CClinicalTrials.gg
CompletedNCT00106522Updated Nov 2, 2016

A Study to Assess the Effect of Tocilizumab + Methotrexate on Signs and Symptoms in Patients With Moderate to Severe Active Rheumatoid Arthritis Currently on Methotrexate Therapy

A Phase 3 interventional study of Methotrexate and Placebo in Rheumatoid Arthritis, sponsored by Hoffmann-La Roche. Completed at 168 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-11-02.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
499
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This 3 arm study will compare the safety and efficacy, with regard to reduction of signs and symptoms, of tocilizumab versus placebo in combination with methotrexate (MTX) in patients with moderate to severe active rheumatoid arthritis (RA) currently on MTX therapy, and who have had an inadequate response to prior therapy with an anti-tumor necrosis factor (anti-TNF) agent. Patients will be randomized to receive tocilizumab 4mg/kg iv, tocilizumab 8mg/kg or placebo iv, every 4 weeks. All patients will also receive methotrexate 10-25mg/week. The anticipated time on study treatment is 3-12 months, and the target sample size is 500+ individuals.

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Conditions studied

  • Rheumatoid Arthritis
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In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 318 are open to participants now.

This study's enrollment of 499 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • adult patients at least 18 years of age with moderate to severe active RA for at least 6 months;
  • inadequate response to current anti-rheumatic therapies, including MTX;
  • inadequate response or intolerance to treatment with 1 or more anti-TNF therapies within 1 year of entering study;
  • on stable MTX for at least 8 weeks before entering study;
  • patients of reproductive potential must be using reliable methods of contraception.

Exclusion criteria

Exclusion Criteria:

  • major surgery (including joint surgery) within 8 weeks before screening, or planned major surgery within 6 months after entering study;
  • women who are pregnant or breast-feeding.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
499 participants (actual)

Study arms

  • Experimental
    1

    Drug: Methotrexate · Drug: tocilizumab [RoActemra/Actemra]

  • Experimental
    2

    Drug: Methotrexate · Drug: tocilizumab [RoActemra/Actemra]

  • Placebo comparator
    3

    Drug: Methotrexate · Drug: Placebo

Interventions

  • DrugMethotrexate

    10-25mg weekly

  • DrugPlacebo

    iv every 4 weeks

  • Drugtocilizumab [RoActemra/Actemra]

    8mg/kg iv every 4 weeks

  • Drugtocilizumab [RoActemra/Actemra]

    4mg/kg iv every 4 weeks

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What researchers measure

Primary outcomes

  1. Percentage of patients with ACR 20 response

    Time frame: Week 24

  2. AEs, laboratory parameters, vital signs, ECGs.

    Time frame: Throughout study

Secondary outcomes

  1. Percentage of patients with ACR 50 and ACR 70 responses

    Time frame: Week 24

  2. Mean changes in parameters of ACR core set

    Time frame: Week 24

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Study locations

168 sites
  • Birmingham, Alabama 35294, United States
  • Huntsville, Alabama 35801, United States
  • Scottsdale, Arizona 85251, United States
  • Scottsdale, Arizona 85258, United States
  • Tucson, Arizona 85724, United States
  • Hot Springs, Arkansas 71913, United States
  • Little Rock, Arkansas 72205, United States
  • Anaheim, California 92801, United States
  • Fullerton, California 92835, United States
  • Long Beach, California 90806, United States
  • Long Beach, California 90808, United States
  • Los Angeles, California 90095, United States
  • Palm Desert, California 92260, United States
  • San Diego, California 92101, United States
  • San Diego, California 92108, United States
  • Santa Maria, California 93454, United States
  • Torrance, California 90505, United States
  • Colorado Springs, Colorado 80910, United States
  • Aventura, Florida 33180, United States
  • Boca Raton, Florida 33486, United States
  • Fort Lauderdale, Florida 33334, United States
  • Palm Habor, Florida 34684, United States
  • Sarasota, Florida 34239, United States
  • Tampa, Florida 33614, United States
  • Tavares, Florida 32778, United States
  • West Palm Beach, Florida 33407, United States
  • Zephyrhills, Florida 33540, United States
  • Atlanta, Georgia 30342, United States
  • Boise, Idaho 83702, United States
  • Meridian, Idaho 83642, United States
  • Chicago, Illinois 60611, United States
  • Springfield, Illinois 62703, United States
  • Springfield, Illinois 62704, United States
  • Indianapolis, Indiana 46202-5100, United States
  • Bowling Green, Kentucky 42102, United States
  • Elizabethtown, Kentucky 42701, United States
  • Lexington, Kentucky 40515, United States
  • Louisville, Kentucky 40202, United States
  • New Orleans, Louisiana 70121, United States
  • Portland, Maine 04102, United States
  • Baltimore, Maryland 21201, United States
  • Baltimore, Maryland 21205, United States
  • Wheaton, Maryland 20902, United States
  • Springfield, Massachusetts 01107, United States
  • Worcester, Massachusetts 01605, United States
  • Lansing, Michigan 48910, United States
  • Duluth, Minnesota 55805, United States
  • Rochester, Minnesota 55905, United States
  • Tupelo, Mississippi 38802, United States
  • Saint Louis, Missouri 63128, United States
  • Saint Louis, Missouri 63131, United States
  • Saint Louis, Missouri 63141, United States
  • St Louis, Missouri 63110, United States
  • Billings, Montana 59107-5100, United States
  • Missoula, Montana 59802, United States
  • Las Vegas, Nevada 89119, United States
  • Medford, New Jersey 08055, United States
  • Mercerville, New Jersey 08619, United States
  • Teaneck, New Jersey 07666, United States
  • Albany, New York 12206, United States
  • Binghamton, New York 13905, United States
  • Great Neck, New York 11020, United States
  • Johnson City, New York 13790, United States
  • New York, New York 10003, United States
  • New York, New York 10021, United States
  • Orchard Park, New York 14127, United States
  • Rochester, New York 14618, United States
  • Asheville, North Carolina 28801, United States
  • Chapel Hill, North Carolina 27599-7280, United States
  • Charlotte, North Carolina 28210, United States
  • Wilmington, North Carolina 28401, United States
  • Bismarck, North Dakota 58501, United States
  • Canton, Ohio 44718, United States
  • Cincinnati, Ohio 45219, United States
  • Oklahoma City, Oklahoma 73103, United States
  • Tulsa, Oklahoma 74104, United States
  • Tulsa, Oklahoma 74135, United States
  • Eugene, Oregon 97401, United States
  • Bala Cynwyd, Pennsylvania 19004, United States
  • Danville, Pennsylvania 17822, United States
  • Duncansville, Pennsylvania 16635, United States
  • Philadelphia, Pennsylvania 19140, United States
  • Philadelphia, Pennsylvania 19152, United States
  • Willow Grove, Pennsylvania 80045, United States
  • Hickory, South Carolina 28602, United States
  • Jackson, Tennessee 38305, United States
  • Austin, Texas 78705, United States
  • Dallas, Texas 75231-4406, United States
  • Dallas, Texas 75231, United States
  • Houston, Texas 77074, United States
  • Ogden, Utah 84403, United States
  • Norfolk, Virginia 23502, United States
  • Richmond, Virginia 23298, United States
  • Salem, Virginia 24153, United States
  • Seattle, Washington 98104, United States
  • Seattle, Washington 98195, United States
  • Glendale, Wisconsin 53217, United States
  • Malvern, 3144, Australia
  • Shenton Park, 6008, Australia
  • Sydney, 2050, Australia

Showing the first 100 of 168 sites across 14 countries.

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References and documents

Publications

  • Vieira MC, Zwillich SH, Jansen JP, Smiechowski B, Spurden D, Wallenstein GV. Tofacitinib Versus Biologic Treatments in Patients With Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Tumor Necrosis Factor Inhibitors: Results From a Network Meta-analysis. Clin Ther. 2016 Dec;38(12):2628-2641.e5. doi: 10.1016/j.clinthera.2016.11.004. Epub 2016 Nov 24. PubMed 27889300 ↗
  • Keystone EC, Anisfeld A, Ogale S, Devenport JN, Curtis JR. Continued benefit of tocilizumab plus disease-modifying antirheumatic drug therapy in patients with rheumatoid arthritis and inadequate clinical responses by week 8 of treatment. J Rheumatol. 2014 Feb;41(2):216-26. doi: 10.3899/jrheum.130489. Epub 2014 Jan 15. PubMed 24429164 ↗
  • Strand V, Burmester GR, Ogale S, Devenport J, John A, Emery P. Improvements in health-related quality of life after treatment with tocilizumab in patients with rheumatoid arthritis refractory to tumour necrosis factor inhibitors: results from the 24-week randomized controlled RADIATE study. Rheumatology (Oxford). 2012 Oct;51(10):1860-9. doi: 10.1093/rheumatology/kes131. Epub 2012 Jun 28. PubMed 22753773 ↗
  • Karsdal MA, Schett G, Emery P, Harari O, Byrjalsen I, Kenwright A, Bay-Jensen AC, Platt A. IL-6 receptor inhibition positively modulates bone balance in rheumatoid arthritis patients with an inadequate response to anti-tumor necrosis factor therapy: biochemical marker analysis of bone metabolism in the tocilizumab RADIATE study (NCT00106522). Semin Arthritis Rheum. 2012 Oct;42(2):131-9. doi: 10.1016/j.semarthrit.2012.01.004. Epub 2012 Mar 6. PubMed 22397953 ↗
  • Emery P, Keystone E, Tony HP, Cantagrel A, van Vollenhoven R, Sanchez A, Alecock E, Lee J, Kremer J. IL-6 receptor inhibition with tocilizumab improves treatment outcomes in patients with rheumatoid arthritis refractory to anti-tumour necrosis factor biologicals: results from a 24-week multicentre randomised placebo-controlled trial. Ann Rheum Dis. 2008 Nov;67(11):1516-23. doi: 10.1136/ard.2008.092932. Epub 2008 Jul 14. Erratum In: Ann Rheum Dis. 2009 Feb;68(2):296. PubMed 18625622 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00106522
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Mar 28, 2005
Start date
May 2005
Primary completion
Nov 2007
Completion
Nov 2007
Last update
Nov 2, 2016

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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