A Prospective, Randomized, Multiple-Dose, Multi-Center,Comparative, Parallel Group Clinical Study to Compare the Efficacy, Pharmacokinetics, Pharmacodynamics, Immunogenicity and Safety of Intravenous Injection of Tocilizumab (Hetero Biopharma Limited) and Reference Medicinal Product (Tocilizumab - Roche) Concomitantly Administered with Methotrexate in Patients with RheumatoidArthritis
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 入组人数
- 210
- 试验地点
- 10
- 主要终点
- improvement in the ACR core criteria)
研究概览
简要总结
This study is a double blind, randomized, active controlled, parallel group clinical study to compare the efficacy, pharmacokinetics, pharmacodynamics, immunogenicity and safety of intravenous injection of Hetero-Tocilizumab with Reference medicinal product (RMP, Roche) in patients with rheumatoid arthritis. Appropriate number of patients will be enrolled and randomly assigned into two treatment groups in the ratio 2:1 (Hetero-Tocilizumab vs Roche-Tocilizumab). All the patients will be administered either Hetero-Tocilizumab or Roche-Tocilizumab every 4 weeks at 8 mg/kg intravenously. Patients will be administered study drug every 4 weeks for up to a maximum of 24 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Permuted block randomization, fixed
- 盲法
- Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)(—)
- 性别
- All
入选标准
- •Adult male or female patients of age 18 to 65 years (both inclusive)
- •Patients with diagnosis of Active Rheumatoid Arthritis as per the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for RA score of ≥6 and has a disease duration of at least three months before randomization
- •Patients with Swollen Joint Count (SJC) ≥6 (66 joint count), and Tender Joint Count (TJC) ≥6 (68 joint count) at screening and randomization
- •Patients with erythrocyte sedimentation rate of more than 28mm/hr measured by Westergren method and/or C-reactive protein ≥10 mg/L
- •Patients who are on NSAIDs, must be on a stable dose for at least 8 weeks prior to randomization.
- •The screening laboratory tests must be: Haemoglobin ≥9.0 g/dL, Absolute Neutrophil Count ≥2.0 × 109/L, Platelets ≥100 × 109/L, SGOT and SGPT ≤ ULN, Alkaline phosphatase levels ≤ ULN, Serum creatinine ≤1.5 mg/dL.
排除标准
- •Patients with known or suspected allergy or hypersensitivity to Tocilizumab or excipients
- •Patients with functional class IV disease as defined by the American College of Rheumatology (ACR) classification of functional status in RA
- •Patients with history of use of biological disease modifying anti-rheumatic drugs (bDMARDs) within 8 weeks prior to randomization.
- •Patients with history of intra-articular or parenteral corticosteroids use within 8 weeks prior to randomization.
- •Patients with active systemic bacterial, viral, fungal, mycobacterial, or other infections
- •Patients with history of treatment with intravenous antibiotics within 30 days or oral antibiotics within 14 days prior to randomization
- •Patients with history or signs of lymphoproliferative disease
- •Patients who received live or live-attenuated vaccine within 8 weeks prior to randomization
- •Patients with history of blood donation or blood loss of >300ml within 3 months prior to randomization.
结局指标
主要结局
improvement in the ACR core criteria)
时间窗: 8 weeks and 12 | weeks
Proportion of patients with ACR 20 response (≥20%
时间窗: 8 weeks and 12 | weeks
次要结局
- Proportion of patients with an ACR 50 and ACR 70(response (≥50%, ≥70% improvement in the ACR core)
- Change from baseline in Disease Activity Score 28((DAS28-ESR))
- Compare the single dose pharmacokinetic parameters of(Cmax, AUC0-t, AUC0-∞)
- Compare the treatment emergent adverse events by(monitoring of significant clinical signs and symptoms, and laboratory abnormalities during treatment)
- Proportion of patients with ACR 20 response (≥20%(improvement in the ACR core criteria))
