Arthritis, RheumatoidPhase 3contRAst XNCT04333147
Long-term Safety and Efficacy of GSK3196165 (Otilimab) in the Treatment of Rheumatoid Arthritis (RA)
A Phase 3 study testing Otilimab (GSK3196165) and csDMARD(s) in people with Arthritis, Rheumatoid, run by GlaxoSmithKline at 375 sites in 27 countries.
Trial summary
RA is a chronic, systemic inflammatory autoimmune disease which requires treatment for a long time period, hence it is important to study the long-term safety and efficacy of the continuous treatment with GSK3196165 over several years. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Arthritis, Rheumatoid
- What is being tested?
- Otilimab (GSK3196165) and csDMARD(s)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,916 participants
- Where
- 375 sitesin 27 countries
- Study dates
- 12 May 2020to 24 Feb 2023
- 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
- Participants with rheumatoid arthritis who are aged >=18 years at the time of signing informed consent, who have completed one of the qualifying GSK3196165 clinical studies and who, in the opinion of the investigator, may benefit from treatment with GSK3196165.
- Body weight >=40 kilograms (kg).
- Male or female participants are eligible to participate as long as they meet the contraceptive eligibility criteria and agree to abide by the contraceptive requirements.
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
- For participants on methotrexate (MTX): must be willing to continue treatment with oral folic acid (at least 5 mg/week) or equivalent while receiving MTX (mandatory co-medication for MTX treatment).
Who cannot join
- Had study intervention permanently discontinued at any time during a qualifying study except any participant with a new diagnosis of latent Mycobacterium tuberculosis (TB) at the end of study assessment in a qualifying study and currently undertaking or willing to complete at least 4 weeks of anti-TB treatment off study treatment, per world health organization (WHO) or national guidelines prior to re-commencing therapy and complete the remainder of anti-TB treatment while on study.
- Evidence of latent TB (as documented by a positive QuantiFERON-TB Gold plus test or T-SPOT.TB test, no findings on medical history or clinical examination consistent with active TB, and a normal chest radiograph) except for participants that
- Are currently undertaking or willing to complete at least 4 weeks of anti-TB therapy off study treatment, as per WHO or national guidelines prior to re- commencing study treatment and agree to complete the remainder of anti-TB treatment while in the study or
- Had documented evidence of satisfactory anti-TB treatment as per WHO or national guidelines following review by a physician specializing in TB on entry to a qualifying study.
- Current or previous active TB regardless of treatment.
- Were temporarily discontinued from study intervention at the time of the final study visit of a qualifying study and, in the opinion of the investigator, participation in the extension study poses an unacceptable risk for the participant's participation.
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- A new cancer or malignancy except for basal and squamous cell carcinoma of the skin or in situ carcinoma of the cervix treated and considered cured by the investigator.
- Have developed any lymphoproliferative disorder during a qualifying study, such as Epstein Barr Virus (EBV) related lymphoproliferative disorder, or signs and symptoms suggestive of current lymphatic disease.
- Have significant uncontrolled cardiovascular, cerebrovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, or neuropsychiatric disorders, or abnormal laboratory values that developed during a qualifying study that, in the opinion of the investigator, poses an unacceptable risk for the participant's participation.
- Participants who are expected to be non-compliant with restrictions on medications and vaccinations prior to the study, during the study or during the 8-week safety follow-up of the study.
- Participants who are currently participating in any interventional clinical study other than a qualifying GSK3196165 clinical study.
- Abnormal chest radiograph within the last 12 weeks judged by the investigator as clinically-significant.
- Pregnant or lactating, or women planning to become pregnant or initiating breastfeeding.
- History of sensitivity to any of the study treatments, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.
Trial locations and contacts
375 sites in 27 countries.
375 sites in 27 countries
United States79 sites
GSK Investigational Site
Amarillo, Texas, 79124
GSK Investigational Site
Anniston, Alabama, 36207
GSK Investigational Site
Atlanta, Georgia, 30318
GSK Investigational Site
Austin, Texas, 78731
GSK Investigational Site
Austin, Texas, 78745
GSK Investigational Site
Aventura, Florida, 33180
GSK Investigational Site
Baytown, Texas, 77521
GSK Investigational Site
Bowling Green, Kentucky, 42101
GSK Investigational Site
Brandon, Florida, 33511
GSK Investigational Site
Brooklyn, New York, 11201
GSK Investigational Site
Cincinnati, Ohio, 45242
GSK Investigational Site
Clearwater, Florida, 33765
GSK Investigational Site
Colleyville, Texas, 76034
GSK Investigational Site
Covina, California, 91722
GSK Investigational Site
Dallas, Texas, 75231
GSK Investigational Site
Daytona Beach, Florida, 32117
GSK Investigational Site
Denver, Colorado, 80230
GSK Investigational Site
Evansville, Indiana, 47715
GSK Investigational Site
Fayetteville, North Carolina, 30214
GSK Investigational Site
Flagstaff, Arizona, 86001
GSK Investigational Site
Fort Collins, Colorado, 80528
GSK Investigational Site
Freehold, New Jersey, 07728
GSK Investigational Site
Gilbert, Arizona, 85297
GSK Investigational Site
Glendale, Arizona, 85306
GSK Investigational Site
Glendale, Wisconsin, 53217
GSK Investigational Site
Grand Blanc, Michigan, 48439
GSK Investigational Site
Greensboro, North Carolina, 27408
GSK Investigational Site
Greenville, South Carolina, 29601
GSK Investigational Site
Houston, Texas, 77065
GSK Investigational Site
Houston, Texas, 77084
GSK Investigational Site
Houston, Texas, 77089
GSK Investigational Site
Houston, Texas, 77090
GSK Investigational Site
Idaho Falls, Idaho, 83404
GSK Investigational Site
Jacksonville, Florida, 32207
GSK Investigational Site
Lake Charles, Louisiana, 70601
GSK Investigational Site
Lansing, Michigan, 48910
GSK Investigational Site
Lebanon, New Hampshire, 03756
GSK Investigational Site
Lincoln, Nebraska, 68516
GSK Investigational Site
Lubbock, Texas, 79410
GSK Investigational Site
Marietta, Georgia, 30060
GSK Investigational Site
Mesa, Arizona, 85210
GSK Investigational Site
Miami, Florida, 33134
GSK Investigational Site
Miami, Florida, 33155
GSK Investigational Site
Miami, Florida, 33165
GSK Investigational Site
Miami, Florida, 33173
GSK Investigational Site
Miami Lakes, Florida, 33014
GSK Investigational Site
Miami Lakes, Florida, 33016
GSK Investigational Site
Minot, North Dakota, 58701
GSK Investigational Site
Monroe, Louisiana, 71203
GSK Investigational Site
New Port Richey, Florida, 34652
GSK Investigational Site
Novi, Michigan, 48375
GSK Investigational Site
Oklahoma City, Oklahoma, 73103
GSK Investigational Site
Oklahoma City, Oklahoma, 73104
GSK Investigational Site
Oklahoma City, Oklahoma, 73112
GSK Investigational Site
Orlando, Florida, 32835
GSK Investigational Site
Palmetto Bay, Florida, 33157
GSK Investigational Site
Phoenix, Arizona, 85032
GSK Investigational Site
Phoenix, Arizona, 85037
GSK Investigational Site
Plano, Texas, 75024
GSK Investigational Site
Poway, California, 92064
GSK Investigational Site
San Diego, California, 92108
GSK Investigational Site
San Diego, California, 92128
GSK Investigational Site
Skokie, Illinois, 60076
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Summerville, South Carolina, 29486
GSK Investigational Site
Tamarac, Florida, 33321
GSK Investigational Site
Tampa, Florida, 33603
GSK Investigational Site
Tampa, Florida, 33614
GSK Investigational Site
The Woodlands, Texas, 77382
GSK Investigational Site
Tomball, Texas, 77375
GSK Investigational Site
Tucson, Arizona, 85704
GSK Investigational Site
Upland, California, 91786
GSK Investigational Site
Van Nuys, California, 91405
GSK Investigational Site
Vandalia, Ohio, 45377
GSK Investigational Site
Waco, Texas, 76710
GSK Investigational Site
Wheaton, Maryland, 20902
GSK Investigational Site
Whittier, California, 90602
GSK Investigational Site
Wichita, Kansas, 67207
GSK Investigational Site
Yukon, Oklahoma, 73099
Japan48 sites
GSK Investigational Site
Aichi, 455-8530
GSK Investigational Site
Aichi, 457-8511
GSK Investigational Site
Aichi, 466-8560
GSK Investigational Site
Chiba, 260-8712
GSK Investigational Site
Chiba, 270-2296
GSK Investigational Site
Chiba, 284-0003
GSK Investigational Site
Fukuoka, 804-0025
GSK Investigational Site
Fukuoka, 807-8555
GSK Investigational Site
Fukuoka, 814-0180
GSK Investigational Site
Fukuoka, 820-8505
GSK Investigational Site
Hiroshima, 734-8551
GSK Investigational Site
Hokkaido, 053-8567
GSK Investigational Site
Hokkaido, 060-0001
GSK Investigational Site
Hokkaido, 060-8648
GSK Investigational Site
Hokkaido, 063-0811
GSK Investigational Site
Hokkaido, 085-0032
GSK Investigational Site
Hyōgo, 673-1462
GSK Investigational Site
Hyōgo, 675-1392
GSK Investigational Site
Ibaraki, 312-0057
GSK Investigational Site
Kagawa, 761-0793
GSK Investigational Site
Kagoshima, 891-0133
GSK Investigational Site
Kanagawa, 231-8682
GSK Investigational Site
Kanagawa, 232-0024
GSK Investigational Site
Kanagawa, 245-8575
GSK Investigational Site
Kanagawa, 252-0392
GSK Investigational Site
Kochi, 780-8522
GSK Investigational Site
Kochi, 781-0112
GSK Investigational Site
Kumamoto, 862-0975
GSK Investigational Site
Miyagi, 980-8574
GSK Investigational Site
Miyagi, 983-8512
GSK Investigational Site
Nagano, 380-8582
GSK Investigational Site
Nagasaki, 850-0832
GSK Investigational Site
Nagasaki, 852-8501
GSK Investigational Site
Nagasaki, 857-1195
GSK Investigational Site
Niigata, 940-2085
GSK Investigational Site
Niigata, 957-0054
GSK Investigational Site
Okayama, 700-0013
GSK Investigational Site
Okayama, 700-8557
GSK Investigational Site
Okayama, 700-8607
GSK Investigational Site
Saitama, 359-1111
GSK Investigational Site
Tokyo, 104-8560
GSK Investigational Site
Tokyo, 113-8431
GSK Investigational Site
Tokyo, 113-8519
GSK Investigational Site
Tokyo, 142-8666
GSK Investigational Site
Tokyo, 153-8515
GSK Investigational Site
Tokyo, 198-0042
GSK Investigational Site
Wakayama, 649-2211
GSK Investigational Site
Yamaguchi, 750-8520
Poland38 sites
GSK Investigational Site
Bialystok, 15-351
GSK Investigational Site
Bialystok, 15-879
GSK Investigational Site
Bydgoszcz, 85-065
GSK Investigational Site
Bydgoszcz, 85-168
GSK Investigational Site
Częstochowa, 42202
GSK Investigational Site
Elblag, 82-300
GSK Investigational Site
Gdansk, 80-382
GSK Investigational Site
Gdynia, 81-338
GSK Investigational Site
Gdynia, 81-537
GSK Investigational Site
Grodzisk Mazowiecki, 05-825
GSK Investigational Site
Katowice, 40-040
GSK Investigational Site
Katowice, 40-282
GSK Investigational Site
Krakow, 30-033
GSK Investigational Site
Krakow, 30-363
GSK Investigational Site
Krakow, 30-510
GSK Investigational Site
Lodz, 90-127
GSK Investigational Site
Lodz, 90-644
GSK Investigational Site
Lublin, 20-362
GSK Investigational Site
Lublin, 20-582
GSK Investigational Site
Nowa Sól, 67-100
GSK Investigational Site
Olsztyn, 10-117
GSK Investigational Site
Poznan, 60-529
GSK Investigational Site
Poznan, 60-702
GSK Investigational Site
Poznan, 60-773
GSK Investigational Site
Poznan, 61-113
GSK Investigational Site
Siedlce, 08-110
GSK Investigational Site
Sochaczew, 96-500
GSK Investigational Site
Staszów, 28-200
GSK Investigational Site
Torun, 87-100
GSK Investigational Site
Warsaw, 00-465
GSK Investigational Site
Warsaw, 00-874
GSK Investigational Site
Warsaw, 01-192
GSK Investigational Site
Warsaw, 02-118
GSK Investigational Site
Warsaw, 02-673
GSK Investigational Site
Warsaw, 02-793
GSK Investigational Site
Wroclaw, 50-381
GSK Investigational Site
Wroclaw, 52-416
GSK Investigational Site
Zamość, 22-400
China25 sites
GSK Investigational Site
Baotou, Inner Mongolia, 014010
GSK Investigational Site
Beijing, 100015
GSK Investigational Site
Beijing, 100144
GSK Investigational Site
Bengbu, Anhui, 233004
GSK Investigational Site
Changchun, Jilin, 130021
GSK Investigational Site
Changsha, Hunan, 410013
GSK Investigational Site
Chengdu, Sichuan, 610041
GSK Investigational Site
Guangzhou, 510080
GSK Investigational Site
Guilin, Guangxi, 541001
GSK Investigational Site
Hangzhou, 310005
GSK Investigational Site
Huzhou, Zhejiang, 313000
GSK Investigational Site
Jinzhou, Liaoning, 121000
GSK Investigational Site
Nanchang, Jiangxi, 330006
GSK Investigational Site
Nanjing, 210008
GSK Investigational Site
Pingxiang, Jiangxi, 337055
GSK Investigational Site
Shanghai, 200040
GSK Investigational Site
Shijiazhuang, Hebei, 050051
GSK Investigational Site
Taizhou, Jiangsu, 225300
GSK Investigational Site
Tianjin, 300052
GSK Investigational Site
Tongliao, Inner Mongolia, 10050
GSK Investigational Site
Wuhan, Hubei, 430030
GSK Investigational Site
Xuzhou, Jiangsu, 221009
GSK Investigational Site
Yangzhou, 225000
GSK Investigational Site
Yanji, 133000
GSK Investigational Site
Zhuzhou, Hunan, 412007
Argentina23 sites
GSK Investigational Site
Buenos Aires, C1426BOR
GSK Investigational Site
Buenos Aires, C1430CKE
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, C1046AAQ
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, C1114ABH
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, C1417
GSK Investigational Site
Ciudad Autonoma Buenos Aires, Buenos Aires, C1430EGF
GSK Investigational Site
Ciudad Autonoma Buenos Aires, C1015ABO
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, 1426
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1128AAF
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1431FWO
GSK Investigational Site
Córdoba, Córdoba Province, X5003DCE
GSK Investigational Site
Córdoba, 5000
GSK Investigational Site
La Palta, Buenos Aires, B1900AXI
GSK Investigational Site
Mar del Plata, Buenos Aires, B7600FYK
GSK Investigational Site
Nueva Cordoba, X5000AVE
GSK Investigational Site
Quilmes, Buenos Aires, B1878GEG
GSK Investigational Site
Rosario, Santa Fe Province, S2000DSV
GSK Investigational Site
Salta, A4400ANW
GSK Investigational Site
San Isidro, Buenos Aires, 1643
GSK Investigational Site
San Juan, 5400
GSK Investigational Site
San Miguel de Tucumán, Tucumán Province, T4000AXL
GSK Investigational Site
San Miguel de Tucumán, Tucumán Province, T4000BRD
GSK Investigational Site
San Nicolás de los Arroyos, Buenos Aires, B2900DMH
Russia22 sites
GSK Investigational Site
Kemerovo, 650066
GSK Investigational Site
Kemerovo, 650070
GSK Investigational Site
Korolyov, 141060
GSK Investigational Site
Krasnoyarsk, 660022
GSK Investigational Site
Moscow, 115404
GSK Investigational Site
Moscow, 115522
GSK Investigational Site
Moscow, 129110
GSK Investigational Site
Novosibirsk, 630091
GSK Investigational Site
Novosibirsk, 630099
GSK Investigational Site
Omsk, 644024
GSK Investigational Site
Saint Petersburg, 190068
GSK Investigational Site
Saint Petersburg, 197022
GSK Investigational Site
Saratov, 410012
GSK Investigational Site
Smolensk, 214025
GSK Investigational Site
Tomsk, 634061
GSK Investigational Site
Tver', 170036
GSK Investigational Site
Ulyanovsk, 432063
GSK Investigational Site
Yaroslavl, 150003
GSK Investigational Site
Yaroslavl, 150007
GSK Investigational Site
Yaroslavl, 150062
GSK Investigational Site
Yekaterinburg, 620043
GSK Investigational Site
Yekaterinburg, 620102
Ukraine22 sites
GSK Investigational Site
Cherkasy, 18009
GSK Investigational Site
Ivano-Frankivsk, 76008
GSK Investigational Site
Kharkiv, 61039
GSK Investigational Site
Kharkiv, 61124
GSK Investigational Site
Kharkiv, 61176
GSK Investigational Site
Kyiv, 02125
GSK Investigational Site
Kyiv, 03037
GSK Investigational Site
Kyiv, 03049
GSK Investigational Site
Kyiv, 04054
GSK Investigational Site
Kyiv, 1023
GSK Investigational Site
Kyiv, 2002
GSK Investigational Site
Lutsk, 43005
GSK Investigational Site
Lutsk, 43024
GSK Investigational Site
Odesa, 65025
GSK Investigational Site
Poltava, 36011
GSK Investigational Site
Vinnytsia, 21001
GSK Investigational Site
Vinnytsia, 21018
GSK Investigational Site
Vinnytsia, 21029
GSK Investigational Site
Vinnytsia, 21050
GSK Investigational Site
Zaporizhzhya, 69014
GSK Investigational Site
Zaporizhzia, 69065
GSK Investigational Site
Zhytomyr, 10002
India13 sites
GSK Investigational Site
Ahmedabad, 380005
GSK Investigational Site
Ahmedabad, 380016
GSK Investigational Site
Belagavi, 590010
GSK Investigational Site
Hubli, 580021
GSK Investigational Site
Hyderabad, 500018
GSK Investigational Site
Jaipur, 302001
GSK Investigational Site
Jaipur, 302006
GSK Investigational Site
Kolkata, 700020
GSK Investigational Site
Nagpur, 440009
GSK Investigational Site
Nagpur, 440012
GSK Investigational Site
New Delhi, 110026
GSK Investigational Site
Pune, 411004
GSK Investigational Site
Surat, 395002
South Africa12 sites
GSK Investigational Site
Bellville, 7530
GSK Investigational Site
Bloemfontein, 9301
GSK Investigational Site
Cape Town, 7405
GSK Investigational Site
Cape Town, 7500
GSK Investigational Site
Durban, KwaZulu-Natal, 4319
GSK Investigational Site
Johannesburg, 2113
GSK Investigational Site
Johannesburg, 2193
GSK Investigational Site
Kempton Park, 1619
GSK Investigational Site
Pretoria, Gauteng, 184
GSK Investigational Site
Pretoria, 0002
GSK Investigational Site
Somerset West, 7130
GSK Investigational Site
Stellenbosch, 7600
Czechia11 sites
GSK Investigational Site
Brno, 638 00
GSK Investigational Site
Brno, 65691
GSK Investigational Site
Ostrava, 70200
GSK Investigational Site
Prague, 10000
GSK Investigational Site
Prague, 12850
GSK Investigational Site
Prague, 140 00
GSK Investigational Site
Prague, 148 00
GSK Investigational Site
Prague, 150 06
GSK Investigational Site
Praha 4 Nusle, 140 00
GSK Investigational Site
Uherské Hradiště, 686 01
GSK Investigational Site
Zlín, 760 01
South Korea11 sites
GSK Investigational Site
Anyang-si, 431-070
GSK Investigational Site
Cheonan-si, 31151
GSK Investigational Site
Daegu, 41944
GSK Investigational Site
Gwangju, 61469
GSK Investigational Site
Incheon, 22332
GSK Investigational Site
Seongnam-si, 13620
GSK Investigational Site
Seoul, 03722
GSK Investigational Site
Seoul, 05505
GSK Investigational Site
Seoul, 06591
GSK Investigational Site
Seoul, 3080
GSK Investigational Site
Suwon-si, Gyeonggi-do, 16499
Bulgaria10 sites
GSK Investigational Site
Blagoevgrad, 2700
GSK Investigational Site
Pleven, 5800
GSK Investigational Site
Plovdiv, 4000
GSK Investigational Site
Rousse, 7000
GSK Investigational Site
Sevlievo, 5400
GSK Investigational Site
Sofia, 1431
GSK Investigational Site
Sofia, 1606
GSK Investigational Site
Sofia, 1612
GSK Investigational Site
Sofia, 1784
GSK Investigational Site
Vidin, 3700
Mexico9 sites
GSK Investigational Site
Durango, 34270
GSK Investigational Site
Guadalajara, Jalisco, 44130
GSK Investigational Site
Guadalajara, Jalisco, 44650
GSK Investigational Site
León, Guanajuato, 37000
GSK Investigational Site
Mérida, Yucatán, 97070
GSK Investigational Site
Mexicali, Baja California Sur, 21100
GSK Investigational Site
México, 6700
GSK Investigational Site
Mexico City, Durango, 06700
GSK Investigational Site
San Luis Potosí City, 78213
Spain9 sites
GSK Investigational Site
A Coruña, 15006
GSK Investigational Site
Barcelona, 08003
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Córdoba, 140044
GSK Investigational Site
Elche, ?03203
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Santiago de Compostela. La Coruña., 15706
GSK Investigational Site
Seville, 41009
GSK Investigational Site
Valencia, 46010
Hungary7 sites
GSK Investigational Site
Baja, 6500
GSK Investigational Site
Balatonfüred, 8230
GSK Investigational Site
Budapest, 1023
GSK Investigational Site
Budapest, 1036
GSK Investigational Site
Székesfehérvár, 8000
GSK Investigational Site
Szentes, 6600
GSK Investigational Site
Veszprém, 8200
Estonia6 sites
GSK Investigational Site
Pärnu, 80010
GSK Investigational Site
Tallinn, 10117
GSK Investigational Site
Tallinn, 10128
GSK Investigational Site
Tallinn, 13419
GSK Investigational Site
Tartu, 50106
GSK Investigational Site
Tartu, 50708
Lithuania5 sites
GSK Investigational Site
Kaunas, LT-45130
GSK Investigational Site
Kaunas, LT-50128
GSK Investigational Site
Klaipėda, LT-92288
GSK Investigational Site
Šiauliai, 76231
GSK Investigational Site
Vilnius, LT-01117
Colombia4 sites
GSK Investigational Site
Barranquilla, 110221
GSK Investigational Site
Barranquilla, 80020
GSK Investigational Site
Bogotá, 110221
GSK Investigational Site
Bucaramanga, 680003
Germany4 sites
GSK Investigational Site
Dresden, Saxony, 01307
GSK Investigational Site
Hamburg, 20095
GSK Investigational Site
Magdeburg, 39120
GSK Investigational Site
Rendsburg, Schleswig-Holstein, 24768
Malaysia4 sites
GSK Investigational Site
Klang, 41200
GSK Investigational Site
Kuala Lumpur, 59100
GSK Investigational Site
Seremban, Negeri Sembilan, 70300
GSK Investigational Site
Sibu, 96000
United Kingdom3 sites
GSK Investigational Site
Coventry, CV3 4FJ
GSK Investigational Site
Northwood, Middlesex, HA6 2RN
GSK Investigational Site
Orpington, Kent, BR5 3QG
Australia2 sites
GSK Investigational Site
Gold Coast, Queensland, 4222
GSK Investigational Site
Woodville, South Australia, 5011
Canada2 sites
GSK Investigational Site
Brampton, Ontario, L6T 0G1
GSK Investigational Site
Trois-Rivières, Quebec, G8Z 1Y2
Latvia2 sites
GSK Investigational Site
Adazi, LV2164
GSK Investigational Site
Liepāja, LV-3401
Thailand2 sites
GSK Investigational Site
Bangkok, 10400
GSK Investigational Site
Rajathevee, 10400
About this study
Official title: A Multi-centre Long-term Extension Study to Assess the Safety and Efficacy of GSK3196165 in the Treatment of Rheumatoid Arthritis
RA is a chronic, systemic inflammatory autoimmune disease which requires treatment for a long time period, hence it is important to study the long-term safety and efficacy of the continuous treatment with GSK3196165 over several years. This is a Phase 3, multicenter, parallel group treatment and long-term extension study primarily to assess safety with efficacy assessment as a secondary objective. Adult participants with RA who have completed the treatment phase of a qualifying GSK3196165 clinical studies (Phase 3 studies contRAst 1 (201790: NCT03980483), contRAst 2 (201791: NCT03970837) and contRAst 3 (202018: NCT04134728) and who, in investigator's judgement will benefit from extended treatment with GSK3196165 will be included in this study (contRAst X [209564: NCT04333147]). Participants will continue to receive the same background conventional synthetic disease modifying anti-rheumatic drug(s) [csDMARD(s)] treatment as they received in their qualifying study. Eligible participants will be enrolled to receive weekly GSK3196165 90 milligrams (mg) or 150 mg by subcutaneous (SC) injection. The anticipated study duration is approximately 4 years which will enable participants to receive treatment with GSK3196165 until it is expected to become commercially available. Approximately 3000 participants from the qualifying studies will participate in this long-term extension study
- Conditions
- Arthritis, Rheumatoid
- Being tested
- Otilimab (GSK3196165), csDMARD(s)
- Keywords
- Rheumatoid arthritis, GSK3196165, Otilimab, Long-term safety, Long-term efficacy
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Otilimab (GSK3196165)Biological
GSK3196165 solution in vial/pre-filled syringe (PFS) and auto injector (AI) to be administered SC.
csDMARD(s)Drug
Stable dose of csDMARD(s) as standard of care (SoC).
| Study group | Role | What they receive |
|---|---|---|
| Otilimab 90 mg | Experimental | Participants who received Otilimab 90mg in a qualifying study and continued on Otilimab 90mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 90mg in study 209564. Otilimab 90mg was administered through subcutaneous (SC) injection once weekly. Receives: Biological: Otilimab (GSK3196165); Drug: csDMARD(s) |
| Otilimab 150 mg | Experimental | Participants who received Otilimab 150mg in a qualifying study and continued on Otilimab 150mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 150mg in study 209564. Otilimab 150mg was administered through subcutaneous (SC) injection once weekly. Receives: Biological: Otilimab (GSK3196165); Drug: csDMARD(s) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI)
An AE is defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. SAEs are defined as any untoward medical occurrence that, at any dose: results in death, cause life threatening events which requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability or incapacity and birth defect or congenital anomaly. Protocol defined AESIs were included.
Measured: Up to approximately 145 Weeks
Change From Baseline in Hematology Parameter of Platelet Count at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Measured: Baseline (Day 01) and Week 24
Change From Baseline in Hematology Parameter of Platelet Count at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Measured: Baseline (Day 01) and Week 48
Change From Baseline in Hematology Parameter of Platelet Count at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Measured: Baseline (Day 01) and Week 96
Change From Baseline in Hematology Parameter of Platelet Count at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Measured: Baseline (Day 01) and Week 144
Change From Baseline in Hematology Parameter of Hemoglobin at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Measured: Baseline (Day 01) and Week 24
Change From Baseline in Hematology Parameter of Hemoglobin at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Measured: Baseline (Day 01) and Week 48
Change From Baseline in Hematology Parameter of Hemoglobin at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Measured: Baseline (Day 01) and Week 96
Change From Baseline in Hematology Parameter of Hemoglobin at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Measured: Baseline (Day 01) and Week 144
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Measured: Baseline (Day 01) and Week 24
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Measured: Baseline (Day 01) and Week 48
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Measured: Baseline (Day 01) and Week 96
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Measured: Baseline (Day 01) and Week 144
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Measured: Baseline (Day 01) and Week 24
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Measured: Baseline (Day 01) and Week 48
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Measured: Baseline (Day 01) and Week 96
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Measured: Baseline (Day 01) and Week 144
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 24
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Measured: Baseline (Day 01) and Week 24
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 48
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Measured: Baseline (Day 01) and Week 48
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 96
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Measured: Baseline (Day 01) and Week 96
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 144
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Measured: Baseline (Day 01) and Week 144
Number of Participants With National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE)>=Grade 3 Hematological/Clinical Chemistry Abnormalities
Number of participants with NCI-CTCAE >=Grade 3 hematological/clinical chemistry abnormalities were summarized. Hematological and Clinical chemistry parameters were summarized according to the NCI-CTCAE, version 5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: life-threatening or disabling. Higher grade indicates more severity. Data is presented for only those parameters for which participants had worst case >=Grade 3 shifts from Baseline.
Measured: Up to approximately 145 Weeks
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Measured: Baseline (Day 01) and Week 24
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Measured: Baseline (Day 01) and Week 48
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Measured: Baseline (Day 01) and Week 96
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Measured: Baseline (Day 01) and Week 144
Secondary outcomes (16)
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score Lesser Than or Equal to (<=)10 (CDAI) Low Disease Activity (LDA) at Week 24, 48, 96 and 144
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. Low disease activity (LDA) is achieved when CDAI total score <=10. Percentage values are rounded off.
Measured: Week 24, 48, 96 and 144
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score <=2.8 (CDAI Remission) at Week 24, 48, 96 and 144
Clinical Disease Activity Index (CDAI) total score is a composite score consisting of the sum of Swollen Joint Count 28 (SJC28), Tender Joint Count 28 (TJC28), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst) and Physician Global Assessment of Arthritis Disease Activity (PhGA) (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity. CDAI remission is achieved when CDAI total score <=2.8. Percentage values are rounded off.
Measured: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP) <2.6 at Week 24, 48, 96 and 144
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28- CRP scores range from 1.0 to 9.4, where lower scores indicates less disease activity. Low disease activity (LDA) is achieved when DAS28-CRP greater than or equal to (<=)3.2. A negative change from baseline in DAS28-CRP indicates an improvement. Percentage values are rounded off.
Measured: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (ESR) <2.6 (DAS28-ESR Remission) at Week 24, 48, 96 and 132
The DAS28-ESR is a measure of RA disease activity calculated using TJC28,SJC28, ESR (in mm/hr), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity. Remission is achieved when DAS28-ESR <2.6. A negative change from baseline in DAS28-ESR indicates an improvement. Percentage values are rounded off.
Measured: Week 24, 48, 96 and 132
Percentage of Participants Achieving American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) Remission at Week 24, 48, 96 and 144
Boolean-based ACR/EULAR remission is achieved if all of the following requirements are met at the same timepoint: Tender Joint Count 68 (TJC68) <= 1, Swollen Joint Count 66 (SJC66) <= 1, high sensitivity C-reactive Protein (hsCRP) <= 1mg/dl and patient's global assessment of disease activity (PtGA) <= 10. Simple Disease Activity Index based ACR/EULAR remission is achieved if a has SDAI <= 3.3. The SDAI is the sum of the tender/painful joint count and swollen joint count, employing 28 joints; PtGA and PhGA (on a scale of 0-10); and hsCRP (mg/L). Percentage values are rounded off.
Measured: Week 24, 48, 96 and 144
Absolute Values for Clinical Disease Activity Index (CDAI) Total Score
CDAI total score is a composite score consisting of the sum of TJC28, TJC28, PtGA (visual analogue scale with values from 0=best to 100=worst) and PhGA (visual analogue scale with values from 0=best to 100=worst). PtGA and PhGA are transformed to a 0-10 scale before computing the CDAI total score. CDAI total score ranges from 0 to 76 with higher values representing higher disease activity.
Measured: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP)
The DAS28-CRP is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), C-reactive protein (CRP) (in mg/L), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). DAS28- PtGA is transformed to a 0-10 scale before computing the total score. CRP scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
Measured: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (DAS28-ESR)
The DAS28-ESR is a measure of RA disease activity calculated using Tender Joint Count 28 (TJC28), Swollen Joint Count 28 (SJC28), Erythrocyte sedimentation rate (ESR) (in millimeter [mm]/hour[hr]), Patient's Global Assessment of Arthritis Disease Activity (PtGA) (visual analogue scale with values from 0=best to 100=worst). PtGA is transformed to a 0-10 scale before computing the total score. DAS28-ESR scores range from 1.0 to 9.4, where lower scores indicate less disease activity.
Measured: Week 24, 48, 96 and 132
Absolute Values of Van Der Heijde Modified Total Sharp Scores (mTSS)
Van der Heijde mTSS is utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes 16 areas of erosions, and 15 areas for joint space narrowing (JSN) in each hand, and 6 areas for erosions and 6 areas JSN in each foot. The total mTSS score is the sum of erosion (maximum of 280) and JSN (maximum of 168) scores. The score ranges from 0 to 448 for mTSS with higher values representing higher disease activity.
Measured: Week 24 and 48
Absolute Values for Health Assessment Questionnaire Disability Index (HAQ-DI)
The HAQ-DI includes 20 questions which assesses difficulty in performing activities of daily living. The questionnaire assesses eight domains of physical functioning: Dressing and Grooming, Hygiene, Arising, Reach, Eating, Grip, Walking, Common Daily Activities. The questions assess domain scores ranging from 0 "without any difficulty" to 3 "unable to do." Scores on each domain were summed and averaged to provide an overall score ranging from 0 to 3, where higher score reflected worse status and a lower score indicates better quality of life.
Measured: Week 24, 48, 96 and 144
Absolute Values for Arthritis Pain Visual Analogue Scale (VAS)
For the Arthritis Pain VAS, participants assess the severity of their current arthritis pain using a continuous visual analogue scale (VAS) with anchors at "0" (no pain) and "100" (most severe pain). A negative change from baseline indicates an improvement.
Measured: Week 24, 48, 96 and 144
Absolute Values Short Form (SF)-36 Mental Component Scores (MCS)
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning,bodily pain,role limitations due to physical/emotional problems,general health,mental health(MH),social functioning(SF),vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.MCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health. MCS is primarily derived from 4 domains (SF,vitality,MH,role-emotional) representing overall mental health. Quality Metric software was used for scoring.
Measured: Week 24, 48, 96 and 144
Absolute Values SF-36 Domain Scores
Short-Form 36 (SF-36) is a health-related survey that assesses quality of life covering 8 domains: physical functioning, bodily pain, role limitations due to physical and emotional problems, general health, mental health, social functioning, vitality. The MCS consists of 4 domains (social functioning, vitality, mental health, and role-emotional domains) and PCS consists of 4 domains (physical functioning, role-physical, bodily pain and general health). The individual question items are first summed for each item under the various sections. Then, those domain scores are weighted to a scale between 0 to 100, where higher score represents better health. Quality Metric software was used for scoring for SF-36.
Measured: Week 24, 48, 96 and 144
Absolute Values SF-36 Physical Component Scores (PCS)
SF-36 is health-related survey that assesses quality of life covering 8 domains:physical functioning(PF),bodily pain(BP),role limitations due to physical/emotional problems,general health(GH),mental health,social functioning,vitality.Each of 8 domains is scored using average, 0-100; higher score represents better health.PCS was aggregated across the domains and scaled to T-score with mean of 50 and SD of 10; higher score represents better health.PCS is primarily derived from 4 domains(PF,role-physical,BP,GH) representing overall physical health. Quality Metric software was used for scoring.
Measured: Week 24, 48, 96 and 144
Absolute Values Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue
The Functional Assessment of Chronic Illness Therapy (FACIT)-fatigue is a validated patient-reported measure of 13 statements regarding the feeling of fatigue. The total score ranges from 0 to 52 with higher values representing a lower fatigue and a better quality of life.
Measured: Week 24, 48, 96 and 144
Number of Participants With Anti-GSK3196165 Antibodies
Serum samples were collected for the determination of anti- GSK3196165 antibodies (ADA) using a validated electrochemiluminescence (ECL) immunoassay. The assay involved screening, confirmation and titration steps. If serum samples tested positive in the screening assay, they were considered 'potentially positive' and were further analyzed for the specificity using the confirmation assay. Samples that confirmed positive in the confirmation assay were reported as 'positive'. Confirmed positive ADA samples were further characterized in the titration assay to quasi-quantitate the amount of ADA in the sample. Additionally, confirmed positive ADA samples were also tested in a validated neutralizing antibody assay to determine the potential neutralizing activity of the ADA
Measured: Week 120
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2020
- Study start12 May 2020
- Primary completion24 Feb 2023
- Study completion24 Feb 2023
Why it stopped: Study is early terminated due to Limited efficacy demonstrated in the contRAst program does not support a suitable benefit/risk profile for otilimab as a potential treatment for RA. GSK has decided not to progress with regulatory submissions.
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Arthritis, RheumatoidStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe 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
- Model description
- Participants who received GSK3196165 in their qualifying study will continue in this study on the same dose. Participants who received a comparator (tofacitinib or sarilumab) in their qualifying study will be centrally randomized using interactive response technology (IRT) in a ratio of 1:1 to either GSK3196165 90 mg or 150 mg.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,916 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04333147
- Sponsor's protocol ID
- 209564
- Acronym
- contRAst X
- Status last verified
- Jan 2024
- First submitted
- 27 Mar 2020
- Last updated
- 7 Feb 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Publications
Weinblatt ME, Taylor PC, McInnes IB, Atsumi T, Strand V, Takeuchi T, Bracher M, Brooks D, Curtis P, Gupta A, Nijhawan R, O'Shea C, Rayner K, Saurigny D, Shelton C, Wang M, Wang R, Fleischmann RM. Long-term safety and efficacy of anti-GM-CSF otilimab in patients with rheumatoid arthritis: long-term extension of three phase 3 randomised trials (contRAst X). BMJ Open. 2025 Mar 5;15(3):e088869. doi: 10.1136/bmjopen-2024-088869.
PubMed 40044198
Study at a glance
From the registry record, last updated by the sponsor on 7 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-centre Long-term Extension Study to Assess the Safety and Efficacy of GSK3196165 in the Treatment of Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT04333147
- Acronym / sponsor ID
- contRAst X / 209564
- Conditions
- Arthritis, Rheumatoid
- Keywords
- Rheumatoid arthritis, GSK3196165, Otilimab, Long-term safety, Long-term efficacy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study is early terminated due to Limited efficacy demonstrated in the contRAst program does not support a suitable benefit/risk profile for otilimab as a potential treatment for RA. GSK has decided not to progress with regulatory submissions.
- Enrolment
- 2,916 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Study start
- 12 May 2020 (actual)
- Primary completion
- 24 Feb 2023 (actual)
- Study completion
- 24 Feb 2023 (actual)
- First posted
- 3 Apr 2020 (actual)
- Results
- Posted 7 Feb 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RA is a chronic, systemic inflammatory autoimmune disease which requires treatment for a long time period, hence it is important to study the long-term safety and efficacy of the continuous treatment with GSK3196165 over several years. This is a Phase 3, multicenter, parallel group treatment and long-term extension study primarily to assess safety with efficacy assessment as a secondary objective. Adult participants with RA who have completed the treatment phase of a qualifying GSK3196165 clinical studies (Phase 3 studies contRAst 1 (201790: NCT03980483), contRAst 2 (201791: NCT03970837) and contRAst 3 (202018: NCT04134728) and who, in investigator's judgement will benefit from extended treatment with GSK3196165 will be included in this study (contRAst X [209564: NCT04333147]). Participants will continue to receive the same background conventional synthetic disease modifying anti-rheumatic drug(s) [csDMARD(s)] treatment as they received in their qualifying study. Eligible participants will be enrolled to receive weekly GSK3196165 90 milligrams (mg) or 150 mg by subcutaneous (SC) injection. The anticipated study duration is approximately 4 years which will enable participants to receive treatment with GSK3196165 until it is expected to become commercially available. Approximately 3000 participants from the qualifying studies will participate in this long-term extension study
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- Participants who received GSK3196165 in their qualifying study will continue in this study on the same dose. Participants who received a comparator (tofacitinib or sarilumab) in their qualifying study will be centrally randomized using interactive response technology (IRT) in a ratio of 1:1 to either GSK3196165 90 mg or 150 mg.
| Arm | Type | Receives |
|---|---|---|
| Otilimab 90 mg | Experimental | Biological: Otilimab (GSK3196165), Drug: csDMARD(s)Participants who received Otilimab 90mg in a qualifying study and continued on Otilimab 90mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 90mg in study 209564. Otilimab 90mg was administered through subcutaneous (SC) injection once weekly. |
| Otilimab 150 mg | Experimental | Biological: Otilimab (GSK3196165), Drug: csDMARD(s)Participants who received Otilimab 150mg in a qualifying study and continued on Otilimab 150mg in study 209564 or participants who received either tofacitinib 5mg (study 201790 or 201791) or sarilumab 200mg (study 202018) in a qualifying study and were exposed for the first time to Otilimab 150mg in study 209564. Otilimab 150mg was administered through subcutaneous (SC) injection once weekly. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participants with rheumatoid arthritis who are aged >=18 years at the time of signing informed consent, who have completed one of the qualifying GSK3196165 clinical studies and who, in the opinion of the investigator, may benefit from treatment with GSK3196165.
- Body weight >=40 kilograms (kg).
- Male or female participants are eligible to participate as long as they meet the contraceptive eligibility criteria and agree to abide by the contraceptive requirements.
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
- For participants on methotrexate (MTX): must be willing to continue treatment with oral folic acid (at least 5 mg/week) or equivalent while receiving MTX (mandatory co-medication for MTX treatment).
Key exclusion criteria (14 listed)
- Had study intervention permanently discontinued at any time during a qualifying study except any participant with a new diagnosis of latent Mycobacterium tuberculosis (TB) at the end of study assessment in a qualifying study and currently undertaking or willing to complete at least 4 weeks of anti-TB treatment off study treatment, per world health organization (WHO) or national guidelines prior to re-commencing therapy and complete the remainder of anti-TB treatment while on study.
- Evidence of latent TB (as documented by a positive QuantiFERON-TB Gold plus test or T-SPOT.TB test, no findings on medical history or clinical examination consistent with active TB, and a normal chest radiograph) except for participants that
- Current or previous active TB regardless of treatment.
- Were temporarily discontinued from study intervention at the time of the final study visit of a qualifying study and, in the opinion of the investigator, participation in the extension study poses an unacceptable risk for the participant's participation.
- A new cancer or malignancy except for basal and squamous cell carcinoma of the skin or in situ carcinoma of the cervix treated and considered cured by the investigator.
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 |
|---|---|---|
| Otilimab (GSK3196165)GSK3196165 solution in vial/pre-filled syringe (PFS) and auto injector (AI) to be administered SC. | Biological | Otilimab 150 mg, Otilimab 90 mg |
| csDMARD(s)Stable dose of csDMARD(s) as standard of care (SoC). | Drug | Otilimab 150 mg, Otilimab 90 mg |
Primary outcome
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI)
Time frame: Up to approximately 145 Weeks
An AE is defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. SAEs are defined as any untoward medical occurrence that, at any dose: results in death, cause life threatening events which requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability or incapacity and birth defect or congenital anomaly. Protocol defined AESIs were included.
Change From Baseline in Hematology Parameter of Platelet Count at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Change From Baseline in Hematology Parameter of Platelet Count at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Change From Baseline in Hematology Parameter of Platelet Count at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Change From Baseline in Hematology Parameter of Platelet Count at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter platelet count.
Change From Baseline in Hematology Parameter of Hemoglobin at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Change From Baseline in Hematology Parameter of Hemoglobin at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Change From Baseline in Hematology Parameter of Hemoglobin at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Change From Baseline in Hematology Parameter of Hemoglobin at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameter hemoglobin.
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Change From Baseline in White Blood Cell (WBC) Count With Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples were collected for the assessment of change from baseline in hematology parameters including White Blood Cell (WBC) Count with Differential i.e. Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils.
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Change From Baseline in Clinical Chemistry Parameter of Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Alkaline Phosphatase (AP), Gamma Glutamyl Transferase (GGT), Creatine Kinase (CPK) at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including AST, ALT, AP, GGT, CPK.
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Change From Baseline in Lipid Profile Parameter of Cholesterol, Low-Density Lipoprotein (LDL) Cholesterol, High-Density Lipoprotein-Cholesterol (HDL), Triglycerides at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples was collected for the assessment of clinical chemistry parameters including Cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol (HDL), Triglycerides
Number of Participants With National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE)>=Grade 3 Hematological/Clinical Chemistry Abnormalities
Time frame: Up to approximately 145 Weeks
Number of participants with NCI-CTCAE >=Grade 3 hematological/clinical chemistry abnormalities were summarized. Hematological and Clinical chemistry parameters were summarized according to the NCI-CTCAE, version 5.0: Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: life-threatening or disabling. Higher grade indicates more severity. Data is presented for only those parameters for which participants had worst case >=Grade 3 shifts from Baseline.
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 24
Time frame: Baseline (Day 01) and Week 24
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 48
Time frame: Baseline (Day 01) and Week 48
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 96
Time frame: Baseline (Day 01) and Week 96
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
Change From Baseline in Clinical Chemistry Parameter Total Bilirubin, Direct Bilirubin at Week 144
Time frame: Baseline (Day 01) and Week 144
Blood samples were collected for the assessment of change from baseline in clinical chemistry parameters including total bilirubin, direct bilirubin.
16 secondary outcomes
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score Lesser Than or Equal to (<=)10 (CDAI) Low Disease Activity (LDA) at Week 24, 48, 96 and 144
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Clinical Disease Activity Index (CDAI) Total Score <=2.8 (CDAI Remission) at Week 24, 48, 96 and 144
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP) <2.6 at Week 24, 48, 96 and 144
Time frame: Week 24, 48, 96 and 144
Percentage of Participants Achieving Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (ESR) <2.6 (DAS28-ESR Remission) at Week 24, 48, 96 and 132
Time frame: Week 24, 48, 96 and 132
Percentage of Participants Achieving American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) Remission at Week 24, 48, 96 and 144
Time frame: Week 24, 48, 96 and 144
Absolute Values for Clinical Disease Activity Index (CDAI) Total Score
Time frame: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and C-Reactive Protein (DAS28-CRP)
Time frame: Week 24, 48, 96 and 144
Absolute Values for Disease Activity Score Using 28 Joint Count and Erythrocyte Sedimentation Rate (DAS28-ESR)
Time frame: Week 24, 48, 96 and 132
Absolute Values of Van Der Heijde Modified Total Sharp Scores (mTSS)
Time frame: Week 24 and 48
Absolute Values for Health Assessment Questionnaire Disability Index (HAQ-DI)
Time frame: Week 24, 48, 96 and 144
Absolute Values for Arthritis Pain Visual Analogue Scale (VAS)
Time frame: Week 24, 48, 96 and 144
Absolute Values Short Form (SF)-36 Mental Component Scores (MCS)
Time frame: Week 24, 48, 96 and 144
Absolute Values SF-36 Domain Scores
Time frame: Week 24, 48, 96 and 144
Absolute Values SF-36 Physical Component Scores (PCS)
Time frame: Week 24, 48, 96 and 144
Absolute Values Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue
Time frame: Week 24, 48, 96 and 144
Number of Participants With Anti-GSK3196165 Antibodies
Time frame: Week 120
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Feb 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40044198Weinblatt ME, Taylor PC, McInnes IB, Atsumi T, Strand V, Takeuchi T, Bracher M, Brooks D, Curtis P, Gupta A, Nijhawan R, O'Shea C, Rayner K, Saurigny D, Shelton C, Wang M, Wang R, Fleischmann RM. Long-term safety and efficacy of anti-GM-CSF otilimab in patients with rheumatoid arthritis: long-term extension of three phase 3 randomised trials (contRAst X). BMJ Open. 2025 Mar 5;15(3):e088869. doi: 10.1136/bmjopen-2024-088869.
- 201790 contRAst 1 NCT03980483Link provided by the sponsor.
- 201791 contRAst 2 NCT03970837Link provided by the sponsor.
- 202018 contRAst 3 NCT04134728Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
375 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Otilimab (GSK3196165) and csDMARD(s) in people with Arthritis, Rheumatoid, run by GlaxoSmithKline at 375 sites in 27 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 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 7 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 375 sites in United States, Japan, Poland, China, Argentina and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 7 Feb 2024). 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 Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI) (time frame: Up to approximately 145 Weeks). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04333147, which also lists 1 linked publication.
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 7 Feb 2024.