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A Study to Evaluate the Long-Term Safety and Efficacy of GDC-0853 in Participants With Moderate to Severe Rheumatoid Arthritis Enrolled in Study GA29350

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GDC-0853
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - 76 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Completion of treatment as specified in Study GA29350, including completion of the Day 84 study visit assessments
  • Acceptable safety and tolerability during Study GA29350 as determined by the investigator or Medical Monitor
  • Have not received any prohibited medications in Study GA29350
  • While taking methotrexate, must be willing to receive oral folic acid (at least 5 milligrams per week [mg/week])
  • If receiving oral corticosteroids (less than or equal to [</=] 10 milligrams per day [mg/day] prednisone or equivalent) and/or non-steroidal anti-inflammatory drugs, doses have remained stable for the duration of Study GA29350

Exclusion Criteria:

  • Met protocol defined treatment stopping criteria during Study GA29350
  • Treatment with any investigational agent (i.e., other than study drug) or live/attenuated vaccine or any other prohibited medication during Study GA29350 or since the last administration of study drug in Study GA29350
  • In the opinion of the investigator, any new (since initially enrolling in the Phase II Study GA29350), significant, uncontrolled comorbidity that would increase the risk to the participant in Study GA30067
  • Pregnant or lactating, or intending to become pregnant during the study
  • Participants who experienced a de novo or reactivated serious viral infection such as hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) during the Phase II Study GA29350
  • Any major episode of infection requiring hospitalization or treatment with intravenous antibiotics during the Phase II Study GA29350
  • Participants who developed a malignancy during the Phase II Study GA29350
  • 12-lead electrocardiogram (ECG) on Day 84 in Study GA29350 that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results
  • Current treatment with medications that are well known to prolong the QT interval

Sites / Locations

  • Arizona Arthritis & Rheumatology Associates, P.C.
  • Medvin Clinical Research
  • TriWest Research Associates, LLC
  • Saint Jude Heritage Medical Grp
  • RASF-Clinical Research Center
  • Clinical Research of West Florida
  • Medication Management
  • Oregon Health & Science Uni
  • Metroplex Clinical Research Centre
  • Baylor Research Inst.
  • Accurate Clinical Research
  • Instituto de Investigaciones Clinicas-Mar del Plata
  • APRILLUS
  • Instituto centenario
  • Centro de Investigacion en Enfermedades Reumaticas CIER
  • Expertia S.A- Mautalen Salud e Investigación
  • CCBR - Buenos Aires - AR; AxisMed SRL
  • ILAIM-CEOM Inst. Latinoamericano de Inv. Medicas
  • Centro de Investigaciones Medicas Mar Del Plata
  • Instituto de Investigaciones Clinicas
  • CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica
  • Centro Medico Privado de Reumatologia; Reumathology
  • CIP - Centro Internacional de Pesquisa X; Pesquisa Clinica
  • CMiP - Centro Mineiro de Pesquisa*X*
  • Centro de Estudos em Terapias Inovadoras - CETI
  • CCBR Brasil Centro de Pesquisas e Análises Clínicas Ltda.
  • LMK Serviços Médicos S/S
  • CAEP - Centro Avancado de Estudos e Pesquisas Ltda.
  • IMA Brasil - Instituto de Medicina Avancada
  • MHAT "Eurohospital" - Plovdiv, OOD; Internal Department
  • UMHAT "Kaspela", EOOD
  • Medizinski Zentrar-1-Sevlievo EOOD
  • MHAT "Hadzhi Dimitar", OOD
  • Medical Center Excelsior OOD
  • NMTH "Tsar Boris III"
  • DCC "Alexandrovska", EOOD; Clinic of Neurology
  • MC "Synexus - Sofia", EOOD
  • UMHAT "SofiaMed", OOD; Department of Neurology
  • Centro de Investigacion Medico Asistencial S.A.S
  • Centro de Investigacion en Reumatologia y Especialdades Medicas SAS. CIREEM
  • Riesgo de Fractura S.A.
  • Consultorio Medico en Fundacion el Hospitalito de morelos A.C.
  • Centro de Investigacion en Reumatologia
  • Consultorio Particular del Dr. Miguel Cortes Hernandez
  • Centro de Investigacion de Tratam Innovadores de Sin SC
  • Centro de Investigacion en Enfermedades Reumaticas y Osteoporosis
  • Centro de Investigacion Clínica GRAMEL S.C
  • Policlinica Medica de Queretaro S.C.
  • Clinical Research Institute
  • Unidad de Enfermedades Reumaticas y Cronicodegenerativas
  • NZOZ ZDROWIE Osteo-Medic
  • Szpital Uniwersytecki; nr 2 im. Dr J. Biziela
  • Centrum Medyczne Pratia Katowice I
  • CCBR - Lodz - PL
  • ETYKA Osrodek Badan Kliniczynch
  • Ai Centrum Medyczne Sp. Z O.O Sp.K.
  • Medycyna Kliniczna
  • Centrum Medyczne AMED
  • KO-MED Centra Kliniczne Zamosc
  • SBIH of Yaroslavl region " Regional Clinical Hospital "; Therapy
  • Federal State Budgetary Scientific Institution Research Institute of Rheumatology V.A. Nasonova
  • SBIH of Moscow "City Clinical Hospital # 1 n. a. N. I. Pirogov"
  • SPb SBIH "Clinical Rheumatological Hospital # 25"
  • Sanavita LLC
  • LLC Medical Sanitary Unit
  • Center of Family Medicine LC
  • SBHI of Yaroslavl Region Clinical Hospital #3
  • SMMIH "Chelyabinsk Regional Clinical Hospital"
  • SAHI of Kem. "Regional Clinical Hospital for War Veterans"
  • OOO Family Polyclinic
  • Practical Medicine
  • Limited Liability Company "Centre of Medical Common Practice"
  • Ultramed
  • SEIHPE Saratov State Medical University n.a. V.I. Razumovskiy
  • NIH "Departmental Hospital on Station Smolensk of OJSC "Russian Railways"
  • Siberian State Medical University
  • SHI Ulyanovsk Reg Clinical Hospital
  • Territorial Clinical Hospital #2
  • Institute of Rheumatology
  • Clinical Center Kragujevac
  • Institute of Treatment and Rehabilitation "Niska Banja"
  • Special hospital for rheumatic diseases Novi Sad
  • General Hospital "Dr Laza K. Lazarevic" Sabac
  • MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
  • CI of Healthcare Kharkiv CCH #8 Dept of Therapy Kharkiv MA of PGE of MOHU
  • CI of TRC
  • Regional CH Dep of Rheumatology SHEI Ivano-Frankivsk NMU
  • SI NSС M.D. Strazhesko Institute of Cardiology of NAMSU
  • Medical Center of Revmotsentr LLC
  • Medical Center of Limited Liability Company Medical Clinic Blagomed
  • Med Center of International Institute of Clinical Trials LLC; Medical Center "OK!Clinic+"
  • Lviv Regional Clinical Hospital Dept of Rehmuaatology D. Halytskyi Lviv NMU
  • CH of State Border Service of Ukraine (Military Base 2522); Dept of Therapy, D.Halytskyi Lviv NMU
  • A.Novak Transcarpathian Regional Clinical Hospital
  • National Pirogov Memorial Medical University
  • Railway Transp DCH of HealthCenter Branch of PJSC Ukr Railway Dept of Rheumatology
  • City Clinical Hospital #9 Dept of Therapy SI Zaporizhzhia MA of PGE of MoHU
  • CI City Hospital #1
  • CI Lutsk CCH Volyn Regional Center of Cardiovascular Pathology and Thrombolysis
  • GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine
  • CNI Consultative and Diagnostic Center of Desnianskyi District of Kyiv
  • M.V. Sklifosovsky Poltava RCH Dept of Rheumatology HSEIU UMSA
  • CI City Hospital #7
  • CI Zaporizhzhia Regional Clinical Hospital of ZRC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

GDC-0853 (200mg BID) Cohort 1

GDC-0853 (200mg BID) Cohort 2

Arm Description

Participants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 1 of Study GA29350. Cohort 1 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to previous methotrexate (MTX) therapy and then randomized to 12 weeks of GDC-0853 (50 mg daily, 150 mg daily, or 200 mg BID), adalimumab, or placebo.

Participants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 2 of Study GA29350. Cohort 2 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to one or two tumor necrosis factor (TNF) inhibitors and methotrexate (MTX) therapy, and then randomized to 12 weeks of GDC-0853 (200 mg BID) or placebo.

Outcomes

Primary Outcome Measures

Percentage of Participants With Adverse Events (AEs)
An Adverse Event (AE) was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response at Week 52
ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].

Secondary Outcome Measures

Percentage of Participants Achieving ACR50 Response up to Week 12
ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response
ACR20 response is defined as a ≥ 20% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate]
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response
ACR70 response is defined as a ≥ 70% improvement (reduction) compared with Baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 CRP)
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (4 Variables) (DAS28-4 CRP)
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (3 Variables) (DAS28-3 ESR)
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 ESR)
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Percentage of Participants With Remission Based on Disease Activity Score Based on 28-Joints Count (DAS28)
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control.
Percentage of Participants With Low Disease Activity (LDA) Based on DAS28
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. LDAS is defined as DAS28 ≤ 3.2
Percentage of Participants With ACR/EULAR Remission
Assessed according to the Boolean based definition (tender joint count =<1, swollen joint count =<1, C-reactive Protein (CRP) =<1, and patient global assessment =<1)
Change From Baseline in Simplified Disease Activity Index (SDAI)
Simplified Disease Activity Index (SDAI) is the numerical sum of five outcome parameters: TJC and SJC (based on a 28-joint assessment), PtGA and PhGA (based on 0-10 cm VAS, where 0 = no disease activity and 10 = worst disease activity), and CRP. SDAI total score ranges from 0 (no disease activity) to 86 (maximal disease activity), where higher scores represents higher disease activity. The SDAI =< 3.3 indicates disease remission, > 3.4 to 11 indicates low disease activity, > 11 to 26 indicates moderate disease activity, and > 26 indicates high disease activity
Change From Baseline in Clinical Disease Activity Index (CDAI)
CDAI was derived as the sum of the following: tender joint count (TJC), swollen joint count (SJC), participant global assessment (PGA) of disease activity, and physician assessment of disease activity. TJC and SJC were taken as the number of tender and swollen joints, respectively, out of 28 assessed joints. PGA and physician assessment of disease activity were scored 0-100 millimeters (mm) and rounded to the nearest centimeter (cm) on a visual analog scale (VAS), where higher scores indicate greater perceived disease activity. The total CDAI score range was 0-76, where higher scores indicate increased disease activity. Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest. Negative values indicate improvement/reduction in RA disease activity.
Change From Baseline in Tender/Painful Joint Count Based on 68 Joints
Tender Joint Count: a total of 68 joints will be assessed for tenderness. Each joint is assessed for the presence/absence of tenderness. 68 joints are assessed for tenderness and joints are classified as tender/not tender giving a total possible tender joint count score of 0 to 68. A negative change from Baseline indicated improvement.
Change From Baseline in Swollen Joint Count Based on 66 Joints
Swollen Joint Count: a total of 66 joints will be assessed for swelling. Each joint is assessed for the presence/absence of swelling. 66 joints were assessed for swelling and joints are classified as swollen/not swollen giving a total possible swollen joint count score of 0 to 66. A negative change from Baseline indicated improvement.
Change From Baseline in Patient's Assessment of Arthritis Pain, Using Visual Analog Scale (VAS) Score
Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain
Change From Baseline in Patient's Global Assessment of Arthritis, Using VAS Score
Participant-assessed arthritis pain was scored on a 100-mm VAS, where the distance from 0 mm represented the participant's self evaluation of arthritis pain (0 mm=none; 100 mm=very severe). Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest, where negative change indicated a decrease in participant-assessed arthritis pain.
Change From Baseline in Physician's Global Assessment of Arthritis, Using VAS Score
Physician's assessment of participant's disease activity was scored on a 100-mm VAS, where the distance from 0 mm represented the physician's assessment of the participant's disease activity (0 mm=very good; 100 mm=very poor). Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest, where negative change from baseline indicated an improvement in physician-assessed disease activity.
Change From Baseline in C-Reactive Protein (CRP) Levels
C-reactive protein is a biological marker of inflammation and is measured in milligrams per decilitre (mg/dL)
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score
The Stanford Health Assessment Questionnaire disability index is a patient-reported outcome used to assess difficulty in performing activities of daily living. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. To respond to each question, a four-level response with higher scores showing larger functional limitations, was chosen. Scoring is as follows with respect to performance of participant's everyday activities: 0 (equals)=without difficulties; 1= with some difficulties; 2=with great difficulties; and 3=unable to perform these actions at all. The composite HAQ-DI score is the mean of the eight domain scores and the score ranges from 0 (no functional impairment) to 3 (maximum functional impairment). A negative change from baseline indicates improvement.
Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Version 2.0 (V2) Scores for Physical and Mental Components
The 36-Item Short Form Health Survey (SF-36v2) is a questionnaire used to assess functional health and well-being and consists of eight domains: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional and Mental Health. The SF-36v2 is summarized into Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. The PCS and MCS scores range from 0 to 100, with 0=worst score (or quality of life) and 100=best score. A positive change from baseline indicates improvement.
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score
The FACIT-Fatigue Scale consists of 13 items designed to measure the degree of fatigue experienced by the patient in the previous 7 days. For each question, there are five possible responses: 0 (not at all), 1 (a little bit), 2 (somewhat), 3 (quite a bit), 4 (very much). A total fatigue score is calculated by summing all items, and possible total scores range from 0 (maximum fatigue) to 52 (no fatigue). A positive change from baseline indicates an improvement in the patient's fatigue (less fatigue).
Area Under the Concentration Time Curve (AUC) of GDC-0853 at Steady State (AUC,ss)
Population PK model estimated AUC of GDC-0853 at steady-state. AUC was measured in Nanograms (ng) per millilitre(mL)*hour (hr).
Minimum Plasma Concentration of GDC-0853 at Steady State (Ctrough,ss)
Population PK model estimated minimal plasma concentration (Ctrough) of GDC-0853 at steady-state (ss).
Plasma Decay Half-Life of GDC-0853 at Steady State (t1/2,ss)
Population PK model estimated plasma decay half life of GDC-0853 at steady-state.
Apparent Oral Clearance of GDC-0853 at Steady State (CL/F,ss)
Population PK model estimated apparent oral clearance of GDC-0853 at steady-state.

Full Information

First Posted
November 29, 2016
Last Updated
July 9, 2020
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02983227
Brief Title
A Study to Evaluate the Long-Term Safety and Efficacy of GDC-0853 in Participants With Moderate to Severe Rheumatoid Arthritis Enrolled in Study GA29350
Official Title
A Phase II Open-Label Extension Study of Patients Previously Enrolled in Study GA29350 to Evaluate the Long-Term Safety and Efficacy of GDC-0853 in Patients With Moderate to Severe Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
November 30, 2016 (Actual)
Primary Completion Date
July 17, 2019 (Actual)
Study Completion Date
July 17, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
A study to evaluate the long-term safety and efficacy of GDC-0853 in participants with moderate to severe active Rheumatoid Arthritis (RA) who have completed 12 weeks of study treatment in Study GA29350. Eligible participants from Study GA29350 who elect to participate will receive treatment with GDC-0853 twice daily (BID) in an open-label fashion for 52 weeks, followed by a safety follow-up period of 8 weeks.

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
None (Open Label)
Enrollment
496 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GDC-0853 (200mg BID) Cohort 1
Arm Type
Experimental
Arm Description
Participants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 1 of Study GA29350. Cohort 1 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to previous methotrexate (MTX) therapy and then randomized to 12 weeks of GDC-0853 (50 mg daily, 150 mg daily, or 200 mg BID), adalimumab, or placebo.
Arm Title
GDC-0853 (200mg BID) Cohort 2
Arm Type
Experimental
Arm Description
Participants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 2 of Study GA29350. Cohort 2 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to one or two tumor necrosis factor (TNF) inhibitors and methotrexate (MTX) therapy, and then randomized to 12 weeks of GDC-0853 (200 mg BID) or placebo.
Intervention Type
Drug
Intervention Name(s)
GDC-0853
Other Intervention Name(s)
RO7010939
Intervention Description
GDC-0853 was administered orally at a dose of 200mg, as per the dosing schedules described above.
Primary Outcome Measure Information:
Title
Percentage of Participants With Adverse Events (AEs)
Description
An Adverse Event (AE) was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.
Time Frame
Day 1 up until 8 weeks after the last dose of study drug (up to 1 year, 2 months)
Title
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response at Week 52
Description
ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].
Time Frame
Week 52
Secondary Outcome Measure Information:
Title
Percentage of Participants Achieving ACR50 Response up to Week 12
Description
ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].
Time Frame
Weeks 4, 8 and 12
Title
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response
Description
ACR20 response is defined as a ≥ 20% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate]
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response
Description
ACR70 response is defined as a ≥ 70% improvement (reduction) compared with Baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant [either C-reactive protein or Erythrocyte Sedimentation Rate].
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 CRP)
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Time Frame
Baseline, Weeks 4, 8, 12, 24, 36 and 52
Title
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (4 Variables) (DAS28-4 CRP)
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Time Frame
Baseline, Weeks 4, 8, 12, 24, 36 and 52
Title
Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (3 Variables) (DAS28-3 ESR)
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Time Frame
Baseline, Weeks 4, 8, 12, 24, 36 and 52
Title
Disease Activity Score Based on 28-Joints Count and Erythrocyte Sedimentation Rate (4 Variables) (DAS28-4 ESR)
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Time Frame
Baseline, Weeks 4, 8, 12, 24, 36 and 52
Title
Percentage of Participants With Remission Based on Disease Activity Score Based on 28-Joints Count (DAS28)
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Percentage of Participants With Low Disease Activity (LDA) Based on DAS28
Description
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. LDAS is defined as DAS28 ≤ 3.2
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Percentage of Participants With ACR/EULAR Remission
Description
Assessed according to the Boolean based definition (tender joint count =<1, swollen joint count =<1, C-reactive Protein (CRP) =<1, and patient global assessment =<1)
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Simplified Disease Activity Index (SDAI)
Description
Simplified Disease Activity Index (SDAI) is the numerical sum of five outcome parameters: TJC and SJC (based on a 28-joint assessment), PtGA and PhGA (based on 0-10 cm VAS, where 0 = no disease activity and 10 = worst disease activity), and CRP. SDAI total score ranges from 0 (no disease activity) to 86 (maximal disease activity), where higher scores represents higher disease activity. The SDAI =< 3.3 indicates disease remission, > 3.4 to 11 indicates low disease activity, > 11 to 26 indicates moderate disease activity, and > 26 indicates high disease activity
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Clinical Disease Activity Index (CDAI)
Description
CDAI was derived as the sum of the following: tender joint count (TJC), swollen joint count (SJC), participant global assessment (PGA) of disease activity, and physician assessment of disease activity. TJC and SJC were taken as the number of tender and swollen joints, respectively, out of 28 assessed joints. PGA and physician assessment of disease activity were scored 0-100 millimeters (mm) and rounded to the nearest centimeter (cm) on a visual analog scale (VAS), where higher scores indicate greater perceived disease activity. The total CDAI score range was 0-76, where higher scores indicate increased disease activity. Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest. Negative values indicate improvement/reduction in RA disease activity.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Tender/Painful Joint Count Based on 68 Joints
Description
Tender Joint Count: a total of 68 joints will be assessed for tenderness. Each joint is assessed for the presence/absence of tenderness. 68 joints are assessed for tenderness and joints are classified as tender/not tender giving a total possible tender joint count score of 0 to 68. A negative change from Baseline indicated improvement.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Swollen Joint Count Based on 66 Joints
Description
Swollen Joint Count: a total of 66 joints will be assessed for swelling. Each joint is assessed for the presence/absence of swelling. 66 joints were assessed for swelling and joints are classified as swollen/not swollen giving a total possible swollen joint count score of 0 to 66. A negative change from Baseline indicated improvement.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Patient's Assessment of Arthritis Pain, Using Visual Analog Scale (VAS) Score
Description
Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Patient's Global Assessment of Arthritis, Using VAS Score
Description
Participant-assessed arthritis pain was scored on a 100-mm VAS, where the distance from 0 mm represented the participant's self evaluation of arthritis pain (0 mm=none; 100 mm=very severe). Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest, where negative change indicated a decrease in participant-assessed arthritis pain.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Physician's Global Assessment of Arthritis, Using VAS Score
Description
Physician's assessment of participant's disease activity was scored on a 100-mm VAS, where the distance from 0 mm represented the physician's assessment of the participant's disease activity (0 mm=very good; 100 mm=very poor). Change from baseline at a particular time point was calculated among patients with data available at both baseline and the time point of interest, where negative change from baseline indicated an improvement in physician-assessed disease activity.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in C-Reactive Protein (CRP) Levels
Description
C-reactive protein is a biological marker of inflammation and is measured in milligrams per decilitre (mg/dL)
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score
Description
The Stanford Health Assessment Questionnaire disability index is a patient-reported outcome used to assess difficulty in performing activities of daily living. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. To respond to each question, a four-level response with higher scores showing larger functional limitations, was chosen. Scoring is as follows with respect to performance of participant's everyday activities: 0 (equals)=without difficulties; 1= with some difficulties; 2=with great difficulties; and 3=unable to perform these actions at all. The composite HAQ-DI score is the mean of the eight domain scores and the score ranges from 0 (no functional impairment) to 3 (maximum functional impairment). A negative change from baseline indicates improvement.
Time Frame
Weeks 4, 8, 12, 24, 36 and 52
Title
Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Version 2.0 (V2) Scores for Physical and Mental Components
Description
The 36-Item Short Form Health Survey (SF-36v2) is a questionnaire used to assess functional health and well-being and consists of eight domains: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional and Mental Health. The SF-36v2 is summarized into Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. The PCS and MCS scores range from 0 to 100, with 0=worst score (or quality of life) and 100=best score. A positive change from baseline indicates improvement.
Time Frame
Weeks 12, 24 and 52
Title
Change From Baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Score
Description
The FACIT-Fatigue Scale consists of 13 items designed to measure the degree of fatigue experienced by the patient in the previous 7 days. For each question, there are five possible responses: 0 (not at all), 1 (a little bit), 2 (somewhat), 3 (quite a bit), 4 (very much). A total fatigue score is calculated by summing all items, and possible total scores range from 0 (maximum fatigue) to 52 (no fatigue). A positive change from baseline indicates an improvement in the patient's fatigue (less fatigue).
Time Frame
Weeks 12, 24 and 52
Title
Area Under the Concentration Time Curve (AUC) of GDC-0853 at Steady State (AUC,ss)
Description
Population PK model estimated AUC of GDC-0853 at steady-state. AUC was measured in Nanograms (ng) per millilitre(mL)*hour (hr).
Time Frame
Pre-dose (0 hour) on Weeks 0 (Day 1), 4, 12, 24, 36, and 52/early termination
Title
Minimum Plasma Concentration of GDC-0853 at Steady State (Ctrough,ss)
Description
Population PK model estimated minimal plasma concentration (Ctrough) of GDC-0853 at steady-state (ss).
Time Frame
Pre-dose (0 hour) on Weeks 0 (Day 1), 4, 12, 24, 36, and 52/early termination
Title
Plasma Decay Half-Life of GDC-0853 at Steady State (t1/2,ss)
Description
Population PK model estimated plasma decay half life of GDC-0853 at steady-state.
Time Frame
Pre-dose (0 hour) on Weeks 0 (Day 1), 4, 12, 24, 36, and 52/early termination
Title
Apparent Oral Clearance of GDC-0853 at Steady State (CL/F,ss)
Description
Population PK model estimated apparent oral clearance of GDC-0853 at steady-state.
Time Frame
Pre-dose (0 hour) on Weeks 0 (Day 1), 4, 12, 24, 36, and 52/early termination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
76 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Completion of treatment as specified in Study GA29350, including completion of the Day 84 study visit assessments Acceptable safety and tolerability during Study GA29350 as determined by the investigator or Medical Monitor Have not received any prohibited medications in Study GA29350 While taking methotrexate, must be willing to receive oral folic acid (at least 5 milligrams per week [mg/week]) If receiving oral corticosteroids (less than or equal to [</=] 10 milligrams per day [mg/day] prednisone or equivalent) and/or non-steroidal anti-inflammatory drugs, doses have remained stable for the duration of Study GA29350 Exclusion Criteria: Met protocol defined treatment stopping criteria during Study GA29350 Treatment with any investigational agent (i.e., other than study drug) or live/attenuated vaccine or any other prohibited medication during Study GA29350 or since the last administration of study drug in Study GA29350 In the opinion of the investigator, any new (since initially enrolling in the Phase II Study GA29350), significant, uncontrolled comorbidity that would increase the risk to the participant in Study GA30067 Pregnant or lactating, or intending to become pregnant during the study Participants who experienced a de novo or reactivated serious viral infection such as hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) during the Phase II Study GA29350 Any major episode of infection requiring hospitalization or treatment with intravenous antibiotics during the Phase II Study GA29350 Participants who developed a malignancy during the Phase II Study GA29350 12-lead electrocardiogram (ECG) on Day 84 in Study GA29350 that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results Current treatment with medications that are well known to prolong the QT interval
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Arthritis & Rheumatology Associates, P.C.
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85306
Country
United States
Facility Name
Medvin Clinical Research
City
Covina
State/Province
California
ZIP/Postal Code
91723
Country
United States
Facility Name
TriWest Research Associates, LLC
City
El Cajon
State/Province
California
ZIP/Postal Code
92020
Country
United States
Facility Name
Saint Jude Heritage Medical Grp
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
RASF-Clinical Research Center
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Clinical Research of West Florida
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Medication Management
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27408
Country
United States
Facility Name
Oregon Health & Science Uni
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Metroplex Clinical Research Centre
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Baylor Research Inst.
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Accurate Clinical Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77089
Country
United States
Facility Name
Instituto de Investigaciones Clinicas-Mar del Plata
City
Buenos Aires
ZIP/Postal Code
B7600FZN
Country
Argentina
Facility Name
APRILLUS
City
Buenos Aires
ZIP/Postal Code
C1194AAO
Country
Argentina
Facility Name
Instituto centenario
City
Buenos Aires
ZIP/Postal Code
C1204AAD
Country
Argentina
Facility Name
Centro de Investigacion en Enfermedades Reumaticas CIER
City
Ciudad Autonoma Buenos Aires
ZIP/Postal Code
C1055AAF
Country
Argentina
Facility Name
Expertia S.A- Mautalen Salud e Investigación
City
Ciudad Autonoma Buenos Aires
ZIP/Postal Code
C1128AAE
Country
Argentina
Facility Name
CCBR - Buenos Aires - AR; AxisMed SRL
City
Ciudad Autonoma Buenos Aires
ZIP/Postal Code
C1430CKE
Country
Argentina
Facility Name
ILAIM-CEOM Inst. Latinoamericano de Inv. Medicas
City
Cordoba
ZIP/Postal Code
X5000BNB
Country
Argentina
Facility Name
Centro de Investigaciones Medicas Mar Del Plata
City
Mar del Plata
ZIP/Postal Code
B7600DHK
Country
Argentina
Facility Name
Instituto de Investigaciones Clinicas
City
Rosario
ZIP/Postal Code
S2000CVD
Country
Argentina
Facility Name
CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica
City
San Juan
ZIP/Postal Code
5400
Country
Argentina
Facility Name
Centro Medico Privado de Reumatologia; Reumathology
City
San Miguel
ZIP/Postal Code
T4000AXL
Country
Argentina
Facility Name
CIP - Centro Internacional de Pesquisa X; Pesquisa Clinica
City
Goiânia
State/Province
GO
ZIP/Postal Code
74110-120
Country
Brazil
Facility Name
CMiP - Centro Mineiro de Pesquisa*X*
City
Juiz de Fora
State/Province
MG
ZIP/Postal Code
36010-570
Country
Brazil
Facility Name
Centro de Estudos em Terapias Inovadoras - CETI
City
Curtiba
State/Province
PR
ZIP/Postal Code
80030-110
Country
Brazil
Facility Name
CCBR Brasil Centro de Pesquisas e Análises Clínicas Ltda.
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
21941-913
Country
Brazil
Facility Name
LMK Serviços Médicos S/S
City
Porto Alegre
State/Province
RS
ZIP/Postal Code
90480-000
Country
Brazil
Facility Name
CAEP - Centro Avancado de Estudos e Pesquisas Ltda.
City
Campinas
State/Province
SP
ZIP/Postal Code
13087-567
Country
Brazil
Facility Name
IMA Brasil - Instituto de Medicina Avancada
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
05437-000
Country
Brazil
Facility Name
MHAT "Eurohospital" - Plovdiv, OOD; Internal Department
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
UMHAT "Kaspela", EOOD
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
Medizinski Zentrar-1-Sevlievo EOOD
City
Sevlievo
ZIP/Postal Code
5400
Country
Bulgaria
Facility Name
MHAT "Hadzhi Dimitar", OOD
City
Sliven
ZIP/Postal Code
8800
Country
Bulgaria
Facility Name
Medical Center Excelsior OOD
City
Sofia
ZIP/Postal Code
1000
Country
Bulgaria
Facility Name
NMTH "Tsar Boris III"
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
Facility Name
DCC "Alexandrovska", EOOD; Clinic of Neurology
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
MC "Synexus - Sofia", EOOD
City
Sofia
ZIP/Postal Code
1784
Country
Bulgaria
Facility Name
UMHAT "SofiaMed", OOD; Department of Neurology
City
Sofia
ZIP/Postal Code
1797
Country
Bulgaria
Facility Name
Centro de Investigacion Medico Asistencial S.A.S
City
Barranquilla
ZIP/Postal Code
80020
Country
Colombia
Facility Name
Centro de Investigacion en Reumatologia y Especialdades Medicas SAS. CIREEM
City
Bogota
ZIP/Postal Code
110221
Country
Colombia
Facility Name
Riesgo de Fractura S.A.
City
Bogota
ZIP/Postal Code
110221
Country
Colombia
Facility Name
Consultorio Medico en Fundacion el Hospitalito de morelos A.C.
City
Cuernavaca
State/Province
Morelos
ZIP/Postal Code
62170
Country
Mexico
Facility Name
Centro de Investigacion en Reumatologia
City
Merida
State/Province
Yucatan
ZIP/Postal Code
97070
Country
Mexico
Facility Name
Consultorio Particular del Dr. Miguel Cortes Hernandez
City
Cuernavaca
ZIP/Postal Code
62290
Country
Mexico
Facility Name
Centro de Investigacion de Tratam Innovadores de Sin SC
City
Culiacan
ZIP/Postal Code
80230
Country
Mexico
Facility Name
Centro de Investigacion en Enfermedades Reumaticas y Osteoporosis
City
Mexicali
ZIP/Postal Code
21100
Country
Mexico
Facility Name
Centro de Investigacion Clínica GRAMEL S.C
City
Mexico
ZIP/Postal Code
03720
Country
Mexico
Facility Name
Policlinica Medica de Queretaro S.C.
City
Queretaro
ZIP/Postal Code
76000
Country
Mexico
Facility Name
Clinical Research Institute
City
Tlalnepantla
ZIP/Postal Code
54055
Country
Mexico
Facility Name
Unidad de Enfermedades Reumaticas y Cronicodegenerativas
City
Torreon
ZIP/Postal Code
27000
Country
Mexico
Facility Name
NZOZ ZDROWIE Osteo-Medic
City
Bialystok
ZIP/Postal Code
15-351
Country
Poland
Facility Name
Szpital Uniwersytecki; nr 2 im. Dr J. Biziela
City
Bydgoszcz
ZIP/Postal Code
85-168
Country
Poland
Facility Name
Centrum Medyczne Pratia Katowice I
City
Katowice
ZIP/Postal Code
40-081
Country
Poland
Facility Name
CCBR - Lodz - PL
City
Lodz
ZIP/Postal Code
90-368
Country
Poland
Facility Name
ETYKA Osrodek Badan Kliniczynch
City
Olsztyn
ZIP/Postal Code
10-117
Country
Poland
Facility Name
Ai Centrum Medyczne Sp. Z O.O Sp.K.
City
Poznan
ZIP/Postal Code
61-113
Country
Poland
Facility Name
Medycyna Kliniczna
City
Warszawa
ZIP/Postal Code
00-660
Country
Poland
Facility Name
Centrum Medyczne AMED
City
Warszawa
ZIP/Postal Code
03-291
Country
Poland
Facility Name
KO-MED Centra Kliniczne Zamosc
City
Zamosc
ZIP/Postal Code
22400
Country
Poland
Facility Name
SBIH of Yaroslavl region " Regional Clinical Hospital "; Therapy
City
Yaroslavl
State/Province
Jaroslavl
ZIP/Postal Code
150062
Country
Russian Federation
Facility Name
Federal State Budgetary Scientific Institution Research Institute of Rheumatology V.A. Nasonova
City
Moscow
State/Province
Moskovskaja Oblast
ZIP/Postal Code
115522
Country
Russian Federation
Facility Name
SBIH of Moscow "City Clinical Hospital # 1 n. a. N. I. Pirogov"
City
Moscow
State/Province
Moskovskaja Oblast
ZIP/Postal Code
119049
Country
Russian Federation
Facility Name
SPb SBIH "Clinical Rheumatological Hospital # 25"
City
Saint-Petersburg
State/Province
Sankt Petersburg
ZIP/Postal Code
190068
Country
Russian Federation
Facility Name
Sanavita LLC
City
Sankt-peterburg
State/Province
Sankt Petersburg
ZIP/Postal Code
195257
Country
Russian Federation
Facility Name
LLC Medical Sanitary Unit
City
Sankt-peterburg
State/Province
Sankt Petersburg
ZIP/Postal Code
196066
Country
Russian Federation
Facility Name
Center of Family Medicine LC
City
Yekaterinburg
State/Province
Sankt Petersburg
ZIP/Postal Code
620043
Country
Russian Federation
Facility Name
SBHI of Yaroslavl Region Clinical Hospital #3
City
Yaroslavl
State/Province
Volgograd
ZIP/Postal Code
150051
Country
Russian Federation
Facility Name
SMMIH "Chelyabinsk Regional Clinical Hospital"
City
Chelyabinsk
State/Province
Voronez
ZIP/Postal Code
454076
Country
Russian Federation
Facility Name
SAHI of Kem. "Regional Clinical Hospital for War Veterans"
City
Kemerovo
ZIP/Postal Code
650000
Country
Russian Federation
Facility Name
OOO Family Polyclinic
City
Korolev, Moscow Region
ZIP/Postal Code
141060
Country
Russian Federation
Facility Name
Practical Medicine
City
Moscow
ZIP/Postal Code
115404
Country
Russian Federation
Facility Name
Limited Liability Company "Centre of Medical Common Practice"
City
Novosibirsk
ZIP/Postal Code
630091
Country
Russian Federation
Facility Name
Ultramed
City
Omsk
ZIP/Postal Code
644024
Country
Russian Federation
Facility Name
SEIHPE Saratov State Medical University n.a. V.I. Razumovskiy
City
Saratov
ZIP/Postal Code
410012
Country
Russian Federation
Facility Name
NIH "Departmental Hospital on Station Smolensk of OJSC "Russian Railways"
City
Smolensk
ZIP/Postal Code
214025
Country
Russian Federation
Facility Name
Siberian State Medical University
City
Tomsk
ZIP/Postal Code
634050
Country
Russian Federation
Facility Name
SHI Ulyanovsk Reg Clinical Hospital
City
Ulyanovsk
ZIP/Postal Code
432063
Country
Russian Federation
Facility Name
Territorial Clinical Hospital #2
City
Vladivostok
ZIP/Postal Code
690035
Country
Russian Federation
Facility Name
Institute of Rheumatology
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
Facility Name
Clinical Center Kragujevac
City
Kragujevac
ZIP/Postal Code
34000
Country
Serbia
Facility Name
Institute of Treatment and Rehabilitation "Niska Banja"
City
Niska Banja
ZIP/Postal Code
18205
Country
Serbia
Facility Name
Special hospital for rheumatic diseases Novi Sad
City
Novi Sad
ZIP/Postal Code
21000
Country
Serbia
Facility Name
General Hospital "Dr Laza K. Lazarevic" Sabac
City
Sabac
ZIP/Postal Code
15000
Country
Serbia
Facility Name
MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
City
Kyiv
State/Province
Chernihiv Governorate
ZIP/Postal Code
01601
Country
Ukraine
Facility Name
CI of Healthcare Kharkiv CCH #8 Dept of Therapy Kharkiv MA of PGE of MOHU
City
Kharkiv
State/Province
Kharkiv Governorate
ZIP/Postal Code
61176
Country
Ukraine
Facility Name
CI of TRC
City
Ternopil
State/Province
Kherson Governorate
ZIP/Postal Code
46002
Country
Ukraine
Facility Name
Regional CH Dep of Rheumatology SHEI Ivano-Frankivsk NMU
City
Ivano-Frankivsk
State/Province
KIEV Governorate
ZIP/Postal Code
76008
Country
Ukraine
Facility Name
SI NSС M.D. Strazhesko Institute of Cardiology of NAMSU
City
Kyiv
State/Province
KIEV Governorate
ZIP/Postal Code
03680
Country
Ukraine
Facility Name
Medical Center of Revmotsentr LLC
City
Kyiv
State/Province
KIEV Governorate
ZIP/Postal Code
04070
Country
Ukraine
Facility Name
Medical Center of Limited Liability Company Medical Clinic Blagomed
City
Kyiv
State/Province
KIEV Governorate
ZIP/Postal Code
1023
Country
Ukraine
Facility Name
Med Center of International Institute of Clinical Trials LLC; Medical Center "OK!Clinic+"
City
Kyiv
State/Province
KIEV Governorate
ZIP/Postal Code
2091
Country
Ukraine
Facility Name
Lviv Regional Clinical Hospital Dept of Rehmuaatology D. Halytskyi Lviv NMU
City
Lviv
State/Province
KIEV Governorate
ZIP/Postal Code
79010
Country
Ukraine
Facility Name
CH of State Border Service of Ukraine (Military Base 2522); Dept of Therapy, D.Halytskyi Lviv NMU
City
Lviv
State/Province
KIEV Governorate
ZIP/Postal Code
79014
Country
Ukraine
Facility Name
A.Novak Transcarpathian Regional Clinical Hospital
City
Uzhgorod
State/Province
KIEV Governorate
ZIP/Postal Code
88018
Country
Ukraine
Facility Name
National Pirogov Memorial Medical University
City
Vinnytsia
State/Province
Podolia Governorate
ZIP/Postal Code
21018
Country
Ukraine
Facility Name
Railway Transp DCH of HealthCenter Branch of PJSC Ukr Railway Dept of Rheumatology
City
Dnipro
State/Province
Tavria Okruha
ZIP/Postal Code
49008
Country
Ukraine
Facility Name
City Clinical Hospital #9 Dept of Therapy SI Zaporizhzhia MA of PGE of MoHU
City
Zaporizhzhia
State/Province
Tavria Okruha
ZIP/Postal Code
69065
Country
Ukraine
Facility Name
CI City Hospital #1
City
Zaporizhzhia
State/Province
Tavria Okruha
ZIP/Postal Code
69104
Country
Ukraine
Facility Name
CI Lutsk CCH Volyn Regional Center of Cardiovascular Pathology and Thrombolysis
City
Lutsk
State/Province
Volhynian Governorate
ZIP/Postal Code
43024
Country
Ukraine
Facility Name
GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine
City
Kharkiv
ZIP/Postal Code
61039
Country
Ukraine
Facility Name
CNI Consultative and Diagnostic Center of Desnianskyi District of Kyiv
City
Kyiv
ZIP/Postal Code
02232
Country
Ukraine
Facility Name
M.V. Sklifosovsky Poltava RCH Dept of Rheumatology HSEIU UMSA
City
Poltava
ZIP/Postal Code
36011
Country
Ukraine
Facility Name
CI City Hospital #7
City
Zaporizhzhia
ZIP/Postal Code
69118
Country
Ukraine
Facility Name
CI Zaporizhzhia Regional Clinical Hospital of ZRC
City
Zaporizhzhia
ZIP/Postal Code
69600
Country
Ukraine

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Long-Term Safety and Efficacy of GDC-0853 in Participants With Moderate to Severe Rheumatoid Arthritis Enrolled in Study GA29350

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