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BOW015 (Infliximab-EPIRUS) and Infliximab in Patients With Active Rheumatoid Arthritis: The UNIFORM Study

Primary Purpose

Rheumatoid Arthritis

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
BOW015
Remicade
Sponsored by
Epirus Biopharmaceuticals (Switzerland) GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Male and female, aged 18 to 80
  2. Diagnosis of Rheumatoid Arthritis (RA) according to the revised ACR/ EULAR 2010 classification criteria for RA
  3. Patients must have ACR/EULAR 2010 classification criteria score ≥ 6
  4. Patients must have active disease
  5. Patients must have been on treatment with methotrexate

Key Exclusion Criteria:

  1. Prior use of infliximab, adalimumab, certolizumab, golimumab, tocilizumab, rituximab, or etanercept or any other biological treatment
  2. Patients with any prior or current use of anakinra and abatacept
  3. Patients with suspected or confirmed current active tuberculosis (TB)
  4. Patients with latent tuberculosis must start treatment for latent tuberculosis
  5. Patients who have a current or past history of chronic infection with Hepatitis B, Hepatitis C, or infection with Human Immunodeficiency Virus-1 or-2
  6. History of completely excised and cured squamous carcinoma of the uterine cervix, cutaneous basal cell carcinoma or cutaneous squamous cell carcinoma
  7. History of lymphoproliferative disease
  8. History or presence of any other form of malignancy
  9. Current signs or symptoms of severe, progressive or uncontrolled renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic or cerebral disease
  10. History of congestive heart failure or unstable angina
  11. History of any autoimmune disease other than RA
  12. Major surgery within 12 weeks and planned major surgery
  13. History of serious infection
  14. Pre-existing central nervous system demyelinating disorders
  15. Administration of live or live-attenuated vaccine within 4 weeks of screening
  16. Clinically significant adverse reaction to murine or chimeric proteins
  17. History or presence of any medical or psychiatric condition or disease, or clinically significant laboratory abnormality
  18. Participation in any clinical study of an investigational product within the previous 3 months prior to screening

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    BOW015

    Remicade

    Arm Description

    Infliximab-EPIRUS, 3mg/kg body weight as intra venous infusion at weeks 0, 2, 6 then every 8 weeks thereafter up to Week 46.

    Remicade (infliximab) , 3mg/kg body weight as intra venous infusion at weeks 0, 2, 6 then every 8 weeks thereafter up to Week 46.

    Outcomes

    Primary Outcome Measures

    American College of Rheumatology (ACR) 20 clinical response

    Secondary Outcome Measures

    ACR20
    Diseases Activity Score (DAS)28 calculated with C-reactive protein (CRP)
    Health Assessment Questionnaire-Disability Index (HAQ-DI)

    Full Information

    First Posted
    February 9, 2016
    Last Updated
    February 11, 2016
    Sponsor
    Epirus Biopharmaceuticals (Switzerland) GmbH
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02683564
    Brief Title
    BOW015 (Infliximab-EPIRUS) and Infliximab in Patients With Active Rheumatoid Arthritis: The UNIFORM Study
    Official Title
    A Study of BOW015 (Infliximab-EPIRUS) and Infliximab in Patients With Active Rheumatoid Arthritis on Stable Methotrexate: The UNIFORM Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    February 2016 (undefined)
    Primary Completion Date
    July 2017 (Anticipated)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Epirus Biopharmaceuticals (Switzerland) GmbH

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a prospective, randomized, double-blind, parallel group, multicentre global phase 3 clinical study to evaluate the efficacy, safety and immunogenicity of BOW015 (infliximab-EPIRUS) compared to Remicade in subjects with active Rheumatoid Arthritis (RA) despite Methotrexate (MTX) therapy.

    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
    548 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    BOW015
    Arm Type
    Experimental
    Arm Description
    Infliximab-EPIRUS, 3mg/kg body weight as intra venous infusion at weeks 0, 2, 6 then every 8 weeks thereafter up to Week 46.
    Arm Title
    Remicade
    Arm Type
    Active Comparator
    Arm Description
    Remicade (infliximab) , 3mg/kg body weight as intra venous infusion at weeks 0, 2, 6 then every 8 weeks thereafter up to Week 46.
    Intervention Type
    Drug
    Intervention Name(s)
    BOW015
    Other Intervention Name(s)
    infliximab-EPIRUS
    Intervention Description
    monoclonal antibody against TNF-alpha
    Intervention Type
    Drug
    Intervention Name(s)
    Remicade
    Other Intervention Name(s)
    infliximab
    Intervention Description
    monoclonal antibody against TNF-alpha
    Primary Outcome Measure Information:
    Title
    American College of Rheumatology (ACR) 20 clinical response
    Time Frame
    16 weeks
    Secondary Outcome Measure Information:
    Title
    ACR20
    Time Frame
    54 weeks
    Title
    Diseases Activity Score (DAS)28 calculated with C-reactive protein (CRP)
    Time Frame
    54 weeks
    Title
    Health Assessment Questionnaire-Disability Index (HAQ-DI)
    Time Frame
    54 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: Male and female, aged 18 to 80 Diagnosis of Rheumatoid Arthritis (RA) according to the revised ACR/ EULAR 2010 classification criteria for RA Patients must have ACR/EULAR 2010 classification criteria score ≥ 6 Patients must have active disease Patients must have been on treatment with methotrexate Key Exclusion Criteria: Prior use of infliximab, adalimumab, certolizumab, golimumab, tocilizumab, rituximab, or etanercept or any other biological treatment Patients with any prior or current use of anakinra and abatacept Patients with suspected or confirmed current active tuberculosis (TB) Patients with latent tuberculosis must start treatment for latent tuberculosis Patients who have a current or past history of chronic infection with Hepatitis B, Hepatitis C, or infection with Human Immunodeficiency Virus-1 or-2 History of completely excised and cured squamous carcinoma of the uterine cervix, cutaneous basal cell carcinoma or cutaneous squamous cell carcinoma History of lymphoproliferative disease History or presence of any other form of malignancy Current signs or symptoms of severe, progressive or uncontrolled renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic or cerebral disease History of congestive heart failure or unstable angina History of any autoimmune disease other than RA Major surgery within 12 weeks and planned major surgery History of serious infection Pre-existing central nervous system demyelinating disorders Administration of live or live-attenuated vaccine within 4 weeks of screening Clinically significant adverse reaction to murine or chimeric proteins History or presence of any medical or psychiatric condition or disease, or clinically significant laboratory abnormality Participation in any clinical study of an investigational product within the previous 3 months prior to screening
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    EPIRUS Clinical Development
    Email
    info@epirusbiopharma.com

    12. IPD Sharing Statement

    Learn more about this trial

    BOW015 (Infliximab-EPIRUS) and Infliximab in Patients With Active Rheumatoid Arthritis: The UNIFORM Study

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