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Efficacy and Safety of Tocilizumab in Combination With DMARDs in Patients With Moderate to Severe Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
tocilizumab
DMARDs
Placebo
DMARDs
Sponsored by
JW Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • adult patients, >= 18 years of age
  • Active RA of > 6monts duration
  • Received permitted DMARDs each at a stable dose for at least 8 weeks

Exclusion Criteria:

  • Rheumatic autoimmune disease other than RA
  • Significant systemic involvement secondary to RA
  • ALT or AST > ULNⅹ1.5
  • Platelet count < 100,000/mm3
  • Hemoglobin < 8.5 g/dL
  • White blood cells < 3,000/mm3
  • Absolute neutrophil count < 2,000/mm3
  • Absolute lymphocyte count < 500/mm3

Sites / Locations

  • Seoul National Univ. Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Tocilizumab 8mg/kg+DMARDs

Placebo+DMARDs

Arm Description

Outcomes

Primary Outcome Measures

Proportion of patients with ACR20 responses
Proportion of patients with ACR20 responses at post therapy

Secondary Outcome Measures

Proportion of patients with ACR50 and ACR70 responses at post therapy
Change of DAS28, HAQ, individual parameter in ACR core set, hemoglobin

Full Information

First Posted
September 29, 2010
Last Updated
November 1, 2010
Sponsor
JW Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT01211834
Brief Title
Efficacy and Safety of Tocilizumab in Combination With DMARDs in Patients With Moderate to Severe Rheumatoid Arthritis
Official Title
A Randomized, Double-blind, Placebo-controlled, Parallel Group Study of the Efficacy and the Safety During Treatment With Tocilizumab vs Placebo in Combination With Traditional DMARD Therapy in Patients With Moderate to Severe Active RA and an Inadequate Response to Current DMARD Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2010
Overall Recruitment Status
Completed
Study Start Date
October 2009 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
October 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
JW Pharmaceutical

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the efficacy and safety of tocilizumab vs placebo, in combination with stable, ongoing therapy, with regard to reduction in signs and symptoms in patients with moderate to severe active RA and inadequate response to current DMARD treatment

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
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Tocilizumab 8mg/kg+DMARDs
Arm Type
Experimental
Arm Title
Placebo+DMARDs
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
tocilizumab
Intervention Description
intravenously at dose of 8mg/kg over 1 hour infusion every 4weeks
Intervention Type
Drug
Intervention Name(s)
DMARDs
Intervention Description
Methotrexate(MTX) and/or 1 DMARDs(chloroquine, hydroxychloroquine, parenteral gold, sulfasalazine, azathioprine, and leflunomide)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
intravenously over 1 hour infusion every 4weeks
Intervention Type
Drug
Intervention Name(s)
DMARDs
Intervention Description
Methotrexate(MTX) and/or 1 DMARDs
Primary Outcome Measure Information:
Title
Proportion of patients with ACR20 responses
Description
Proportion of patients with ACR20 responses at post therapy
Time Frame
24weeks
Secondary Outcome Measure Information:
Title
Proportion of patients with ACR50 and ACR70 responses at post therapy
Time Frame
24weeks
Title
Change of DAS28, HAQ, individual parameter in ACR core set, hemoglobin
Time Frame
24weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: adult patients, >= 18 years of age Active RA of > 6monts duration Received permitted DMARDs each at a stable dose for at least 8 weeks Exclusion Criteria: Rheumatic autoimmune disease other than RA Significant systemic involvement secondary to RA ALT or AST > ULNⅹ1.5 Platelet count < 100,000/mm3 Hemoglobin < 8.5 g/dL White blood cells < 3,000/mm3 Absolute neutrophil count < 2,000/mm3 Absolute lymphocyte count < 500/mm3
Facility Information:
Facility Name
Seoul National Univ. Hospital
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
32508063
Citation
Choi IA, Sagawa A, Lee EY, Lee EB, Song YW. Tocilizumab Increases Body Weight and Serum Adipokine Levels in Patients with Rheumatoid Arthritis Independently of Their Treatment Response: a Retrospective Cohort Study. J Korean Med Sci. 2020 Jun 8;35(22):e155. doi: 10.3346/jkms.2020.35.e155.
Results Reference
derived

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Efficacy and Safety of Tocilizumab in Combination With DMARDs in Patients With Moderate to Severe Rheumatoid Arthritis

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