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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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EUCTR |
Last refreshed on:
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19 March 2012 |
Main ID: |
EUCTR2007-002951-18-SE |
Date of registration:
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25/03/2008 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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A double-blind, randomized, placebo controlled, parallel group, multi-center, phase III trial of ofatumumab investigating clinical efficacy in adult patients with active rheumatoid arthritis who had an inadequate response to TNF-a antagonist therapy - Investigating efficacy of ofatumumab in RA patients with inadequate response to TNF-a antagonist
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Scientific title:
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A double-blind, randomized, placebo controlled, parallel group, multi-center, phase III trial of ofatumumab investigating clinical efficacy in adult patients with active rheumatoid arthritis who had an inadequate response to TNF-a antagonist therapy - Investigating efficacy of ofatumumab in RA patients with inadequate response to TNF-a antagonist |
Date of first enrolment:
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11/06/2008 |
Target sample size:
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236 |
Recruitment status: |
Not Recruiting |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2007-002951-18 |
Study type:
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Interventional clinical trial of medicinal product |
Study design:
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Controlled: yes
Randomised: no
Open: no
Single blind: no
Double blind: no
Parallel group: no
Cross over: no
Other: yes
Other trial design description: Initial double blind period: randomised, double-blind, parallel group. Extension period: open label
If controlled, specify comparator, Other Medicinial Product: no
Placebo: yes
Other: no
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Phase:
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Countries of recruitment
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Denmark
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France
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Germany
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Italy
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Netherlands
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Spain
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Sweden
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United Kingdom
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Key inclusion & exclusion criteria
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Inclusion criteria: 1) Age = 18 years 2) A diagnosis of rheumatoid arthritis according to the American College of Rheumatology (ACR1987 classification) of at least six months’ duration from diagnosis at screening 3) Active disease at the time of screening as defined by: = 8 swollen joints (of 66 joints assessed) and = 8 tender joints (of 68 joints assessed) and C-Reactive Protein (CRP) = 1.0 mg/dL or Erythrocyte Sedimentation Rate (ESR) = 22 mm/hour and DAS28=3.2 (based on ESR) Note: The swollen and tender joints must be reassessed at baseline (Visit 2) to ensure these eligibility criteria are fulfilled prior to randomization. Where possible joint count reassessment must be performed at the baseline visit (Visit 2); if this is not possible it can be performed = 3 days prior to Visit 2. 4) RA functional class I, II or III 5) Inadequate response to previous or current TNF-a antagonist treatment after infliximab therapy (=3 mg/kg; at least 4 infusions), or adalimumab therapy (40 mg at minimum of every other week for =3 months), or etanercept therapy (25 mg twice weekly or 50 mg once a week for =3 months) defined as: Inadequate efficacy according to the investigator’s judgment and/or Intolerance defined as one or more side effects following at least one administration of one of the TNF-a antagonists at the dose listed above that reasonably results in the discontinuation of treatment with the TNF-a antagonist treatment 6) Treatment with methotrexate (MTX), 7.5-25 mg/week, for at least 12 weeks and at a stable dose for at least 4 weeks prior to Visit 2. Doses of MTX as low as 7.5 mg per week are permitted for patients who can not tolerate higher doses 7) Following receipt of verbal and written information about the study, the patient must provide signed informed consent before any study related activity including wash-out of other drug products is carried out France: In France, a patient will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.
Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria: 1) Patients with a history of a rheumatic autoimmune disease other than RA (except secondary Sjögren's syndrome) or with significant systemic involvement secondary to RA (vasculitis, pulmonary fibrosis or Felty's syndrome) 2) Previous exposure to biologic anti-rheumatic therapies (with exceptions specified in (3)), including investigational compounds (e.g. anti-CD11a, anti-CD19, anti-CD20, anti-CD22, anti-BLyS/BAFF, anti-CD3, anti-CD4, anti-CD5, CAMPATH, anti-IL6 receptor) 3) Exposure to etanercept = 4 weeks, infliximab or adalimumab = 8 weeks, or abatacept = 12 weeks prior to Visit 2 4) Received any of the following treatments within 4 weeks prior to Visit 2: - Anti-cancer therapy (e.g. alkylating agents, anti-metabolites, purine analogues, monoclonal antibodies) - Glucocorticoid unless given in doses equivalent to = 10 mg of prednisolone /day - Intra-articular, i.m. or i.v. corticosteorids - Live/attenuated vaccinations - Cyclosporine - Azathioprine - Penicillamine - Bucillamine - Chloroquine - Hydroxychloroquine - Sulfasalazine 5) Exposure to leflunomide within 12 weeks prior to Visit 2 unless the patient has completed peroral cholestyramine treatment for washout according to manufacturer's instructions and locally accepted clinical practices 6) Exposure to gold therapy = 12 weeks prior to Visit 2 7) Exposure to i.v. immunogammaglobulins = 24 weeks prior to Visit 2 8) Past or current malignant melanoma 9) Past or current malignancy, except for: - Cervical carcinoma Stage 1B or less - Non-invasive basal cell and squamous cell skin carcinoma - Other cancer with complete response duration of > 5 years 10) Chronic or ongoing active infectious disease requiring systemic treatment such as, but not limited to, chronic renal infection, chronic chest infection with bronchiectasis, tuberculosis and active hepatitis B and C Note 1) Subjects with screening X-ray suggestive of TB without adequate TB treatment documented should be excluded 2) Subjects with positive skin tuberculin test should be excluded if judged at risk of latent TB infection. 11) Clinically significant cardiac disease including unstable angina, acute myocardial infarction within six months from screening, congestive heart failure, known QT abnormalities, and arrhythmia requiring therapy, with the exception of extra systoles or minor conduction abnormalities 12) Significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral psychiatric disease, or evidence of demyelinating disease 13) History of significant cerebrovascular disease 14) Known HIV positive 15) Screening laboratory values (according to central laboratory): - Hemoglobin < 5.6 mmol/L (9.0 g/dL) - Neutrophils < 2 x 109/ L - Platelets < 100 x 109/ L - Serum IgG < lower limit of normal - S-ALAT > 3.0 times the upper limit of normal - S-AST > 1.5 times the upper limit of normal - S-ALP > 2 times the upper limit of normal - S-creatinine > 133 µmol/L (1.5 mg/dL) 16) Positive serology for hepatitis B (HB) defined in terms of HBsAg, anti-HBc and anti-HBs antibodies. - Patients positive for HBsAg should be excluded - Patient negative for HBsAg and anti-HBs antibody, but positive for anti-HBc antibody should be tested for HB DNA and if positive excluded. Patients with documented vaccination against Hepatitis B (primary and secondary immunization and booster) will be considered negative 17) Positive for Hep
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Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Rheumatoid Arthritis MedDRA version: 9.1
Level: LLT
Classification code 10039073
Term: Rheumatoid arthritis
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Intervention(s)
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Product Name: Ofatumumab Product Code: HuMax-CD20 Pharmaceutical Form: Concentrate for solution for infusion INN or Proposed INN: Ofatumumab CAS Number: 679 818-59-8 Current Sponsor code: HuMax-CD20 Concentration unit: mg/ml milligram(s)/millilitre Concentration number: 20- Route of administration of the placebo: Intravenous use
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Primary Outcome(s)
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Primary end point(s): ACR20 at 24 weeks
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Secondary Objective: 1) To evaluate long-term efficacy of repeated courses of ofatumumab 2) To evaluate the effect on established and novel biomarkers of clinical response after single and repeated courses of ofatumumab 3) To evaluate ofatumumab with respect to impact on patient reported outcomes after single and repeated courses of ofatumumab 4) To evaluate the risk of host immune response against ofatumumab after single and repeated courses of ofatumumab 5) To evaluate the safety of ofatumumab after single and repeated courses of ofatumumab
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Main Objective: To demonstrate efficacy of ofatumumab in reducing clinical signs and symptoms in adult RA patients after a single course of ofatumumab
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Secondary ID(s)
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2007-002951-18-NL
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GEN411/OFA110634
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Source(s) of Monetary Support
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Results
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Results available:
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Date Posted:
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Date Completed:
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