跳至主要内容
临床试验/NCT01258712
NCT01258712已完成3 期

Randomized, Placebo-controlled Study of Tocilizumab in Combination With Methotrexate for Treatment of Moderate to Severe Rheumatoid Arthritis Patients

Chugai Pharma Taiwan12 个研究点 分布在 1 个国家目标入组 86 人开始时间: 2010年12月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
86
试验地点
12
主要终点
Proportion of patients with an American College of Rheumatology 20(ACR20) response

研究概览

简要总结

This is a Phase III study to evaluate efficacy and safety of Tocilizumab in patients with Rheumatoid Arthritis.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients diagnosed with history of moderate-to- severe rheumatoid arthritis for more than 6 months according to the American College of Rheumatology (ACR) 1987 revised criteria for the classification of RA.
  • Patients who failed to achieve clinical response to treatment of at least 2 DMARDs(disease modifying anti-rheumatic drug) (including MTX) for at least 12 weeks within 12 months prior to screening, of which MTX must have been at a stable dose of 10-20 mg/wk for at least 12 weeks prior to screening. All other DMARDs should be given at standard therapeutic dose.
  • Patients who satisfy swollen joint count (SJC) ≥ 6 (66 joint count) and tender joint count (TJC) ≥ 8 (68 joint count) at screening and baseline.
  • C-reactive protein (CRP) level ≥ 1 mg/dl or an erythrocyte sedimentation rate (ESR) ≥ 28 mm/hour at screening and at baseline.

排除标准

  • Patients who have received a major surgery including joint surgery 8 weeks prior to the screening or are scheduled to be operated within 6 months after the enrolment.
  • Patients with rheumatoid autoimmune disease other than RA, including but not limited to SLE(system lupus erythematosus), or significant systemic involvement secondary to RA.
  • Patients who belong to the Class IV of the ACR classification criteria for functional status of RA. (ACR Amended Criteria for the Classification of Functional Capacity in Rheumatoid Arthritis; Class IV: Largely or wholly incapacitated with patient bedridden or confined to wheel chair, permitting little or no self-care).
  • Patients with a history of hypersensitivity to human, humanized or murine monoclonal antibodies or patients with contraindication for them.
  • Patients who currently have or have a history of recurrence of bacterial, viral,fungal, or mycobacterial infections or other infectious diseases; tuberculosis(TB),atypical mycobacterial disease, clinically significant granulomatous disease on chest radiograph, hepatitis B, hepatitis C, or herpes zoster and etc. However, a patient with hand & foot fungal infections can participate.

研究组 & 干预措施

1

Experimental

干预措施: Tocilizumab + methotrexate(MTX) (Drug)

2

Placebo Comparator

干预措施: Tocilizumab placebo + methotrexate(MTX) (Drug)

结局指标

主要结局

Proportion of patients with an American College of Rheumatology 20(ACR20) response

时间窗: at baseline and week 24

次要结局

  • Proportion of patients with ACR50 response(at baseline and week 24)
  • Proportion of patients with ACR70 response(at baseline and week 24)
  • Mean change from baseline of Swollen joint count(SJC) and Tender joint count(TJC) respectively(at baseline and week 24)
  • Mean change from baseline in disease activity using 28-joint modified disease activity score (DAS28)(at baseline and week 24)
  • Proportion of patients achieving DAS28 remission (DAS28 < 2.6)(at week 24)
  • Adverse event incidence(from baseline to week 24)
  • Mean change from baseline to evaluation visits in vital signs(from baseline to week 24)
  • Result of Electrocardiogram. From baseline to evaluation visits(from baseline to week 24)
  • Mean change from baseline visit to evaluation visits in quantitative hematological exam results (including Hb, Ht, RBC, WBC & differential, platelet counts).(from baseline to week 24)
  • Mean change from baseline visit to evaluation visits in quantitative Biochemical exam of blood results (including AST, ALT, Alk-p, γ-GTP, LDH, total protein, albumin, total bilirubin, BUN, uric acid, creatinine, glucose, ferritin, K, Na, Cl, Ca, P.).(from baseline to week 24)
  • Mean change from baseline visit to evaluation visits in quantitative serum lipid exam results.(from baseline to week 24)
  • Mean change from baseline visit to evaluation visits in quantitative urinalysis results.(from baseline to week 24)

研究者

发起方
Chugai Pharma Taiwan
申办方类型
Industry
责任方
Sponsor

研究点 (12)

Loading locations...

相似试验