Rheumatoid ArthritisPhase 3RA-COMPARENCT01764997
An Evaluation of Sarilumab Plus Methotrexate Compared to Etanercept Plus Methotrexate in RA Patients Not Responding to Adalimumab Plus Methotrexate
A Phase 3 study testing Sarilumab, Etanercept and Methotrexate in people with Rheumatoid Arthritis, run by Sanofi at 257 sites in 31 countries.
Trial summary
Primary Objective: To demonstrate the treatment effect of sarilumab and methotrexate (MTX) compared to etanercept and MTX in participants with rheumatoid arthritis (RA) and an inadequate response to adalimumab and MTX by evaluation of the Disease Activity Score for 28 joints (DAS28). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- Sarilumab, Etanercept and Methotrexate
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 776 participants
- Where
- 257 sitesin 31 countries
- Study dates
- Apr 2013to Jan 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of RA >/= 3 months duration.
- Continuous treatment of MTX 10 - 25 mg/week (or per local labeling requirements if the dose range differs) for at least 12 weeks before screening visit and on a stable dose for 8 weeks before screening visit.
- Active disease defined as: at least 6/66 swollen and 8/68 tender joints and high sensitivity C-reactive protein > 10 mg/L.
Who cannot join
- Age < 18 years.
- Use of parenteral corticosteroids or intra-articular corticosteroids within 4 weeks of the screening visit.
- Use of oral corticosteroids in a dose higher than prednisone 10 mg or equivalent per day, or a change in dosage within 4 weeks of the screening visit.
- Prior treatment with a tumor necrosis factor (TNF)-alpha inhibitor, or other biological disease modifying anti-rheumatoid drug (DMARD) or Janus Kinase inhibitor.
- New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclo-oxygenase-2 (COX-2) inhibitors within 4 weeks of the screening visit.
- Treatment with traditional oral DMARD /immunosuppressive agents other than MTX within 4 weeks or 12 weeks before the screening visit, depending on DMARD.
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
257 sites in 31 countries.
257 sites in 31 countries
United States30 sites
Investigational Site Number 840204
Battle Creek, Michigan, 49015
Investigational Site Number 840004
Birmingham, Alabama, 35205
Investigational Site Number 840124
Clarksburg, West Virginia, 26301
Investigational Site Number 840210
Clearwater, Florida, 33756
Investigational Site Number 840073
Cumberland, Maryland, 21502
Investigational Site Number 840209
Danbury, Connecticut, 06810
Investigational Site Number 840201
Denver, Colorado, 80230
Investigational Site Number 840212
Glendale, California, 91205
Investigational Site Number 840202
Hagerstown, Maryland, 21740
Investigational Site Number 840018
Idaho Falls, Idaho, 83404
Investigational Site Number 840213
Indianapolis, Indiana, 46250
Investigational Site Number 840200
Jackson, Mississippi, 39216
Investigational Site Number 840025
Jackson, Tennessee, 38305
Investigational Site Number 840109
Lake Charles, Louisiana, 70601
Investigational Site Number 840150
Lansing, Michigan, 48910
Investigational Site Number 840112
Lincoln, Nebraska, 68516
Investigational Site Number 840074
Mesquite, Texas, 75150
Investigational Site Number 840056
New York, New York, 10016
Investigational Site Number 840016
North Charleston, South Carolina, 29406
Investigational Site Number 840128
Ormond Beach, Florida, 32174
Investigational Site Number 840063
Palm Harbor, Florida, 34684
Investigational Site Number 840117
Pittsburgh, Pennsylvania, 15261
Investigational Site Number 840060
Sarasota, Florida, 34239
Investigational Site Number 840061
Tacoma, Washington, 98405
Investigational Site Number 840207
Tampa, Florida, 33612
Investigational Site Number 840211
Thousand Oaks, California, 91360
Investigational Site Number 840037
Tupelo, Mississippi, 38801
Investigational Site Number 840049
Upland, California, 91786
Investigational Site Number 840205
Victorville, California, 92395
Investigational Site Number 840203
Washington D.C., District of Columbia, 20003
Ukraine21 sites
Investigational Site Number 804003
Dnipropetrovsk, 49008
Investigational Site Number 804002
Donetsk, 83114
Investigational Site Number 804024
Donetsk
Investigational Site Number 804029
Ivano-Frankivsk, 76018
Investigational Site Number 804010
Kharkiv, 61022
Investigational Site Number 804001
Kharkiv, 61057
Investigational Site Number 804025
Kiev, 04114
Investigational Site Number 804023
Kyiv, 01023
Investigational Site Number 804014
Kyiv, 01103
Investigational Site Number 804027
Kyiv, 03680
Investigational Site Number 804011
Kyiv
Investigational Site Number 804030
Lutsk, 43024
Investigational Site Number 804005
Lviv, 79005
Investigational Site Number 804033
Lviv, 79010
Investigational Site Number 804020
Lviv, 79013
Investigational Site Number 804032
Odesa, 65025
Investigational Site Number 804022
Odesa, 65026
Investigational Site Number 804012
Odesa, 65117
Investigational Site Number 804021
Simferopol, 95017
Investigational Site Number 804028
Zaporizhzhya, 69118
Investigational Site Number 804031
Zhytomyr
Poland16 sites
Investigational Site Number 616019
Bydgoszcz, 85-168
Investigational Site Number 616054
Bytom, 41-902
Investigational Site Number 616052
Działdowo, 13-200
Investigational Site Number 616015
Elblag
Investigational Site Number 616057
Krakow, 31-121
Investigational Site Number 616059
Krakow, 31-209
Investigational Site Number 616061
Krakow
Investigational Site Number 616005
Lublin, 20-607
Investigational Site Number 616063
Myślenice, 32-400
Investigational Site Number 616018
Poznan, 61-397
Investigational Site Number 616013
Sosnowiec, 41-200
Investigational Site Number 616056
Starachowice, 27-200
Investigational Site Number 616016
Szczecin, 71-252
Investigational Site Number 616058
Ustroń, 43-450
Investigational Site Number 616051
Warsaw, 02-653
Investigational Site Number 616053
Żyrardów, 96-300
Russia16 sites
Investigational Site Number 643006
Kemerovo, 650099
Investigational Site Number 643056
Krasnoyarsk, 660022
Investigational Site Number 643052
Moscow, 117556
Investigational Site Number 643021
Moscow, 119049
Investigational Site Number 643031
Moscow, 121374
Investigational Site Number 643030
Moscow, 125284
Investigational Site Number 643022
Novosibirsk, 630091
Investigational Site Number 643058
Saint Peterburg
Investigational Site Number 643008
Saint Petersburg, 192242
Investigational Site Number 643010
Samara, 443095
Investigational Site Number 643011
Saratov, 410012
Investigational Site Number 643059
Smolensk, 214019
Investigational Site Number 643013
Ufa, 450005
Investigational Site Number 643050
Voronezh
Investigational Site Number 643057
Yaroslavl, 150003
Investigational Site Number 643051
Yaroslavl
Mexico12 sites
Investigational Site Number 484023
Chihuahua City, 31020
Investigational Site Number 484027
Ciudad Obregón
Investigational Site Number 484029
Deleg. Benito Juárez, 3100
Investigational Site Number 484013
Guadalajara, 44158
Investigational Site Number 484018
Guadalajara, 44620
Investigational Site Number 484004
Mérida, 97000
Investigational Site Number 484010
Mexicali, 21200
Investigational Site Number 484026
Mexicali, 21200
Investigational Site Number 484017
México, 06700
Investigational Site Number 484052
Mexico City, 6726
Investigational Site Number 484025
San Luis, 78220
Investigational Site Number 484051
Tijuana, 22010
Romania12 sites
Investigational Site Number 642041
Bacau
Investigational Site Number 642001
Bucharest, 010976
Investigational Site Number 642040
Bucharest, 020125
Investigational Site Number 642002
Bucharest, 020983
Investigational Site Number 642012
Bucharest, 400006
Investigational Site Number 642004
Bucharest
Investigational Site Number 642023
Bucharest
Investigational Site Number 642042
Bucharest
Investigational Site Number 642005
Galati, 800578
Investigational Site Number 642013
Iași, 700127
Investigational Site Number 642014
Iași, 700656
Investigational Site Number 642022
Targoviste, 130083
South Korea11 sites
Investigational Site Number 410020
Busan, 602-715
Investigational Site Number 410006
Busan, 602-739
Investigational Site Number 410013
Daegu, 561-712
Investigational Site Number 410005
Daejeon, 301-721
Investigational Site Number 410011
Jeonju, 561-712
Investigational Site Number 410016
Seoul, 120-752
Investigational Site Number 410015
Seoul, 133-792
Investigational Site Number 410022
Seoul, 135-710
Investigational Site Number 410023
Seoul, 138-736
Investigational Site Number 410021
Seoul, 158-710
Investigational Site Number 410008
Suwon, 443-721
Germany10 sites
Investigational Site Number 276007
Berlin, 12161
Investigational Site Number 276057
Berlin, 12161
Investigational Site Number 276058
Cologne
Investigational Site Number 276056
Dresden, 01109
Investigational Site Number 276055
Dresden, 01307
Investigational Site Number 276051
Erlangen, 91056
Investigational Site Number 276013
Hamburg, 22147
Investigational Site Number 276001
Herne, 44649
Investigational Site Number 276053
Ludwigsfelde, 14974
Investigational Site Number 276050
Rostock
Czechia8 sites
Investigational Site Number 203004
Ostrava, 702 00
Investigational Site Number 203032
Prague, 11000
Investigational Site Number 203001
Prague, 12850
Investigational Site Number 203031
Prague, 14059
Investigational Site Number 203033
Prague, 14800
Investigational Site Number 203030
Prague
Investigational Site Number 203002
Uherské Hradiště, 686 01
Investigational Site Number 203006
Zlín, 76001
France8 sites
Investigational Site Number 250003
Amiens, 80054
Investigational Site Number 250007
Bobigny
Investigational Site Number 250001
La Roche-sur-Yon, 85925
Investigational Site Number 250002
Montpellier, 34295
Investigational Site Number 250005
Paris, 74014
Investigational Site Number 250004
Paris, 75181
Investigational Site Number 250006
Strasbourg
Investigational Site Number 250008
Toulouse, 31000
Israel8 sites
Investigational Site Number 376032
Ashkelon, 78278
Investigational Site Number 376001
Haifa, 31048
Investigational Site Number 376010
Haifa, 31096
Investigational Site Number 376031
Haifa, 34362
Investigational Site Number 376035
Jerusalem, 91120
Investigational Site Number 376030
Ramat Gan, 52621
Investigational Site Number 376011
Tel Aviv, 64239
Investigational Site Number 376034
Tel HaShomer, 52621
Spain8 sites
Investigational Site Number 724009
A Coruña, 15006
Investigational Site Number 724043
Córdoba, 14004
Investigational Site Number 724042
Madrid, 28034
Investigational Site Number 724041
Madrid, 28046
Investigational Site Number 724040
Madrid, 28850
Investigational Site Number 724001
Málaga, 29009
Investigational Site Number 724011
Sabadell, 08208
Investigational Site Number 724012
Santiago de Compostela, 15705
Argentina7 sites
Investigational Site Number 032052
Buenos Aires, C1015ABO
Investigational Site Number 032050
Buenos Aires, C1426AAL
Investigational Site Number 032053
La Plata
Investigational Site Number 032013
Rosario, S200PBJ
Investigational Site Number 032005
San Miguel de Tucumán, 4000
Investigational Site Number 032051
San Miguel de Tucumán
Investigational Site Number 032009
Zárate, B2800DGH
Malaysia7 sites
Investigational Site Number 458012
Batu Caves, 68100
Investigational Site Number 458014
George Town, 10990
Investigational Site Number 458001
Ipoh, 30990
Investigational Site Number 458013
Kota Bharu, 15586
Investigational Site Number 458002
Kuching, 93586
Investigational Site Number 458010
Malacca, 75400
Investigational Site Number 458011
Seremban, 70300
Peru7 sites
Investigational Site Number 604001
Lima, 021
Investigational Site Number 604010
Lima, 14
Investigational Site Number 604009
Lima, LIMA 01
Investigational Site Number 604012
Lima, LIMA 11
Investigational Site Number 604007
Lima, Lima 33
Investigational Site Number 604005
Lima, LIMA 41
Investigational Site Number 604020
Lima, Lima36
United Kingdom7 sites
Investigational Site Number 826023
Barnsley
Investigational Site Number 826022
Birmingham, B15 2TH
Investigational Site Number 826021
Dudley, DY1 2HQ
Investigational Site Number 826026
Durham
Investigational Site Number 826027
Durham
Investigational Site Number 826020
Harlow, CM20 1QX
Investigational Site Number 826025
Wigan, WN6 9EP
Brazil6 sites
Investigational Site Number 076001
Curitiba, 80060-240
Investigational Site Number 076016
Curitiba
Investigational Site Number 076006
Goiânia, 74110-120
Investigational Site Number 076010
Juiz de Fora, 36010-570
Investigational Site Number 076005
Rio de Janeiro, 20551-030
Investigational Site Number 076013
Vitória, 29055 450
Chile6 sites
Investigational Site Number 152005
Osorno, 5311092
Investigational Site Number 152018
Santiago, 7510047
Investigational Site Number 152001
Santiago
Investigational Site Number 152002
Santiago
Investigational Site Number 152011
Santiago
Investigational Site Number 152015
Temuco
Colombia6 sites
Investigational Site Number 170016
Bogotá, 0
Investigational Site Number 170040
Bogotá, NAP
Investigational Site Number 170001
Bogotá
Investigational Site Number 170007
Bucaramanga
Investigational Site Number 170009
Bucaramanga
Investigational Site Number 170041
Medellín
Finland5 sites
Investigational Site Number 246001
Helsinki, 00290
Investigational Site Number 246002
Hyvinkää, 05800
Investigational Site Number 246030
Oulu, 90100
Investigational Site Number 246003
Pori, 28100
Investigational Site Number 246032
Tampere
Hungary5 sites
Investigational Site Number 348001
Budapest, 1023
Investigational Site Number 348010
Debrecen, 4031
Investigational Site Number 348021
Esztergom, 2500
Investigational Site Number 348013
Gy?r, 9025
Investigational Site Number 348008
Gyula, 5700
Italy5 sites
Investigational Site Number 380002
Florence, 50141
Investigational Site Number 380004
Genova, 16011
Investigational Site Number 380005
Genova, 16132
Investigational Site Number 380041
L’Aquila, 67010
Investigational Site Number 380042
Valeggio sul Mincio, 37064
South Africa5 sites
Investigational Site Number 710011
Cape Town, 7405
Investigational Site Number 710007
Cape Town, 7500
Investigational Site Number 710008
Pretoria, 0002
Investigational Site Number 710006
Pretoria, 0182
Investigational Site Number 710010
Stellenbsoch, 7600
Taiwan5 sites
Investigational Site Number 158010
Changhua, 500
Investigational Site Number 158004
Chiayi City, 622
Investigational Site Number 158012
Kaohsiung City, 807
Investigational Site Number 158011
Kaohsiung City, 833
Investigational Site Number 158006
Taipei, 402
Australia4 sites
Investigational Site Number 036020
Camperdown, 2050
Investigational Site Number 036004
Heidelberg West, 3081
Investigational Site Number 036014
Victoria Park, 6100
Investigational Site Number 036007
Woodville, 5011
Greece4 sites
Investigational Site Number 300010
Athens, 11527
Investigational Site Number 300002
Heraklion, 71110
Investigational Site Number 300014
N. Efkarpia, 56429
Investigational Site Number 300012
Pátrai
Lithuania4 sites
Investigational Site Number 440005
Kaunas, LT-50009
Investigational Site Number 440006
Klaipėda, LT-92288
Investigational Site Number 440010
Panevezys, LT- 35144
Investigational Site Number 440011
Vilnius, 08661
New Zealand4 sites
Investigational Site Number 554007
Auckland, 1023
Investigational Site Number 554010
Dunedin, 9016
Investigational Site Number 554005
Hamilton, 3204
Investigational Site Number 554011
Nelson, 1023
Thailand4 sites
Investigational Site Number 764002
Bangkok, 10330
Investigational Site Number 764010
Bangkok, 10400
Investigational Site Number 764003
Bangkok Noi
Investigational Site Number 764011
Khon Kaen, 40002
Ecuador3 sites
Investigational Site Number 218003
Cuenca
Investigational Site Number 218001
Guayaquil, 0593
Investigational Site Number 218002
Quito, 0593
Latvia3 sites
Investigational Site Number 428002
Liepāja, LV-3401
Investigational Site Number 428001
Riga, LV-1038
Investigational Site Number 428003
Ventspils, LV 3601
About this study
Official title: A Randomized, Controlled Study of Sarilumab and Methotrexate (MTX) Versus Etanercept and MTX in Patients With Rheumatoid Arthritis (RA) and an Inadequate Response to 4 Months of Treatment With Adalimumab and MTX
Primary Objective:
To demonstrate the treatment effect of sarilumab and methotrexate (MTX) compared to etanercept and MTX in participants with rheumatoid arthritis (RA) and an inadequate response to adalimumab and MTX by evaluation of the Disease Activity Score for 28 joints (DAS28).
Secondary Objectives:
To assess the signs and symptoms of RA in participants taking sarilumab in combination with MTX.
To assess the quality of life of participants with RA taking sarilumab in combination with MTX.
To assess the safety and tolerability of sarilumab in combination with MTX in participants with RA.
Read the detailed description
The maximum study duration per participant enrolled in the open label run-in phase and was eligible to enroll in the randomized phase of main study was 54 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- randomized screening period of 2 to 4 weeks
- randomized treatment post-treatment safety follow-up period of 6 weeks.
The maximum study duration per participant enrolled only in the open label run-in phase and was not eligible to enroll in the randomized phase of main study was 26 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- open label treatment post-treatment safety follow-up period of 6 weeks.
The maximum study duration per participant enrolled in the open label run-in phase and was eligible to enroll in the sarilumab sub-study was 82 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- screening period of 2 to 4 weeks
- sarilumab treatment period of 52 weeks
- sub-study post-treatment safety follow-up period of 6 weeks.
- Conditions
- Rheumatoid Arthritis
- Being tested
- Sarilumab, Etanercept, Methotrexate, Placebo (for sarilumab), Placebo (for etanercept)
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SarilumabDrug
Also called SAR153191, REGN88
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous
EtanerceptDrug
Also called Enbrel
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous
MethotrexateDrug
Dispensed according to local practice.
Placebo (for sarilumab)Drug
Placebo (for etanercept)Drug
AdalimumabDrug
Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous
| Study group | Role | What they receive |
|---|---|---|
| Adalimumab Open Label run-in | Experimental | Adalimumab 40 mg every 2 weeks (Q2W) for 16 weeks added to stable dose of MTX. Receives: Drug: Methotrexate; Drug: Adalimumab |
| Etanercept + MTX (Randomized) | Active comparator | Etanercept 50 mg in combination with Placebo for sarilumab Q2W and etanercept 50 mg on alternating weeks for 24 weeks added to stable dose of MTX. Receives: Drug: Etanercept; Drug: Methotrexate; Drug: Placebo (for sarilumab) |
| Sarilumab 150 mg + MTX (Randomized) | Experimental | Sarilumab 150 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX. Receives: Drug: Sarilumab; Drug: Methotrexate; Drug: Placebo (for etanercept) |
| Sarilumab 200 mg + MTX (Randomized) | Experimental | Sarilumab 200 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX. Receives: Drug: Sarilumab; Drug: Methotrexate; Drug: Placebo (for etanercept) |
| Sarilumab 150 mg + MTX Open Label Sub-study | Experimental | Sarilumab 150 mg Q2W for 52 weeks added to stable dose of MTX. Receives: Drug: Sarilumab; Drug: Methotrexate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Disease Activity Score for 28 Joints - C-Reactive Protein (DAS28-CRP) Score at Week 24
Measured: Baseline, Week 24
Secondary outcomes (3)
Number of Participants With at Least 20% Improvement in American College of Rheumatology (ACR20), at Least 50% Improvement in ACR (ACR50) and at Least 70% Improvement in ACR (ACR70) Efficacy Response Rates at Week 12 and Week 24
Measured: Week 12 and Week 24
Percentage of Participants Achieving Clinical Remission Score (DAS28-CRP) <2.6 at Week 12 and Week 24
Measured: Week 12 and Week 24
Change From Baseline in DAS28-CRP Score at Week 12
Measured: Baseline, Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2013 (estimated)
- Study startApr 2013
- Primary completionJan 2015
- Study completionJan 2015
Why it stopped: Due to small number of participants entering randomization. Not a safety issue.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 776 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01764997
- Sponsor's protocol ID
- EFC11574
- Other IDs
- 2012-001984-66, U1111-1131-6653
- Acronym
- RA-COMPARE
- Status last verified
- Jun 2017
- First submitted
- 8 Jan 2013
- Last updated
- 27 Jul 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled Study of Sarilumab and Methotrexate (MTX) Versus Etanercept and MTX in Patients With Rheumatoid Arthritis (RA) and an Inadequate Response to 4 Months of Treatment With Adalimumab and MTX
- ClinicalTrials.gov ID
- NCT01764997
- Acronym / sponsor ID
- RA-COMPARE / EFC11574
- Conditions
- Rheumatoid Arthritis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Due to small number of participants entering randomization. Not a safety issue.
- Enrolment
- 776 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- Apr 2013
- Primary completion
- Jan 2015 (actual)
- Study completion
- Jan 2015 (actual)
- First posted
- 10 Jan 2013 (estimated)
- Results
- Posted 27 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To demonstrate the treatment effect of sarilumab and methotrexate (MTX) compared to etanercept and MTX in participants with rheumatoid arthritis (RA) and an inadequate response to adalimumab and MTX by evaluation of the Disease Activity Score for 28 joints (DAS28).
Secondary Objectives:
To assess the signs and symptoms of RA in participants taking sarilumab in combination with MTX.
To assess the quality of life of participants with RA taking sarilumab in combination with MTX.
To assess the safety and tolerability of sarilumab in combination with MTX in participants with RA.
Detailed description
The maximum study duration per participant enrolled in the open label run-in phase and was eligible to enroll in the randomized phase of main study was 54 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- randomized screening period of 2 to 4 weeks
- randomized treatment post-treatment safety follow-up period of 6 weeks.
The maximum study duration per participant enrolled only in the open label run-in phase and was not eligible to enroll in the randomized phase of main study was 26 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- open label treatment post-treatment safety follow-up period of 6 weeks.
The maximum study duration per participant enrolled in the open label run-in phase and was eligible to enroll in the sarilumab sub-study was 82 weeks:
- open label screening period of up to 4 weeks
- open-label treatment period of 16 weeks
- screening period of 2 to 4 weeks
- sarilumab treatment period of 52 weeks
- sub-study post-treatment safety follow-up period of 6 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Adalimumab Open Label run-in | Experimental | Drug: Methotrexate, Drug: AdalimumabAdalimumab 40 mg every 2 weeks (Q2W) for 16 weeks added to stable dose of MTX. |
| Etanercept + MTX (Randomized) | Active comparator | Drug: Etanercept, Drug: Methotrexate, Drug: Placebo (for sarilumab)Etanercept 50 mg in combination with Placebo for sarilumab Q2W and etanercept 50 mg on alternating weeks for 24 weeks added to stable dose of MTX. |
| Sarilumab 150 mg + MTX (Randomized) | Experimental | Drug: Sarilumab, Drug: Methotrexate, Drug: Placebo (for etanercept)Sarilumab 150 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX. |
| Sarilumab 200 mg + MTX (Randomized) | Experimental | Drug: Sarilumab, Drug: Methotrexate, Drug: Placebo (for etanercept)Sarilumab 200 mg in combination with placebo for etanercept Q2W and placebo for etanercept on alternating weeks for 24 weeks added to stable dose of MTX. |
| Sarilumab 150 mg + MTX Open Label Sub-study | Experimental | Drug: Sarilumab, Drug: MethotrexateSarilumab 150 mg Q2W for 52 weeks added to stable dose of MTX. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Diagnosis of RA >/= 3 months duration.
- Continuous treatment of MTX 10 - 25 mg/week (or per local labeling requirements if the dose range differs) for at least 12 weeks before screening visit and on a stable dose for 8 weeks before screening visit.
- Active disease defined as: at least 6/66 swollen and 8/68 tender joints and high sensitivity C-reactive protein > 10 mg/L.
Key exclusion criteria (7 listed)
- Age < 18 years.
- Use of parenteral corticosteroids or intra-articular corticosteroids within 4 weeks of the screening visit.
- Use of oral corticosteroids in a dose higher than prednisone 10 mg or equivalent per day, or a change in dosage within 4 weeks of the screening visit.
- Prior treatment with a tumor necrosis factor (TNF)-alpha inhibitor, or other biological disease modifying anti-rheumatoid drug (DMARD) or Janus Kinase inhibitor.
- New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclo-oxygenase-2 (COX-2) inhibitors within 4 weeks of the screening visit.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SarilumabAlso: SAR153191, REGN88Pharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous | Drug | Sarilumab 150 mg + MTX (Randomized), Sarilumab 150 mg + MTX Open Label Sub-study, Sarilumab 200 mg + MTX (Randomized) |
| EtanerceptAlso: EnbrelPharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous | Drug | Etanercept + MTX (Randomized) |
| MethotrexateDispensed according to local practice. | Drug | Adalimumab Open Label run-in, Etanercept + MTX (Randomized), Sarilumab 150 mg + MTX (Randomized), Sarilumab 150 mg + MTX Open Label Sub-study, Sarilumab 200 mg + MTX (Randomized) |
| Placebo (for sarilumab) | Drug | Etanercept + MTX (Randomized) |
| Placebo (for etanercept) | Drug | Sarilumab 150 mg + MTX (Randomized), Sarilumab 200 mg + MTX (Randomized) |
| AdalimumabPharmaceutical form: Solution for injection in pre-filled syringe; Route of administration: Subcutaneous | Drug | Adalimumab Open Label run-in |
Primary outcome
Change From Baseline in Disease Activity Score for 28 Joints - C-Reactive Protein (DAS28-CRP) Score at Week 24
Time frame: Baseline, Week 24
3 secondary outcomes
Number of Participants With at Least 20% Improvement in American College of Rheumatology (ACR20), at Least 50% Improvement in ACR (ACR50) and at Least 70% Improvement in ACR (ACR70) Efficacy Response Rates at Week 12 and Week 24
Time frame: Week 12 and Week 24
Percentage of Participants Achieving Clinical Remission Score (DAS28-CRP) <2.6 at Week 12 and Week 24
Time frame: Week 12 and Week 24
Change From Baseline in DAS28-CRP Score at Week 12
Time frame: Baseline, Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jul 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
257 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sarilumab, Etanercept and Methotrexate in people with Rheumatoid Arthritis, run by Sanofi at 257 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 27 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 257 sites in United States, Ukraine, Poland, Russia, Mexico and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Disease Activity Score for 28 Joints - C-Reactive Protein (DAS28-CRP) Score at Week 24 (time frame: Baseline, Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2017.