A Study of JHL1101 Versus MabThera® in Subjects With Severe Rheumatoid Arthritis
Primary Purpose
Rheumatoid Arthritis, Arthritis, Rheumatoid
Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
JHL1101
MabThera
Sponsored by
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring RA, Moderate RA, Moderate Rheumatoid Arthritis, Severe RA, Severe Rheumatoid Arthritis, Moderate to Severe RA, Moderate to Severe Rheumatoid Arthritis
Eligibility Criteria
Inclusion Criteria:
- Moderate to severe active RA
- Documented intolerance to or inadequate response to at least 12 weeks of treatment with the licensed regimen of at least one TNF inhibitor therapy
- Women of childbearing potential must use a medically acceptable means of birth control and agree to continue its use during the study and for at least twelve months after the last dose of study drug.
Exclusion Criteria:
- History of a severe allergic reaction or anaphylactic reaction to a biological agent or history of hypersensitivity to any component of the study drug including known hypersensitivity or allergy to a murine product
- Class IV as per the Classification of Global Functional Status in Rheumatoid Arthritis or wheelchair/bed-bound
- Have any significant systemic involvement with RA such as vasculitis, pulmonary fibrosis or Felty's syndrome
- History of or current inflammatory joint disease other than RA or other systemic disorder where the treatment or current or potential symptoms could confound the assessment of RA, with the exception of secondary Sjögren's syndrome
- Concomitant or recent DMARD treatments for RA
- Oral corticosteroids >10mg/day prednisone equivalent or dose which has not been stable for the 4 weeks prior to Baseline
- Receipt of an intra-articular or other injectable corticosteroid within 4 weeks prior to Screening
- Intolerance or contraindications to IV corticosteroids
- Use of NSAIDs which have not been at a stable dose within 2 weeks prior to Baseline.
- Have undergone surgical treatments for RA including synovectomy and arthroplasty in more than 3 joints and/or within the last 8 weeks prior to Screening
- History of major surgery within the 12 weeks prior to Screening
- History of an infected joint prosthesis which subsequently has not been surgically removed/replaced
- Positive serological test for HBsAg, hepatitis B core antibody or hepatitis C serology.
- History of HIV infection, or a positive test at Screening
- History of tuberculosis (TB) infection.
- Acute clinical manifestations of herpes zoster virus or herpes simplex.
- Active infection of any kind or any major episode of infection requiring hospitalization within 24 week prior to Baseline or requiring treatment with IV anti-infective agents within 8 weeks prior to Baseline or oral anti infective agents within 2 weeks prior to Baseline
- Subjects at risk of progressive multifocal leukoencephalopathy (PML) as per protocol
- Any significant cardiac disease
- Subjects with a history of solid-organ transplantation
- History of lympho- or myeloproliferative disorder or malignancy within the last 5 years
Other protocol-defined inclusion/exclusion criteria may apply.
Sites / Locations
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
- JHL Biotech Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
JHL1101
MabThera
Arm Description
Each subject will receive 2 intravenous infusions of 1000 mg JHL1101: the first infusion on Baseline and the second on Day 15.
Each subject will receive 2 intravenous infusions of 1000 mg MabThera: the first infusion on Baseline and the second on Day 15 (Visit 5).
Outcomes
Primary Outcome Measures
Area under plasma concentration versus time curve (AUC)
Trough Concentration
Maximum Concentration (Cmax)
Secondary Outcome Measures
AUC
Time to maximum plasma concentration
Cmax
Total body clearance
Volume of distribution
Terminal half life
Area under plasma concentration versus time curve
Incidence of treatment-related adverse events (safety)
Immunogenicity
Human anti-chimeric antibody analysis
Area under the depletion-time curve of CD19+ B-cell
Change from Baseline in CD4+ T-cell counts
American College of Rheumatology (ACR) criteria 20, 50, 70 response rate
Swollen and tender joint count
Subject's assessment of arthritis pain
2010 ACR/European League Against Rheumatism (EULAR) Classification Criteria for RA
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03161457
Brief Title
A Study of JHL1101 Versus MabThera® in Subjects With Severe Rheumatoid Arthritis
Official Title
A Randomised, Double-blind, Parallel Group, Multicentre Study to Compare the Pharmacokinetics, Pharmacodynamics, Immunogenicity, Safety, and Efficacy of JHL1101 Versus EU-sourced MabThera® in Anti TNF Inadequate Responder Patients With Moderate to Severe Rheumatoid Arthritis (RA) on Background Methotrexate (MTX) Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
January 2020
Overall Recruitment Status
Terminated
Why Stopped
The development was stopped due to company's strategy consideration
Study Start Date
February 27, 2017 (Actual)
Primary Completion Date
April 16, 2019 (Actual)
Study Completion Date
April 16, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
JHL Biotech, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This is a multicentre, randomised, double-blind, parallel group study to compare the pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, safety, tolerability and efficacy of JHL1101 versus MabThera in subjects with moderate to severe RA who have previously failed at least 1 tumour necrosis factor alpha (TNF) inhibitor (i.e., intolerance or documented active disease despite at least 12 weeks treatment according to the TNF inhibitor-approved treatment and dosage), and are on concomitant treatment with MTX.
Detailed Description
This study will take place across approximately 31 centres across 12 countries and will randomise approximately 150 subjects as outpatients.
The primary objective is to investigate and compare the pharmacokinetic profiles of JHL1101 and MabThera (rituximab). The secondary objectives are to investigate the safety, tolerability, and immunogenicity of JHL1101 versus MabThera, to investigate the pharmacodynamics profile of JHL1101 versus MabThera, and investigate the efficacy of JHL1101 versus MabThera.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis, Arthritis, Rheumatoid
Keywords
RA, Moderate RA, Moderate Rheumatoid Arthritis, Severe RA, Severe Rheumatoid Arthritis, Moderate to Severe RA, Moderate to Severe Rheumatoid Arthritis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
153 (Actual)
8. Arms, Groups, and Interventions
Arm Title
JHL1101
Arm Type
Experimental
Arm Description
Each subject will receive 2 intravenous infusions of 1000 mg JHL1101: the first infusion on Baseline and the second on Day 15.
Arm Title
MabThera
Arm Type
Active Comparator
Arm Description
Each subject will receive 2 intravenous infusions of 1000 mg MabThera: the first infusion on Baseline and the second on Day 15 (Visit 5).
Intervention Type
Biological
Intervention Name(s)
JHL1101
Intervention Description
1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration
Intervention Type
Biological
Intervention Name(s)
MabThera
Other Intervention Name(s)
Rituximab
Intervention Description
1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration
Primary Outcome Measure Information:
Title
Area under plasma concentration versus time curve (AUC)
Time Frame
Day 0 through Week 52
Title
Trough Concentration
Time Frame
Day 15
Title
Maximum Concentration (Cmax)
Time Frame
Day 15
Secondary Outcome Measure Information:
Title
AUC
Time Frame
Up to Week 12
Title
Time to maximum plasma concentration
Time Frame
Day 0 through Week 52
Title
Cmax
Time Frame
Day 0 through Week 52
Title
Total body clearance
Time Frame
Day 0 through Week 52
Title
Volume of distribution
Time Frame
Day 0 through Week 52
Title
Terminal half life
Time Frame
Day 0 through Week 52
Title
Area under plasma concentration versus time curve
Time Frame
Week 2 to Week 24
Title
Incidence of treatment-related adverse events (safety)
Time Frame
Until End-of-Study follow-up at Week 52
Title
Immunogenicity
Description
Human anti-chimeric antibody analysis
Time Frame
Baseline, Weeks 12, 16, 24, and 52
Title
Area under the depletion-time curve of CD19+ B-cell
Time Frame
Day 0 to Day 15, Day 0 to Week 12, Day 0 to Week 24, and Day 0 to Week 52 (end of study)
Title
Change from Baseline in CD4+ T-cell counts
Time Frame
Day 0 through Week 52
Title
American College of Rheumatology (ACR) criteria 20, 50, 70 response rate
Time Frame
Weeks 4, 8, 12, 16, 24 and 52 and over time from Baseline to Week 52
Title
Swollen and tender joint count
Time Frame
From Baseline to Week 52
Title
Subject's assessment of arthritis pain
Description
2010 ACR/European League Against Rheumatism (EULAR) Classification Criteria for RA
Time Frame
From Baseline to Week 52
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Moderate to severe active RA
Documented intolerance to or inadequate response to at least 12 weeks of treatment with the licensed regimen of at least one TNF inhibitor therapy
Women of childbearing potential must use a medically acceptable means of birth control and agree to continue its use during the study and for at least twelve months after the last dose of study drug.
Exclusion Criteria:
History of a severe allergic reaction or anaphylactic reaction to a biological agent or history of hypersensitivity to any component of the study drug including known hypersensitivity or allergy to a murine product
Class IV as per the Classification of Global Functional Status in Rheumatoid Arthritis or wheelchair/bed-bound
Have any significant systemic involvement with RA such as vasculitis, pulmonary fibrosis or Felty's syndrome
History of or current inflammatory joint disease other than RA or other systemic disorder where the treatment or current or potential symptoms could confound the assessment of RA, with the exception of secondary Sjögren's syndrome
Concomitant or recent DMARD treatments for RA
Oral corticosteroids >10mg/day prednisone equivalent or dose which has not been stable for the 4 weeks prior to Baseline
Receipt of an intra-articular or other injectable corticosteroid within 4 weeks prior to Screening
Intolerance or contraindications to IV corticosteroids
Use of NSAIDs which have not been at a stable dose within 2 weeks prior to Baseline.
Have undergone surgical treatments for RA including synovectomy and arthroplasty in more than 3 joints and/or within the last 8 weeks prior to Screening
History of major surgery within the 12 weeks prior to Screening
History of an infected joint prosthesis which subsequently has not been surgically removed/replaced
Positive serological test for HBsAg, hepatitis B core antibody or hepatitis C serology.
History of HIV infection, or a positive test at Screening
History of tuberculosis (TB) infection.
Acute clinical manifestations of herpes zoster virus or herpes simplex.
Active infection of any kind or any major episode of infection requiring hospitalization within 24 week prior to Baseline or requiring treatment with IV anti-infective agents within 8 weeks prior to Baseline or oral anti infective agents within 2 weeks prior to Baseline
Subjects at risk of progressive multifocal leukoencephalopathy (PML) as per protocol
Any significant cardiac disease
Subjects with a history of solid-organ transplantation
History of lympho- or myeloproliferative disorder or malignancy within the last 5 years
Other protocol-defined inclusion/exclusion criteria may apply.
Facility Information:
Facility Name
JHL Biotech Investigational Site
City
Banja Luka
ZIP/Postal Code
78000
Country
Bosnia and Herzegovina
Facility Name
JHL Biotech Investigational Site
City
Bijeljina
ZIP/Postal Code
76300
Country
Bosnia and Herzegovina
Facility Name
JHL Biotech Investigational Site
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
JHL Biotech Investigational Site
City
Sofia
ZIP/Postal Code
1336
Country
Bulgaria
Facility Name
JHL Biotech Investigational Site
City
Sofia
ZIP/Postal Code
1612
Country
Bulgaria
Facility Name
JHL Biotech Investigational Site
City
Praha
ZIP/Postal Code
14059
Country
Czechia
Facility Name
JHL Biotech Investigational Site
City
Bad Doberan
ZIP/Postal Code
18209
Country
Germany
Facility Name
JHL Biotech Investigational Site
City
Hildesheim
ZIP/Postal Code
31134
Country
Germany
Facility Name
JHL Biotech Investigational Site
City
Magdeburg
ZIP/Postal Code
39120
Country
Germany
Facility Name
JHL Biotech Investigational Site
City
Rendsburg
ZIP/Postal Code
24768
Country
Germany
Facility Name
JHL Biotech Investigational Site
City
Budapest
ZIP/Postal Code
1027
Country
Hungary
Facility Name
JHL Biotech Investigational Site
City
Vilnius
ZIP/Postal Code
LT-08661
Country
Lithuania
Facility Name
JHL Biotech Investigational Site
City
Poznan
ZIP/Postal Code
61-113
Country
Poland
Facility Name
JHL Biotech Investigational Site
City
Wroclaw
ZIP/Postal Code
50-420
Country
Poland
Facility Name
JHL Biotech Investigational Site
City
Kazan'
ZIP/Postal Code
420103
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Moscow
ZIP/Postal Code
111539
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Moscow
ZIP/Postal Code
119049
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Saint Petersburg
ZIP/Postal Code
197341
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Saint Petersburg
ZIP/Postal Code
197342
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Samara
ZIP/Postal Code
443095
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Saratov
ZIP/Postal Code
410026
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Yaroslavl'
ZIP/Postal Code
150062
Country
Russian Federation
Facility Name
JHL Biotech Investigational Site
City
Taichung
ZIP/Postal Code
402
Country
Taiwan
Facility Name
JHL Biotech Investigational Site
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Facility Name
JHL Biotech Investigational Site
City
Taipei
ZIP/Postal Code
11490
Country
Taiwan
Facility Name
JHL Biotech Investigational Site
City
Kharkiv
ZIP/Postal Code
61039
Country
Ukraine
Facility Name
JHL Biotech Investigational Site
City
Kyiv
ZIP/Postal Code
03680
Country
Ukraine
Facility Name
JHL Biotech Investigational Site
City
L'viv
ZIP/Postal Code
79010
Country
Ukraine
Facility Name
JHL Biotech Investigational Site
City
Poltava
ZIP/Postal Code
36011
Country
Ukraine
Facility Name
JHL Biotech Investigational Site
City
Vinnytsya
ZIP/Postal Code
21018
Country
Ukraine
Facility Name
JHL Biotech Investigational Site
City
London
ZIP/Postal Code
E11 1NR
Country
United Kingdom
Facility Name
JHL Biotech Investigational Site
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
A Study of JHL1101 Versus MabThera® in Subjects With Severe Rheumatoid Arthritis
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