A Study of RO7123520 to Evaluate the Safety and Efficacy in Participants With Moderately To Severely Active Rheumatoid Arthritis (RA) Who Are Inadequately Responding to Anti-Tumor Necrosis Factor (TNF)-Alpha Therapy
Rheumatoid Arthritis
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of adult-onset RA as defined by the ACR 2010 criteria, for at least 6 months before screening
- Moderately to severely active RA as defined by at least 4/28 tender joints and at least 4/28 swollen joints, and a DAS28 greater than or equal to (≥) 3.2
- For Part 2 only: Active synovitis and/or osteitis as determined by contrast-enhanced magnetic resonance imaging
- Participants must be taking stable dose of anti-TNF-alpha therapies
- Participants on stable oral glucocorticoids within 6 weeks of planned randomization
- Participants taking non-steroidal anti-inflammatory drugs (NSAIDs) intermittently (up to 2-3 times weekly) for short-term relief of pain and participants on regular NSAID use (on stable dose for ≥ 4 weeks)
Exclusion Criteria:
- Parenteral glucocorticoids administration (intramuscular, IV) of ≥50 mg within 6 weeks or less than or equal to (≤) 50 milligrams (mg) within 4 weeks prior to planned randomization, or scheduled parenteral administrations during the study
- Joint(s) injected with intra-articular glucocorticoids or hyaluronic acid within 6 weeks prior to planned randomization
- Active inflammatory diseases of the joints not related to RA
- Systemic autoimmune disease other than RA
- Juvenile idiopathic arthritis or juvenile RA and/or RA developed before the age of 16
- Active fibromyalgia that makes appropriate assessment of RA disease activity challenging in the opinion of the Investigator
- RA participants functional status class IV according to the ACR 1991 criteria
- Participants with severe chronic or recurrent viral, bacterial, parasitic, or fungal infections
- History of active hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection
- Any identified confirmed congenital or acquired immunodeficiency
- Abnormal laboratory values and liver function test
- Myocardial infarction within less than 6 months prior to participation in the study
- Severe central or peripheral nervous system diseases
Sites / Locations
- Pinnacle Research Group; Llc, Central
- Arizona Arthritis & Rheumatology Associates, P.C.
- Arizona Arthritis and Rheuma
- Arizona Arthritis & Rheumatology Research, PLLC
- Medvin Clinical Research
- University of California San Diego
- Advanced Medical Research, LLC
- Stanford hospital & Clinics; Investigational Drug Services
- Omega Research Consultants LLC
- San Marcus Research Clinic, Inc.
- Millenium Research
- Clinical Pharmacology Study Group
- Shores Rheumatology PC
- Arthritis & Osteoporosis Associates
- Atlantic Coast Rheumatology
- Ocean Rheumatology
- Albuquerque Center For Rheumatology
- Albuquerque Clinical Trials
- Saint Lawrence Health System; Rheumatology
- Paramount Medical Research
- Altoona Center For Clinical Research
- Advanced Rheumatology & Arthritis Research Center
- Low Country Rheumatology, PA
- Columbia Arthritis Center (Partnership Practice)
- West Tennessee Research Institute
- Adriana Pop-Moody MD Clinic PA
- Metroplex Clinical Research
- Pioneer Research Solutions
- Accurate Clinical Research
- Accurate Clinical Research
- Southwest Rheumatology
- Accurate Clinical Research, Inc
- Organización medica de Investi
- Centro de Investigaciones Reumatologicas y Osteologicas
- Cer San Juan
- Centro Medico Privado de Reumatologia; Reumathology
- Medizinische Universität Wien, Allgemeines Krankenhaus der Stadt Wien
- Centro Integral de Reumatologia del Caribe SAS CIRCARIBE SAS
- Centro de Investigacion en Reumatologia y Especialdades Medicas SAS. CIREEM
- Riesgo de Fractura S.A.
- Fundación Instituto de Reumatología Fernando Chalem
- Servimed S.A.S.
- Healthy Medical Center SAS
- Charité Research Organisation GmbH
- Centro de Estudio y Tratamiento de Enfermedades Reumaticas
- Clinica Privada de Reumatologia Dr. Henry Briones Alvarado
- Azienda Ospedaliera Città della Salute e della Scienza di Torino; Radiology
- Azienda Ospedaliero-Universitaria Policlinico S. Orsola Malpighi; U.O. Malattie Infettive
- Azienda Ospedaliero - Universitaria Policlinico - Vittorio Emanuele
- Azienda Ospedaliero Universitaria Careggi - SOD Reumatologia
- Centro de Investigacion del Noroeste SC
- Investigacion y Biomedicina de Chihuahua, Sociedad Civil
- Centro Integral en Reumatología S.A. de C.V. (CIRSA)
- Centro Médico de las Américas
- Unidad de Atencion Medica e Investigacion en Salud (UNAMIS)
- Javier Orozco Private Practice
- Centro de Investigación; Artritis y Osteoporosis S.C.
- Hospital Angeles Lindavista
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
- Policlinica Medica de Queretaro S.C.
- Hogar Clínica San Juan de Dios
- Clinica Internacional Sede Lima
- Clinica Internacional, Sede San Borja; Unidad de Investigacion de Clínica Internacional
- Instituto de Ginecología y Reproducción
- Hospital Universitario Marques de Valdecilla; Servicio de Reumatologia
- Complexo Hospitalario Universitario A Coruña; Servicio de Reumatología
- Hospital de Basurto; Servicio de Reumatologia
- Hospital Universitario de la Princesa; Servicio de Reumatologia
- Hospital General Universitario Gregorio Marañon; Servicio de Reumatología
- Hospital Universitario 12 de Octubre
- Hospital Regional Universitario Carlos Haya; Servicio de Psiquiatria
- Hospital Universitario Reina Sofía; Servicio de Aparato Digestivo
- New Queen Elizabeth Hospital Birmingham
- Cambridge University Hospitals NHS Foundation Trust
- Glasgow Royal Infirmary
- Barts Hospital; Department of Rheumatology
- Guys and St Thomas NHS Foundation Trust, Guys Hospital
- Newcastle U. Medical School; Institute of Cellular Medicine
- University of Oxford, Botnar Research Centre
- Derriford Hospital
- Lister Hospital; Rheumatology Dept
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Part 1: Placebo
Part 1: RO7123520
Part 2: Placebo
Part 2: RO7123520
Part 3: Placebo
Part 3: RO7123520
Participants will receive placebo (matched to RO7123520) on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate.
Participants will receive RO7123520 on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate.
Participants will receive placebo (matched to RO7123520) on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate.
Participants will receive RO7123520 on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate.
Participants will receive placebo (matched to RO7123520) on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate. NOTE: Part 3 was not conducted.
Participants will receive RO7123520 on Days 1, 14, 28, and 56 with pre-trial anti-TNF-alpha and methotrexate. NOTE: Part 3 was not conducted.