A Randomised, Double-blind, Parallel Group, Multicentre Clinical Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacokinetics and Immunogenicity of SB5 Compared to Humira® in Subjects With Moderate to Severe Rheumatoid Arthritis
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 544
- 试验地点
- 2
- 主要终点
- American College of Rheumatology 20% Response Criteria (ACR20)
研究概览
简要总结
This is a randomised, double-blind, parallel group, multicentre clinical study to evaluate the efficacy, safety, tolerability, pharmacokinetics and immunogenicity of SB5 compared to Humira® in subjects with moderate to severe RA despite MTX therapy.
详细描述
Investigational product: SB5 40 mg (0.8 mL of 50 mg/mL) Indication studied: 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
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Are male or female aged 18-75 years at the time of signing the informed consent form.
- •Have been diagnosed as having RA according to the revised 1987 American College of Rheumatology (ACR) criteria for at least 6 months but not exceeding 15 years prior to Screening.
- •Have moderate to severe active disease despite MTX therapy defined as:
- •More than or equal to six swollen joints and more than or equal to six tender joints (from the 66/68 joint count system) at Screening and Randomisation.
- •Either erythrocyte sedimentation rate (Westergren) ≥ 28 mm/h or serum C-reactive protein ≥ 10 mg/dL at Screening.
- •Must have been treated with MTX for a total of at least 6 months prior to Randomisation and must have been on both: a stable route of administration (oral or parenteral) and stable dose of MTX (10-25 mg/week) for at least 4 weeks prior to Screening.
- •Female subjects who are not pregnant or nursing at Screening and Randomisation and who are not planning to become pregnant from Screening until 5 months after the last dose of IP.
排除标准
- •Have been treated previously with any biological agents including any tumour necrosis factor inhibitor.
- •Have a known hypersensitivity to human immunoglobulin proteins or other components of Humira or SB
- •Have a positive serological test for hepatitis B or hepatitis C or have a known history of infection with human immunodeficiency virus.
- •Have a current diagnosis of active tuberculosis (TB), have been recently exposed to a person with active TB, or are considered to have latent TB.
- •Have had a serious infection or have been treated with intravenous antibiotics for an infection within 8 weeks or oral antibiotics within 2 weeks prior to Randomisation.
- •Have a history of chronic or recurrent infection.
- •Have any of the following conditions:
- •History of congestive heart failure (New York Heart Association Class III/IV).
- •History of acute myocardial infarction or unstable angina within the previous 12 months prior to Screening.
- •History of demyelinating disorders.
- •History of any malignancy within the previous 5 years prior to Screening.
- •History of lymphoproliferative disease including lymphoma.
- •Any other disease or disorder which, in the opinion of the Investigator, will put the subject at risk if they are enrolled.
- •Have physical incapacitation (ACR functional Class IV or wheelchair-/bed-bound).
研究组 & 干预措施
SB5 (proposed biosimilar to adalimumab)
SB5 40 mg every other week via subcutaneous injection
干预措施: SB5 (proposed biosimilar to adalimumab) (Drug)
Humira (adalimumab)
Humira 40 mg every other week via subcutaneous injection
干预措施: Humira (adalimumab) (Drug)
Humira (adalimumab)
Humira 40 mg every other week via subcutaneous injection
干预措施: SB5 (proposed biosimilar to adalimumab) (Drug)
结局指标
主要结局
American College of Rheumatology 20% Response Criteria (ACR20)
时间窗: Week 24
次要结局
- American College of Rheumatology 50% Response Criteria (ACR50)(Week 24, Week 52)
- Disease Activity Score Based on a 28 Joint Count (DAS28)(Week 24, Week 52)
- ACR20(Week 52)
