Rheumatoid ArthritisPhase 3NCT02373202
A Study Assessing the Safety and Efficacy of Sarilumab Added to Non-MTX DMARDs or as Monotherapy in Japanese Patients With Active Rheumatoid Arthritis (SARIL-RA-HARUKA)
A Phase 3 study testing Sarilumab, Sulfasalazine and Leflunomide in people with Rheumatoid Arthritis, run by Sanofi at 40 sites in Japan.
Trial summary
Primary Objective: To document the long-term safety of sarilumab added to non-methotrexate (non-MTX) disease-modifying antirheumatic drugs (DMARDs) or as monotherapy. Secondary Objective: To document the long term efficacy of sarilumab added to non-MTX DMARDs or as monotherapy. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- Sarilumab, Sulfasalazine and Leflunomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 91 participants
- Where
- 40 sitesJapan
- Study dates
- Feb 2015to Nov 2016
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of rheumatoid arthritis (RA), according to the American College of Rheumatology/The European League Against Rheumatism (ACR/EULAR) 2010 Rheumatoid Arthritis Classification Criteria with >=3 months disease duration.
- Moderately to severely active RA defined as:
- At least 4 of 68 tender joints and 4 of 66 swollen joints at screening visit.
- High sensitivity C-Reactive Protein (hs-CRP) >=4 mg/L or Erythrocyte Sedimentation Rate (ESR) >=28 mm/hr at screening visit.
- For the combination stratum:
- Participants who had continuous treatment with non-biologic DMARDs other than MTX for at least 12 weeks prior to the randomization and on a stable dose for a minimum of 6 weeks prior to screening.
- For the monotherapy stratum:
- Participants who per investigator judgment were any of inappropriate, intolerant or inadequate to MTX treatment.
Who cannot join
- Participants <20 years of age. Prior treatment with tumor necrosis factor (TNF) antagonists or any other RA-directed biologic agents without the appropriate off-drug period prior to screening.
- Prior treatment with anti-interleukin-6 (anti-IL-6) or anti-interleukin-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab.
- The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
40 sites in 1 country.
40 sites in 1 country
Japan40 sites
Investigational Site Number 392010
Asahi-Shi
Investigational Site Number 392001
Asahikawa-Shi
Investigational Site Number 392070
Beppu-Shi
Investigational Site Number 392036
Chiba
Investigational Site Number 392083
Chūōku
Investigational Site Number 392004
Fukui-shi
Investigational Site Number 392039
Fukuoka
Investigational Site Number 392030
Ichinomiya-Shi
Investigational Site Number 392002
Iizuka-Shi
Investigational Site Number 392019
Kagoshima
Investigational Site Number 392066
Kamakura-Shi
Investigational Site Number 392050
Kato-Shi
Investigational Site Number 392037
Kawachi-Nagano-Shi
Investigational Site Number 392099
Kawasaki-Shi
Investigational Site Number 392013
Kitakyushu-Shi
Investigational Site Number 392097
Kochi
Investigational Site Number 392065
Kushiro
Investigational Site Number 392026
Matsuyama
Investigational Site Number 392034
Miyagi-Gun
Investigational Site Number 392076
Nagoya
Investigational Site Number 392080
Nagoya
Investigational Site Number 392046
Narashino-Shi
Investigational Site Number 392059
Ōita
Investigational Site Number 392062
Okayama
Investigational Site Number 392027
Osaki-Shi
Investigational Site Number 392049
Sagamihara-Shi
Investigational Site Number 392014
Sapporo
Investigational Site Number 392041
Sapporo
Investigational Site Number 392073
Sapporo
Investigational Site Number 392006
Sasebo-Shi
Investigational Site Number 392021
Sendai
Investigational Site Number 392022
Sendai
Investigational Site Number 392033
Sendai
Investigational Site Number 392071
Sendai
Investigational Site Number 392029
Shizuoka
Investigational Site Number 392023
Takaoka-Shi
Investigational Site Number 392003
Tomakomai-Shi
Investigational Site Number 392074
Urasoe-Shi
Investigational Site Number 392079
Urayasu-Shi
Investigational Site Number 392048
Yokohama
About this study
Official title: A Randomized, Double-blind, Multicenter Study Evaluating the Safety and Efficacy of Sarilumab Added to Non-MTX DMARDs or as Monotherapy in Japanese Patients With Active Rheumatoid Arthritis
Primary Objective:
To document the long-term safety of sarilumab added to non-methotrexate (non-MTX) disease-modifying antirheumatic drugs (DMARDs) or as monotherapy.
Secondary Objective:
To document the long term efficacy of sarilumab added to non-MTX DMARDs or as monotherapy.
Read the detailed description
Total study duration was up to 62 weeks: Up to 4-week screening period, 52-week treatment period, and 6-week post-treatment follow-up period.
- Conditions
- Rheumatoid Arthritis
- Being tested
- Sarilumab, Sulfasalazine, Leflunomide, Bucillamine, Tacrolimus
- 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
SulfasalazineDrug
Pharmaceutical form: Tablet Route of administration: Oral
LeflunomideDrug
Pharmaceutical form: Tablet Route of administration: Oral
BucillamineDrug
Pharmaceutical form: Tablet Route of administration: Oral
TacrolimusDrug
Pharmaceutical form: Capsule Route of administration: Oral
MizoribineDrug
Pharmaceutical form: Tablet Route of administration: Oral
| Study group | Role | What they receive |
|---|---|---|
| Sarilumab 150 mg q2w + DMARDs | Experimental | Participants received sarilumab 150 mg, subcutaneous (SC) injection, once every two weeks (q2w) along with non-MTX DMARDs (sulfasalazine, leflunomide, bucillamine, tacrolimus, and/or mizoribine) for up to 52 weeks. Receives: Drug: Sarilumab; Drug: Sulfasalazine; Drug: Leflunomide; Drug: Bucillamine; Drug: Tacrolimus; Drug: Mizoribine |
| Sarilumab 200 mg q2w + DMARDs | Experimental | Participants received sarilumab 200 mg, SC injection, q2w along with non-MTX DMARDs (sulfasalazine, leflunomide, bucillamine, tacrolimus, and/or mizoribine) for up to 52 weeks. Receives: Drug: Sarilumab; Drug: Sulfasalazine; Drug: Leflunomide; Drug: Bucillamine; Drug: Tacrolimus; Drug: Mizoribine |
| Sarilumab 150 mg q2w | Experimental | Participants received sarilumab 150 mg, SC injection, q2w for up to 52 weeks. Receives: Drug: Sarilumab |
| Sarilumab 200 mg q2w | Experimental | Participants received sarilumab 200 mg, SC injection, q2w for up to 52 weeks. Receives: Drug: Sarilumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Adverse event (AE) was defined as any untoward medical occurrence in a participant who received IMP and did not necessary have to had a causal relationship with treatment. All AEs that occurred from the first dose of the IMP administration up to 6 weeks after last dose of treatment (up to Week 58) were considered as TEAEs. SAEs were AEs resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly or a medically important event. TEAEs included both SAEs and non-SAEs.
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities
Criteria for potentially clinically significant vital sign abnormalities:
- Systolic blood pressure (SBP) supine: <=95 mmHg and decrease from baseline (DFB) >=20 mmHg; >=160 mmHg and increase from baseline (IFB) >=20 mmHg
- Diastolic blood pressure (DBP) supine: <=45 mmHg and DFB >=10 mmHg; >=110 mmHg and IFB ≥10 mmHg
- SBP (Orthostatic): <=-20 mmHg
- DBP (Orthostatic): <=-10 mmHg
- Heart rate (HR) supine: <=50 beats per minute (bpm) and DFB >=20 bpm; >=120 bpm and IFB >=20 bpm
- Weight: >=5% DFB; >=5% IFB
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for potentially clinically significant ECG abnormalities:
- PR Interval: >200 milliseconds (ms); >200 ms and IFB >=25%; >220 ms; >220 ms and IFB >=25%; >240 ms; >240 ms and IFB >=25%
- QRS Interval: >110 ms; >110 ms and IFB >=25%; >120 ms; >120 ms and IFB >=25%
- QT Interval: >500 ms
- QTc Bazett (QTc B): >450 ms; >480 ms; >500 ms; IFB >30 and <=60 ms, IFB >60 ms
- QTc Fridericia (QTc F): >450 ms; >480 ms; >500 ms; IFB >30 and <=60 ms; IFB >60 ms
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters
Criteria for potentially clinically significant abnormalities:
- Hemoglobin: <=115 g/L (Male[M]) or <=95 g/L (Female[F]); >=185 g/L (M) or >=165 g/L (F); DFB >=20 g/L
- Hematocrit: <=0.37 v/v (M) or <=0.32 v/v (F); >=0.55 v/v (M) or >=0.5 v/v (F)
- Red blood cells (RBC): >=6 Tera/L
- Platelets: <50 Giga/L; >=50 and <100 Giga/L; >=700 Giga/L
- White blood cells (WBC): <3.0 Giga/L (Non-Black [NB]) or <2.0 Giga/L (Black [B]); >=16.0 Giga/L
- Neutrophils: <1.5 Giga/L (NB) or <1.0 Giga/L (B); <1.0 Giga/L
- Lymphocytes: <0.5 Giga/L; >=0.5 Giga/L and <lower limit of normal (LLN); >4.0 Giga/L
- Monocytes: >0.7 Giga/L
- Basophils: >0.1 Giga/L
- Eosinophils: >0.5 Giga/L or >upper limit of normal (ULN) (if ULN >=0.5 Giga/L)
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Metabolic Parameters
Criteria for potentially clinically significant abnormalities:
- Glucose: <=3.9 mmol/L and <LLN; >=11.1 mmol/L (unfasted [unfas]) or >=7 mmol/L (fasted [fas])
- Hemoglobin A1c (HbA1c): >8%
- Total cholesterol: >=6.2 mmol/L; >=7.74 mmol/L
- LDL cholesterol: >=4.1 mmol/L; >=4.9 mmol/L
- Triglycerides: >=4.6 mmol/L; >=5.6 mmol/L
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Electrolytes
Criteria for potentially clinically significant abnormalities:
- Sodium: <=129 mmol/L; >=160 mmol/L
- Potassium: <3 mmol/L; >=5.5 mmol/L
- Chloride: <80 mmol/L; >115 mmol/L
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Renal Function Parameters
Criteria for potentially clinically significant abnormalities:
- Creatinine: >=150 micromol/L (adults); >=30% change from baseline, >=100% change from baseline
- Creatinine clearance: <15 mL/min; >=15 to <30 mL/min; >=30 to <60 mL/min; >=60 to <90 mL/min
- Blood urea nitrogen: >=17 mmol/L
- Uric acid: <120 micromol/L; >408 micromol/L
Measured: Baseline up to Week 58
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Liver Function Parameters
Criteria for potentially clinically significant abnormalities:
- Alanine Aminotransferase (ALT): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN
- Aspartate aminotransferase (AST): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN
- Alkaline phosphatase: >1.5 ULN
- Total bilirubin (TBILI): >1.5 ULN; >2 ULN
- Conjugated bilirubin(CBILI): >1.5 ULN
- Unconjugated bilirubin: >1.5 ULN
- ALT >3 ULN and TBILI >2 ULN
- CBILI >35% TBILI and TBILI >1.5 ULN
- Albumin: <=25 g/L
Measured: Baseline up to Week 58
Secondary outcomes (3)
Percentage of Participants Achieving American College of Rheumatology (ACR) 20, 50 and 70 Responses at Week 52
ACR response is a composite rating scale that includes 7 variables: tender joints count (TJC [68 joints]); swollen joints count (SJC [66 joints]); levels of an acute phase reactant (high sensitivity C-reactive protein [hs-CRP level]); participant's assessment of pain (measured on 0 [no pain]-100 mm [worst pain] visual analog scale [VAS]); participant's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); physician's global assessment of disease activity (measured on 0 [no arthritis activity]-100 mm [maximal arthritis activity] VAS); participant's assessment of physical function (measured by Health Assessment Question-Disability Index [HAQ-DI], with scoring range of 0 [better health] - 3 [worst health]). ACR20/50/70 response is defined as at least 20/50/70% improvement in both TJC and SJC, and at least 20/50/70% improvement in at least 3 of the 5 other assessments, respectively.
Measured: Week 52
Change From Baseline at Week 52 in Disease Activity Score for 28 Joints Based on C-Reactive Protein (DAS28-CRP)
DAS28-CRP is a composite score that contains 4 variables: TJC (based on 28 joints), SJC (based on 28 joints), participant's assessment of general health on VAS (range 0 [very well] to 100 mm [extremely bad]) and CRP (mg/L). DAS28-CRP total score ranges from 2-10 with a lower score indicating less disease activity. A DAS28-CRP above 5.1 indicates high disease activity, whereas below 3.2 indicates low disease activity and below 2.6 as disease remission.
Measured: Baseline, Week 52
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 52
HAQ-DI assessed the degree of difficulty participants experienced in 8 daily living activity domains during a week: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and other activities. Each activity category consisted of 2-3 items. Each items's difficulty was scored from 0-3 (0=no difficulty, 1=some difficulty, 2=much difficulty, 3=unable to do). Overall HAQ-DI score was computed as the sum of domain scores divided by the number of domains answered, providing a score from 0-3. Low scores denoted improvement of disability/lower degree of domain difficulty.
Measured: Baseline, Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2015 (estimated)
- Study startFeb 2015
- Primary completionNov 2016
- Study completionNov 2016
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
- 91 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
- NCT02373202
- Sponsor's protocol ID
- LTS13618
- Other IDs
- U1111-1160-6525
- Status last verified
- Jan 2018
- First submitted
- 12 Feb 2015
- Last updated
- 30 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multicenter Study Evaluating the Safety and Efficacy of Sarilumab Added to Non-MTX DMARDs or as Monotherapy in Japanese Patients With Active Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT02373202
- Acronym / sponsor ID
- LTS13618
- Conditions
- Rheumatoid Arthritis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 91 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- Feb 2015
- Primary completion
- Nov 2016 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 26 Feb 2015 (estimated)
- Results
- Posted 30 Jan 2018
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 document the long-term safety of sarilumab added to non-methotrexate (non-MTX) disease-modifying antirheumatic drugs (DMARDs) or as monotherapy.
Secondary Objective:
To document the long term efficacy of sarilumab added to non-MTX DMARDs or as monotherapy.
Detailed description
Total study duration was up to 62 weeks: Up to 4-week screening period, 52-week treatment period, and 6-week post-treatment follow-up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Sarilumab 150 mg q2w + DMARDs | Experimental | Drug: Sarilumab, Drug: Sulfasalazine, Drug: Leflunomide, Drug: Bucillamine, Drug: Tacrolimus, Drug: MizoribineParticipants received sarilumab 150 mg, subcutaneous (SC) injection, once every two weeks (q2w) along with non-MTX DMARDs (sulfasalazine, leflunomide, bucillamine, tacrolimus, and/or mizoribine) for up to 52 weeks. |
| Sarilumab 200 mg q2w + DMARDs | Experimental | Drug: Sarilumab, Drug: Sulfasalazine, Drug: Leflunomide, Drug: Bucillamine, Drug: Tacrolimus, Drug: MizoribineParticipants received sarilumab 200 mg, SC injection, q2w along with non-MTX DMARDs (sulfasalazine, leflunomide, bucillamine, tacrolimus, and/or mizoribine) for up to 52 weeks. |
| Sarilumab 150 mg q2w | Experimental | Drug: SarilumabParticipants received sarilumab 150 mg, SC injection, q2w for up to 52 weeks. |
| Sarilumab 200 mg q2w | Experimental | Drug: SarilumabParticipants received sarilumab 200 mg, SC injection, q2w for up to 52 weeks. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Diagnosis of rheumatoid arthritis (RA), according to the American College of Rheumatology/The European League Against Rheumatism (ACR/EULAR) 2010 Rheumatoid Arthritis Classification Criteria with >=3 months disease duration.
- At least 4 of 68 tender joints and 4 of 66 swollen joints at screening visit.
- High sensitivity C-Reactive Protein (hs-CRP) >=4 mg/L or Erythrocyte Sedimentation Rate (ESR) >=28 mm/hr at screening visit.
- Participants who had continuous treatment with non-biologic DMARDs other than MTX for at least 12 weeks prior to the randomization and on a stable dose for a minimum of 6 weeks prior to screening.
- Participants who per investigator judgment were any of inappropriate, intolerant or inadequate to MTX treatment.
Key exclusion criteria (3 listed)
- Participants <20 years of age. Prior treatment with tumor necrosis factor (TNF) antagonists or any other RA-directed biologic agents without the appropriate off-drug period prior to screening.
- Prior treatment with anti-interleukin-6 (anti-IL-6) or anti-interleukin-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab.
- The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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 (REGN88)Pharmaceutical form:solution | Drug | Sarilumab 150 mg q2w, Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w, Sarilumab 200 mg q2w + DMARDs |
| SulfasalazinePharmaceutical form: Tablet Route of administration: Oral | Drug | Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w + DMARDs |
| LeflunomidePharmaceutical form: Tablet Route of administration: Oral | Drug | Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w + DMARDs |
| BucillaminePharmaceutical form: Tablet Route of administration: Oral | Drug | Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w + DMARDs |
| TacrolimusPharmaceutical form: Capsule Route of administration: Oral | Drug | Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w + DMARDs |
| MizoribinePharmaceutical form: Tablet Route of administration: Oral | Drug | Sarilumab 150 mg q2w + DMARDs, Sarilumab 200 mg q2w + DMARDs |
Primary outcome
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Baseline up to Week 58
Adverse event (AE) was defined as any untoward medical occurrence in a participant who received IMP and did not necessary have to had a causal relationship with treatment. All AEs that occurred from the first dose of the IMP administration up to 6 weeks after last dose of treatment (up to Week 58) were considered as TEAEs. SAEs were AEs resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly or a medically important event. TEAEs included both SAEs and non-SAEs.
Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant vital sign abnormalities: * Systolic blood pressure (SBP) supine: <=95 mmHg and decrease from baseline (DFB) >=20 mmHg; >=160 mmHg and increase from baseline (IFB) >=20 mmHg * Diastolic blood pressure (DBP) supine: <=45 mmHg and DFB >=10 mmHg; >=110 mmHg and IFB ≥10 mmHg * SBP (Orthostatic): <=-20 mmHg * DBP (Orthostatic): <=-10 mmHg * Heart rate (HR) supine: <=50 beats per minute (bpm) and DFB >=20 bpm; >=120 bpm and IFB >=20 bpm * Weight: >=5% DFB; >=5% IFB
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant ECG abnormalities: * PR Interval: >200 milliseconds (ms); >200 ms and IFB >=25%; >220 ms; >220 ms and IFB >=25%; >240 ms; >240 ms and IFB >=25% * QRS Interval: >110 ms; >110 ms and IFB >=25%; >120 ms; >120 ms and IFB >=25% * QT Interval: >500 ms * QTc Bazett (QTc B): >450 ms; >480 ms; >500 ms; IFB >30 and <=60 ms, IFB >60 ms * QTc Fridericia (QTc F): >450 ms; >480 ms; >500 ms; IFB >30 and <=60 ms; IFB >60 ms
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant abnormalities: * Hemoglobin: <=115 g/L (Male[M]) or <=95 g/L (Female[F]); >=185 g/L (M) or >=165 g/L (F); DFB >=20 g/L * Hematocrit: <=0.37 v/v (M) or <=0.32 v/v (F); >=0.55 v/v (M) or >=0.5 v/v (F) * Red blood cells (RBC): >=6 Tera/L * Platelets: <50 Giga/L; >=50 and <100 Giga/L; >=700 Giga/L * White blood cells (WBC): <3.0 Giga/L (Non-Black [NB]) or <2.0 Giga/L (Black [B]); >=16.0 Giga/L * Neutrophils: <1.5 Giga/L (NB) or <1.0 Giga/L (B); <1.0 Giga/L * Lymphocytes: <0.5 Giga/L; >=0.5 Giga/L and <lower limit of normal (LLN); >4.0 Giga/L * Monocytes: >0.7 Giga/L * Basophils: >0.1 Giga/L * Eosinophils: >0.5 Giga/L or >upper limit of normal (ULN) (if ULN >=0.5 Giga/L)
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Metabolic Parameters
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant abnormalities: * Glucose: <=3.9 mmol/L and <LLN; >=11.1 mmol/L (unfasted [unfas]) or >=7 mmol/L (fasted [fas]) * Hemoglobin A1c (HbA1c): >8% * Total cholesterol: >=6.2 mmol/L; >=7.74 mmol/L * LDL cholesterol: >=4.1 mmol/L; >=4.9 mmol/L * Triglycerides: >=4.6 mmol/L; >=5.6 mmol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Electrolytes
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant abnormalities: * Sodium: <=129 mmol/L; >=160 mmol/L * Potassium: <3 mmol/L; >=5.5 mmol/L * Chloride: <80 mmol/L; >115 mmol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Renal Function Parameters
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant abnormalities: * Creatinine: >=150 micromol/L (adults); >=30% change from baseline, >=100% change from baseline * Creatinine clearance: <15 mL/min; >=15 to <30 mL/min; >=30 to <60 mL/min; >=60 to <90 mL/min * Blood urea nitrogen: >=17 mmol/L * Uric acid: <120 micromol/L; >408 micromol/L
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Liver Function Parameters
Time frame: Baseline up to Week 58
Criteria for potentially clinically significant abnormalities: * Alanine Aminotransferase (ALT): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN * Aspartate aminotransferase (AST): >1 ULN and <=1.5 ULN; >1.5 ULN and <=3 ULN; >3 ULN and <=5 ULN; >5 ULN and <=10 ULN; >10 ULN and <=20 ULN; >20 ULN * Alkaline phosphatase: >1.5 ULN * Total bilirubin (TBILI): >1.5 ULN; >2 ULN * Conjugated bilirubin(CBILI): >1.5 ULN * Unconjugated bilirubin: >1.5 ULN * ALT >3 ULN and TBILI >2 ULN * CBILI >35% TBILI and TBILI >1.5 ULN * Albumin: <=25 g/L
3 secondary outcomes
Percentage of Participants Achieving American College of Rheumatology (ACR) 20, 50 and 70 Responses at Week 52
Time frame: Week 52
Change From Baseline at Week 52 in Disease Activity Score for 28 Joints Based on C-Reactive Protein (DAS28-CRP)
Time frame: Baseline, Week 52
Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 52
Time frame: Baseline, Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Rheumatoid Arthritis
RecruitingPhase 2
Study of PTC844 in Participants With Active Rheumatoid Arthritis
Rheumatoid Arthritis
Not yet recruitingPhase 1
An Ascending Dose Study of DKB903 in Participants With Rheumatoid Arthritis (RA) and Participants With Systemic Lupus Erythematosus (SLE)
Rheumatoid Arthritis and Systemic Lupus Erythematosus
Not yet recruitingPhase 1
R-2487 in Patients With Sjogren's Syndrome (SjD)
Sjogren's Syndrome, Sjögren
RecruitingPhase 1
A Trial in Healthy Adult Participants and Adults With Autoimmune Diseases to Test How HBM7020 is Tolerated and How it Behaves in the Body
Rheumatoid Arthritis, Systemic Lupus Erythematosus
Active, not recruitingPhase 2
A Study Evaluating the Safety and Efficacy of Inhaled AP01 in Participants With Progressive Pulmonary Fibrosis
Pulmonary Fibrosis, Progressive Pulmonary Fibrosis
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
40 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sarilumab, Sulfasalazine and Leflunomide in people with Rheumatoid Arthritis, run by Sanofi at 40 sites in Japan.
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 8 inclusion and 3 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 30 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 40 sites in Japan. 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 30 Jan 2018). 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 of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: Baseline up to Week 58). The study lists 8 primary outcomes in all. 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 30 Jan 2018.