A Phase 3 interventional study of Placebo and Placebo in Arthritis, Rheumatoid, sponsored by Janssen Research & Development, LLC. Completed at 205 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-23.
Sponsored by Janssen Research & Development, LLC · Phase 3, Interventional, and Treatment
The purpose of this study is to assess the efficacy of sirukumab as measured by the reduction of the signs and symptoms of rheumatoid arthritis (RA) in patients with active RA who are unresponsive or intolerant to treatment with anti-TNF-alpha agents.
Patients will be randomly assigned to treatment groups, and they and study personnel will not know the identity of the treatments given. Some patients will receive a placebo, which resembles a medication, but does not contain an active substance. This helps to determine if the study agent is effective. Patients will receive placebo or sirukumab by injection under the skin. The expected duration of the study is 68 weeks, which includes 52 weeks of treatment. Participants who complete participation in the study will be eligible for inclusion into the long term extension study if enrollment at a participating site is available to them. If they do not participate in the long-term study, they will continue into the safety follow-up for approximately 16 weeks. The placebo-controlled portion of the study is through Week 24, when placebo patients will cross over to one of two sirukumab dose regimens. Patient safety will be monitored throughout the study.
3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.
This study's enrollment of 878 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.
Browse Arthritis studies →Janssen Research & Development, LLC is the lead sponsor of 912 studies on the registry; 76 are open to participants now.
Of its 278 completed or terminated interventional studies of FDA-regulated products, 131 (47%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Patients will receive placebo every 2 weeks from Week 0 through Week 22, followed by a subcutaneous (SC) sirukumab dose regimen every 2 weeks through Week 52.
Drug: Placebo · Drug: Sirukumab
Patients will receive sirukumab 100 mg SC at Weeks 0, 2, and every 2 weeks through Week 52.
Drug: Sirukumab
Patients will receive sirukumab 50 mg SC at Weeks 0, 4, and every 4 weeks through Week 52. Between sirukumab injections, placebo SC administrations will be made at Weeks 2, 6, and every 4 weeks through Week 52.
Drug: Placebo · Drug: Sirukumab
Form=solution for injection, route=subcutaneous use; every 2 weeks from Week 0 through Week 22.
Form=solution for injection, route=subcutaneous use; Weeks 2, 6, and every 4 weeks through Week 52.
Type=exact, unit=mg, number=50 or 100, form=solution for injection, route=subcutaneous use; every 2 weeks for 100 mg and every 4 weeks for 50 mg, Week 23 through Week 52.
Type=exact, unit=mg, number=100, form=solution for injection, route=subcutaneous use; Weeks 0, 2, and every 2 weeks through Week 52.
Type=exact, unit=mg, number=50, form=solution for injection, route=subcutaneous use; Weeks 0, 4, and every 4 weeks through Week 52.
Percentage of Participants Achieving American College of Rheumatology (ACR) 20 Response at Week 16
The ACR 20 Response is defined as greater than or equal to (\>=) 20 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and \>=20 percent improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 =no pain to 10 =worst possible pain\]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and serum C-Reactive Protein (CRP).
Time frame: Week 16
Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score at Week 24
The HAQ-DI is a 20-question instrument that assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping and activities of daily living). Responses in each functional area are scored from 0 to 3 (0=no difficulty and 3=inability to perform a task in that area). Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
Time frame: Baseline and Week 24
Percentage of Participants Achieving American College of Rheumatology (ACR) 50 Response at Week 24
The ACR 50 Response is defined as \>= 50 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and \>=50 percent improvement in 3 of following 5 assessments: patient's assessment of pain using VAS ( 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 =no pain to 10 =worst possible pain\]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by HAQ-DI (defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and serum C-Reactive Protein (CRP).
Time frame: Week 24
Percentage of Participants With Disease Activity Index Score 28 (CRP) Remission at Week 24
The Disease Activity Index Score 28 (DAS28) based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. DAS28 (CRP) remission is defined as a DAS28 (CRP) value of less than (\<) 2.6 at any study visit.
Time frame: Week 24
| Milestone | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Placebo to 50 mg q4w Due to EE or CO | Placebo to 100 mg q2w Due to EE or CO |
|---|---|---|---|---|---|
| Started | 294 | 292 | 292 | 0 | 0 |
| Participants re-randomized at week 18 | 94 | 0 | 0 | 0 | 0 |
| Completed | 252 | 237 | 245 | 0 | 0 |
| Not completed | 42 | 55 | 47 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 3 | 2 | 0 | 0 |
| Withdrew: Withdrawal by subject | 12 | 10 | 9 | 0 | 0 |
| Withdrew: Adverse event | 11 | 18 | 22 | 0 | 0 |
| Withdrew: Lack of efficacy | 15 | 14 | 8 | 0 | 0 |
| Withdrew: Physician decision | 0 | 3 | 1 | 0 | 0 |
| Withdrew: Other | 4 | 7 | 5 | 0 | 0 |
| Milestone | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Placebo to 50 mg q4w Due to EE or CO | Placebo to 100 mg q2w Due to EE or CO |
|---|---|---|---|---|---|
| Started | 0 | 237 | 245 | 126 | 126 |
| Treated | 0 | 237 | 245 | 124 | 126 |
| Completed | 0 | 204 | 212 | 109 | 106 |
| Not completed | 0 | 33 | 33 | 17 | 20 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 1 | 0 |
| Withdrew: Withdrawal by subject | 0 | 6 | 3 | 0 | 0 |
| Withdrew: Adverse event | 0 | 11 | 14 | 3 | 15 |
| Withdrew: Death | 0 | 0 | 2 | 1 | 0 |
| Withdrew: Lack of efficacy | 0 | 13 | 7 | 10 | 3 |
| Withdrew: Physician decision | 0 | 1 | 1 | 0 | 0 |
| Withdrew: Other | 0 | 1 | 5 | 2 | 2 |
| Milestone | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Placebo to 50 mg q4w Due to EE or CO | Placebo to 100 mg q2w Due to EE or CO |
|---|---|---|---|---|---|
| Started | 28 | 65 | 62 | 9 | 19 |
| Safety population | 28 | 65 | 62 | 7 | 19 |
| Completed | 24 | 55 | 45 | 7 | 11 |
| Not completed | 4 | 10 | 17 | 2 | 8 |
| Withdrew: Lost to follow-up | 0 | 1 | 2 | 0 | 1 |
| Withdrew: Withdrawal by subject | 4 | 6 | 6 | 1 | 3 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Other | 0 | 3 | 9 | 1 | 3 |
The ACR 20 Response is defined as greater than or equal to (\>=) 20 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and \>=20 percent improvement in 3 of following 5 assessments: patient's assessment of pain using Visual Analog Scale (VAS; 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 =no pain to 10 =worst possible pain\]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by Health Assessment Questionnaire-Disability Index (HAQ-DI, defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and serum C-Reactive Protein (CRP).
| Percentage of Participants | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
|---|---|---|---|
| Percentage of Participants Achieving American College of Rheumatology (ACR) 20 Response at Week 16 | 24.1 | 40.1 | 45.2 |
The HAQ-DI is a 20-question instrument that assesses the degree of difficulty a person has in accomplishing tasks in 8 functional areas (dressing, arising, eating, walking, hygiene, reaching, gripping and activities of daily living). Responses in each functional area are scored from 0 to 3 (0=no difficulty and 3=inability to perform a task in that area). Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0 = least difficulty and 3 = extreme difficulty.
| Units on a scale | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
|---|---|---|---|
| Baseline | 1.5663 ± 0.65223 | 1.6499 ± 0.59743 | 1.6122 ± 0.61320 |
| Change at Week 24 | -0.12 ± 0.491 | -0.31 ± 0.543 | -0.33 ± 0.526 |
The ACR 50 Response is defined as \>= 50 percent improvement in swollen joint count (66 joints) and tender joint count (68 joints) and \>=50 percent improvement in 3 of following 5 assessments: patient's assessment of pain using VAS ( 0-10 scale, 0 =no pain and 10 =worst possible pain), patient's global assessment of disease activity by using VAS (the scale ranges from 0 to 10, \[0 =no pain to 10 =worst possible pain\]), physician's global assessment of disease activity using VAS, participant's assessment of physical function measured by HAQ-DI (defined as a 20-question instrument assessing 8 functional areas. The derived HAQ-DI ranges from 0, indicating no difficulty, to 3, indicating inability to perform a task in that area) and serum C-Reactive Protein (CRP).
| Percentage of Participants | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
|---|---|---|---|
| Percentage of Participants Achieving American College of Rheumatology (ACR) 50 Response at Week 24 | 8.8 | 20.9 | 21.6 |
The Disease Activity Index Score 28 (DAS28) based on C-Reactive Protein (CRP) is a statistically derived index combining tender joints (28 joints), swollen joints (28 joints), CRP and patient's global assessment of disease activity. The set of 28 joint count is based on evaluation of the shoulder, elbow, wrist, metacarpophalangeal (MCP) MCP1 to MCP5, proximal interphalangeal (PIP) PIP1 to PIP5 joints of both the upper right extremity and the upper left extremity as well as the knee joints of lower right and lower left extremities. The values are 0=best to 10=worst. DAS28 (CRP) remission is defined as a DAS28 (CRP) value of less than (\<) 2.6 at any study visit.
| Percentage of Participants | Placebo | Sirukumab 50 mg | Sirukumab 100 mg |
|---|---|---|---|
| Percentage of Participants With Disease Activity Index Score 28 (CRP) Remission at Week 24 | 8.2 | 19.2 | 21.6 |
Collected over Up to Week 68. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Week (W) 24-Placebo | — | 15/294 (5.1%) | 106/294 (36.1%) |
| W24 to W52-Placebo to 50 mg q4w Due to EE or CO | — | 8/124 (6.5%) | 50/124 (40.3%) |
| W52-Sirukumab 50 mg q4w | — | 51/292 (17.5%) | 152/292 (52.1%) |
| W24 to W52-Placebo to 100 mg q2w Due to EE or CO | — | 18/126 (14.3%) | 63/126 (50%) |
| W52-Sirukumab 100 mg q2w | — | 37/292 (12.7%) | 169/292 (57.9%) |
| W52 to W68-Placebo | — | 0/28 (0%) | 0/28 (0%) |
| W52 to W68-Placebo to 50 mg q4w Due to EE or CO | — | 0/7 (0%) | 1/7 (14.3%) |
| W52 to W68-Sirukumab 50 mg q4w | — | 1/65 (1.5%) | 2/65 (3.1%) |
| W52 to W68-Placebo to 100 mg q2w Due to EE or CO | — | 2/19 (10.5%) | 3/19 (15.8%) |
| W52 to W68-Sirukumab 100 mg q2w | — | 0/62 (0%) | 4/62 (6.5%) |
| Event | Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w |
|---|---|---|---|---|---|---|---|---|---|---|
| Diverticular PerforationGastrointestinal disorders | 0/294 | 0/124 | 1/292 | 0/126 | 1/292 | 0/28 | 0/7 | 0/65 | 1/19 | 0/62 |
| ErysipelasInfections and infestations | 0/294 | 0/124 | 0/292 | 2/126 | 0/292 | 0/28 | 0/7 | 0/65 | 1/19 | 0/62 |
| PneumoniaInfections and infestations | 1/294 | 0/124 | 5/292 | 0/126 | 5/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| Rheumatoid ArthritisMusculoskeletal and connective tissue disorders | 2/294 | 2/124 | 3/292 | 0/126 | 1/292 | 0/28 | 0/7 | 1/65 | 0/19 | 0/62 |
| CellulitisInfections and infestations | 0/294 | 0/124 | 3/292 | 2/126 | 2/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| Angina UnstableCardiac disorders | 0/294 | 0/124 | 3/292 | 0/126 | 0/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| OsteoarthritisMusculoskeletal and connective tissue disorders | 0/294 | 1/124 | 3/292 | 1/126 | 1/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| GoitreEndocrine disorders | 0/294 | 1/124 | 0/292 | 0/126 | 0/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| Anal FissureGastrointestinal disorders | 0/294 | 1/124 | 0/292 | 0/126 | 0/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| Chest PainGeneral disorders | 1/294 | 1/124 | 1/292 | 0/126 | 2/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| Event | Week (W) 24-Placebo | W24 to W52-Placebo to 50 mg q4w Due to EE or CO | W52-Sirukumab 50 mg q4w | W24 to W52-Placebo to 100 mg q2w Due to EE or CO | W52-Sirukumab 100 mg q2w | W52 to W68-Placebo | W52 to W68-Placebo to 50 mg q4w Due to EE or CO | W52 to W68-Sirukumab 50 mg q4w | W52 to W68-Placebo to 100 mg q2w Due to EE or CO | W52 to W68-Sirukumab 100 mg q2w |
|---|---|---|---|---|---|---|---|---|---|---|
| Injection Site ErythemaGeneral disorders | 4/294 | 5/124 | 28/292 | 19/126 | 47/292 | 0/28 | 0/7 | 0/65 | 0/19 | 0/62 |
| BronchitisInfections and infestations | 5/294 | 7/124 | 13/292 | 4/126 | 22/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| PneumoniaInfections and infestations | 0/294 | 1/124 | 3/292 | 2/126 | 5/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| Lymphocyte Count IncreasedInvestigations | 0/294 | 0/124 | 0/292 | 0/126 | 0/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| Neutrophil Count IncreasedInvestigations | 2/294 | 1/124 | 0/292 | 0/126 | 0/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| White Blood Cell Count IncreasedInvestigations | 2/294 | 1/124 | 0/292 | 0/126 | 0/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| HyperglycaemiaMetabolism and nutrition disorders | 3/294 | 2/124 | 3/292 | 0/126 | 1/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| Back PainMusculoskeletal and connective tissue disorders | 2/294 | 0/124 | 7/292 | 1/126 | 9/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| Muscle SpasmsMusculoskeletal and connective tissue disorders | 2/294 | 2/124 | 5/292 | 1/126 | 7/292 | 0/28 | 1/7 | 0/65 | 0/19 | 1/62 |
| CoughRespiratory, thoracic and mediastinal disorders | 2/294 | 4/124 | 13/292 | 4/126 | 22/292 | 0/28 | 1/7 | 0/65 | 0/19 | 0/62 |
| Age, Categorical(Participants) | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Total |
|---|---|---|---|---|
| <=18 years | 0 ± 12.19 | 0 ± 11.89 | 0 ± 12.28 | 0 |
| Between 18 and 65 years | 228 | 225 | 230 | 683 |
| >=65 years | 66 | 67 | 62 | 195 |
| Age, Continuous(years) | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Total |
|---|---|---|---|---|
| Mean | 55.4 ± 12.19 | 55.8 ± 11.89 | 55 ± 12.28 | 55.4 ± 12.11 |
| Sex: Female, Male(Participants) | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Total |
|---|---|---|---|---|
| Female | 240 | 232 | 240 | 712 |
| Male | 54 | 60 | 52 | 166 |
| Region of Enrollment(Participants) | Placebo | Sirukumab 50 mg q4w | Sirukumab 100 mg q2w | Total |
|---|---|---|---|---|
| Argentina | 10 | 6 | 3 | 19 |
| Australia | 1 | 2 | 0 | 3 |
| Austria | 2 | 0 | 0 | 2 |
| Belgium | 1 | 0 | 0 | 1 |
| Canada | 2 | 7 | 1 | 10 |
| France | 0 | 1 | 0 | 1 |
| Germany | 7 | 13 | 7 | 27 |
| Italy | 5 | 0 | 4 | 9 |
| Japan | 37 | 35 | 44 | 116 |
| Lithuania | 4 | 7 | 5 | 16 |
| Mexico | 7 | 4 | 6 | 17 |
| Netherlands | 4 | 1 | 1 | 6 |
| Poland | 21 | 29 | 26 | 76 |
| Portugal | 3 | 4 | 4 | 11 |
| Puerto Rico | 1 | 6 | 1 | 8 |
| Republic of Korea | 5 | 7 | 5 | 17 |
| Russian Federation | 18 | 11 | 21 | 50 |
| Spain | 8 | 8 | 7 | 23 |
| Taiwan, Province of China | 8 | 2 | 2 | 12 |
| United Kingdom | 2 | 4 | 3 | 9 |
| United States | 148 | 145 | 152 | 445 |
Showing the first 100 of 205 sites across 22 countries.
This study is completed, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Janssen Research & Development, LLC