Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis (ALIGN)
Ankylosing Spondylitis
About this trial
This is an interventional treatment trial for Ankylosing Spondylitis
Eligibility Criteria
Inclusion criteria:
- Diagnosis of AS according to the New York modified criteria
- Participants must had an adequate trial of at least 2 different Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) taken for at least 2 weeks in each case and, on a stable dose for ≥2 weeks or be intolerant to NSAIDs
Participants must had active AS for ≥3 months before screening and active disease must be present at screening and at baseline; Active AS being defined by:
- Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of ≥4 (Numerical Rating Scale 0-10)
- Total back pain score ≥4 (Numerical Rating Scale 0-10)
Participants treated with corticosteroid must be on a stable dose for ≥2 weeks prior to baseline
Participants treated with the Disease Modifying Anti-Rheumatic Drugs (DMARDs) hydroxychloroquine, sulfasalazine and methotrexate (MTX) must be on stable dose ≥12 weeks prior to baseline
Exclusion criteria:
- <18 years old or ≥75 years old
- Complete fusion of the spine
- Past history of non response to any anti-Tumor Necrosis Factors (TNFs) treatment or non response to any other biological treatment for AS
- Any past or current treatment with anti-TNF's or any biological agent within 3 months prior to screening
- Treatment with DMARDs except for hydroxychloroquine, sulfasalazine and MTX
- MTX >25 mg/week
- hydroxychloroquine >400 mg/day
- Sulfasalazine >3 g/day
- Treatment with oral prednisone or equivalent corticosteroids >10 mg/day within 6 weeks prior to screening
- Use of intramuscular or intra-articular corticosteroids within the last 4 weeks before screening
- Previous treatment with cyclosporine, azathioprine
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 840006
- Investigational Site Number 840033
- Investigational Site Number 840027
- Investigational Site Number 840007
- Investigational Site Number 840013
- Investigational Site Number 840017
- Investigational Site Number 840009
- Investigational Site Number 840001
- Investigational Site Number 840032
- Investigational Site Number 840015
- Investigational Site Number 840021
- Investigational Site Number 840018
- Investigational Site Number 840003
- Investigational Site Number 840029
- Investigational Site Number 840008
- Investigational Site Number 840002
- Investigational Site Number 840028
- Investigational Site Number 840016
- Investigational Site Number 840036
- Investigational Site Number 840010
- Investigational Site Number 840005
- Investigational Site Number 840023
- Investigational Site Number 840014
- Investigational Site Number 840004
- Investigational Site Number 840030
- Investigational Site Number 840034
- Investigational Site Number 036001
- Investigational Site Number 036003
- Investigational Site Number 036004
- Investigational Site Number 036002
- Investigational Site Number 040001
- Investigational Site Number 040002
- Investigational Site Number 056003
- Investigational Site Number 056005
- Investigational Site Number 056001
- Investigational Site Number 056002
- Investigational Site Number 056004
- Investigational Site Number 124007
- Investigational Site Number 124004
- Investigational Site Number 124008
- Investigational Site Number 124003
- Investigational Site Number 124001
- Investigational Site Number 124006
- Investigational Site Number 124005
- Investigational Site Number 124009
- Investigational Site Number 124002
- Investigational Site Number 124010
- Investigational Site Number 203003
- Investigational Site Number 203005
- Investigational Site Number 203002
- Investigational Site Number 203001
- Investigational Site Number 203004
- Investigational Site Number 250001
- Investigational Site Number 250005
- Investigational Site Number 250002
- Investigational Site Number 250003
- Investigational Site Number 276002
- Investigational Site Number 276004
- Investigational Site Number 276003
- Investigational Site Number 276005
- Investigational Site Number 276001
- Investigational Site Number 348001
- Investigational Site Number 348003
- Investigational Site Number 348005
- Investigational Site Number 348004
- Investigational Site Number 440001
- Investigational Site Number 440002
- Investigational Site Number 528001
- Investigational Site Number 528002
- Investigational Site Number 616002
- Investigational Site Number 616001
- Investigational Site Number 616004
- Investigational Site Number 616005
- Investigational Site Number 616003
- Investigational Site Number 724005
- Investigational Site Number 724004
- Investigational Site Number 724002
- Investigational Site Number 724001
- Investigational Site Number 792002
- Investigational Site Number 792001
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
Placebo
Sarilumab 100 mg q2w
Sarilumab 150 mg q2w
Sarilumab 100 mg qw
Sarilumab 200 mg q2w
Sarilumab 150 mg qw
Placebo (for sarilumab) weekly (qw) for 12 weeks.
Sarilumab 100 mg Subcutaneous (SC) injection alternating with placebo every other week (q2w) for 12 weeks.
Sarilumab 150 mg SC injection alternating with placebo q2w for 12 weeks.
Sarilumab 100 mg SC injection qw for 12 weeks.
Sarilumab 200 mg SC injection alternating with placebo q2w for 12 weeks.
Sarilumab 150 mg SC injection qw for 12 weeks.