Evaluation of Sarilumab (SAR153191/REGN88) on Top of Methotrexate in Rheumatoid Arthritis Patients (RA-MOBILITY)
Rheumatoid Arthritis
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis
Eligibility Criteria
Inclusion criteria :
- Diagnosis of rheumatoid arthritis ≥3 months duration
Active disease defined as:
- at least 8/68 tender joints and 6/66 swollen joints,
- high sensitivity C-reactive protein (hs-CRP) >6 mg/l,
- continuous treatment with MTX for at least 12 weeks prior to baseline visit and on stable dose for at least 6 weeks prior to screening visit.
Part B only:
- Bone erosion based on documented X-ray prior to first study drug intake, or
- Cyclic Citrullinated Peptide (CCP) positive, or
- Rheumatoid Factor (RF) positive.
Exclusion criteria:
- Age <18 years or >75 years.
- Treatment with disease-modifying antirheumatic drugs (DMARDs) other than MTX within 4 weeks or 12 weeks prior to screening (depending on DMARDs).
- Past history of non-response to prior Tumor Necrosis Factor (TNF) or biologic treatment.
- Any past or current biologic agents for the treatment of rheumatoid arthritis within 3 months.
- Use of parenteral glucocorticoids or intraarticular glucocorticoids within 4 weeks prior to screening visit.
- Use of oral glucocorticoid greater than 10mg/day or equivalent/day, or a change in dosage within 4 weeks prior to baseline visit.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Experimental
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Part A: SAR 100 mg qw
Part A: SAR 150 mg qw
Part A: SAR 100 mg q2w
Part A: SAR 150 mg q2w
Part A: SAR 200 mg q2w
Part A: Placebo qw
Part B Cohort 1: Non-selected Doses
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Sarilumab 100 mg subcutaneous (SC) injection weekly (qw) on top of MTX for 12 weeks.
Sarilumab 150 mg SC injection qw on top of MTX for 12 weeks.
Sarilumab 100 mg SC injection every other week (q2w) alternating with placebo on top of MTX for 12 weeks.
Sarilumab 150 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
Sarilumab 200 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
Placebo (for sarilumab) qw on top of MTX for 12 weeks.
Sarilumab 100 mg qw, 150 mg qw or 100 mg q2w SC injections as in Part A on top of MTX up to dose selection. After dose selection, participants were not continued but were allowed to participate in the open-label, long-term, extension study SARIL-RA-EXTEND (LTS11210).
Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.
Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.
Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.