A study to look at less frequent dosing in patients with systemic juvenile idiopathic arthritis (sJIA) who have experienced a laboratory abnormality during treatment with tocilizumab

Recruitment & Eligibility

Status: ot Recruiting

Sex: All

Target Recruitment: 20

Inclusion Criteria

? Age 2 years up to and including 17 years at screening into trial
? sJIA according to International League of Associations for Rheumatology (ILAR) classification (2001)
? JADAS-71 score of 3.8 or less and absence of fever (related to sJIA) at screening and baseline (Consolaro et al. 2012)
? Neutropenia, thrombocytopenia, or elevated ALT/AST (as per defined criteria) previously experienced (and resolved) on the labeled dose (Q2W) of TCZ at any time
? Must meet one of the following:
? Not receiving MTX or discontinued MTX at least 4 weeks prior to baseline visit, or
? Taking MTX for at least 12 weeks immediately prior to the baseline visit and on a stable dose of ?20 mg/m2 for at least 8 weeks prior to the baseline visit, together with either folic acid or folinic acid according to local standard of care
? Not currently receiving oral corticosteroids, or taking oral corticosteroids at a stable dose for a minimum of 2 weeks prior to the baseline visit at no more than 10 mg/day or 0.2 mg/kg/day, whichever is less
? Not taking NSAIDs, or taking no more than 1 type of NSAID at a stable dose for a minimum of 2 weeks prior to the baseline visit, with the dose being less than or equal to the maximum recommended daily dose
Are the trial subjects under 18? yes
Number of subjects for this age range: 20
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

? Any other auto-immune, rheumatic disease, or overlap syndrome other than sJIA
? Any significant concurrent medical or surgical condition which would jeopardize the patient?s safety or ability to complete the trial
? Pregnant, lactating, or intending to become pregnant during study conduct and up to 12 weeks after the last administration of study drug
? History of significant allergic or infusion reactions to prior TCZ infusion, and/or presence of anti-TCZ antibodies by confirmatory and/or neutralizing assay at screening
? Any active acute, subacute, chronic, or recurrent bacterial, viral, or systemic fungal infection including but not limited to:
a) Acute or chronic renal / bladder infections
b) Acute or chronic pulmonary infections
? Significant cardiac [e.g., congenital heart disease, valvular heart disease, constrictive pericarditis (unrelated to sJIA), myocarditis] or pulmonary disease, (e.g., asthma for which the patient has required the use of oral or parenteral corticosteroids for ? 2 weeks within 6 months prior to the baseline visit, cystic fibrosis)
? History of or current cancer or lymphoma
? History of MAS within 3 months prior to the screening visit

Study & Design

Study Type: Interventional clinical trial of medicinal product

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method

Secondary Outcome Measures

Name	Time	Method

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