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CompletedNCT02402686SIMPACTUpdated Dec 6, 2019

Non-Interventional Study of Tocilizumab Subcutaneous (SC) Monotherapy in Participants With Rheumatoid Arthritis (RA)

An observational study in Rheumatoid Arthritis, sponsored by Hoffmann-La Roche. Completed at 18 sites in Hungary. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-12-06.

Sponsored by Hoffmann-La Roche · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
353
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this non-interventional study in Hungarian participants is to gather real life data about the efficacy and safety of tocilizumab SC monotherapy in RA, to assess data about pattern of usage of tocilizumab monotherapy in RA disease management.

02

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 353 is above the median of 155 across 1,057 observational 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
Sampling method
Non-probability sample

Study population

Participants receiving treatment for RA with tocilizumab SC according to standard of care and in line with the current SPC/local labeling and who have no contraindication to tocilizumab therapy as per the local label. This can include participants who have received tocilizumab SC monotherapy treatment within 8 weeks prior to the enrollment visit.

Inclusion criteria

  • Moderate to severe RA according to 2010 American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR) joint criteria
  • Treatment with tocilizumab SC monotherapy for up to 8 weeks prior to enrollment, under the prescriptive authority of a physician who has made the decision to commence tocilizumab in accordance with the local label
  • Methotrexate intolerance, or inadequate response to prior DMARDs and TNF inhibitors where continued methotrexate treatment was deemed inappropriate

Exclusion criteria

Exclusion Criteria:

  • Treatment with tocilizumab more than 8 weeks prior to enrollment
  • Failure to meet local tocilizumab label indication criteria
  • Treatment with any investigational agent within 4 weeks of beginning tocilizumab SC monotherapy
  • Last methotrexate dose within 1 week of beginning tocilizumab SC monotherapy
  • History of any other autoimmune or joint inflammatory disease
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
353 participants (actual)
Patient registry
No

Groups and cohorts

  • Tocilizumab for RA in Routine Clinical Practice

    Participants from routine clinical practice in Hungary who are receiving treatment for RA with tocilizumab SC according to standard of care and in line with the current summary of product characteristics (SPC)/local labeling and who have no contraindication to tocilizumab therapy as per the local label are eligible for observation.

    Drug: Tocilizumab

Interventions

  • DrugTocilizumab

    Dosing and treatment duration of tocilizumab collected as part of this non-interventional study are at the discretion of the physician in accordance with local clinical practice and local labeling. Observation period is 24 weeks from first SC tocilizumab administration.

    Also known as: RoActemra

06

What researchers measure

Primary outcomes

  1. Change in Disease Activity Score 28 (DAS28) from Baseline to End of Study

    Time frame: Baseline, end of study (up to 24 weeks)

Secondary outcomes

  1. Change in Clinical Disease Activity Index (CDAI) Score from Baseline to End of Study

    Time frame: Baseline, end of study (up to 24 weeks)

  2. Percentage of Participants Achieving DAS28 Remission, as Defined by DAS28 Less Than or Equal to (≤) 2.6

    Time frame: Up to 24 weeks

  3. Percentage of Participants Achieving CDAI Remission, as Defined by CDAI ≤2.8

    Time frame: Up to 24 weeks

  4. Change in DAS28 from Baseline to End of Study in Different Monotherapy Subgroups

    The following 3 monotherapy subgroups will be included: 1) participants starting tocilizumab after failing disease-modifying antirheumatic drugs (DMARDs), 2) participants starting tocilizumab after failing one biologic, 3) participants starting tocilizumab after failing two or more biologics.

    Time frame: Baseline, end of study (up to 24 weeks)

  5. Percentage of Participants Achieving DAS28 Remission in Different Monotherapy Subgroups, as Defined by DAS28 ≤2.6

    The following 3 monotherapy subgroups will be included: 1) participants starting tocilizumab after failing DMARDs, 2) participants starting tocilizumab after failing one biologic, 3) participants starting tocilizumab after failing two or more biologics.

    Time frame: Up to 24 weeks

  6. Number of Tocilizumab SC Injections per Participant During Observational Treatment Period

    Time frame: Up to 24 weeks

  7. Percentage of Participants Who Discontinued Tocilizumab, Categorized by the Reasons for the Discontinuations

    Time frame: Up to 24 weeks

  8. Percentage of Participants on SC Tocilizumab First Line Monotherapy

    Time frame: Up to 24 weeks

  9. Percentage of Participants with Reasons for SC Tocilizumab Monotherapy

    Time frame: Up to 24 weeks

  10. Percentage of Participants Treated Previously with a Tumor Necrosis Factor (TNF) Inhibitor/Other Biologic and Low Dose Methotrexate (Less Than 10 Milligrams/Week)

    Time frame: Up to 24 weeks

  11. Percentage of Participants with Other DMARDs Than Methotrexate Before Tocilizumab Monotherapy Initiation and at End of Observation Period

    Time frame: Baseline, Week 24

  12. Percentage of Participants with Oral Steroid at Initiation of Tocilizumab SC Therapy and at End of Study

    Time frame: Baseline, Week 24

  13. Percentage of Participants With Steroid Dose Reductions/Withdrawal at End of Observation Period

    Time frame: Week 24

  14. Percentage of Participants with Steroid Tapering in Different Monotherapy Subgroups Who Achieved DAS28 Remission

    The following 3 monotherapy subgroups will be included: 1) participants starting tocilizumab after failing DMARDs, 2) participants starting tocilizumab after failing one biologic, 3) participants starting tocilizumab after failing two or more biologics.

    Time frame: Up to 24 weeks

  15. Percentage of Participants with Adverse Events

    Time frame: Up to 24 weeks

07

Study locations

18 sites
  • National Institute of Rheumatology and Physiotherapy; 4Th Rheumatology Department
    Budapest, 1023, Hungary
  • Budai Irgalmasrendi Kórház KHT. II. Reumatológia
    Budapest, 1027, Hungary
  • Magyar Honvedseg Honved Korhaz, Reumatologia
    Budapest, 1062, Hungary
  • Debreceni Egyetem Orvos- és Egészségtudományi Centrum; Belgyógyászati Intézet, Reumatológiai Tanszék
    Debrecen, 4032, Hungary
  • Markhot Ferenc Hospital; Dep. of Rheumatology
    Eger, 3300, Hungary
  • Vaszary Kolos Kórház
    Esztergom, 2500, Hungary
  • Pandy Kalman Hospital; Dept. of Infectious Diseases
    Gyula, 5700, Hungary
  • Petz Aladár County Teaching Hospital
    Győr, 9023, Hungary
  • Szent Andras Reumakorhaz; Reumatologia
    Heviz, 8380, Hungary
  • Bacs-Kiskun Megyei Korhaz
    Kecskemet, 6000, Hungary
  • Pest Megyei Flor Ferenc Korhaz
    Kistarcsa, 2084, Hungary
  • Szent Ferenc Kórház; Reumatológia
    Miskolc, 3529, Hungary
  • Szabolcs-Szatmar-Bereg Megyei Josa Andras Korhaz; Reumatologia
    Nyiregyhaza, 4400, Hungary
  • Pécsi Tudományegyetem Klinikai Központ: Immunológiai és Reumatológiai Klinika
    Pécs, 7632, Hungary
  • Szegedi Tudomanyegyetem Aok Szent-Gyorgyi Albert Klinikai Kozpont; Rheumatologiai Klinika
    Szeged, 6724, Hungary
  • Fejér Megyei Szent György Kórház; Reumatológiai Osztály
    Szekesfehervar, 8000, Hungary
  • Markusovszky Hospital
    Szombathely, 9700, Hungary
  • Veszprém Megyei Csolnoky Ferenc Kórház; Reumatológia
    Veszprem, 8200, Hungary
08

References and documents

Publications

  • Nagy G, Geher P, Tamasi L, Drescher E, Keszthelyi P, Pulai J, Czirjak L, Szekanecz Z, Kiss G, Kovacs L. Real-world evidence on methotrexate-free subcutaneous tocilizumab therapy in patients with rheumatoid arthritis: 24-week data from the SIMPACT study. Rheumatol Adv Pract. 2022 May 16;6(2):rkac038. doi: 10.1093/rap/rkac038. eCollection 2022. PubMed 35663154 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02402686
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Mar 30, 2015
Start date
May 20, 2015
Primary completion
Dec 17, 2018
Completion
Dec 17, 2018
Last update
Dec 6, 2019

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 Dec 2019. You cannot join it, but the record below documents what was studied.

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