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CompletedNCT00965653Updated Nov 2, 2016

A Study of Subcutaneously Administered Tocilizumab in Patients With Rheumatoid Arthritis

A Phase 1 interventional study of folic acid and methotrexate in Rheumatoid Arthritis, sponsored by Hoffmann-La Roche. Completed at 7 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-11-02.

Sponsored by Hoffmann-La Roche · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This open-label randomized 2arm study will investigate the pharmacokinetics, pharmacodynamics, efficacy and safety of subcutaneously administered tocilizumab in patients with rheumatoid arthritis who have shown an inadequate response to methotrexate. Patients will be randomized to receive tocilizumab 162 mg sc either weekly or every other week, in combination with methotrexate, for 12 weeks. Assessments will be made at regular intervals during treatment and on the 3 weeks of follow-up.Target sample size is \< 50 individuals.

02

Conditions studied

  • Rheumatoid Arthritis
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 29 is below 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 to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • adults 18 - 75 years of age
  • active rheumatoid arthritis of >/= 6 months duration
  • inadequate response to at least 12 weeks of methotrexate, the last 8 prior to baseline on stable dose
  • swollen joint count (SJC)>/=4, tender joint count (TJC)>/=6 at screening and baseline
  • DMARDs and anti-TNFs, other than methotrexate, withdrawn prior to baseline
  • oral corticosteroids (\</= 10mg/day prednisone or equivalent) and NSAIDS on stable dose \</= 4 weeks prior to baseline

Exclusion criteria

Exclusion Criteria:

  • rheumatic autoimmune disease other than rheumatoid arthritis
  • prior history or current inflammatory joint disease other than rheumatoid arthritis
  • major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months following enrollment
  • functional class IV by ACR classification
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    1

    Drug: folic acid · Drug: methotrexate · Drug: tocilizumab [RoActemra/Actemra]

  • Active comparator
    2

    Drug: folic acid · Drug: methotrexate · Drug: tocilizumab [RoActemra/Actemra]

Interventions

  • Drugfolic acid

    \>/= 5 mg po weekly

  • Drugmethotrexate

    7.5 - 25 mg weekly (oral or parenteral)

  • Drugtocilizumab [RoActemra/Actemra]

    162 mg sc weekly (QW)for 12 weeks

  • Drugtocilizumab [RoActemra/Actemra]

    162 mg sc every other week (Q2W) for 12 weeks

06

What researchers measure

Primary outcomes

  1. Pharmacokinetics of TCZ after QW or Q2W sc administration

    Time frame: multiple sampling after 1st and last dose, weeks 1 and 12, at bi-weekly intervals during treatment and twice on follow-up

  2. Pharmacodynamic responses of CRP

    Time frame: sampling in weeks 1 and 2 and at weekly or bi-weekly intervals throughout treatment

  3. Safety and tolerability, including injection site reaction

    Time frame: laboratory assessments every 2nd week on treatment and after 3 weeks follow-up, injection site evaluation after 1st, 2nd and last injection.

Secondary outcomes

  1. Efficacy according to ACR and DAS-EULAR parameters

    Time frame: assessments on day 1 of weeks 1, 4, 8 and 12

  2. PD responses of IL-6, sIL-6R and anti TCZ antibody

    Time frame: multiple sampling after 1st and last dose, weeks 1 and 12, at bi-weekly intervals during treatment and twice on follow-up

07

Study locations

7 sites
  • St John's, Newfoundland and Labrador A1A 5E8, Canada
  • Kitchener, Ontario N2M 5N6, Canada
  • Trois-rivieres, Quebec G8Z 1Y2, Canada
  • Christchurch, 8011, New Zealand
  • La Coruna, La Coruña 15006, Spain
  • Santiago de Compostela, La Coruña 15706, Spain
  • Sevilla, 41009, Spain
08

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 ↗
09

Registry details

Key details

Study ID
NCT00965653
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Aug 25, 2009
Start date
Aug 2009
Completion
Jul 2011
Last update
Nov 2, 2016

Study contacts

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

Not currently enrolling

This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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