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A Study Assessing the Efficacy and Safety of Sarilumab Added to MTX in Japanese Patients With Moderately to Severely Active Rheumatoid Arthritis (SARIL-RA-KAKEHASI)

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
Sarilumab SAR153191 (REGN88)
Placebo (for sarilumab)
Methotrexate
Folic 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

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

Inclusion criteria:

  • Diagnosis of RA, according to the American College of Rheumatology/The European League Against Rheumatism (ACR/EULAR) 2010 Rheumatoid Arthritis Classification Criteria with >=3 months disease duration.
  • Moderately to severely active RA defined as:
  • At least 8 of 68 tender joints and 6 of 66 swollen joints at screening visit.
  • High sensitivity C-Reactive Protein (hs-CRP) >=6mg/L at screening visit.

Exclusion criteria:

  • Participants <20 or >75 years of age.
  • Treatment with any Disease-modifying antirheumatic drug (DMARD) other than MTX or biologic agent without the appropriate off-drug period prior to screening.
  • Prior treatment with anti-interleukin-6 (anti-IL-6) or anti-interleukin-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab.

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 392010
  • Investigational Site Number 392001
  • Investigational Site Number 392035
  • Investigational Site Number 392070
  • Investigational Site Number 392036
  • Investigational Site Number 392083
  • Investigational Site Number 392047
  • Investigational Site Number 392004
  • Investigational Site Number 392007
  • Investigational Site Number 392038
  • Investigational Site Number 392039
  • Investigational Site Number 392078
  • Investigational Site Number 392054
  • Investigational Site Number 392015
  • Investigational Site Number 392085
  • Investigational Site Number 392091
  • Investigational Site Number 392098
  • Investigational Site Number 392009
  • Investigational Site Number 392011
  • Investigational Site Number 392030
  • Investigational Site Number 392002
  • Investigational Site Number 392019
  • Investigational Site Number 392066
  • Investigational Site Number 392086
  • Investigational Site Number 392050
  • Investigational Site Number 392037
  • Investigational Site Number 392093
  • Investigational Site Number 392099
  • Investigational Site Number 392016
  • Investigational Site Number 392013
  • Investigational Site Number 392024
  • Investigational Site Number 392045
  • Investigational Site Number 392063
  • Investigational Site Number 392051
  • Investigational Site Number 392097
  • Investigational Site Number 392040
  • Investigational Site Number 392069
  • Investigational Site Number 392089
  • Investigational Site Number 392065
  • Investigational Site Number 392026
  • Investigational Site Number 392081
  • Investigational Site Number 392094
  • Investigational Site Number 392042
  • Investigational Site Number 392082
  • Investigational Site Number 392012
  • Investigational Site Number 392034
  • Investigational Site Number 392053
  • Investigational Site Number 392032
  • Investigational Site Number 392064
  • Investigational Site Number 392043
  • Investigational Site Number 392056
  • Investigational Site Number 392076
  • Investigational Site Number 392080
  • Investigational Site Number 392031
  • Investigational Site Number 392046
  • Investigational Site Number 392067
  • Investigational Site Number 392044
  • Investigational Site Number 392059
  • Investigational Site Number 392062
  • Investigational Site Number 392008
  • Investigational Site Number 392057
  • Investigational Site Number 392060
  • Investigational Site Number 392061
  • Investigational Site Number 392096
  • Investigational Site Number 392027
  • Investigational Site Number 392049
  • Investigational Site Number 392072
  • Investigational Site Number 392075
  • Investigational Site Number 392014
  • Investigational Site Number 392068
  • Investigational Site Number 392073
  • Investigational Site Number 392006
  • Investigational Site Number 392021
  • Investigational Site Number 392022
  • Investigational Site Number 392033
  • Investigational Site Number 392071
  • Investigational Site Number 392100
  • Investigational Site Number 392029
  • Investigational Site Number 392025
  • Investigational Site Number 392092
  • Investigational Site Number 392023
  • Investigational Site Number 392095
  • Investigational Site Number 392020
  • Investigational Site Number 392088
  • Investigational Site Number 392018
  • Investigational Site Number 392003
  • Investigational Site Number 392005
  • Investigational Site Number 392077
  • Investigational Site Number 392052
  • Investigational Site Number 392058
  • Investigational Site Number 392055
  • Investigational Site Number 392074
  • Investigational Site Number 392079
  • Investigational Site Number 392048
  • Investigational Site Number 392090
  • Investigational Site Number 392101

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

Sarilumab 150 mg/150 mg

Sarilumab 200 mg/200 mg

Placebo/Sarilumab 150 mg

Placebo/Sarilumab 200 mg

Arm Description

Sarilumab 150 mg subcutaneous (SC) injection once every 2 weeks (q2w) in combination with MTX and folic acid in double-blind period up to Week 24 followed by single-blind period in which participants continued with the same treatment up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either tender joint count [TJC] or swollen joint count [SJC], or with any other clear lack of efficacy based on investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.

Sarilumab 200 mg SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by single-blind period in which participants continued with the same treatment up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.

Placebo (for sarilumab) SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by a single-blind period in which participants were switched and received sarilumab 150 mg SC injection q2w in combination with MTX and folic acid up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on Investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.

Placebo (for sarilumab) SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by a single-blind period in which participants were switched and received sarilumab 200 mg SC injection q2w in combination with MTX and folic acid up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on Investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.

Outcomes

Primary Outcome Measures

Percentage of Participants Achieving American College of Rheumatology 20 (ACR20) Response at Week 24
American College of Rheumatology (ACR) response is a composite rating scale that includes 7 variables: tender joints count (TJC [68 joints]); Swollen joints count (SJC [66 joints]); levels of an acute phase reactant (high sensitivity C-reactive protein [hs-CRP level]); participant's assessment of pain (measured on 0 [no pain]-100 mm [worst pain] visual analog scale [VAS]); participant's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); physician's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); participant's assessment of physical function (measured by health assessment questionnaire disability index [HAQ-DI], with scoring range of 0 [better health] - 3 [worst health]). ACR20 response was defined as achieving at least 20% improvement in both TJC and SJC, and at least 20% improvement in at least 3 of the 5 other assessments.

Secondary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent form is signed. AE includes serious as well as non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, In-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Any AEs that developed or worsened or became serious during double-blind on-treatment period, single-blind on-treatment period up to 6-week post-treatment follow-up period (up to Week 58) were considered treatment-emergent.
Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities
Criteria for potentially clinically significant vital sign abnormalities: Systolic blood pressure supine (SBP[S]): <=95 mmHg and decrease from baseline (DFB) >=20 mmHg; >=160 mmHg and increase from baseline (IFB) >=20 mmHg Diastolic blood pressure supine (DBP[S]): <=45 mmHg and DFB >=10 mmHg; >=110 mmHg and IFB >=10 mmHg Orthostatic systolic blood pressure (SBP[O]): <=-20 mmHg Orthostatic diastolic blood pressure (DBP[O]): <=-10 mmHg Heart rate supine (HR[S]): <=50 beats per minute (bpm) and DFB >=20 bpm; >=120 bpm and IFB >=20 bpm Weight: >=5% DFB; >=5% IFB
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for potentially clinically significant ECG abnormalities: PR Interval: >200 millisecond (ms); >200 ms and IFB >=25%; >220 ms; >220 ms and IFB >=25%; >240 ms; >240 ms and IFB >=25% QRS Interval: >110 ms; >110 ms and IFB >=25%; >120 ms; >120 ms and IFB >=25% QT Interval: >500 ms QTc Bazett (QTc B): >450 ms; 480 ms; 500 ms; IFB >30 and <=60 ms; IFB >60 ms QTc Fridericia (QTc F): >450 ms; 480 ms; 500 ms; IFB >30 and <=60 ms; IFB >60 ms
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters
Criteria for potentially clinically significant abnormalities: Hemoglobin: <=115 g/L (Male[M]) or <=95 g/L (Female[F]); >=185 g/L (M) or >=165 g/L (F); DFB >=20 g/L Hematocrit: <=0.37 v/v (M) or <=0.32 v/v (F); >=0.55 v/v (M) or >=0.5 v/v (F) Red blood cells (RBC): >=6 Tera/L Platelets: <50 Giga/L; >=50 and <100 Giga/L; >=700 Giga/L White blood cells (WBC): <3.0 Giga/L (Non-Black[NB]) or <2.0 Giga/L (Black[B]); >=16.0 Giga/L Neutrophils: <1.5 Giga/L (NB) or <1.0 Giga/L (B); <1.0 Giga/L Lymphocytes: <0.5 Giga/L; >=0.5 Giga/L and < lower limit of normal (LLN); >4.0 Giga/L Monocytes: >0.7 Giga/L Basophils: >0.1 Giga/L Eosinophils: >0.5 Giga/L or >upper limit of normal (ULN) (if ULN >=0.5 Giga/L)
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Metabolic Parameters
Criteria for potentially clinically significant abnormalities: Glucose: <=3.9 mmol/L and <LLN; >=11.1 mmol/L unfasted or >=7 mmol/L fasted Hemoglobin A1c (HbA1c): >8% Total cholesterol: >=6.2 mmol/L; >=7.74 mmol/L LDL cholesterol: >=4.1 mmol/L; >=4.9 mmol/L Triglycerides: >=4.6 mmol/L; >=5.6 mmol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Electrolytes
Criteria for potentially clinically significant abnormalities: Sodium: <=129 mmol/L; >=160 mmol/L Potassium: <3 mmol/L; >=5.5 mmol/L Chloride: <80 mmol/L; >115 mmol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Renal Function Parameters
Criteria for potentially clinically significant abnormalities: Creatinine: >=150 micromol/L; >=30% change from baseline; >=100% change from baseline Creatinine clearance: <15 mL/min; >=15 to <30 mL/min; >=30 to < 60 mL/min; >=60 to <90 mL/min Blood urea nitrogen: >=17 mmol/L Uric acid: <120 micromol/L; >408 micromol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Liver Function Parameters
Criteria for potentially clinically significant abnormalities: Alanine Aminotransferase (ALT): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN Aspartate aminotransferase (AST): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN Alkaline phosphatase: >1.5 ULN Total bilirubin (TBILI): >1.5 ULN; >2 ULN Conjugated bilirubin (CBILI): >1.5 ULN; >2 ULN Unconjugated bilirubin: >1.5 ULN; >2 ULN ALT and TBILI: ALT >3 ULN and TBILI >2 ULN CBILI and TBILI: CBILI >35% TBILI and TBILI >1.5 ULN Albumin: <=25 g/L

Full Information

First Posted
November 13, 2014
Last Updated
January 5, 2018
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02293902
Brief Title
A Study Assessing the Efficacy and Safety of Sarilumab Added to MTX in Japanese Patients With Moderately to Severely Active Rheumatoid Arthritis (SARIL-RA-KAKEHASI)
Official Title
A Randomized, Double-blind, Multicenter Study With a Placebo-controlled Period Assessing the Efficacy and Safety of Sarilumab Added to Methotrexate (MTX) in Japanese Patients With Moderately to Severely Active Rheumatoid Arthritis Who Are Inadequate Responders to MTX Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
November 2014 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
October 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: -To demonstrate that sarilumab added to methotrexate (MTX) reduce signs and symptoms of rheumatoid arthritis (RA) in Japanese RA participants with an inadequate response to MTX. Secondary Objective: -To assess the safety of sarilumab added to MTX in Japanese RA participants with an inadequate response to MTX.
Detailed Description
The total duration of study was expected up to 62 weeks (screening period of 4 weeks, treatment period of 52 weeks, and a 6-week post treatment observation).

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
243 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sarilumab 150 mg/150 mg
Arm Type
Experimental
Arm Description
Sarilumab 150 mg subcutaneous (SC) injection once every 2 weeks (q2w) in combination with MTX and folic acid in double-blind period up to Week 24 followed by single-blind period in which participants continued with the same treatment up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either tender joint count [TJC] or swollen joint count [SJC], or with any other clear lack of efficacy based on investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.
Arm Title
Sarilumab 200 mg/200 mg
Arm Type
Experimental
Arm Description
Sarilumab 200 mg SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by single-blind period in which participants continued with the same treatment up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.
Arm Title
Placebo/Sarilumab 150 mg
Arm Type
Placebo Comparator
Arm Description
Placebo (for sarilumab) SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by a single-blind period in which participants were switched and received sarilumab 150 mg SC injection q2w in combination with MTX and folic acid up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on Investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.
Arm Title
Placebo/Sarilumab 200 mg
Arm Type
Placebo Comparator
Arm Description
Placebo (for sarilumab) SC injection q2w in combination with MTX and folic acid in double-blind period up to Week 24 followed by a single-blind period in which participants were switched and received sarilumab 200 mg SC injection q2w in combination with MTX and folic acid up to Week 52. Participants with inadequate response (defined as less than 20% improvement from baseline on 2 consecutive visits [at least 4 weeks apart] in either TJC or SJC, or with any other clear lack of efficacy based on Investigator's judgment) by Week 16, were rescued with open label sarilumab 200 mg q2w treatment.
Intervention Type
Drug
Intervention Name(s)
Sarilumab SAR153191 (REGN88)
Intervention Description
Pharmaceutical form: solution for injection Route of administration: subcutaneous
Intervention Type
Other
Intervention Name(s)
Placebo (for sarilumab)
Intervention Description
Pharmaceutical form: solution for injection Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
Methotrexate
Intervention Description
Dispensed according to local practice.
Intervention Type
Drug
Intervention Name(s)
Folic acid
Intervention Description
Dispensed according to local practice.
Primary Outcome Measure Information:
Title
Percentage of Participants Achieving American College of Rheumatology 20 (ACR20) Response at Week 24
Description
American College of Rheumatology (ACR) response is a composite rating scale that includes 7 variables: tender joints count (TJC [68 joints]); Swollen joints count (SJC [66 joints]); levels of an acute phase reactant (high sensitivity C-reactive protein [hs-CRP level]); participant's assessment of pain (measured on 0 [no pain]-100 mm [worst pain] visual analog scale [VAS]); participant's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); physician's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); participant's assessment of physical function (measured by health assessment questionnaire disability index [HAQ-DI], with scoring range of 0 [better health] - 3 [worst health]). ACR20 response was defined as achieving at least 20% improvement in both TJC and SJC, and at least 20% improvement in at least 3 of the 5 other assessments.
Time Frame
Week 24
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description
AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent form is signed. AE includes serious as well as non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, In-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Any AEs that developed or worsened or became serious during double-blind on-treatment period, single-blind on-treatment period up to 6-week post-treatment follow-up period (up to Week 58) were considered treatment-emergent.
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities
Description
Criteria for potentially clinically significant vital sign abnormalities: Systolic blood pressure supine (SBP[S]): <=95 mmHg and decrease from baseline (DFB) >=20 mmHg; >=160 mmHg and increase from baseline (IFB) >=20 mmHg Diastolic blood pressure supine (DBP[S]): <=45 mmHg and DFB >=10 mmHg; >=110 mmHg and IFB >=10 mmHg Orthostatic systolic blood pressure (SBP[O]): <=-20 mmHg Orthostatic diastolic blood pressure (DBP[O]): <=-10 mmHg Heart rate supine (HR[S]): <=50 beats per minute (bpm) and DFB >=20 bpm; >=120 bpm and IFB >=20 bpm Weight: >=5% DFB; >=5% IFB
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities
Description
Criteria for potentially clinically significant ECG abnormalities: PR Interval: >200 millisecond (ms); >200 ms and IFB >=25%; >220 ms; >220 ms and IFB >=25%; >240 ms; >240 ms and IFB >=25% QRS Interval: >110 ms; >110 ms and IFB >=25%; >120 ms; >120 ms and IFB >=25% QT Interval: >500 ms QTc Bazett (QTc B): >450 ms; 480 ms; 500 ms; IFB >30 and <=60 ms; IFB >60 ms QTc Fridericia (QTc F): >450 ms; 480 ms; 500 ms; IFB >30 and <=60 ms; IFB >60 ms
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters
Description
Criteria for potentially clinically significant abnormalities: Hemoglobin: <=115 g/L (Male[M]) or <=95 g/L (Female[F]); >=185 g/L (M) or >=165 g/L (F); DFB >=20 g/L Hematocrit: <=0.37 v/v (M) or <=0.32 v/v (F); >=0.55 v/v (M) or >=0.5 v/v (F) Red blood cells (RBC): >=6 Tera/L Platelets: <50 Giga/L; >=50 and <100 Giga/L; >=700 Giga/L White blood cells (WBC): <3.0 Giga/L (Non-Black[NB]) or <2.0 Giga/L (Black[B]); >=16.0 Giga/L Neutrophils: <1.5 Giga/L (NB) or <1.0 Giga/L (B); <1.0 Giga/L Lymphocytes: <0.5 Giga/L; >=0.5 Giga/L and < lower limit of normal (LLN); >4.0 Giga/L Monocytes: >0.7 Giga/L Basophils: >0.1 Giga/L Eosinophils: >0.5 Giga/L or >upper limit of normal (ULN) (if ULN >=0.5 Giga/L)
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Metabolic Parameters
Description
Criteria for potentially clinically significant abnormalities: Glucose: <=3.9 mmol/L and <LLN; >=11.1 mmol/L unfasted or >=7 mmol/L fasted Hemoglobin A1c (HbA1c): >8% Total cholesterol: >=6.2 mmol/L; >=7.74 mmol/L LDL cholesterol: >=4.1 mmol/L; >=4.9 mmol/L Triglycerides: >=4.6 mmol/L; >=5.6 mmol/L
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Electrolytes
Description
Criteria for potentially clinically significant abnormalities: Sodium: <=129 mmol/L; >=160 mmol/L Potassium: <3 mmol/L; >=5.5 mmol/L Chloride: <80 mmol/L; >115 mmol/L
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Renal Function Parameters
Description
Criteria for potentially clinically significant abnormalities: Creatinine: >=150 micromol/L; >=30% change from baseline; >=100% change from baseline Creatinine clearance: <15 mL/min; >=15 to <30 mL/min; >=30 to < 60 mL/min; >=60 to <90 mL/min Blood urea nitrogen: >=17 mmol/L Uric acid: <120 micromol/L; >408 micromol/L
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm: Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58
Title
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Liver Function Parameters
Description
Criteria for potentially clinically significant abnormalities: Alanine Aminotransferase (ALT): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN Aspartate aminotransferase (AST): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN Alkaline phosphatase: >1.5 ULN Total bilirubin (TBILI): >1.5 ULN; >2 ULN Conjugated bilirubin (CBILI): >1.5 ULN; >2 ULN Unconjugated bilirubin: >1.5 ULN; >2 ULN ALT and TBILI: ALT >3 ULN and TBILI >2 ULN CBILI and TBILI: CBILI >35% TBILI and TBILI >1.5 ULN Albumin: <=25 g/L
Time Frame
For placebo arm: Baseline up to Week 24; For sarilumab 150 mg/150 mg, sarilumab 200 mg/200 mg and sarilumab rescue arm : Baseline up to Week 58; For placebo/sarilumab 150 mg and placebo/sarilumab 200 mg arm: Week 25 up to Week 58

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Diagnosis of RA, according to the American College of Rheumatology/The European League Against Rheumatism (ACR/EULAR) 2010 Rheumatoid Arthritis Classification Criteria with >=3 months disease duration. Moderately to severely active RA defined as: At least 8 of 68 tender joints and 6 of 66 swollen joints at screening visit. High sensitivity C-Reactive Protein (hs-CRP) >=6mg/L at screening visit. Exclusion criteria: Participants <20 or >75 years of age. Treatment with any Disease-modifying antirheumatic drug (DMARD) other than MTX or biologic agent without the appropriate off-drug period prior to screening. Prior treatment with anti-interleukin-6 (anti-IL-6) or anti-interleukin-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab. 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 392010
City
Asahi-Shi
Country
Japan
Facility Name
Investigational Site Number 392001
City
Asahikawa-Shi
Country
Japan
Facility Name
Investigational Site Number 392035
City
Asahikawa-Shi
Country
Japan
Facility Name
Investigational Site Number 392070
City
Beppu-Shi
Country
Japan
Facility Name
Investigational Site Number 392036
City
Chiba-Shi
Country
Japan
Facility Name
Investigational Site Number 392083
City
Chuo-Ku
Country
Japan
Facility Name
Investigational Site Number 392047
City
Fuchu-Shi
Country
Japan
Facility Name
Investigational Site Number 392004
City
Fukui-Shi
Country
Japan
Facility Name
Investigational Site Number 392007
City
Fukuoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392038
City
Fukuoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392039
City
Fukuoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392078
City
Fukushima-Shi
Country
Japan
Facility Name
Investigational Site Number 392054
City
Funabashi-Shi
Country
Japan
Facility Name
Investigational Site Number 392015
City
Hachioji-Shi
Country
Japan
Facility Name
Investigational Site Number 392085
City
Hannan-Shi
Country
Japan
Facility Name
Investigational Site Number 392091
City
Hiroshima-Shi
Country
Japan
Facility Name
Investigational Site Number 392098
City
Hiroshima-Shi
Country
Japan
Facility Name
Investigational Site Number 392009
City
Hitachinaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392011
City
Hitachinaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392030
City
Ichinomiya-Shi
Country
Japan
Facility Name
Investigational Site Number 392002
City
Iizuka-Shi
Country
Japan
Facility Name
Investigational Site Number 392019
City
Kagoshima-Shi
Country
Japan
Facility Name
Investigational Site Number 392066
City
Kamakura-Shi
Country
Japan
Facility Name
Investigational Site Number 392086
City
Kamogawa-Shi
Country
Japan
Facility Name
Investigational Site Number 392050
City
Kato-Shi
Country
Japan
Facility Name
Investigational Site Number 392037
City
Kawachi-Nagano-Shi
Country
Japan
Facility Name
Investigational Site Number 392093
City
Kawagoe-Shi
Country
Japan
Facility Name
Investigational Site Number 392099
City
Kawasaki-Shi
Country
Japan
Facility Name
Investigational Site Number 392016
City
Kirishima-Shi
Country
Japan
Facility Name
Investigational Site Number 392013
City
Kitakyushu-Shi
Country
Japan
Facility Name
Investigational Site Number 392024
City
Kitakyushu-Shi
Country
Japan
Facility Name
Investigational Site Number 392045
City
Kitakyushu-Shi
Country
Japan
Facility Name
Investigational Site Number 392063
City
Kiyose-Shi
Country
Japan
Facility Name
Investigational Site Number 392051
City
Kobe-Shi
Country
Japan
Facility Name
Investigational Site Number 392097
City
Kochi-Shi
Country
Japan
Facility Name
Investigational Site Number 392040
City
Koushi-Shi
Country
Japan
Facility Name
Investigational Site Number 392069
City
Kumamoto-Shi
Country
Japan
Facility Name
Investigational Site Number 392089
City
Kurashiki-Shi
Country
Japan
Facility Name
Investigational Site Number 392065
City
Kushiro-Shi
Country
Japan
Facility Name
Investigational Site Number 392026
City
Matsuyama-Shi
Country
Japan
Facility Name
Investigational Site Number 392081
City
Matsuyama-Shi
Country
Japan
Facility Name
Investigational Site Number 392094
City
Matsuyama-Shi
Country
Japan
Facility Name
Investigational Site Number 392042
City
Meguro-Ku
Country
Japan
Facility Name
Investigational Site Number 392082
City
Meguro-Ku
Country
Japan
Facility Name
Investigational Site Number 392012
City
Mito-Shi
Country
Japan
Facility Name
Investigational Site Number 392034
City
Miyagi-Gun
Country
Japan
Facility Name
Investigational Site Number 392053
City
Morioka-Shi
Country
Japan
Facility Name
Investigational Site Number 392032
City
Nagano-Shi
Country
Japan
Facility Name
Investigational Site Number 392064
City
Nagasaki-Shi
Country
Japan
Facility Name
Investigational Site Number 392043
City
Nagoya-Shi
Country
Japan
Facility Name
Investigational Site Number 392056
City
Nagoya-Shi
Country
Japan
Facility Name
Investigational Site Number 392076
City
Nagoya-Shi
Country
Japan
Facility Name
Investigational Site Number 392080
City
Nagoya-Shi
Country
Japan
Facility Name
Investigational Site Number 392031
City
Nakano-Ku
Country
Japan
Facility Name
Investigational Site Number 392046
City
Narashino-Shi
Country
Japan
Facility Name
Investigational Site Number 392067
City
Narashino-Shi
Country
Japan
Facility Name
Investigational Site Number 392044
City
Nishinomiya-Shi
Country
Japan
Facility Name
Investigational Site Number 392059
City
Oita-Shi
Country
Japan
Facility Name
Investigational Site Number 392062
City
Okayama-Shi
Country
Japan
Facility Name
Investigational Site Number 392008
City
Omura-Shi
Country
Japan
Facility Name
Investigational Site Number 392057
City
Osaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392060
City
Osaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392061
City
Osaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392096
City
Osaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392027
City
Osaki-Shi
Country
Japan
Facility Name
Investigational Site Number 392049
City
Sagamihara-Shi
Country
Japan
Facility Name
Investigational Site Number 392072
City
Saitama-Shi
Country
Japan
Facility Name
Investigational Site Number 392075
City
Sakai-Shi
Country
Japan
Facility Name
Investigational Site Number 392014
City
Sapporo-Shi
Country
Japan
Facility Name
Investigational Site Number 392068
City
Sapporo-Shi
Country
Japan
Facility Name
Investigational Site Number 392073
City
Sapporo-Shi
Country
Japan
Facility Name
Investigational Site Number 392006
City
Sasebo-Shi
Country
Japan
Facility Name
Investigational Site Number 392021
City
Sendai-Shi
Country
Japan
Facility Name
Investigational Site Number 392022
City
Sendai-Shi
Country
Japan
Facility Name
Investigational Site Number 392033
City
Sendai-Shi
Country
Japan
Facility Name
Investigational Site Number 392071
City
Sendai-Shi
Country
Japan
Facility Name
Investigational Site Number 392100
City
Sendai-Shi
Country
Japan
Facility Name
Investigational Site Number 392029
City
Shizuoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392025
City
Sumida-Ku
Country
Japan
Facility Name
Investigational Site Number 392092
City
Sumida-Ku
Country
Japan
Facility Name
Investigational Site Number 392023
City
Takaoka-Shi
Country
Japan
Facility Name
Investigational Site Number 392095
City
Takarazuka-Shi
Country
Japan
Facility Name
Investigational Site Number 392020
City
Takasaki-Shi
Country
Japan
Facility Name
Investigational Site Number 392088
City
Takatsuki-Shi
Country
Japan
Facility Name
Investigational Site Number 392018
City
Tokorozawa-Shi
Country
Japan
Facility Name
Investigational Site Number 392003
City
Tomakomai-Shi
Country
Japan
Facility Name
Investigational Site Number 392005
City
Tomakomai-Shi
Country
Japan
Facility Name
Investigational Site Number 392077
City
Tonami-Shi
Country
Japan
Facility Name
Investigational Site Number 392052
City
Toshima-Ku
Country
Japan
Facility Name
Investigational Site Number 392058
City
Toyama-Shi
Country
Japan
Facility Name
Investigational Site Number 392055
City
Toyonaka-Shi
Country
Japan
Facility Name
Investigational Site Number 392074
City
Urasoe-Shi
Country
Japan
Facility Name
Investigational Site Number 392079
City
Urayasu-Shi
Country
Japan
Facility Name
Investigational Site Number 392048
City
Yokohama-Shi
Country
Japan
Facility Name
Investigational Site Number 392090
City
Yokohama-Shi
Country
Japan
Facility Name
Investigational Site Number 392101
City
Yokohama-Shi
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
36305354
Citation
Tanaka Y, Takahashi T, Van Hoogstraten H, Praestgaard A, Kato N, Kameda H. Haemoglobin changes and disease activity in Japanese patients with rheumatoid arthritis treated with sarilumab. Clin Exp Rheumatol. 2023 May;41(5):1129-1139. doi: 10.55563/clinexprheumatol/jq9u8f. Epub 2022 Oct 28.
Results Reference
derived
PubMed Identifier
30894208
Citation
Tanaka Y, Wada K, Takahashi Y, Hagino O, van Hoogstraten H, Graham NMH, Kameda H. Sarilumab plus methotrexate in patients with active rheumatoid arthritis and inadequate response to methotrexate: results of a randomized, placebo-controlled phase III trial in Japan. Arthritis Res Ther. 2019 Mar 20;21(1):79. doi: 10.1186/s13075-019-1856-4. Erratum In: Arthritis Res Ther. 2019 Apr 16;21(1):99.
Results Reference
derived

Learn more about this trial

A Study Assessing the Efficacy and Safety of Sarilumab Added to MTX in Japanese Patients With Moderately to Severely Active Rheumatoid Arthritis (SARIL-RA-KAKEHASI)

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