A Study Comparing SB4 to Enbrel® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy
Primary Purpose
Rheumatoid Arthritis
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Enbrel (etanercept)
SB4 (proposed biosimilar to etanercept)
Sponsored by

About this trial
This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Rheumatoid Arthritis, Etanercept, Biosimilar
Eligibility Criteria
Inclusion Criteria:
- Diagnosed as having RA according to the revised 1987 ACR criteria for at least 6 months but not exceeding 15 years prior to Screening
- Have moderate to severe active disease despite MTX therapy defined as having more than or equal to six swollen joints and more than or equal to six tender joints and either erythrocyte sedimentation rate (ESR, Westergren) ≥ 28 mm/h or serum C-reactive protein ≥ 1.0 mg/dL
- Must have been treated with MTX for at least 6 months prior to Randomisation and on a stable dose of MTX 10-25 mg/week given at least 4 weeks prior to Screening
- Female subjects who are not pregnant or nursing at Screening and who are not planning to become pregnant from Screening until 2 months after the last dose of investigational product
Exclusion Criteria:
- Have been treated previously with any biological agents including any tumour necrosis factor inhibitor
- Have a known hypersensitivity to human immunoglobulin proteins or other components of Enbrel or SB4
- Have a positive serological test for hepatitis B or hepatitis C or have a known history of infection with human immunodeficiency virus
- Have a current diagnosis of active tuberculosis
- Have had a serious infection or have been treated with intravenous antibiotics for an infection within 8 weeks or oral antibiotics within 2 weeks prior to Randomisation.
Have any of the following conditions
- Other inflammatory or rheumatic diseases.
- History of any malignancy within the previous 5 years prior to Screening
- History of lymphoproliferative disease including lymphoma.
- History of congestive heart failure
- Physical incapacitation (ACR functional Class IV or wheelchair-/bed-bound).
- History of demyelinating disorders.
Sites / Locations
- Investigational Site
- Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
SB4 (proposed biosimilar to etanercept)
Enbrel (etanercept)
Arm Description
SB4 50 mg/week via subcutaneous injection
Enbrel 50 mg/week via subcutaneous injection
Outcomes
Primary Outcome Measures
American College of Rheumatology 20% Response Criteria (ACR20)
Secondary Outcome Measures
ACR20
American College of Rheumatology 50% Response Criteria (ACR50)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01895309
Brief Title
A Study Comparing SB4 to Enbrel® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy
Official Title
A Randomised, Double-blind, Parallel Group, Multicentre Clinical Study to Evaluate the Efficacy, Safety, Pharmacokinetics and Immunogenicity of SB4 Compared to Enbrel® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
October 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Samsung Bioepis Co., Ltd.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a randomized, double-blind, parallel group, multicentre clinical study to evaluate the efficacy, safety, pharmacokinetics and immunogenicity of SB4 compared to Enbrel in subjects with moderate to severe Rheumatoid Arthritis (RA) despite Methotrexate (MTX) therapy. In some countries, after 52 weeks of treatment with either SB4 or Enbrel, subjects will be enrolled into an open label extension period. Subjects will receive SB4 for an additional 48 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
Rheumatoid Arthritis, Etanercept, Biosimilar
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
596 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SB4 (proposed biosimilar to etanercept)
Arm Type
Experimental
Arm Description
SB4 50 mg/week via subcutaneous injection
Arm Title
Enbrel (etanercept)
Arm Type
Active Comparator
Arm Description
Enbrel 50 mg/week via subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
Enbrel (etanercept)
Intervention Type
Drug
Intervention Name(s)
SB4 (proposed biosimilar to etanercept)
Primary Outcome Measure Information:
Title
American College of Rheumatology 20% Response Criteria (ACR20)
Time Frame
Week 24
Secondary Outcome Measure Information:
Title
ACR20
Time Frame
Week 52
Title
American College of Rheumatology 50% Response Criteria (ACR50)
Time Frame
Week 24, Week 52
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:
Diagnosed as having RA according to the revised 1987 ACR criteria for at least 6 months but not exceeding 15 years prior to Screening
Have moderate to severe active disease despite MTX therapy defined as having more than or equal to six swollen joints and more than or equal to six tender joints and either erythrocyte sedimentation rate (ESR, Westergren) ≥ 28 mm/h or serum C-reactive protein ≥ 1.0 mg/dL
Must have been treated with MTX for at least 6 months prior to Randomisation and on a stable dose of MTX 10-25 mg/week given at least 4 weeks prior to Screening
Female subjects who are not pregnant or nursing at Screening and who are not planning to become pregnant from Screening until 2 months after the last dose of investigational product
Exclusion Criteria:
Have been treated previously with any biological agents including any tumour necrosis factor inhibitor
Have a known hypersensitivity to human immunoglobulin proteins or other components of Enbrel or SB4
Have a positive serological test for hepatitis B or hepatitis C or have a known history of infection with human immunodeficiency virus
Have a current diagnosis of active tuberculosis
Have had a serious infection or have been treated with intravenous antibiotics for an infection within 8 weeks or oral antibiotics within 2 weeks prior to Randomisation.
Have any of the following conditions
Other inflammatory or rheumatic diseases.
History of any malignancy within the previous 5 years prior to Screening
History of lymphoproliferative disease including lymphoma.
History of congestive heart failure
Physical incapacitation (ACR functional Class IV or wheelchair-/bed-bound).
History of demyelinating disorders.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jiri Vencovsky, M.D., Ph.D.
Organizational Affiliation
Charles University, Czech Republic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Investigational Site
City
Kielce
Country
Poland
Facility Name
Investigational Site
City
Southampton
State/Province
Hampshire
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
32468892
Citation
Emery P, Suh CH, Weinblatt ME, Smolen JS, Keystone EC, Genovese M, Vencovsky J, Kay J, Hong E, Baek Y, Ghil J. Impact of immunogenicity on efficacy and tolerability of tumour necrosis factor inhibitors: pooled analysis of biosimilar studies in rheumatoid arthritis. Scand J Rheumatol. 2020 Sep;49(5):361-370. doi: 10.1080/03009742.2020.1732458. Epub 2020 May 29.
Results Reference
derived
PubMed Identifier
31958281
Citation
Smolen JS, Choe JY, Weinblatt ME, Emery P, Keystone E, Genovese MC, Myung G, Hong E, Baek I, Ghil J. Pooled analysis of TNF inhibitor biosimilar studies comparing radiographic progression by disease activity states in rheumatoid arthritis. RMD Open. 2020 Jan;6(1):e001096. doi: 10.1136/rmdopen-2019-001096.
Results Reference
derived
PubMed Identifier
28968793
Citation
Emery P, Vencovsky J, Sylwestrzak A, Leszczynski P, Porawska W, Baranauskaite A, Tseluyko V, Zhdan VM, Stasiuk B, Milasiene R, Barrera Rodriguez AA, Cheong SY, Ghil J. 52-week results of the phase 3 randomized study comparing SB4 with reference etanercept in patients with active rheumatoid arthritis. Rheumatology (Oxford). 2017 Dec 1;56(12):2093-2101. doi: 10.1093/rheumatology/kex269.
Results Reference
derived
PubMed Identifier
28794078
Citation
Emery P, Vencovsky J, Sylwestrzak A, Leszczynski P, Porawska W, Stasiuk B, Hilt J, Mosterova Z, Cheong SY, Ghil J. Long-term efficacy and safety in patients with rheumatoid arthritis continuing on SB4 or switching from reference etanercept to SB4. Ann Rheum Dis. 2017 Aug 9;76(12):1986-91. doi: 10.1136/annrheumdis-2017-211591. Online ahead of print.
Results Reference
derived
PubMed Identifier
26150601
Citation
Emery P, Vencovsky J, Sylwestrzak A, Leszczynski P, Porawska W, Baranauskaite A, Tseluyko V, Zhdan VM, Stasiuk B, Milasiene R, Barrera Rodriguez AA, Cheong SY, Ghil J. A phase III randomised, double-blind, parallel-group study comparing SB4 with etanercept reference product in patients with active rheumatoid arthritis despite methotrexate therapy. Ann Rheum Dis. 2017 Jan;76(1):51-57. doi: 10.1136/annrheumdis-2015-207588. Epub 2015 Jul 6.
Results Reference
derived
Learn more about this trial
A Study Comparing SB4 to Enbrel® in Subjects With Moderate to Severe Rheumatoid Arthritis Despite Methotrexate Therapy
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