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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.

Completed

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

Official record
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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
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

Other trials in Japan

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.

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 groups in NCT02373202
Study groupRoleWhat they receive
Sarilumab 150 mg q2w + DMARDsExperimentalParticipants 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 + DMARDsExperimentalParticipants 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 q2wExperimentalParticipants received sarilumab 150 mg, SC injection, q2w for up to 52 weeks.
Receives: Drug: Sarilumab
Sarilumab 200 mg q2wExperimentalParticipants 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.

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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)
  1. 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

  2. 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

  3. 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.

  1. First posted26 Feb 2015 (estimated)
  2. Study startFeb 2015
  3. Primary completionNov 2016
  4. Study completionNov 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 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)
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
Data monitoring committee
No
FDA-regulated drug
Yes

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.

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