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
Overview
- Phase
- Phase 3
- Intervention
- SB5 (proposed biosimilar to adalimumab)
- Conditions
- Rheumatoid Arthritis
- Sponsor
- Samsung Bioepis Co., Ltd.
- Enrollment
- 544
- Locations
- 2
- Primary Endpoint
- American College of Rheumatology 20% Response Criteria (ACR20)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
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.
Detailed Description
Investigational product: SB5 40 mg (0.8 mL of 50 mg/mL) Indication studied: Rheumatoid arthritis
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Arms & Interventions
SB5 (proposed biosimilar to adalimumab)
SB5 40 mg every other week via subcutaneous injection
Intervention: SB5 (proposed biosimilar to adalimumab)
Humira (adalimumab)
Humira 40 mg every other week via subcutaneous injection
Intervention: Humira (adalimumab)
Humira (adalimumab)
Humira 40 mg every other week via subcutaneous injection
Intervention: SB5 (proposed biosimilar to adalimumab)
Outcomes
Primary Outcomes
American College of Rheumatology 20% Response Criteria (ACR20)
Time Frame: Week 24
Secondary Outcomes
- 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)