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A Randomized, Placebo-Controlled, Double-Blind, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Subcutaneous CT-P13 in Patients with Moderately to Severely Active Rheumatoid Arthritis

Phase 3
Active, not recruiting
Conditions
Rheumatoid arthritis
Registration Number
2024-510945-32-00
Lead Sponsor
Celltrion Inc., Celltrion Inc.
Brief Summary

• To demonstrate superiority of CT P13 SC over Placebo in terms of efficacy as determined by clinical response according to the American College of Rheumatology (ACR) definition of a 20% improvement (ACR20) at Week 12.

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing, recruitment ended
Sex
Not specified
Target Recruitment
189
Inclusion Criteria

Patient who is male or female aged 18 to 75 years old (both inclusive).

Patient who has a diagnosis of RA at least 24 weeks prior to the first administration of the study drug (Day 1) and fulfill the 2010 ACR/EULAR classification criteria for RA. Note. Medical records or sufficient documentation supporting RA diagnosis based on the 2010 ACR/EULAR classification criteria must be available in the source documents.

Patient who has active disease as defined by the presence of 6 or more swollen joints (of 66 assessed), 6 or more tender joints (of 68 assessed), and either a high-sensitivity C-reactive protein (hsCRP) ≥1.0 mg/dL (≥10 mg/L) or an erythrocyte sedimentation rate (ESR) ≥28 mm/hour at Screening.

Patient who has been receiving the treatment of oral or parenteral dosing with MTX for at least 12 weeks and has been on stable dosing with MTX between 10 to 25 mg/week for at least 4 weeks prior to the first administration of the study drug (Day 1).

Patient who has adequate renal and hepatic function at Screening as defined by the following clinical chemistry results: a. Serum creatinine <1.5 × upper limit of normal (ULN) or an estimated creatinine clearance level >50 mL/min (by Cockcroft-Gault formula) (SI [International System of Units] units: 0.84mL/s) b. Serum alanine aminotransferase (ALT) <2.5 × ULN c. Serum aspartate aminotransferase (AST) <2.5 × ULN d. Serum total bilirubin <2 × ULN

Patient who has the following hematology laboratory test results at Screening: a. Hemoglobin ≥8.5 g/dL (SI units: ≥85 g/L or 5.28 mmol/L) b. White blood cell count ≥3.5 × 10^3 cells/µL (SI units: ≥3.5 × 10^9 cells/L) c. Neutrophil count ≥1.5 × 10^3 cells/µL (SI units: ≥1.5 × 10^9 cells/L) d. Platelet count ≥100 × 10^3 cells/µL (SI units: ≥100 × 10^9 cells/L)

Exclusion Criteria

Patient who has previously received investigational or licensed product; biological or targeted synthetic disease-modifying antirheumatic drugs (DMARDs) (e.g., tofacitinib, baricitinib) for the treatment of RA and/or a tumor necrosis factor (TNF) α inhibitors for the any purpose.

Patient who has allergies to any of the excipients of infliximab or any other murine and/or human proteins or patient with a hypersensitivity to immunoglobulin product.

Patient who has received or has plan to receive any of following prohibited medications or treatments: a. Intra-articular corticosteroids within 4 weeks prior to the first administration of the study drug (Day 1). b. Disease-modifying antirheumatic drugs (DMARDs), other than MTX, including hydroxychloroquine, chloroquine, or sulfasalazine, within 4 weeks prior to the first administration of the study drug (Day 1). c. Alkylating agents within 12 months prior to the first administration of the study drug (Day 1) d. Live or live-attenuated vaccine within 4 weeks prior to the first administration of the study drug (Day 1), or any planned live or live-attenuated vaccination during the study period e. Any surgical procedure, including bone or joint surgery or synovectomy (including joint fusion or replacement) within 12 weeks prior to the first administration of the study drug (Day 1) or planned within 12 weeks after the first administration of the study drug (Day 1) f. Any other investigational device or medical product within 4 weeks prior to the first administration of the study drug (Day 1) or 5 half-lives, whichever is longer

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients achieving clinical response according to the ACR20 criteria at Week 12.

Proportion of patients achieving clinical response according to the ACR20 criteria at Week 12.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (10)

Reumed Sp. z o.o.

🇵🇱

Lublin, Poland

Niepubliczny Zaklad Opieki Zdrowotnej Biogenes Sp. z o.o

🇵🇱

Wroclaw, Poland

Etyka Osrodek Badan Klinicznych Tomasz Pesta S.K.A.

🇵🇱

Olsztyn, Poland

Futuremeds Sp. z o.o.

🇵🇱

Lodz, Poland

Samodzielny Publiczny Zespol Opieki Zdrowotnej W Tomaszowie Lubelskim

🇵🇱

Tomaszow Lubelski, Poland

Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy

🇵🇱

Bydgoszcz, Poland

Zdrowie Osteo-Medic S.C. Lidia i Artur Racewicz, Agnieszka i Jerzy Supronik

🇵🇱

Białystok, Poland

Medicover Integrated Clinical Services Sp. z o.o.

🇵🇱

Warsaw, Poland

NZOZ Lecznica Mak Med s.c.

🇵🇱

Nadarzyn, Poland

Klinika Reuma Park Sp. z o.o. S.K.

🇵🇱

Warsaw, Poland

Reumed Sp. z o.o.
🇵🇱Lublin, Poland
Mariusz Piotrowski
Site contact
+48692435653
mariusz_piotrowski@yahoo.com

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