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Extension Study of Tocilizumab Long Term Treatment of Moderate to Severe Rheumatoid Arthritis Patients

Phase 3
Completed
Conditions
Rheumatoid Arthritis
Registration Number
NCT01347983
Lead Sponsor
Chugai Pharma Taiwan
Brief Summary

24 week open-labeled extension study to continue monitoring the same group of patients in the previous MRA230TW phase IIIb trial in order to evaluate the long term efficacy and safety of tocilizumab.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Patients who had completed at least 5 out of the 7 visits scheduled for weeks 2, 4, 8, 12, 16, 20 and 24 in the tocilizumab Phase IIIb study(MRA230TW).
  • Patients assigned in the Phase IIIb study(MRA230TW), who had received scheduled dose for at least 16 weeks but still failed to achieve adequate treatment response characterized by ACR20
Exclusion Criteria
  • Patients who have received a major surgery including joint surgery 8 weeks prior to the screening or are scheduled to be operated within 6 months after the enrolment.
  • Patients with rheumatoid autoimmune disease other than RA, including but not limited to SLE(system lupus erythematosus), or significant systemic involvement secondary to RA.
  • Patients who belong to the Class IV of the ACR classification criteria for functional status of RA. (ACR Amended Criteria for the Classification of Functional Capacity in Rheumatoid Arthritis; Class IV: Largely or wholly incapacitated with patient bedridden or confined to wheel chair, permitting little or no self-care).
  • Patients with a history of hypersensitivity to human, humanized or murine monoclonal antibodies or patients with contraindication for them.
  • Patients who currently have or have a history of recurrence of bacterial, viral,fungal, or mycobacterial infections or other infectious diseases; tuberculosis(TB),atypical mycobacterial disease, clinically significant granulomatous disease on chest radiograph, hepatitis B, hepatitis C, or herpes zoster and etc. However, a patient with hand & foot fungal infections can participate.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Proportion of patients with an American College of Rheumatology 70 (ACR70) responseat week 24
Secondary Outcome Measures
NameTimeMethod
Proportion of patients with ACR50 responseat week 24
Proportion of patients with ACR20 responseat week 24
Mean change from baseline of Swollen joint count(SJC) and Tender joint count(TJC) respectivelyat baseline and week 24
Mean change from baseline in disease activity using 28-joint modified disease activity score (DAS28)at baseline and week 24
Proportion of patients achieving DAS28 remission (DAS28 < 2.6)at week 24
Adverse event incidencefrom baseline to week 24
Mean change from baseline to evaluation visits in vital signsfrom baseline to week 24
Change in Electrocardiogram. From baseline to evaluation visitsfrom baseline to week 24
Mean change from baseline visit to evaluation visits in quantitative hematological exam results.from baseline to week 24
Mean change from baseline visit to evaluation visits in quantitative Biochemical exam of blood results.from baseline to week 24
Mean change from baseline visit to evaluation visits in quantitative serum lipid exam results.from baseline to week 24
Mean change from baseline visit to evaluation visits in quantitative urinalysis results.from baseline to week 24

Trial Locations

Locations (12)

Chang Gung Memorial Hospital -Kaohsiung

🇨🇳

Kaohsiung, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Chung Shan Medical University Hospital

🇨🇳

Taichung, Taiwan

Buddhist Dalin Tzu Chi General Hospital

🇨🇳

Chiayi, Taiwan

Kaohsiung Veterans General Hospital

🇨🇳

Kaohsiung, Taiwan

Taichung Veterans General Hospital

🇨🇳

Taichung, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Chang Gung Memorial Hospital - Linkou

🇨🇳

Taoyuan, Taiwan

Tri-Service General Hospital

🇨🇳

Taipei, Taiwan

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

Kaohsiung Medical University Hospital

🇨🇳

Kaohsiung, Taiwan

Cathay General Hospital

🇨🇳

Taipei, Taiwan

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