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To Evaluate the Immunogenicity and Safety of Sarilumab Administered as Monotherapy in Patients With Rheumatoid Arthritis (RA) (SARIL-RA-ONE)

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
sarilumab SAR153191 (REGN88)
Sponsored by
Sanofi
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:

  • Diagnosis of rheumatoid arthritis (RA) ≥ 3 months.
  • Moderately to severely active rheumatoid arthritis.
  • Participants who per investigator judgment were incomplete responders to at least 12 weeks of an adequate dose of continuous treatment with or who were intolerant of one or a combination of non-biologic disease modifying anti-rheumatic drugs (DMARDs).

Exclusion criteria:

  • Participants < 18 years of age.
  • Past history of, or current, autoimmune or inflammatory systemic or localized joint disease(s) other than RA.
  • History of juvenile idiopathic arthritis or arthritis onset prior to age 16.
  • Severe active systemic RA, including but not limited to vasculitis, pulmonary fibrosis, and/or Felty's syndrome.
  • Prior treatment with any biologic anti-interleukin 6 (IL-6) or IL-6 receptor (IL-6R) antagonist therapies.
  • Treatment with prednisone > 10 mg or equivalent per day, or change in dosage within 4 weeks prior to randomization.
  • New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drug (NSAIDs) or cyclooxygenase-2 (COX-2) inhibitors within 4 weeks prior to randomization, except for the use of low-dose acetylsalicylic acid for cardiovascular diseases.
  • Use of parenteral glucocorticoids or intra-articular glucocorticoids injection within 4 weeks prior to randomization.
  • Prior treatment with a Janus kinase (JAK) inhibitor (tofacitinib).
  • New treatment or dose-adjustment to on-going medication for dyslipidemia, such as statin, within 6 weeks prior to randomization.
  • Participation in any clinical research study evaluating another investigational drug or therapy within 5 half-lives or 60 days of first dose of study drug administration, whichever is longer.
  • Participants with a history of malignancy other than adequately-treated carcinoma in-situ of the cervix, non-metastatic squamous cell or basal cell carcinoma of the skin, within 5 years prior to the randomization visit. Non-malignant lymphoproliferative disorders are also excluded.
  • Participants with active tuberculosis or untreated latent tuberculosis infection.
  • Pregnant or breast feeding women.

The above information is not intended to contain all considerations relevant to a Participant's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840072
  • Investigational Site Number 840049
  • Investigational Site Number 840220
  • Investigational Site Number 840230
  • Investigational Site Number 840233
  • Investigational Site Number 840127
  • Investigational Site Number 840011
  • Investigational Site Number 840009
  • Investigational Site Number 840025
  • Investigational Site Number 840032
  • Investigational Site Number 840074
  • Investigational Site Number 840124
  • Investigational Site Number 840231
  • Investigational Site Number 152002
  • Investigational Site Number 203034
  • Investigational Site Number 203001
  • Investigational Site Number 203002
  • Investigational Site Number 233010
  • Investigational Site Number 233002
  • Investigational Site Number 348014
  • Investigational Site Number 348025
  • Investigational Site Number 348021
  • Investigational Site Number 616018
  • Investigational Site Number 616031
  • Investigational Site Number 616012
  • Investigational Site Number 643006
  • Investigational Site Number 643001
  • Investigational Site Number 643016

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Sarilumab 150 mg q2w

Sarilumab 200 mg q2w

Arm Description

Sarilumab 150 mg subcutaneous (SC) injection every two weeks (q2w) for 24 weeks.

Sarilumab 200 mg SC injection q2w for 24 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants With Incidence of Antidrug Antibodies (ADA)
ADA to sarilumab and anti-sarilumab neutralizing antibodies in serum samples were determined using a validated electrochemiluminescence immunoassay method. Percentage of participants with positive ADA during treatment emergent adverse event (TEAE) period (time from first dose of investigational medicinal product [IMP] to last dose of IMP + 60 days) was determined. Persistent ADA Response: treatment-emergent ADA detected at 2 or more consecutive sampling time points during the TEAE period, where the first and last ADA positive samples were separated by a period of at least 16 weeks or if the last measured sample was positive. ADA samples were collected prior to IMP administration at Week 0 (baseline), Week 2, 4, 12, 24 and 30.

Secondary Outcome Measures

Serum Sarilumab Concentration
Trough Concentration (Ctrough).

Full Information

First Posted
April 21, 2014
Last Updated
May 23, 2017
Sponsor
Sanofi
Collaborators
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02121210
Brief Title
To Evaluate the Immunogenicity and Safety of Sarilumab Administered as Monotherapy in Patients With Rheumatoid Arthritis (RA)
Acronym
SARIL-RA-ONE
Official Title
An Open-label, Randomized, Parallel Group Study Assessing the Immunogenicity and Safety of Sarilumab Administered as Monotherapy in Patients With Active Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary Objective: To evaluate the immunogenicity of sarilumab administered as monotherapy. Secondary Objectives: To evaluate the other safety aspects of sarilumab administered as monotherapy. To assess the exposure of sarilumab administered as monotherapy.
Detailed Description
Total study duration was up to 34 weeks: Up to 4-week screening period, 24-week open-label treatment phase, 6-week post-treatment observation. After completion of the treatment phase of this study, participants were eligible to enter a long term safety study (LTS11210 - SARIL-RA-EXTEND) for continuous treatment with sarilumab (SAR153191 [REGN88]).

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
None (Open Label)
Allocation
Randomized
Enrollment
132 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sarilumab 150 mg q2w
Arm Type
Experimental
Arm Description
Sarilumab 150 mg subcutaneous (SC) injection every two weeks (q2w) for 24 weeks.
Arm Title
Sarilumab 200 mg q2w
Arm Type
Experimental
Arm Description
Sarilumab 200 mg SC injection q2w for 24 weeks.
Intervention Type
Drug
Intervention Name(s)
sarilumab SAR153191 (REGN88)
Intervention Description
Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous
Primary Outcome Measure Information:
Title
Percentage of Participants With Incidence of Antidrug Antibodies (ADA)
Description
ADA to sarilumab and anti-sarilumab neutralizing antibodies in serum samples were determined using a validated electrochemiluminescence immunoassay method. Percentage of participants with positive ADA during treatment emergent adverse event (TEAE) period (time from first dose of investigational medicinal product [IMP] to last dose of IMP + 60 days) was determined. Persistent ADA Response: treatment-emergent ADA detected at 2 or more consecutive sampling time points during the TEAE period, where the first and last ADA positive samples were separated by a period of at least 16 weeks or if the last measured sample was positive. ADA samples were collected prior to IMP administration at Week 0 (baseline), Week 2, 4, 12, 24 and 30.
Time Frame
From Baseline to Week 30 [End of study (EOS)]
Secondary Outcome Measure Information:
Title
Serum Sarilumab Concentration
Description
Trough Concentration (Ctrough).
Time Frame
Pre-dose at Week 0 (Baseline), 2, 4, 12, 16, 20, 24 and 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Diagnosis of rheumatoid arthritis (RA) ≥ 3 months. Moderately to severely active rheumatoid arthritis. Participants who per investigator judgment were incomplete responders to at least 12 weeks of an adequate dose of continuous treatment with or who were intolerant of one or a combination of non-biologic disease modifying anti-rheumatic drugs (DMARDs). Exclusion criteria: Participants < 18 years of age. Past history of, or current, autoimmune or inflammatory systemic or localized joint disease(s) other than RA. History of juvenile idiopathic arthritis or arthritis onset prior to age 16. Severe active systemic RA, including but not limited to vasculitis, pulmonary fibrosis, and/or Felty's syndrome. Prior treatment with any biologic anti-interleukin 6 (IL-6) or IL-6 receptor (IL-6R) antagonist therapies. Treatment with prednisone > 10 mg or equivalent per day, or change in dosage within 4 weeks prior to randomization. New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drug (NSAIDs) or cyclooxygenase-2 (COX-2) inhibitors within 4 weeks prior to randomization, except for the use of low-dose acetylsalicylic acid for cardiovascular diseases. Use of parenteral glucocorticoids or intra-articular glucocorticoids injection within 4 weeks prior to randomization. Prior treatment with a Janus kinase (JAK) inhibitor (tofacitinib). New treatment or dose-adjustment to on-going medication for dyslipidemia, such as statin, within 6 weeks prior to randomization. Participation in any clinical research study evaluating another investigational drug or therapy within 5 half-lives or 60 days of first dose of study drug administration, whichever is longer. Participants with a history of malignancy other than adequately-treated carcinoma in-situ of the cervix, non-metastatic squamous cell or basal cell carcinoma of the skin, within 5 years prior to the randomization visit. Non-malignant lymphoproliferative disorders are also excluded. Participants with active tuberculosis or untreated latent tuberculosis infection. Pregnant or breast feeding women. The above information is 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 840072
City
Gilbert
State/Province
Arizona
ZIP/Postal Code
85234
Country
United States
Facility Name
Investigational Site Number 840049
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Investigational Site Number 840220
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Investigational Site Number 840230
City
Elizabethtown
State/Province
Kentucky
ZIP/Postal Code
42701
Country
United States
Facility Name
Investigational Site Number 840233
City
Minot
State/Province
North Dakota
ZIP/Postal Code
58701
Country
United States
Facility Name
Investigational Site Number 840127
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Investigational Site Number 840011
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74104
Country
United States
Facility Name
Investigational Site Number 840009
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Investigational Site Number 840025
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305
Country
United States
Facility Name
Investigational Site Number 840032
City
Amarillo
State/Province
Texas
ZIP/Postal Code
79124
Country
United States
Facility Name
Investigational Site Number 840074
City
Mesquite
State/Province
Texas
ZIP/Postal Code
75150
Country
United States
Facility Name
Investigational Site Number 840124
City
Clarksburg
State/Province
West Virginia
ZIP/Postal Code
26301
Country
United States
Facility Name
Investigational Site Number 840231
City
Franklin
State/Province
Wisconsin
ZIP/Postal Code
53132
Country
United States
Facility Name
Investigational Site Number 152002
City
Santiago
ZIP/Postal Code
7501126
Country
Chile
Facility Name
Investigational Site Number 203034
City
Pardubice
ZIP/Postal Code
53002
Country
Czechia
Facility Name
Investigational Site Number 203001
City
Praha 2
ZIP/Postal Code
12850
Country
Czechia
Facility Name
Investigational Site Number 203002
City
Uherske Hradiste
ZIP/Postal Code
686 01
Country
Czechia
Facility Name
Investigational Site Number 233010
City
Tallinn
ZIP/Postal Code
10138
Country
Estonia
Facility Name
Investigational Site Number 233002
City
Tallinn
ZIP/Postal Code
13419
Country
Estonia
Facility Name
Investigational Site Number 348014
City
Budapest
ZIP/Postal Code
1027
Country
Hungary
Facility Name
Investigational Site Number 348025
City
Budapest
ZIP/Postal Code
1027
Country
Hungary
Facility Name
Investigational Site Number 348021
City
Esztergom
ZIP/Postal Code
2500
Country
Hungary
Facility Name
Investigational Site Number 616018
City
Poznan
ZIP/Postal Code
61-397
Country
Poland
Facility Name
Investigational Site Number 616031
City
Warszawa
ZIP/Postal Code
01-518
Country
Poland
Facility Name
Investigational Site Number 616012
City
Wroclaw
ZIP/Postal Code
50-044
Country
Poland
Facility Name
Investigational Site Number 643006
City
Kemerovo
ZIP/Postal Code
650000
Country
Russian Federation
Facility Name
Investigational Site Number 643001
City
Moscow
ZIP/Postal Code
115522
Country
Russian Federation
Facility Name
Investigational Site Number 643016
City
Ryazan
ZIP/Postal Code
390026
Country
Russian Federation

12. IPD Sharing Statement

Citations:
PubMed Identifier
31090044
Citation
Wells AF, Parrino J, Mangan EK, Paccaly A, Lin Y, Xu C, Fan C, Graham NMH, van Hoogstraten H, Torri A. Immunogenicity of Sarilumab Monotherapy in Patients with Rheumatoid Arthritis Who Were Inadequate Responders or Intolerant to Disease-Modifying Antirheumatic Drugs. Rheumatol Ther. 2019 Sep;6(3):339-352. doi: 10.1007/s40744-019-0157-3. Epub 2019 May 14.
Results Reference
derived

Learn more about this trial

To Evaluate the Immunogenicity and Safety of Sarilumab Administered as Monotherapy in Patients With Rheumatoid Arthritis (RA)

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