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Effect of SAR153191 (REGN88) With Methotrexate in Patients With Active Rheumatoid Arthritis Who Failed TNF-α Blockers

Primary Purpose

Rheumatoid Arthritis

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Sarilumab
Placebo
Golimumab
methotrexate (MTX)
Folic/folinic acid
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

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

Inclusion criteria:

  • Diagnosis of rheumatoid arthritis ≥6 months duration and American College of Rheumatology (ACR) Class I-III functional status at screening and baseline visits;
  • Active disease defined as:

    • At least 6 of 68 tender joints and 6 of 66 swollen joints at screening and baseline visits, and
    • hs-C-Reactive Protein (hs-CRP) >10 g/L or Erythrocyte Sedimentation Rate (ESR) >28 mm/hr at screening visit;
  • Continuous treatment with Methotrexate for at least 12 weeks and on stable dose (minimum 10 mg/week) for at least 6 weeks prior to the screening visit;
  • Participant considered as Primary TNF-α blocker nonresponder. i.e.:

    • Appropriate for previous TNF-α blocker therapy
    • Lack of adequate clinical response after at least 3 months TNF-α blocker therapy with MTX or other synthetic disease modifying anti-rheumatic drug (DMARD) co-therapy.

Exclusion criteria:

  • Age <18 years or >75 years;
  • Pregnant or breastfeeding woman or woman of childbearing potential, unwilling to utilize adequate contraception or not to become pregnant during the entire study;
  • Fever (>38°C), or chronic, persistent, or recurring infection(s);
  • History of demyelinating disease;
  • Current underlying hepatobiliary disease.

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 840026
  • Investigational Site Number 840043
  • Investigational Site Number 840025
  • Investigational Site Number 840038
  • Investigational Site Number 170004
  • Investigational Site Number 170005
  • Investigational Site Number 170007
  • Investigational Site Number 203002
  • Investigational Site Number 380002
  • Investigational Site Number 380005
  • Investigational Site Number 484008
  • Investigational Site Number 484002
  • Investigational Site Number 724004
  • Investigational Site Number 724002

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Experimental

Arm Label

Placebo

Golimumab 50 mg

Sarilumab 150 mg

Arm Description

Placebo 2 mL to match sarilumab once a week (qw) and 0.5 mL to match golimumab every 4 weeks (q4w) on top of MTX (15-25 mg) qw for 12 weeks.

Golimumab 50 mg q4w and placebo (matched to sarilumab) qw on top of MTX (15-25 mg) qw for 12 weeks.

Sarilumab 150 mg qw and placebo (matched to golimumab) q4w on top of MTX (15-25 mg) qw for 12 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants Who Achieved at Least 20% Improvement in American College of Rheumatology (ACR20) Core Set Disease Activity Index at Week 12

Secondary Outcome Measures

Percentage of Participants Who Achieved at Least 50% Improvement in American College of Rheumatology (ACR50) Core Set Disease Activity Index at Week 12
Percentage of Participants Who Achieved at Least 70% Improvement in American College of Rheumatology Core (ACR70) Set Disease Activity Index at Week 12
Disease Activity Score for 28 Joints (DAS28) at Week 12
European League Against Rheumatism (EULAR) Response at Week 12
Percentage of Participants Achieving DAS28 Remission Score < 2.6 at Week 12
Pharmacokinetic (PK) Parameter: Serum Concentration of Functional and Bound Sarilumab

Full Information

First Posted
October 7, 2010
Last Updated
July 31, 2017
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01217814
Brief Title
Effect of SAR153191 (REGN88) With Methotrexate in Patients With Active Rheumatoid Arthritis Who Failed TNF-α Blockers
Official Title
A Randomized, Double-blind, Parallel-group, Placebo- and Active Calibrator-controlled Study Assessing the Clinical Benefit of SAR153191 Subcutaneous (SC) on Top of MTX in Patients With Active RA Who Have Failed Previous TNF-α Antagonists
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Terminated
Why Stopped
Due to delay in the study and the impact on the development timelines, not due to any identified safety concerns
Study Start Date
November 2010 (undefined)
Primary Completion Date
September 2011 (Actual)
Study Completion Date
September 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 demonstrate that sarilumab (SAR153191/REGN88) on top of methotrexate (MTX) was superior in efficacy to placebo for the relief of signs and symptoms of rheumatoid arthritis (RA), in participants with active RA who had failed up to 2 tumor necrosis factor-alpha (TNF-α) antagonists. Secondary Objectives: To assess the safety of sarilumab; To document the pharmacokinetic profile of sarilumab.
Detailed Description
The duration of the study period for each participant was approximately 22 weeks; including up to 4 weeks screening period, 12-week double-blind treatment period and 6-week safety follow-up period. Participants who completed the 12-week treatment period were offered enrollment in a separate long-term extension study (LTS11210/NCT01146652).

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo 2 mL to match sarilumab once a week (qw) and 0.5 mL to match golimumab every 4 weeks (q4w) on top of MTX (15-25 mg) qw for 12 weeks.
Arm Title
Golimumab 50 mg
Arm Type
Active Comparator
Arm Description
Golimumab 50 mg q4w and placebo (matched to sarilumab) qw on top of MTX (15-25 mg) qw for 12 weeks.
Arm Title
Sarilumab 150 mg
Arm Type
Experimental
Arm Description
Sarilumab 150 mg qw and placebo (matched to golimumab) q4w on top of MTX (15-25 mg) 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
Intervention Type
Drug
Intervention Name(s)
Golimumab
Other Intervention Name(s)
Simponi®
Intervention Description
Pharmaceutical form: solution for injection Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
methotrexate (MTX)
Intervention Description
Pharmaceutical form: tablet or solution for injection Route of administration: Oral (tablet) or subcutaneous, intramuscular (solution)
Intervention Type
Drug
Intervention Name(s)
Folic/folinic acid
Intervention Description
Pharmaceutical form: tablet Route of administration: oral Folic/folinic acid continued according to local standard.
Primary Outcome Measure Information:
Title
Percentage of Participants Who Achieved at Least 20% Improvement in American College of Rheumatology (ACR20) Core Set Disease Activity Index at Week 12
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Percentage of Participants Who Achieved at Least 50% Improvement in American College of Rheumatology (ACR50) Core Set Disease Activity Index at Week 12
Time Frame
Week 12
Title
Percentage of Participants Who Achieved at Least 70% Improvement in American College of Rheumatology Core (ACR70) Set Disease Activity Index at Week 12
Time Frame
Week 12
Title
Disease Activity Score for 28 Joints (DAS28) at Week 12
Time Frame
Week 12
Title
European League Against Rheumatism (EULAR) Response at Week 12
Time Frame
Week 12
Title
Percentage of Participants Achieving DAS28 Remission Score < 2.6 at Week 12
Time Frame
Week 12
Title
Pharmacokinetic (PK) Parameter: Serum Concentration of Functional and Bound Sarilumab
Time Frame
Week 12

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 rheumatoid arthritis ≥6 months duration and American College of Rheumatology (ACR) Class I-III functional status at screening and baseline visits; Active disease defined as: At least 6 of 68 tender joints and 6 of 66 swollen joints at screening and baseline visits, and hs-C-Reactive Protein (hs-CRP) >10 g/L or Erythrocyte Sedimentation Rate (ESR) >28 mm/hr at screening visit; Continuous treatment with Methotrexate for at least 12 weeks and on stable dose (minimum 10 mg/week) for at least 6 weeks prior to the screening visit; Participant considered as Primary TNF-α blocker nonresponder. i.e.: Appropriate for previous TNF-α blocker therapy Lack of adequate clinical response after at least 3 months TNF-α blocker therapy with MTX or other synthetic disease modifying anti-rheumatic drug (DMARD) co-therapy. Exclusion criteria: Age <18 years or >75 years; Pregnant or breastfeeding woman or woman of childbearing potential, unwilling to utilize adequate contraception or not to become pregnant during the entire study; Fever (>38°C), or chronic, persistent, or recurring infection(s); History of demyelinating disease; Current underlying hepatobiliary disease. 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 840026
City
Freehold
State/Province
New Jersey
ZIP/Postal Code
07728
Country
United States
Facility Name
Investigational Site Number 840043
City
New York
State/Province
New York
ZIP/Postal Code
11201
Country
United States
Facility Name
Investigational Site Number 840025
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305
Country
United States
Facility Name
Investigational Site Number 840038
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Investigational Site Number 170004
City
Barranquilla
Country
Colombia
Facility Name
Investigational Site Number 170005
City
Barranquilla
Country
Colombia
Facility Name
Investigational Site Number 170007
City
Bucaramanga
Country
Colombia
Facility Name
Investigational Site Number 203002
City
Uherske Hradiste
ZIP/Postal Code
68601
Country
Czechia
Facility Name
Investigational Site Number 380002
City
Firenze
ZIP/Postal Code
50141
Country
Italy
Facility Name
Investigational Site Number 380005
City
Genova
ZIP/Postal Code
16132
Country
Italy
Facility Name
Investigational Site Number 484008
City
Durango
ZIP/Postal Code
34270
Country
Mexico
Facility Name
Investigational Site Number 484002
City
Guadalajara
ZIP/Postal Code
44690
Country
Mexico
Facility Name
Investigational Site Number 724004
City
Oviedo
ZIP/Postal Code
33006
Country
Spain
Facility Name
Investigational Site Number 724002
City
Valencia
ZIP/Postal Code
46009
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Effect of SAR153191 (REGN88) With Methotrexate in Patients With Active Rheumatoid Arthritis Who Failed TNF-α Blockers

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