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CompletedNCT00106548Updated Jun 11, 2010

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

A Phase 3 interventional study of tocilizumab [RoActemra/Actemra] and tocilizumab [RoActemra/Actemra] in Rheumatoid Arthritis, sponsored by Hoffmann-La Roche. Completed at 74 sites in 17 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2010-06-11.

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

Phase
Phase 3
Study type
Interventional
Enrollment
623
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, both in combination with methotrexate (MTX). in patients with moderate to severe active rheumatoid arthritis (RA) who currently have an inadequate response to MTX. Patients wil be randomized to receive tocilizumab 4mg/kg iv, tocilizumab 8mg/mg iv, or placebo iv, every 4 weeks; all patients will also receive methotrexate 10-25mg weekly. 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
03

In context

Arthritis

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

This study's enrollment of 623 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.

04

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 a stable dose of MTX;
  • patients of reproductive potential must be using reliable methods of contraception.

Exclusion criteria

Exclusion Criteria:

  • major surgery (including joint surgery) within 8 weeks before entering study, or planned surgery within 6 months after entering study;
  • prior treatment failure with an anti-tumor necrosis factor agent;
  • women who are pregnant or breast-feeding.
05

Study design

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

Study arms

  • Experimental
    1

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

  • Experimental
    2

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

  • Placebo comparator
    3

    Drug: Placebo · Drug: Methotrexate

Interventions

  • Drugtocilizumab [RoActemra/Actemra]

    4mg/kg iv / month

  • Drugtocilizumab [RoActemra/Actemra]

    8mg/kg iv / month

  • DrugPlacebo

    iv / month

  • DrugMethotrexate

    10-25mg/week

06

What researchers measure

Primary outcomes

  1. Percentage of patients with ACR 20 response

    Time frame: Week 24

Secondary outcomes

  1. Percentage of patients ACR 50/70 responses; change from baseline in ACR core set components.

    Time frame: Week 24

  2. AEs, laboratory parameters, vital signs

    Time frame: Throughout study

07

Study locations

74 sites
  • Buenos Aires, 1405, Argentina
  • Buenos Aires, C1015ABO, Argentina
  • Buenos Aires, C1428CQG, Argentina
  • Adelaide, 5041, Australia
  • Douglas, 4184, Australia
  • Maroochydore, 4558, Australia
  • Shenton Park, 6008, Australia
  • Wien, 1090, Austria
  • Wien, 1100, Austria
  • Wien, 1130, Austria
  • Wien, 1160, Austria
  • Porto Alegre, 91350-200, Brazil
  • Sao Paulo, 05651-901, Brazil
  • Sofia, 1606, Bulgaria
  • Sofia, 1784, Bulgaria
  • Varna, 9010, Bulgaria
  • Calgary, Alberta T2N 4N1, Canada
  • Vancouver, British Columbia V5Z 1L7, Canada
  • Victoria, British Columbia V8V 3P9, Canada
  • Winnipeg, Manitoba R3A 1M3, Canada
  • St John's, Newfoundland and Labrador A1B 3E1, Canada
  • Burlington, Ontario L7M 4Y1, Canada
  • Newmarket, Ontario L3Y 3R7, Canada
  • Ottawa, Ontario K1H 1A2, Canada
  • Toronto, Ontario M4N 3M5, Canada
  • Montreal, Quebec H1T 4B3, Canada
  • Montreal, Quebec H2L 1S6, Canada
  • Sainte-foy, Quebec G1W 4R4, Canada
  • Hong Kong, 852, China
  • Hong Kong, China
  • Besancon, 25030, France
  • Creteil, 94010, France
  • Le Mans, 72000, France
  • Montpellier, 34295, France
  • Paris, 75010, France
  • Paris, 75012, France
  • Paris, 75014, France
  • Bad Bramstedt, 24576, Germany
  • Bad Nauheim, 61231, Germany
  • Baden-baden, 76530, Germany
  • Berlin, 14059, Germany
  • Erlangen, 91056, Germany
  • Heidelberg, 69120, Germany
  • Köln, 50924, Germany
  • Tübingen, 72076, Germany
  • Budapest, 1023, Hungary
  • Debrecen, 4004, Hungary
  • Pécs, 7632, Hungary
  • Beer Sheva, 84101, Israel
  • Haifa, 31048, Israel
  • Haifa, 31096, Israel
  • Jerusalem, 91120, Israel
  • Petach Tikva, 49100, Israel
  • Tel Aviv, 64239, Israel
  • Ferrara, 44100, Italy
  • Gazzi, 98125, Italy
  • Palermo, 90127, Italy
  • Siena, 53100, Italy
  • Udine, 33100, Italy
  • Chihuahua, 31000, Mexico
  • Guadalajara, 44620, Mexico
  • Guadalajara, 44690, Mexico
  • Mexico City, 07760, Mexico
  • Mexico City, 14080, Mexico
  • San Luis Potosi, 78240, Mexico
  • Singapore, 119074, Singapore
  • Singapore, 258499, Singapore
  • Piestany, 921 01, Slovakia
  • Bern, 3010, Switzerland
  • Lausanne, 1011, Switzerland
  • St Gallen, 9007, Switzerland
  • Bangkok, 10400, Thailand
  • Bangkok, 10700, Thailand
  • Chiang Mai, 50200, Thailand
08

References and documents

Publications

  • 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 ↗
  • Wang J, Bansal AT, Martin M, Germer S, Benayed R, Essioux L, Lee JS, Begovich A, Hemmings A, Kenwright A, Taylor KE, Upmanyu R, Cutler P, Harari O, Marchini J, Criswell LA, Platt A. Genome-wide association analysis implicates the involvement of eight loci with response to tocilizumab for the treatment of rheumatoid arthritis. Pharmacogenomics J. 2013 Jun;13(3):235-41. doi: 10.1038/tpj.2012.8. Epub 2012 Apr 10. PubMed 22491018 ↗
  • Garnero P, Thompson E, Woodworth T, Smolen JS. Rapid and sustained improvement in bone and cartilage turnover markers with the anti-interleukin-6 receptor inhibitor tocilizumab plus methotrexate in rheumatoid arthritis patients with an inadequate response to methotrexate: results from a substudy of the multicenter double-blind, placebo-controlled trial of tocilizumab in inadequate responders to methotrexate alone. Arthritis Rheum. 2010 Jan;62(1):33-43. doi: 10.1002/art.25053. PubMed 20039425 ↗
  • Smolen JS, Beaulieu A, Rubbert-Roth A, Ramos-Remus C, Rovensky J, Alecock E, Woodworth T, Alten R; OPTION Investigators. Effect of interleukin-6 receptor inhibition with tocilizumab in patients with rheumatoid arthritis (OPTION study): a double-blind, placebo-controlled, randomised trial. Lancet. 2008 Mar 22;371(9617):987-97. doi: 10.1016/S0140-6736(08)60453-5. PubMed 18358926 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2010, 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
NCT00106548
Lead sponsor
Hoffmann-La Roche
First posted
Mar 28, 2005
Completion
Oct 2007
Last update
Jun 11, 2010

Study contacts

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

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