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Rheumatoid ArthritisPhase 3RI-01-007NCT04268771

A Phase III Transition Study of DRL Rituximab to Reference Medicinal Products

A Phase 3 study testing Experimental: Arm A: DRL_RI and Arm B: Rituxan®/Mabthera® in people with Rheumatoid Arthritis, run by Dr. Reddy's Laboratories Limited at 26 sites in United States.

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 objective of the current study is to assess the immunogenicity and safety of transitioning subjects with RA to DRL_RI from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab. 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?
Experimental: Arm A: DRL_RI and Arm B: Rituxan®/Mabthera®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
26 sitesUnited States
Study dates
8 Apr 2020to 20 Apr 2022
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

  • Male or female subjects aged 18 years or older who have provided valid written informed consent.
  • Subjects with a diagnosis of active RA who are eligible for the subsequent treatment course with US-rituximab or EU-rituximab according to the clinical judgment of the investigator.
  • Documented evidence that subject has received at least 1 full course comprising two 1000 mg infusions of either US-rituximab at least 16 weeks prior to the randomization visit or EU-rituximab at least 24 weeks prior to the day of randomization visit.
  • Subjects receiving a stable dose of weekly methotrexate (MTX) for at least 4 weeks prior to randomization (between 7.5 mg and 25 mg) and folic acid (at least 5 mg per week.

Who cannot join

  • Subjects with RA in functional Class IV
  • Subjects with human immunodeficiency virus (positive HIV1Ab or HIV2Ab), hepatitis B virus and/or hepatitis C virus infection, including those with positive results in the viral disease screening.
  • Subjects with active tuberculosis. Subjects with evidence of latent TB or a history of TB must have completed treatment or have initiated treatment for at least 1 month before the first dose of study treatment (Day 1). TB testing is required only if it is required by local regulations or practice.
  • Active systemic infection.
  • Severely immunocompromised.
  • History of severe hypersensitivity to either US-rituximab or EU-rituximab or any of its excipients requiring drug discontinuation.
Show all 21Show fewer
  • Any serious illness or uncontrolled medical condition, including but not limited to severe infections, significant hepatic or renal disease, uncontrolled hypertension despite treatment (defined as blood pressure ≥160/95 mmHg), congestive heart failure (New York Heart Association [NYHA] Class III or IV), or other severe, uncontrolled cardiac disease or uncontrolled diabetes with immediate risk of acute complications.
  • Any condition that in the opinion of the investigator represents an obstacle for study conduct and/or represents a potential unacceptable risk for subjects.
  • Requires treatment with any biological medicinal product during the study other than the study treatment.
  • Previous treatment with B-cell modulating or cell depleting biologic therapy except US-rituximab or EU-rituximab.
  • Prior participation in this clinical trial or prior participation in any clinical trial with any monoclonal antibody within 12 months of screening or prior participation in any clinical trial within 3 months of screening or within 5 half-lives of the investigational drug or until the expected PD effect has returned to baseline, whichever is longer.
  • Treatment with other biologic disease-modifying anti-rheumatic drugs, or Janus kinase (JAK) inhibitors administered within 12 weeks before the first dose of rituximab of the prior treatment course onwards till the date of randomization.
  • Subjects with the following laboratory abnormalities:
  • Subjects with screening total white blood cell count <3000/μL, platelets <100,000/μL, neutrophils <1,500/μL, or hemoglobin <8.5 g/dL
  • Abnormal liver function tests such as aspartate aminotransferase, alanine aminotransferase, or alkaline phosphatase >2 × upper limit of normal (ULN). A single parameter >2 × ULN can be re-checked as soon as possible, at least prior to randomization, if required as per the investigator's discretion.
  • Creatinine clearance (Cockcroft \& Gault formula) of less than 50 mL/min.
  • History of vaccination with live vaccines within 4 weeks of the first dose of study treatment (Day 1) or known to require live vaccines during the study.
  • Lactating or pregnant female.
  • Women of childbearing potential who do not consent to use highly effective methods of birth control (e.g., barrier contraceptives, oral contraceptives, intrauterine devices, true abstinence if it allowed as per the country specific regulatory requirement [periodic abstinence {e.g., calendar ovulation, symptothermal, post-ovulation methods} and withdrawal are not acceptable methods of contraception], or sterilization) during treatment and for at least 12 months after the last administration of study treatment.
  • For men involved in any sexual intercourse that could lead to pregnancy, subjects must agree to use 1 of the highly effective methods of birth control listed in Exclusion Criterion #16 during treatment and for at least 12 months after the last administration of study treatment.
  • Subject with serum IgG < lower limit of normal.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

United States26 sites
  • MedBio Trials

    Aventura, Florida, 33180

  • Accurate Clinical Management, LLC

    Baytown, Texas, 77521

  • Trinity Clinical Research LLC, 2008 East Hebron Parkway, Suites 120/114/100,

    Carrollton, Texas, 75010

  • Integrative Rheumatology

    Charlotte, North Carolina, 28210

  • Clinical Research of West Florida Inc - Clearwater

    Clearwater, Florida, 33765

  • Altoona Center For Clinical Research, 175 Meadowbrook Lane,

    Duncansville, Pennsylvania, 16635

  • Arthritis and Osteoporosis Associates

    Freehold, New Jersey, 07728

  • Abigail Neiman

    Houston, Texas, 77084

  • Accurate Clinical Management, LLC

    Houston, Texas, 77084

  • Laila A Hassan, MD, PA

    Houston, Texas, 77084

  • Accurate Clinical Research-Houston, 11003 Resource Parkway, Suite 102

    Houston, Texas, 77089

  • Houston Rheumatology & Arthritis Specialists

    Katy, Texas, 77494

  • Rheumatology Consultant of Delaware dba Delaware Arthritis

    Lewes, Delaware, 19958

  • Bluegrass Community Research Inc,330 Waller Avenue, Suite 100,

    Lexington, Kentucky, 40504.

  • Medical Research Center

    Miami, Florida, 33144

  • AppleMed Research Group, LLC

    Miami, Florida, 33155

  • California Allergy and Asthma Medical Group - CRN - PPDS 41230 11th Street West, Suite A

    Palmdale, California, 93551

  • Arizona Arthritis and Rheumatology Research, PLLC

    Phoenix, Arizona, 85032

  • Integral Rheumatology and Immunology Specialist, 140 Southwest 84th Avenue, Suite B

    Plantation, Florida, 33324.

  • Clinical Associates in Research Therapeutics of America, LLC

    San Antonio, Texas, 78212

  • Accurate Clinical Research, Inc.

    San Antonio, Texas, 78229

  • Springfield Clinic (Clinic location)

    Springfield, Illinois, 62702

  • Articularis Healthcare Group, Inc dba Low Country Rheumatology

    Summerville, South Carolina, 29486

  • Vicis Clinical Research INC

    Tampa, Florida, 33615

  • Accurate Clinical Research-League City

    Texas City, Texas, 77034

  • Inland Rheumatology Clinical Trials Incorporated

    Upland, California, 91786

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Parallel Group, Multicenter Study to Assess the Immunogenicity and Safety of Transitioning Subjects With Rheumatoid Arthritis to Biosimilar Rituximab (DRL_RI) or Continued Treatment With Rituxan® or MabThera®

The objective of the current study is to assess the immunogenicity and safety of transitioning subjects with RA to DRL_RI from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab.

The primary objective of this study is to assess the immunogenicity of transitioning subjects with RA to DRL_RI (biosimilar rituximab) from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab

To assess the safety of transitioning subjects with RA to DRL_RI from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab.

Read the detailed description

This is a randomized, double-blind, parallel group, multicenter, Phase 3 transition study in subjects with active RA who are eligible for the subsequent treatment course with US-rituximab or EU-rituximab according to the clinical judgment of the investigator.

Subjects will then be randomized by interactive web response system (IWRS) to receive either two 1000 mg infusions of DRL_RI (Arm A) or US-rituximab/EU-rituximab (Arm B) on Day 1 and Day 15.

Subjects randomized to Arm A will receive DRL_RI and subjects randomized to Arm B will continue to receive either US-rituximab or EU-rituximab.

The study will consist of a screening period (Days -14 to 0) and a double-blind period (Day 1 to Week 12). Subjects will attend a screening visit followed by a visit at Weeks 0 (Day 1), 2, 4, 8, and 12 after randomization

It is planned that approximately 50 sites will be initiated for this study in up to 7 countries (including but not restricted to United States). There has been no randomization of patients till date for this study.

The study endpoints include:

The immunogenicity endpoint is:

  • The incidence of anti-drug antibodies (ADA), including titer and neutralizing antibodies (NAb).

The primary safety endpoints are:

  • Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).
  • Incidence of anaphylactic reactions, hypersensitivity reactions, and IRRs.
Being tested
Experimental: Arm A: DRL_RI, Arm B: Rituxan®/Mabthera®
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • Experimental: Arm A: DRL_RIBiological

    Proposed rituximab biosimilar, 100mg or 500mg, concentrate for solution for infusion

  • Arm B: Rituxan®/Mabthera®Biological

    Reference product US- rituximab (Rituxan®) or EU-rituximab (MabThera®), 100mg or 500mg, concentrate for solution for infusion

Study groups in NCT04268771
Study groupRoleWhat they receive
Arm A: DRL_RIExperimentalSubjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with Rituximab, will be enrolled. DRL_RI will be administrated in combination with MTX as two 1000 mg infusions on Day 1 and Day 15
Receives: Biological: Experimental: Arm A: DRL_RI
Arm B: US-Rituximab or EU-RituximabActive comparatorSubjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with rituximab, will be enrolled. Patients enrolled in Arm -B will continue to receive US-rituximab or EU-rituximab. The rituximab reference product used (US-licensed rituximab [Rituxan] or EU-approved rituximab [MabThera]) should be the same in the prior and the randomized treatment course, respectively.
Receives: Biological: Arm B: Rituxan®/Mabthera®

What is being measured

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

  1. Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 1 was reported

    Measured: ADA will be obtained before the administration of study treatment on Day 1

  2. Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 15

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 15 was reported

    Measured: ADA will be obtained before the administration of study treatment on Day 15

  3. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 4

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 4 was reported

    Measured: ADA will be obtained before the administration of study treatment at Week 4

  4. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 8

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 8 was reported

    Measured: ADA will be obtained before the administration of study treatment at Week 8

  5. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 12 visits was reported

    Measured: ADA will be obtained at Week 12

Secondary outcomes (8)
  1. Number of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Number of Subjects reporting anaphylactic reactions during the study drug administration either at Week 1 or Week 3 was reported

    Measured: Assessments of Anaphylactic reactions will be carried out at either Week 1 or Week 3

  2. Number of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint

    TEAEs (Treatment emergent adverse events) which lead to study subjects discontinuation from the study drug administration at either week 1 or week 3 dosing timepoint

    Measured: Assessment of AE's (Adverse Events) that led to study drug discontinuation were carried out at either week 1 or week 3 dosing timepoint

  3. Number of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)

    Incidence of SAEs: SAE is defined as "Results in death, is life-threatening, Requires in-subject hospitalization or prolongs existing hospitalization, Results in persistent or significant disability/incapacity".

    The measure here is only subjects reporting SAE.

    Measured: Assessment of SAE's was carried out from baseline (week 1) to end of study (week 26)

  4. Number of TEAEs Reported From Baseline (Week 1) to End of Study (Week 26)

    Number of TEAEs: Treatment-emergent AE are defined as any AE occurring or worsening on or after the first dose of study medication.

    Measured: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  5. Number of Subjects Reporting AE From Baseline (Week 1) to End of Study (Week 26)

    number of subjects reporting AE in the overall study are defined as any AE occurring or worsening after the ICF signed in the study

    Measured: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  6. Number of Subjects Reporting TEAEs From Baseline (Week 1) to End of Study (Week 26)

    Number of subjects reporting Treatment-emergent AE (TEAEs) are defined as any AE occurring or worsening on or after the first dose of study medication.

    Measured: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  7. Number of Subjects Reporting Hypersensitivity Reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Safety assessment will be done by measuring hypersensitivity reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Measured: Assessments of hypersensitivity reactions either at Week 1 or Week 3

  8. Number of Subjects Reporting Infusion-related Reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3)

    Safety assessment: Number of Subjects Reporting Infusion-related reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3) was reported

    Measured: Assessments of IRRs were carried out at either Week 1 or Week 3

Timeline

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

  1. First posted13 Feb 2020
  2. Study start8 Apr 2020
  3. Primary completion26 Jan 2022
  4. Study completion20 Apr 2022

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
Model description
A randomized, double-blind, parallel group, multicenter study to assess the immunogenicity and safety of transitioning subjects with rheumatoid arthritis to biosimilar rituximab (DRL\_RI) or continued treatment with Rituxan® or MabThera®
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04268771
Sponsor's protocol ID
RI-01-007
Acronym
RI-01-007
Status last verified
Oct 2023
First submitted
31 Jan 2020
Last updated
18 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Experimental: Arm A: DRL_RI and Arm B: Rituxan®/Mabthera® in people with Rheumatoid Arthritis, run by Dr. Reddy's Laboratories Limited at 26 sites in United States.

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 4 inclusion and 21 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 18 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States. 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 18 Nov 2023). 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 Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1 (time frame: ADA will be obtained before the administration of study treatment on Day 1). The study lists 5 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 18 Nov 2023.

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