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Rheumatoid ArthritisPhase 2NCT02287922

A Phase IIb Study for ALX-0061 Monotherapy in Subjects With Rheumatoid Arthritis

A Phase 2 study testing ALX-0061 and Tocilizumab in people with Rheumatoid Arthritis, run by Ablynx, a Sanofi company at 83 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is: To assess the efficacy and safety of dose regimens of ALX-0061 monotherapy administered subcutaneously (s.c.) to subjects with active rheumatoid arthritis (RA). Read more about this study

Who is it for?
Ages 18 to 74 years
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
ALX-0061 and Tocilizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
251 participants
Where
83 sitesin 14 countries
Study dates
Mar 2015to Jul 2016
Phase
Phase 2
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 to 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of RA (according to the 2010 EULAR/American College of Rheumatology (ACR) classification criteria) for at least 6 months prior to screening, and ACR functional class I-III.
  • Received previous or current treatment with methotrexate (MTX), and is considered intolerant to MTX, or for whom continued treatment with MTX is inappropriate or has contraindications for MTX use.
  • Subjects must not have received MTX for at least 4 weeks before first administration of the study drug.
  • Have active RA with at least 6 swollen and 6 tender joints(66/68 joint count) at the time of screening and baseline
  • Others as defined in the protocol

Who cannot join

  • Have been treated with DMARDs (Disease Modifying Antirheumatic Drugs)/systemic immunosuppressive drugs during the 4 weeks, or 12 weeks for hydroxychloroquine, chloroquine, or leflunomide (except when an adequate wash-out procedure for leflunomide was completed), prior to first administration of study drug.
  • Have received approved or investigational biological or targeted synthetic DMARD therapies for RA (including tumor necrosis factor alpha-inhibitors, abatacept, rituximab, or Janus kinase [JAK]-inhibitors) less than 6 months prior to screening.
  • Have a history of toxicity, non-tolerance, primary non-response or inadequate response to a biological therapy, or targeted synthetic DMARDs (including JAK inhibitors), for RA.
  • Have received prior therapy blocking the interleukin-6 (IL-6) pathway, at any time.
  • Others as defined in the protocol.

Trial locations and contacts

83 sites in 14 countries.

83 sites in 14 countries

United States17 sites
  • Investigator Site

    Albuquerque, New Mexico, 87102

  • Investigator Site

    Birmingham, Alabama, 35216

  • Investigator Site

    Charleston, South Carolina, 29406

  • Investigator Site

    Hemet, California, 92543

  • Investigator site

    Hialeah, Florida, 33016

  • Investigator Site

    Homestead, Florida, 33030

  • Investigator Site

    La Palma, California, 90712

  • Investigator site

    Los Angeles, California, 90017

  • Investigator Site

    Los Angeles, California, 90036

  • Investigator Site

    Memphis, Tennessee, 38119

  • Investigator Site

    Mesquite, Texas, 75150

  • Investigator Site

    New York, New York, 10018

  • Investigator Site

    Orlando, Florida, 32804

  • Investigator site

    Overland Park, Kansas, 66209

  • Investigator Site

    Stockbridge, Georgia, 30281

  • Investigator site

    Ventura, California, 93003

  • Investigator Site

    Worcester, Massachusetts, 01605

Other trials in United States

Poland10 sites
  • Investigator Site

    Bydgoszcz

  • Investigator Site 2

    Elblag, 82300

  • Investigator Site

    Elblag

  • Investigator Site

    Gdynia

  • Investigator Site

    Grodzisk Mazowiecki, 05825

  • Investigator Site

    Lublin, 20582

  • Investigator SIte

    Poznan, 60773

  • Investigator Site

    Sochaczew, 96500

  • Investigator Site

    Torun, 87100

  • Investigator Site

    Warsaw, 02653

Other trials in Poland

Hungary8 sites
  • Investigator Site

    Baja, 6500

  • Investigator Site

    Budapest

  • Investigator Site

    Esztergom

  • Investigator site

    Gyula, 5700

  • Investigator Site

    Székesfehérvar, 8000

  • Investigator Site

    Szikszó, 3800

  • Investigator Site

    Szombathely, 9700

  • Investigator Site

    Veszprém, 8200

Other trials in Hungary

Bulgaria7 sites
  • Investigator Site

    Burgas

  • Investigator Site

    Pleven

  • Investigator Site 1

    Plovdiv

  • Investigator Site 2

    Plovdiv

  • Investigator Site 1

    Rousse

  • Investigator Site 2

    Rousse

  • Investigator Site

    Sofia

Other trials in Bulgaria

Mexico7 sites
  • Investigator Site

    Culiacán

  • Investigator Site

    León

  • Investigator Site 1

    Mexico City

  • Investigator Site 2

    Mexico City

  • Investigator Site

    Mexico City

  • Investigator Site 1

    Monterrey

  • Investigator Site 2

    Monterrey

Other trials in Mexico

Czechia6 sites
  • Investigator Site

    Brno, 602000

  • Investigator Site

    Olomouc

  • Investigator Site

    Ostrava, 70300

  • Investigator Site 1

    Prague

  • Investigator Site 2

    Prague

  • Investigator Site

    Zlín

Other trials in Czechia

Spain6 sites
  • Investigator Site

    Córdoba

  • Investigator Site

    Madrid, 28007

  • Investigator Site

    Santander, 39300

  • Investigator Site 2

    Santander

  • Investigator Site 1

    Santiago de Compostela

  • Investigator Site 2

    Santiago de Compostela

Other trials in Spain

Georgia5 sites
  • Investigator Site

    Tbilisi, 0102

  • Investigator Site 1

    Tbilisi, 0159

  • Investigator Site 2

    Tbilisi, 0159

  • Investigator Site

    Tbilisi, 0160

  • Investigator Site

    Tbilisi, 0179

Other trials in Georgia

Serbia4 sites
  • Investigator Site 1

    Belgrade

  • Investigator Site 2

    Belgrade

  • Investigator Site 3

    Belgrade

  • Investigator Site

    Niška Banja

Other trials in Serbia

Belgium3 sites
  • Investigator Site

    Brussels, 1200

  • Investigator Site

    Ghent, 9000

  • Investigator Site

    Liège, 4000

Other trials in Belgium

Germany3 sites
  • Investigator Site

    Berlin

  • Investigator Site

    Frankfurt

  • Investigator Site

    Hamburg

Other trials in Germany

Romania3 sites
  • Investigator Site

    Bucharest

  • Investigator Site

    Oradea

  • Investigator Site

    Timișoara

Other trials in Romania

Moldova2 sites
  • Investigator Site

    Chisinau, 2025

  • Investigator Site

    Chisinau

Other trials in Moldova

North Macedonia2 sites
  • Investigator Site 1

    Skopje, 1000

  • Investigator Site 2

    Skopje, 1000

Other trials in North Macedonia

About this study

Official title: A Phase IIb Multicenter, Randomized, Double-blind Study of ALX-0061 Administered Subcutaneously as Monotherapy, in Subjects With Moderate to Severe Rheumatoid Arthritis Who Are Intolerant to Methotrexate or for Whom Continued Methotrexate Treatment is Inappropriate

The primary objective of this study is:

  • To assess the efficacy and safety of dose regimens of ALX-0061 monotherapy administered subcutaneously (s.c.) to subjects with active rheumatoid arthritis (RA).

The secondary objectives of this study are:

  • To assess the effects of ALX-0061 on quality of life, the pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of ALX-0061 and to explore potential dose regimens for ALX-0061 monotherapy, based on safety and efficacy, for further clinical development.
  • To obtain parallel descriptive information concerning the efficacy and safety of tocilizumab (TCZ) s.c. in the same clinical trial RA population.
Being tested
ALX-0061, Placebo, Tocilizumab
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ALX-0061Biological

  • PlaceboBiological

  • TocilizumabBiological

Study groups in NCT02287922
Study groupRoleWhat they receive
ALX-0061 150 mg q4wExperimentalALX-0061 150 mg every 4 weeks from baseline through Week 12 + placebo every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.
Receives: Biological: ALX-0061; Biological: Placebo
ALX-0061 150 mg q2wExperimentalALX-0061 150 mg every 2 weeks from baseline through Week 12 + placebo every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.
Receives: Biological: ALX-0061; Biological: Placebo
ALX-0061 225 mg q2wExperimentalALX-0061 225 mg every 2 weeks from baseline through Week 12. The last injection with study drug was administered at the Week 10 visit.
Receives: Biological: ALX-0061
TCZ 162 mg q1w or q2wActive comparatorOpen-label TCZ. Injections were to be performed q1w or q2w depending on the approved label per region (last injection was administered at Week 10 or Week 11, depending on the dose regimen).
Receives: Biological: Tocilizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number and Percentage of Subjects With American College of Rheumatology 20 (ACR20) at Week 12

    ACR 20 response is defined as:

    • 20% improvement in tender joint count (TJC; 68 joints) relative to Week 0 AND
    • 20% improvement in swollen joint count (SJC; 66 joints) relative to Week 0 AND
    • 20% improvement in 3 of the following 5 areas relative to Week 0:
    • Subject's Assessment of Pain (100 mm - visual analogue scale [VAS])
    • Subject's Global Assessment of Disease Activity (VASPA)
    • Physician's Global Assessment of Disease Activity (VASPHA)
    • Subject's assessment of physical function as measured by Health Assessment Questionnaire-Disability Index (HAQ-DI)
    • C-reactive protein (CRP) level

    The primary endpoint was analyzed using non-responder imputation (NRI), i.e., subjects with missing ACR20 response at Week 12 were treated as non-responders.

    Measured: Week 12

Secondary outcomes (20)
  1. Number and Percentage of Subjects With ACR50 and ACR70 Response at Week 12

    ACR50/70 response is defined as:

    • 50/70% improvement in TJC (68 joints) relative to Week 0 AND
    • 50/70% improvement in SJC (66 joints) relative to Week 0 AND
    • 50/70% improvement in 3 of the following 5 areas relative to Week 0:
    • Subject's Assessment of Pain (100 mm - VAS)
    • Subject's Global Assessment of Disease Activity (VASPA)
    • Physician's Global Assessment of Disease Activity (VASPHA)
    • Subject's assessment of physical function as measured by HAQ-DI
    • CRP level

    This endpoint was analyzed using NRI, i.e., subjects with missing response at Week 12 were treated as non-responders.

    Measured: Week 12

  2. Number and Percentage of Subjects With Low Disease Activity (LDA) Using Disease Activity Score Using 28 Joint Counts (DAS28) Using C-reactive Protein (CRP) at Week 12

    DAS28(CRP) = (0.56 × √TJC28) + (0.28 × √SJC28) + (0.36 × ln[CRP+1]) + (0.014 × VASPA) + 0.96

    Low disease activity = 2.6 ≤ DAS28 ≤ 3.2

    Subjects with low disease activity includes subjects who are in remission. This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  3. Number and Percentage of Subjects With LDA Using DAS28 Using Erythrocyte Sedimentation Rate (ESR) at Week 12

    DAS28(ESR) = (0.56 × √TJC28) + (0.28 × √SJC28) + (0.70 × ln[ESR]) +(0.014 × VASPA)

    Low disease activity = 2.6 ≤ DAS28 ≤ 3.2

    Subjects with low disease activity includes subjects who are in remission. This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  4. Number and Percentage of Subjects With LDA Using Simplified Disease Activity Index (SDAI) at Week 12

    SDAI = TJC28 + SJC28 + VASPA + VASPHA + CRP (mg/dL)

    Low disease activity: 3.3 < SDAI ≤ 11.0

    Subjects with low disease activity includes subjects who are in remission. This endpoint was analyzed using non-responder imputation (NRI), i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  5. Number and Percentage of Subjects With LDA Using Clinical Disease Activity Index (CDAI) at Week 12

    CDAI = TJC28 + SJC28 + VASPA + VASPHA

    Low disease activity: 2.8 < CDAI ≤ 10

    Subjects with low disease activity includes subjects who are in remission. This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  6. Number and Percentage of Subjects With European League Against Rheumatism (EULAR) (CRP) Good Response at Week 12

    EULAR good response is defined as an improvement of >1.2 in DAS28 (CRP) relative to baseline.

    This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  7. Number and Percentage of Subjects in Remission Using DAS28 (ESR) at Week 12

    DAS28(ESR) = (0.56 × √TJC28) + (0.28 × √SJC28) + (0.70 × ln[ESR]) +(0.014 × VASPA)

    Remission = DAS28(ESR) < 2.6

    This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  8. Number and Percentage of Subjects in Remission Using SDAI at Week 12

    SDAI = TJC28 + SJC28 + VASPA + VASPHA + CRP (mg/dL)

    Remission: SDAI ≤ 3.3

    This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  9. Number and Percentage of Subjects in Remission Using CDAI at Week 12

    CDAI = TJC28 + SJC28 + VASPA + VASPHA

    Remission: CDAI ≤ 2.8

    This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  10. Number and Percentage of Subjects in Remission Using Boolean Defined Remission Criteria at Week 12

    Boolean remission: tender joint count (TJC)28 ≤ 1 and swollen joint count (SJC)28 ≤ 1 and VASPA (cm) ≤ 1 and CRP (mg/dL) ≤ 1

    This endpoint was analyzed using NRI, i.e., subjects with missing response at the concerned visit were treated as non-responders.

    Measured: Week 12

  11. Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12

    The HAQ-DI is a 20-question instrument which assesses the degree of difficulty the subject had in accomplishing tasks in 8 functional areas over the previous week. The 8 areas are: dressing and grooming, hygiene, arising, reach, eating, grip, walking, common daily activities. Within each area, subjects report the amount of difficulty they have in performing the specific items. There are 4 response options ranging from: 0 = No Difficulty, 1 = With Some Difficulty, 2 = With Much Difficulty, 3 = Unable to Do. The 8 areas are each given a single score equal to the maximum value of their component activities (0, 1, 2, or 3). The sum of the area scores is then divided by the number of areas answered to obtain the final HAQ score (rounded to the nearest value evenly divisible by 0.125). The final HAQ-DI score ranges from 0 to 3. A high score means a high degree of disability (=worse outcome).

    Missing values were imputed with the last non-missing observation.

    Measured: From baseline until Week 12

  12. Change From Baseline in Physical and Mental Component Scores of Short Form Health Survey (SF-36) at Week 12

    The Short Form (36) Health Survey (SF-36) consists of 36 items that can be summarized into 8 domains: physical functioning, role limitations due to physical health problems (role-physical), bodily pain, general health, vitality, social functioning, role limitations due to emotional problems (role-emotional), and mental health. Two summary measures, the physical component summary and the mental component summary, can be derived based on these domain scores. Each score is directly transformed into a 0-100 score on the assumption that each question carries equal weight. Low score indicates greater disability.

    Measured: From baseline until week 12

  13. Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) Subscale at Week 12

    The FACIT Measurement System is a collection of health-related quality of life questionnaires that assess multidimensional health status in people with various chronic illnesses. The FACIT Fatigue Scale is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. The level of fatigue is measured on a four point Likert scale (4 = not at all fatigued to 0 = very much fatigued). To score the FACIT-fatigue, all items are summed to create a single fatigue score with a range from 0 to 52. Items are reverse scored when appropriate to provide a scale in which higher scores represent better functioning or less fatigue.

    Measured: From baseline until Week 12

  14. Pharmacodynamics: Concentrations of Soluble Interleukin-6 Receptor (sIL-6R)

    Values below the limit of quantification are imputed with the lower limit of quantification (LLOQ).

    Measured: From baseline until Week 12

  15. Pharmacokinetics: ALX-0061 Concentration in Serum at Week 12

    Measured: From baseline until Week 12

  16. Number and Percentage of Subjects With Development of a Treatment-emergent Antidrug Antibody Response

    Measured: From first study drug intake up to and including follow-up (FU), i.e., maximum of 22 weeks (10 weeks of treatment + 12 weeks of FU)

  17. Number and Percentage of Subjects With Treatment-emergent Adverse Event by Severity

    Measured: From baseline until Week 12

  18. Number of Treatment-emergent Adverse Event by Severity

    Measured: From baseline until Week 12

  19. Number and Percentage of Subjects With a Treatment-related Treatment-emergent Adverse Event

    treatment related = considered at least possibly related to study drug by the Investigator

    Measured: From baseline until Week 12

  20. Number of Treatment-related Treatment-emergent Adverse Event

    treatment related = considered at least possibly related to study drug by the Investigator

    Measured: From baseline until Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Nov 2014 (estimated)
  2. Study startMar 2015
  3. Primary completionJul 2016
  4. Study completionJul 2016

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
251 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02287922
Sponsor's protocol ID
ALX0061-C202
Other IDs
2014-003012-36, 2014
Status last verified
Aug 2019
First submitted
5 Nov 2014
Last updated
21 Aug 2019
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ALX-0061 and Tocilizumab in people with Rheumatoid Arthritis, run by Ablynx, a Sanofi company at 83 sites in 14 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 5 inclusion and 5 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: finished, as of the sponsor's last update on 21 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in United States, Poland, Hungary, Bulgaria, Mexico and 9 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 21 Aug 2019). 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?

Number and Percentage of Subjects With American College of Rheumatology 20 (ACR20) at Week 12 (time frame: Week 12). 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 21 Aug 2019.

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