activity on a 0 [none] - 10 [severe] NRS, peripheral pain/swelling assessed by BASDAI question 3 on a 0 [none] - 10 [most severe pain] NRS, duration of morning stiffness assessed by BASDAI question 6 on a NRS from 0 [0 hour] - 10 [2 or more hours] and hs-CRP in mg/L). ASDAS score was calculated as follows: 0.121 x total back pain + 0.110 x participant global of disease activity + 0.073 x peripheral pain/swelling + 0.058 x duration of morning stiffness + 0.579 x ln(CRP + 1). The scores were categorized as: inactive disease (< 1.3), moderate (1.3 - < 2.1), high (2.1 - 3.5) and very high disease activity (> 3.5).
Change From Baseline in BASDAI Score at Week 12
BASDAI comprises of a 0 (no pain) -10 (very severe pain) NRS, used to answer 6 questions (Q) related to symptoms of AS (fatigue/tiredness, neck, back or hip pain, pain / swelling in joints, discomfort in tender areas, morning stiffness duration and morning stiffness severity). The BASDAI total score was calculated by computing the mean of Q5 and Q6 and adding it to the sum of Q1 to Q4. This score was then divided by 5. BASDAI total score=Q1+Q2+Q3+Q4+[Q5+Q6/2]/5. The total BASDAI score ranges from 0=none to 10=severe, where lower score indicated less disease activity.
Change From Baseline in Range of Motion Assessed by the Bath AS Metrology Index (BASMI) at Week 12
The range of motion was measured by the BASMI (11-point scale) including chest expansion in cm. It composed of 5 clinical measurements associated with a score: tragus to wall distance, modified schober's test, lateral spinal flexion, intermalleolar distance and cervical rotation. BASMI score was calculated by dividing the total of the score by 5, and the score ranges from 0-10. Higher BASMI score indicates more severe limitation of movement.
Change From Baseline in Magnetic Resonance Imaging (MRI) Score of the Spine Assessed by the Berlin Modification of the AS Spine MRI-active (ASspiMRI-a) Score at Week 12
ASspiMRI-a scoring system was used on all MRIs to score the level of the disease. MRIs were obtained using 1.0 or 1.5 Tesla scanners and phased array coils. Sagittal images of the upper (C2 to T10) and lower (T8 to S1) spine were used using both T1 weighted spin echo and fat saturated Short Tau Inversion Recovery (STIR) sequences. Each vertebral body unit was given an activity score based on the amount of bone marrow edema or erosion. Both T1 and STIR sequences were analyzed for change. Total spine ASspiMRI-a score in the Berlin modification range from 0 to 69 with higher scores indicating higher disease activity. A negative value in total spine ASspiMRI-a score change from baseline indicates an improvement from baseline. The higher the negative value the higher the reduction of inflammation.
Percentage of Participants Who Achieved ASAS 5/6 Improvement Criteria at Week 12
ASAS 5/6 responder had an improvement of 20% in 5 of 6 domains (physical function, back pain, participant global assessment, inflammation, spinal mobility and acute phase reactants) of ASAS-IC without deterioration in the 6th domain. Spinal mobility was assessed by the mean of the 5 BASMI scores on the 11-point scale (score ranges from 0-10) and the hs-CRP for the acute phase reactant.
Change From Baseline in Chest Expansion at Week 12
The difference between maximal inspiration and expiration to the nearest 0.1 cm was recorded. The best of 2 tries were recorded.
Change From Baseline in Swollen Joint Index at Week 12
44 swollen joints were examined including sternal, clavicular, elbow, shoulder, wrist, knee, metacarpophalangian, interphalangian, metatarpophalangian and metatarsophalangeal joints.
Change From Baseline in Hs-CRP at Week 12
Participant's blood samples were collected at screening, baseline before dosing and at every visit to evaluate the level of hs-CRP. The hs-CRP is a protein marker in the blood associated with inflammation with higher values indicating a greater degree of inflammation.
Change From Baseline in ASAS Individual Components at Week 12
ASAS consists of 4 individual components: Participant global assessment to assess the disease activity over the last week on a 0 (no pain) - 10 (severe pain) NRS; back pain which consist of the mean of the nocturnal back pain and the total back pain at every visit on a 0 (no pain) - 10 (most severe pain) NRS; inflammation measured as the mean of the last 2 BASDAI questions (intensity and duration of morning stiffness) and physical function measured as mean of 10 scores of BASFI at every visit on 0 (easy) -10 (impossible) NRS. Lower score corresponds to a better functioning.

Full Information

First Posted
February 2, 2010
Last Updated
July 7, 2017
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01061723
Brief Title
Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis
Acronym
ALIGN
Official Title
A Randomized Double Blind-placebo Controlled Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 in Participants With Ankylosing Spondylitis (AS)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
February 2010 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
June 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary objective: - to evaluate the efficacy of Sarilumab in participants with Ankylosing Spondylitis (AS) using the assessment in AS working group criteria (ASAS) 20% response criteria (ASAS20) Secondary objectives: to demonstrate that Sarilumab was effective on: assessment of higher level of response [ASAS 40% response criteria (ASAS40)] partial remission disease activity range of motion Magnetic Resonance Imaging (MRI) of the spine to assess the safety and tolerability of Sarilumab in participants with AS as well as the pharmacokinetic profile of Sarilumab in participants with AS
Detailed Description
The duration of participation in this study for each participant was approximately 22 weeks; including up to 4 weeks screening period, 12-weeks double-blind treatment period and 6-weeks safety follow-up period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ankylosing Spondylitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
301 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo (for sarilumab) weekly (qw) for 12 weeks.
Arm Title
Sarilumab 100 mg q2w
Arm Type
Experimental
Arm Description
Sarilumab 100 mg Subcutaneous (SC) injection alternating with placebo every other week (q2w) for 12 weeks.
Arm Title
Sarilumab 150 mg q2w
Arm Type
Experimental
Arm Description
Sarilumab 150 mg SC injection alternating with placebo q2w for 12 weeks.
Arm Title
Sarilumab 100 mg qw
Arm Type
Experimental
Arm Description
Sarilumab 100 mg SC injection qw for 12 weeks.
Arm Title
Sarilumab 200 mg q2w
Arm Type
Experimental
Arm Description
Sarilumab 200 mg SC injection alternating with placebo q2w for 12 weeks.
Arm Title
Sarilumab 150 mg qw
Arm Type
Experimental
Arm Description
Sarilumab 150 mg SC injection qw for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Sarilumab
Other Intervention Name(s)
SAR153191, REGN88
Intervention Description
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Primary Outcome Measure Information:
Title
Percentage of Participants Who Achieved 20% Response According to the Assessment in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20) at Week 12
Description
Clinical response to treatment for ASAS20 was assessed according to ASAS20 criteria. Treatment response for ASAS20 was defined as an improvement by a decrease of ≥20% and ≥1unit on a 0 (no pain) - 10 (most severe pain) numerical rating scale (NRS) in at least 3 of the 4 ASAS improvement criteria (ASAS-IC) domains: assessment of physical function (measured by Bath Ankylosing Spondylitis Functional Index [BASFI]), back pain (0-10 NRS), participant global assessment (0-10 NRS) and inflammation (measured as the mean of the last 2 Bath Ankylosing Spondylitis Disease Activity Index [BASDAI] questions) and no worsening (increase in score) of ≥20% and ≥1 unit on a 0-10 NRS in the remaining 4th domain.
Time Frame
Baseline to Week 12 (Last Observation Carried Forward [LOCF])
Secondary Outcome Measure Information:
Title
Percentage of Participants Who Achieved 40% Response According to the Assessment in AS Working Group Criteria for Response (ASAS40) at Week 12
Description
Clinical response to treatment for ASAS40 was assessed according to ASAS40 criteria. Treatment response for ASAS40 was defined as an improvement by a decrease of ≥40% and ≥2 units on a 0 (no pain)-10 (most severe pain) NRS in at least 3 of the 4 ASAS-IC domains (participant global assessment, back pain, physical function and inflammation) and no worsening (increase in score) at all in the remaining 4th domain.
Time Frame
Baseline to Week 12 (LOCF)
Title
Percentage of Participants Who Achieved Partial Remission According to the Assessment in AS Working Group Criteria for Response (ASAS) at Week 12
Description
Participants were classified as having achieved ASAS partial remission if they had a value ≤ 2 units on a 0 -10 NRS in each of the 4 domains: (participant global assessment, back pain, physical function and inflammation) of the ASAS-IC.
Time Frame
Baseline to Week 12 (LOCF)
Title
Change From Baseline in Ankylosing Spondylitis Disease Activity Score (ASDAS) at Week 12
Description
ASDAS consists of five components: (Total back pain assessed by BASDAI question 2 on a 0 [no pain] - 10 [most severe pain] NRS, participant global of disease activity on a 0 [none] - 10 [severe] NRS, peripheral pain/swelling assessed by BASDAI question 3 on a 0 [none] - 10 [most severe pain] NRS, duration of morning stiffness assessed by BASDAI question 6 on a NRS from 0 [0 hour] - 10 [2 or more hours] and hs-CRP in mg/L). ASDAS score was calculated as follows: 0.121 x total back pain + 0.110 x participant global of disease activity + 0.073 x peripheral pain/swelling + 0.058 x duration of morning stiffness + 0.579 x ln(CRP + 1). The scores were categorized as: inactive disease (< 1.3), moderate (1.3 - < 2.1), high (2.1 - 3.5) and very high disease activity (> 3.5).
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in BASDAI Score at Week 12
Description
BASDAI comprises of a 0 (no pain) -10 (very severe pain) NRS, used to answer 6 questions (Q) related to symptoms of AS (fatigue/tiredness, neck, back or hip pain, pain / swelling in joints, discomfort in tender areas, morning stiffness duration and morning stiffness severity). The BASDAI total score was calculated by computing the mean of Q5 and Q6 and adding it to the sum of Q1 to Q4. This score was then divided by 5. BASDAI total score=Q1+Q2+Q3+Q4+[Q5+Q6/2]/5. The total BASDAI score ranges from 0=none to 10=severe, where lower score indicated less disease activity.
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in Range of Motion Assessed by the Bath AS Metrology Index (BASMI) at Week 12
Description
The range of motion was measured by the BASMI (11-point scale) including chest expansion in cm. It composed of 5 clinical measurements associated with a score: tragus to wall distance, modified schober's test, lateral spinal flexion, intermalleolar distance and cervical rotation. BASMI score was calculated by dividing the total of the score by 5, and the score ranges from 0-10. Higher BASMI score indicates more severe limitation of movement.
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in Magnetic Resonance Imaging (MRI) Score of the Spine Assessed by the Berlin Modification of the AS Spine MRI-active (ASspiMRI-a) Score at Week 12
Description
ASspiMRI-a scoring system was used on all MRIs to score the level of the disease. MRIs were obtained using 1.0 or 1.5 Tesla scanners and phased array coils. Sagittal images of the upper (C2 to T10) and lower (T8 to S1) spine were used using both T1 weighted spin echo and fat saturated Short Tau Inversion Recovery (STIR) sequences. Each vertebral body unit was given an activity score based on the amount of bone marrow edema or erosion. Both T1 and STIR sequences were analyzed for change. Total spine ASspiMRI-a score in the Berlin modification range from 0 to 69 with higher scores indicating higher disease activity. A negative value in total spine ASspiMRI-a score change from baseline indicates an improvement from baseline. The higher the negative value the higher the reduction of inflammation.
Time Frame
Baseline, Week 12
Title
Percentage of Participants Who Achieved ASAS 5/6 Improvement Criteria at Week 12
Description
ASAS 5/6 responder had an improvement of 20% in 5 of 6 domains (physical function, back pain, participant global assessment, inflammation, spinal mobility and acute phase reactants) of ASAS-IC without deterioration in the 6th domain. Spinal mobility was assessed by the mean of the 5 BASMI scores on the 11-point scale (score ranges from 0-10) and the hs-CRP for the acute phase reactant.
Time Frame
Baseline to Week 12 (LOCF)
Title
Change From Baseline in Chest Expansion at Week 12
Description
The difference between maximal inspiration and expiration to the nearest 0.1 cm was recorded. The best of 2 tries were recorded.
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in Swollen Joint Index at Week 12
Description
44 swollen joints were examined including sternal, clavicular, elbow, shoulder, wrist, knee, metacarpophalangian, interphalangian, metatarpophalangian and metatarsophalangeal joints.
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in Hs-CRP at Week 12
Description
Participant's blood samples were collected at screening, baseline before dosing and at every visit to evaluate the level of hs-CRP. The hs-CRP is a protein marker in the blood associated with inflammation with higher values indicating a greater degree of inflammation.
Time Frame
Baseline, Week 12 (LOCF)
Title
Change From Baseline in ASAS Individual Components at Week 12
Description
ASAS consists of 4 individual components: Participant global assessment to assess the disease activity over the last week on a 0 (no pain) - 10 (severe pain) NRS; back pain which consist of the mean of the nocturnal back pain and the total back pain at every visit on a 0 (no pain) - 10 (most severe pain) NRS; inflammation measured as the mean of the last 2 BASDAI questions (intensity and duration of morning stiffness) and physical function measured as mean of 10 scores of BASFI at every visit on 0 (easy) -10 (impossible) NRS. Lower score corresponds to a better functioning.
Time Frame
Baseline, Week 12 (LOCF)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Diagnosis of AS according to the New York modified criteria Participants must had an adequate trial of at least 2 different Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) taken for at least 2 weeks in each case and, on a stable dose for ≥2 weeks or be intolerant to NSAIDs Participants must had active AS for ≥3 months before screening and active disease must be present at screening and at baseline; Active AS being defined by: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of ≥4 (Numerical Rating Scale 0-10) Total back pain score ≥4 (Numerical Rating Scale 0-10) Participants treated with corticosteroid must be on a stable dose for ≥2 weeks prior to baseline Participants treated with the Disease Modifying Anti-Rheumatic Drugs (DMARDs) hydroxychloroquine, sulfasalazine and methotrexate (MTX) must be on stable dose ≥12 weeks prior to baseline Exclusion criteria: <18 years old or ≥75 years old Complete fusion of the spine Past history of non response to any anti-Tumor Necrosis Factors (TNFs) treatment or non response to any other biological treatment for AS Any past or current treatment with anti-TNF's or any biological agent within 3 months prior to screening Treatment with DMARDs except for hydroxychloroquine, sulfasalazine and MTX MTX >25 mg/week hydroxychloroquine >400 mg/day Sulfasalazine >3 g/day Treatment with oral prednisone or equivalent corticosteroids >10 mg/day within 6 weeks prior to screening Use of intramuscular or intra-articular corticosteroids within the last 4 weeks before screening Previous treatment with cyclosporine, azathioprine The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840006
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Investigational Site Number 840033
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Investigational Site Number 840027
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Investigational Site Number 840007
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Investigational Site Number 840013
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Investigational Site Number 840017
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Investigational Site Number 840009
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Investigational Site Number 840001
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Investigational Site Number 840032
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Investigational Site Number 840015
City
Boise
State/Province
Idaho
ZIP/Postal Code
83702
Country
United States
Facility Name
Investigational Site Number 840021
City
Rock Island
State/Province
Illinois
ZIP/Postal Code
61201
Country
United States
Facility Name
Investigational Site Number 840018
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160-7321
Country
United States
Facility Name
Investigational Site Number 840003
City
Wheaton
State/Province
Maryland
ZIP/Postal Code
20902
Country
United States
Facility Name
Investigational Site Number 840029
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States
Facility Name
Investigational Site Number 840008
City
Lansing
State/Province
Michigan
ZIP/Postal Code
48823
Country
United States
Facility Name
Investigational Site Number 840002
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Investigational Site Number 840028
City
Freehold
State/Province
New Jersey
ZIP/Postal Code
07728
Country
United States
Facility Name
Investigational Site Number 840016
City
Albany
State/Province
New York
ZIP/Postal Code
12206
Country
United States
Facility Name
Investigational Site Number 840036
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
Investigational Site Number 840010
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43606
Country
United States
Facility Name
Investigational Site Number 840005
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73109
Country
United States
Facility Name
Investigational Site Number 840023
City
Bethlehem
State/Province
Pennsylvania
ZIP/Postal Code
18015
Country
United States
Facility Name
Investigational Site Number 840014
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Investigational Site Number 840004
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Investigational Site Number 840030
City
Houston
State/Province
Texas
ZIP/Postal Code
77034
Country
United States
Facility Name
Investigational Site Number 840034
City
Chesapeake
State/Province
Virginia
ZIP/Postal Code
23320
Country
United States
Facility Name
Investigational Site Number 036001
City
East Malvern
ZIP/Postal Code
3145
Country
Australia
Facility Name
Investigational Site Number 036003
City
Hobart
ZIP/Postal Code
7001
Country
Australia
Facility Name
Investigational Site Number 036004
City
Shenton Park
ZIP/Postal Code
6008
Country
Australia
Facility Name
Investigational Site Number 036002
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Facility Name
Investigational Site Number 040001
City
Graz
ZIP/Postal Code
8036
Country
Austria
Facility Name
Investigational Site Number 040002
City
Wien
ZIP/Postal Code
1100
Country
Austria
Facility Name
Investigational Site Number 056003
City
Brussels
ZIP/Postal Code
1020
Country
Belgium
Facility Name
Investigational Site Number 056005
City
Genk
ZIP/Postal Code
3600
Country
Belgium
Facility Name
Investigational Site Number 056001
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Investigational Site Number 056002
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number 056004
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Investigational Site Number 124007
City
London
ZIP/Postal Code
N6A 4V2
Country
Canada
Facility Name
Investigational Site Number 124004
City
Montreal
ZIP/Postal Code
H2L 1S6
Country
Canada
Facility Name
Investigational Site Number 124008
City
Newmarket
ZIP/Postal Code
L3Y 3R7
Country
Canada
Facility Name
Investigational Site Number 124003
City
Pointe-Claire
ZIP/Postal Code
H9R 3Z2
Country
Canada
Facility Name
Investigational Site Number 124001
City
Quebec
ZIP/Postal Code
G1V 4R4
Country
Canada
Facility Name
Investigational Site Number 124006
City
Saskatoon
ZIP/Postal Code
S7K 0H6
Country
Canada
Facility Name
Investigational Site Number 124005
City
Toronto
ZIP/Postal Code
M5T 2S8
Country
Canada
Facility Name
Investigational Site Number 124009
City
Trois-Rivières
ZIP/Postal Code
G8Z 1Y2
Country
Canada
Facility Name
Investigational Site Number 124002
City
Vancouver
ZIP/Postal Code
V5Z 1L7
Country
Canada
Facility Name
Investigational Site Number 124010
City
Vancouver
ZIP/Postal Code
V5Z 3Y1
Country
Canada
Facility Name
Investigational Site Number 203003
City
Brno
ZIP/Postal Code
63800
Country
Czechia
Facility Name
Investigational Site Number 203005
City
Hlucin
ZIP/Postal Code
74801
Country
Czechia
Facility Name
Investigational Site Number 203002
City
Hradec Kralove
ZIP/Postal Code
50005
Country
Czechia
Facility Name
Investigational Site Number 203001
City
Praha 2
ZIP/Postal Code
12850
Country
Czechia
Facility Name
Investigational Site Number 203004
City
Uherske Hradiste
ZIP/Postal Code
68601
Country
Czechia
Facility Name
Investigational Site Number 250001
City
Besancon
ZIP/Postal Code
25030
Country
France
Facility Name
Investigational Site Number 250005
City
Bordeaux
ZIP/Postal Code
33076
Country
France
Facility Name
Investigational Site Number 250002
City
Creteil Cedex
ZIP/Postal Code
94010
Country
France
Facility Name
Investigational Site Number 250003
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Investigational Site Number 276002
City
Berlin
ZIP/Postal Code
12200
Country
Germany
Facility Name
Investigational Site Number 276004
City
Erlangen
ZIP/Postal Code
91054
Country
Germany
Facility Name
Investigational Site Number 276003
City
Frankfurt Am Main
ZIP/Postal Code
60590
Country
Germany
Facility Name
Investigational Site Number 276005
City
Hamburg
ZIP/Postal Code
22081
Country
Germany
Facility Name
Investigational Site Number 276001
City
Herne
ZIP/Postal Code
44652
Country
Germany
Facility Name
Investigational Site Number 348001
City
Budapest
ZIP/Postal Code
1023
Country
Hungary
Facility Name
Investigational Site Number 348003
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
Facility Name
Investigational Site Number 348005
City
Sátoraljaújhely
ZIP/Postal Code
3980
Country
Hungary
Facility Name
Investigational Site Number 348004
City
Veszprém
ZIP/Postal Code
8200
Country
Hungary
Facility Name
Investigational Site Number 440001
City
Kaunas
ZIP/Postal Code
LT-50009
Country
Lithuania
Facility Name
Investigational Site Number 440002
City
Vilnius
ZIP/Postal Code
LT-08661
Country
Lithuania
Facility Name
Investigational Site Number 528001
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Investigational Site Number 528002
City
Nijmegen
ZIP/Postal Code
6525 GA
Country
Netherlands
Facility Name
Investigational Site Number 616002
City
Bialystok
ZIP/Postal Code
15-354
Country
Poland
Facility Name
Investigational Site Number 616001
City
Krakow
ZIP/Postal Code
30-510
Country
Poland
Facility Name
Investigational Site Number 616004
City
Lublin
ZIP/Postal Code
20-607
Country
Poland
Facility Name
Investigational Site Number 616005
City
Torun
ZIP/Postal Code
87-100
Country
Poland
Facility Name
Investigational Site Number 616003
City
Warszawa
ZIP/Postal Code
02-637
Country
Poland
Facility Name
Investigational Site Number 724005
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
Facility Name
Investigational Site Number 724004
City
La Coruña
ZIP/Postal Code
15006
Country
Spain
Facility Name
Investigational Site Number 724002
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Investigational Site Number 724001
City
Sevilla
ZIP/Postal Code
41008
Country
Spain
Facility Name
Investigational Site Number 792002
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
Investigational Site Number 792001
City
Izmir
ZIP/Postal Code
35340
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
24550171
Citation
Sieper J, Braun J, Kay J, Badalamenti S, Radin AR, Jiao L, Fiore S, Momtahen T, Yancopoulos GD, Stahl N, Inman RD. Sarilumab for the treatment of ankylosing spondylitis: results of a Phase II, randomised, double-blind, placebo-controlled study (ALIGN). Ann Rheum Dis. 2015 Jun;74(6):1051-7. doi: 10.1136/annrheumdis-2013-204963. Epub 2014 Feb 18.
Results Reference
result

Learn more about this trial

Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis

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