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A Drug Interaction Study Between Tocilizumab, Methotrexate and Simvastatin on Patients With Rheumatoid Arthritis.

Phase 1
Completed
Conditions
Rheumatoid Arthritis
Interventions
Registration Number
NCT00365001
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This 2 arm study will investigate the pharmacokinetics of simvastatin and methotrexate in combination with tocilizumab to assess any potential drug interactions. Patients will be randomized to receive either tocilizumab (10mg/kg iv infusion on day 8) + methotrexate (10-25mg po /week) or tocilizumab + methotrexate + simvastatin (40mg po on days 1, 15 and 43). Blood samples will be taken for analysis at intervals up to day 44. The anticipated time on study treatment is \<3 months, and the target sample size is \<100 individuals.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria
  • adult patients, 18-75 years of age;
  • rheumatoid arthritis for >=6 months;
  • methotrexate for >=12 weeks prior to day 1 (stable at 10-25mg/week for 8 weeks).
Exclusion Criteria
  • history of, or current inflammatory joint disease or rheumatic autoimmune disease other than RA;
  • concurrent treatment with any DMARD other than methotrexate;
  • prior treatment with tocilizumab.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1tocilizumab [RoActemra/Actemra]-
2tocilizumab [RoActemra/Actemra]-
1Methotrexate-
1Simvastatin-
2Methotrexate-
Primary Outcome Measures
NameTimeMethod
Pharmacokinetic parameters for simvastatin and metabolite, and methotrexate and metabolite.Days 1, 15 and 43
Secondary Outcome Measures
NameTimeMethod
Pharmacokinetic parameters for tocilizumab.Days 11, 22, 29 and 36.
CRP, IL-6, sIL-6R changesThroughout study
AEs, laboratory parameters.Throughout study
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