Tocilizumab

Generic Name
Tocilizumab
Brand Names
Actemra, RoActemra, Tyenne, Tofidence
Drug Type
Biotech
Chemical Formula
-
CAS Number
375823-41-9
Unique Ingredient Identifier
I031V2H011
Background

Tocilizumab is a recombinant humanized monoclonal antibody IL-6 receptor inhibitor used to treat inflammatory and autoimmune conditions. It was first described in the literature in 2003 when Chugai, a subsidiary of Roche began developing IL-6 inhibiting monoclonal antibodies. Tocilizumab was granted FDA approval on 8 January 2010 to treat a number of inflammatory and autoimmune disorders, such as different types of arthritis and cytokine release syndrome. It was later approved by Health Canada on 30 April 2010. After being investigated to treat severely ill patients with COVID-19, tocilizumab was approved by the European Commission in December 2021 to treat COVID-19 in adults receiving systemic corticosteroids and supplemental oxygen or mechanical ventilation. Subsequently, it was granted approval by Health Canada and the FDA in October and December 2022, respectively. Tocilizumab-bavi, a biosimilar drug, was approved by the FDA in September 2023.

Indication

Tocilizumab is indicated to treat moderate to severe rheumatoid arthritis, giant cell arteritis, systemic sclerosis-associated interstitial lung disease, polyarticular juvenile idiopathic arthritis, systemic juvenile idiopathic arthritis, and cytokine release syndrome.

Tocilizumab is also used to treat coronavirus disease 2019 (COVID-19) in adults who are receiving systemic corticosteroids and require supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).

Associated Conditions
Coronavirus Disease 2019 (COVID‑19), Cytokine Release Syndrome caused by CAR-T Cell Therapy, Giant Cell Arteritis (GCA), Juvenile Chronic Polyarthritis, Moderate to Severe Rheumatoid Arthritis, Moderately to Severely Active Rheumatoid Arthritis, Polyarticular Juvenile Idiopathic Arthritis, Systemic Juvenile Idiopathic Arthritis (SJIA), Systemic Sclerosis-associated Interstitial Lung Disease (SSc-ILD), Active systemic Juvenile idiopathic arthritis, Severe, active Rheumatoid arthritis
Associated Therapies
Monotherapy

A Trial of Tocilizumab in ALS Subjects

First Posted Date
2015-06-12
Last Posted Date
2019-12-18
Lead Sponsor
Barrow Neurological Institute
Target Recruit Count
22
Registration Number
NCT02469896
Locations
🇺🇸

Barrow Neurological Institute, Phoenix, Arizona, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States

and more 2 locations

A Study of the Efficacy and Safety of Tocilizumab in Participants With Systemic Sclerosis (SSc)

Phase 3
Completed
Conditions
Interventions
First Posted Date
2015-05-25
Last Posted Date
2020-03-09
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
212
Registration Number
NCT02453256
Locations
🇧🇪

UZ Leuven Gasthuisberg, Leuven, Belgium

🇫🇷

Hopital Claude Huriez; Internal Medicine, Lille, France

🇺🇸

Joint & Muscle Research Institute, Charlotte, North Carolina, United States

and more 80 locations

Short-Term Application of Tocilizumab Following Myocardial Infarction

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2015-04-17
Last Posted Date
2017-11-17
Lead Sponsor
Keesler Air Force Base Medical Center
Target Recruit Count
28
Registration Number
NCT02419937
Locations
🇺🇸

Keesler Medical Center, Keesler Air Force Base, Mississippi, United States

Single-dose Study to Describe the Safety of Sarilumab and Tocilizumab in Patients With Rheumatoid Arthritis

First Posted Date
2015-03-31
Last Posted Date
2016-03-28
Lead Sponsor
Sanofi
Target Recruit Count
30
Registration Number
NCT02404558
Locations
🇯🇵

Investigational Site Number 392001, Sendai-Shi, Japan

🇯🇵

Investigational Site Number 392002, Sendai-Shi, Japan

🇯🇵

Investigational Site Number 392003, Sendai-Shi, Japan

Non-Interventional Study of Tocilizumab Subcutaneous (SC) Monotherapy in Participants With Rheumatoid Arthritis (RA)

Completed
Conditions
Interventions
First Posted Date
2015-03-30
Last Posted Date
2019-12-06
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
353
Registration Number
NCT02402686
Locations
🇭🇺

National Institute of Rheumatology and Physiotherapy; 4Th Rheumatology Department, Budapest, Hungary

🇭🇺

Budai Irgalmasrendi Kórház KHT. II. Reumatológia, Budapest, Hungary

🇭🇺

Szent Andras Reumakorhaz; Reumatologia, Heviz, Hungary

and more 15 locations

Alemtuzumab or Tocilizumab in Combination With Etoposide and Dexamethasone for the Treatment of Adult Patients With Hemophagocytic Lymphohistiocytosis

First Posted Date
2015-03-11
Last Posted Date
2024-01-17
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
18
Registration Number
NCT02385110
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Mechanistic Studies of B- and T-Cell Function in RA Patients Treated With TNF Antagonists, Tocilizumab, or Abatacept

First Posted Date
2015-02-03
Last Posted Date
2020-10-01
Lead Sponsor
Dr. Larry W. Moreland
Target Recruit Count
10
Registration Number
NCT02353780
Locations
🇺🇸

University of Pittsburgh, Pittsburgh, Pennsylvania, United States

A Study Evaluating the Safety of Tocilizumab in Addition to Standard of Care Premedication Given Before Obinutuzumab + Chlorambucil in Participants With Untreated B-Cell Chronic Lymphocytic Leukemia (B-CLL) and Comorbidities

First Posted Date
2015-01-12
Last Posted Date
2021-04-08
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
38
Registration Number
NCT02336048
Locations
🇪🇸

Hospital Universitari Vall d'Hebron; Servicio de Hematologia, Barcelona, Spain

🇪🇸

Hospital Clínic i Provincial; Servicio de Hematología y Oncología, Barcelona, Spain

🇮🇹

Azienda Ospedaliera Di Perugia Ospedale s. Maria Della Misericordia; Oncologia Medica, Sant'Andrea Delle Fratte (PG), Umbria, Italy

and more 11 locations

A Study of RO6958688 in Participants With Locally Advanced and/or Metastatic Carcinoembryonic Antigen Positive Solid Tumors

First Posted Date
2014-12-24
Last Posted Date
2020-04-17
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
149
Registration Number
NCT02324257
Locations
🇺🇸

Cedars Sinai Medical Center; Samuel-Oschin Comprehensive Cancer Institute, Los Angeles, California, United States

🇪🇸

START Madrid. Centro Integral Oncologico Clara Campal; CIOCC, Madrid, Spain

🇺🇸

Stanford University, Palo Alto, California, United States

and more 18 locations
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