A Study of Ocrelizumab Compared to Placebo in Patients With Active Rheumatoid Arthritis Who Don't Have a Response to Anti-TNF-α Therapy (SCRIPT) (SCRIPT)
Rheumatoid Arthritis

About this trial
This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring RA, SCRIPT, anti-CD20, CD20
Eligibility Criteria
Inclusion Criteria:
- Adult patients, ≥ 18 years of age
- Rheumatoid arthritis for at least 3 months
- Inadequate response to previous or current treatment with at least one anti-TNF-alpha agent
- Receiving either leflunomide or methotrexate for ≥ 12 weeks, with a stable dose for the last 4 weeks
- Swollen joint count (SJC) ≥ 4 (66 joint count) and tender joint count (TJC) ≥ 4 (68 joint count) at screening and baseline.
- CRP ≥ 0.6 mg/dL using a high-sensitivity assay.
- Positive rheumatoid factor or positive anti-CCP antibody or both.
Exclusion Criteria:
- Rheumatic autoimmune disease or inflammatory joint disease, other than RA
- Any surgical procedure in past 12 weeks,or planned within 48 weeks of baseline
Sites / Locations
- Pinnacle Research Group; Llc, Central
- Rheumatology Associates
- Rheumatology Associates of North Alabama
- Arizona Arthritis & Rheumatology Research, Pllc
- Arthrocare, Arthritis Care and Research, P.C.
- Catalina Pointe Clinical Research, Inc.
- Uni of Arizona Health Science Center; Dept of Rheumatology/Immunology
- CHI St. Vincent Medical Group Hot Springs
- Little Rock Diagnostic Clinic
- Allergy & Rheumatology Centre
- Private Practice
- Valerius Medical Group & Research Ctr of Greater Long Beach
- Uni of Southern California School of Medicine
- Pacific Arthritis Care Center
- Stanford Uni Medical Center; Divison of Rheumatology
- Ucsd, Dept of Medicine; Rheumatology
- San Diego Arthritis Med Clnc
- East Bay Rheumatology
- Arthritis Treatment Center of South Bay
- University of Colorado Cancer Center
- Arthritis Assoc & Osteoporosis; Ctr of Colorado Springs
- Arthritis & Osteoporosis Center P.C.
- New England Research Associates
- Rheumatolgy Consultants of Deleware
- Javed Rheumatology Associates, Inc.
- Arthritis & Rheumatism; Disease Specialities
- Jacksonville Center For Clinical Research
- Arthritis Center Palm Harbor
- Arthritis Rsrch of Florida, Inc.
- Sarasota Arthritis Center; Research Dept
- Center For Arthritis; Research Dept
- SW Florida Clinical Research
- Tampa General Hospital; Rheumatology Research Dept
- Burnette & Silverfield, MDS
- Florida Medical Center
- Atlanta Center For Clinical Research.
- Csi Research, Inc.
- Marietta Rheumatology Associates, Pc
- Intermountain Orthopaedics
- Coeur D'Alene Arthritis Clinic
- Idaho Arthritis Center
- Uni of Chicago
- Evanston Northwestern Healthcare; Rheumatology
- Quad City Rheumatology, Sc
- Illinois Bone & Joint Inst.
- Springfield Clinic
- Iu Outpatient Clinical Research Facility
- Diagnostic Rheumatology & Research
- Medical Specialists Clinical Research Center
- Physician'S Clinic of Iowa
- Uni of Kansas Medical Center
- Center For Arthritis & Osteoporosis
- Bluegrass Comm Research, Inc.
- Kentuckiana Center For Better Bone & Joint Healthx
- Baton Rouge Clinic, Amc
- Johns Hopkins University; Department of Rheumatology
- Center For Rheumatology & Bone Research
- Clinical Pharmacology Study Group
- Clinsite;Research Division of Integrated Health Associates
- Rheumatology, P.C.; Medical Arts Building
- Borgess Research Institute
- Fiechtner Research Inc
- Office of Andrew Sulich, Md
- St Luke's Whiteside Research
- St. Mary'S Duluth Clinic Health System; Rheumatology Dept
- St. Paul Rheumatology
- Park Nicollet Inst. ; Rtrc
- Jackson Arthritis Clinic
- North Mississippi Medical Ctr; Internal Medicine Associates
- David S Rosenberg
- Clayton Medical Research
- Physicians Group, LC DBA Rheumatology & Internal Medicine Associates
- Arthritis Consultants
- St. John'S Health System Inc.; St. John'S Medical Research
- Westroads Medical Group
- Seacoast Arthritis and Osteoporosis Center
- Nashua Rheumatology - Foundation Medical Partners
- Mark Fisher Md, Facr, Llc
- Arthritis Rheumatic & Back Disease Associates
- The Center of Rheumatology
- Arthritis & Osteoporosis Center
- Southern Tier Arthritis & Rheumatism
- Aair Research Center
- Andrew Porges Pc
- Rheumatology Associates of Long Island
- Asheville Arthritis & Osteoporosis Center, PA
- Arthritis Associates
- Metrolina Medical Research
- Carolina Bone & Joint P.A.
- Physicians East Pa
- St. Alexius Medical Center; Arthritis Clinic
- Deaconess Arthritis Center; Rheumatic Disease Study Group
- University Hospitals Case Medical Center
- Stat Research, Inc
- David Mandel Inc
- Paramount Medical Research
- Health Research of Oklahoma, Llc
- Oklahoma Medical Research Foundation
- Oklahoma Center For Arthritis Therapy & Research
- Healthcare Research Consultants
- Bend Memorial Clinic
- Pro Research
- Portland Rheumatology Clinic Llc
- Providence Arthritis Center
- East Penn Rheumatology Associates, Pc
- Arthritis Associates
- Rheumatology Associates of NW Pa
- Arthritis Group
- Advanced Rheumatology & Arthritis Research Center
- Clinical Research Center of Reading
- Low Country Research Center
- Palmetto Clinical Trial Services, LLC
- Unifour Medical Research Associates
- Medical Uni of South Carolina
- Spartanburg Medical Research
- West Tennessee Research Institute
- Rheumatology Consultants
- Arthritis Group
- Ramesh Gupta - PP
- Aamr Research Clinic
- Amarillo Center For Clinical Research
- Austin Rheumatology Research
- Walter F. Chase, Md, Pa
- Arthritis Care & Diagnostic Center
- Arthritis Care and Research Centre
- Metroplex Clinical Research
- Arthritis Centers of Texas
- Uni of Texas Southwestern Medical Center; Internal Medicine
- Arthritis & Osteoporosis Associates, LLP
- Southwest Rheumatology
- Radiant Research
- Texas Arthritis Research Center; Center for Arthritis & Rheumatic Diseases
- Texas Research Center
- Uni of Utah Medical Center
- Arthritis Clinic of Northern Virginia
- Sentara Medical Group
- Seattle Rheumatology Associates
- Arthritis Northwest, Spokane
- Office of George Krick, Md
- Tacoma Center For Arthritis Research
- Vancouver Clinic; Research Dept
- Clinical Trials Northwest
- Rheumatic Disease Center
- Gundersen Clinic Ltd;Sec. Rheumatology/Dept. of Internal Med
- Organizacion Medica de Investigacion
- Inst. de Rehabilitacion Psicofisica; Reumathology
- CER Instituto Médico; REUMATOLOGÍA
- Sunshine Coast Rheumatology Research Unit
- Princess Alexandra Hospital; Rheumatology
- Royal Perth Hospital; Rheumatology
- AZ Sint Jan
- CHU Brugmann (Victor Horta)
- CHU de Charleroi
- UZ Gent
- GHdC Site Saint-Joseph
- UZ Leuven Gasthuisberg
- ZNA Jan Palfijn
- Centro Internacional de Pesquisa; Reumatologia
- Centro de Estudos em Terapias Inovadoras - CETI
- Hospital Universitario Clementino Fraga Filho - UFRJ; Reumatologia
- Hospital das Clinicas - UNICAMP
- Hospital Abreu Sodre - AACD;Pesquisa Clinica
- The Governors of the Uni of Alberta; Heritage Medical Research Centre
- Arthritis Research Centre
- Manitoba Clinic
- Wharton Medical Clinic; Burlington
- Mac Research Inc.
- K-W Musculoskeletal Research
- St. Joseph'S Health Care Centre; Rheumatology
- Credit Valley, Rheumatology
- The Ottawa Hospital - Riverside Campus; the Arthritis Centre
- University Health Network; Toronto Western Hospital
- Hopital Maisonneuve- Rosemont; Rheumatology
- Institut de Rhumatologie de Montreal
- Montreal Rheumatic Disease Centre
- Groupe de Recherche En Rhumatologie Et Maladies Osseuses
- Clin. de Rhumatologie
- Royal Uni Hospital; Medicine Dept
- Revmatologicky Ustav
- Hopital De Bois Guillaume; Rhumatologie
- CH Jean Rougier; Rhumato Reed Fonctionnelle
- Hopital Louis Pasteur; Service De Medecine Interne et de Rhumatologie
- CH Du Mans; Rhumatologie
- Hopital B Roger Salengro; Rhumatologie
- Fondation Hopital Saint Joseph; Rhumatologie
- Hopital Lapeyronie; Immunologie Rhumatologie
- Hopital de L'Archet; Rhumatologie
- Hopital Cochin; Rhumatologie A
- Hopital Cochin; Rhumatologie B
- Praxis Dr. med. Reiner Kurthen
- Schlosspark Klinik; Abt. Rheumatologie
- Klinik Duisburg; Klinik Für Rheumatologie
- Endokrinologikum Frankfurt; Rheumatologie & Gynäkologie
- Universitätsklinikum Freiburg; Medizinische UNI-Klinik; Abt. Innere Medizin - VI Rheumatologie
- Internistisches Praxiszentrum Am Krankenhaus Balserische Stiftung; Innere Medizin / Rheumatologie
- Evangelisches Krankenhaus Hagen-Haspe Rheumaklinik
- Medizinische Hochschule Zentrum Innere Medizin Abt.Klinische Immunologie und Rheumatologie
- Rheumapraxis PD Dr.med. Bernhard Heilig
- UNI-Klinikum Heidelberg Medizinische Klinik Innere Medizin V
- Fachärzte für Innere Medizin - Rheumatologie - Dr. med. Ino Gao und Dr. med. Maria Anna Meier
- Klinik der Uni zu Köln; Klinik für Innere Medizin
- Uniklinik Mainz; I. Medizinische Klinik
- Klinikum der Universitat Munchen; Bereich Pettenkoferstr; Rheumaeinheit der medizinischen Klinik IV
- Rheumapraxis an der Hase
- Universitätsklinikum Würzburg; Medizinische Klinik und Poliklinik II; Hämatologie / Onkologie
- Orszagos Reumatologiai Es Fizioterapias Intezet
- Budai Irgalmasrendi Kórház KHT. II. Reumatológia
- Debreceni Egyetem Orvos- és Egészségtudományi Centrum; Belgyógyászati Intézet, Reumatológiai Tanszék
- Vas Megye Es Szombathely M.J.V. Markusovszky Korhaza
- Soroka Medical Center; Reumatology
- Assaf Harofe; Dept of Medicine B
- Meir Medical Center; Heamatology Dept
- Beilinson Medical Center; Rheumatology
- Sourasky / Ichilov Hospital; Rheumatology
- Arcispedale Santa Maria Nuova; Reumatologia
- Università Degli Studi Di Genova - Dimi; Reumatologia
- Irccs Policlinico San Matteo; Reumatologia Adulti
- Az. Osp. Pisana Ospedale S. Chiara; U.O. Di Reumatologia
- Seihoku Chuoh Hospital; Department Of Rheumatology
- Univ. of Occupational and Environmental Health; Rheumatology, Clinical Immunology and Medicine
- National Hospital Organization Kyushu Medical Center; Rheumatology and Internal Medicine
- Higashihiroshima Memorial Hospital; Rheumatology, Internal Medicine
- Hokkaido Uni Hospital; Second Department of Internal Medicine
- Matsubara Mayflower Hospital; Rheumatology
- Sasebo Chuo Hospital ; Internal Medicine
- Osaka Minami Medical Center; Rheumatoid Arthritis
- Saitama Medical University Hospital ; Rheumatology and Applied Immunology
- Saitama Medical Center/School; Rheumatology, Clinical immunology
- Seirei Hamamatsu General Hospital; Rheumatology
- Jichi Medical School Hospital; Rheumatology and Clinical Immunology
- Tokyo Medical & Dental University; Medicine & Rheumatology
- Tokyo Women's Medical University
- Consultorio Privado Dr. Javier Orozco
- Unidad de Reumatologia Rehabilitacion Integral; Centro Medico Del Angel
- Unidad De Enfermedades; Cronico Degenerativas, SC.
- Clinica San Jose Obregon; Rheumatology
- Academisch Medisch Centrum; Division of Clinical Immunology & Rheumatology
- Maxima Medisch Centrum; Rheumatology
- Timaru Hospital
- Centro de Infusion Marbella; Consultorios Royal Center Num 214
- Hospital Alberto Sabogal Sologuren; Remautology
- Clinica San Felipe; Consultorio de Reumatología
- Hospital Nacional Edgardo Rebagliati Martins; Servicio de Reumatología
- Szpital Uniwersytecki; nr 2 im. Dr J. Biziela
- Wojewodzki Szpital Zespolony; Oddzial Reumatologii
- Klinika Reumatologii I Chorób Wewn. Pum W Szczecinie; Samodzielny Publiczny Szpital Kliniczny Nr 1
- Narodny Ustav Reumatickych Chorob - 34479; Rheumatology
- Bolnica dr. Petra Drzaja, Klinicni center Ljubljana; Klinicni oddelek za revmatologijo
- Hospital Univ. Central de Asturias; Servicio de Reumatologia
- Corporacio Sanitaria Parc Tauli; Servicio de Reumatologia
- Hospital de Jerez de la Frontera; Servicio de Reumatologia
- Hospital Sierrallana; Servicio de Reumatologia
- Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Reumatologia
- Hospital de Basurto; Servicio de Reumatologia
- Hospital Universitario Infanta Cristina; Servicio de Reumatologia
- Hospital Clinic i Provincial; Servicio de Reumatologia
- Hospital Universitari de Bellvitge; Servicio de Reumatologia
- Complejo Asistencial Universitario de Burgos; Servicio de Reumatología
- Hospital General Universitario de Guadalajara; Servicio de Reumatologia
- Hospital Universitario 12 de Octubre; Servicio de Reumatologia
- Hospital Clinico Universitario de Salamanca; Servicio de Reumatologia
- Uni Hospital Linkoeping; Dept. of Rheumatology
- Akademiska sjukhuset, Reumatologkliniken
- CHUV; Hôpital orthopédique, Rhumatologie
- Universitätsspital Zürich; Klinik für Rheumatologie
- Chang Gung Medical Foundation - Kaohsiung; Rheumatology
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy
Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy
Placebo x 2 IV + Non-Biologic DMARD Therapy
Participants will receive 2 intravenous (IV) infusions of 200 milligram (mg) of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD
Participants will receive 2 IV infusions of 500 mg of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD
Participants will receive ocrelizumab matching placebo IV in two infusions, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD