ClinicalTrials.gg
CompletedNCT03301883Updated Jan 30, 2024

A Study of Tocilizumab in Chinese Participants With Systemic Juvenile Idiopathic Arthritis (sJIA)

A Phase 4 interventional study of Tocilizumab and NSAIDs in Juvenile Idiopathic Arthritis, sponsored by Hoffmann-La Roche. Completed at 10 sites in China. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2024-01-30.

Sponsored by Hoffmann-La Roche · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
62
Allocation
Not applicable
Ages
2 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 21 studies testing tocilizumab in Arthritis, Juvenile — 2 open to participants now, 2 under way, 1 of them phase 3. tocilizumab · Arthritis, Juvenile.

Enrollment
6th of 21
62 · median 52
Started
2018
the only one that year
Phase 4
2 of 21
none open now
Registered
19th of 21
by date
Lead sponsor
12 of 21
Hoffmann-La Roche

Among the 21 studies testing tocilizumab in Arthritis, Juvenile, this one is the 6th largest by enrollment, is the only one that started in 2018, is one of 2 in phase 4, and was the 19th registered.

Arthritis, Juvenile

365 studies on the registry are indexed under Arthritis, Juvenile; 101 are open to participants now.

Browse Arthritis, Juvenile studies →

Open to participants now

2 of the 21 studies testing tocilizumab in Arthritis, Juvenile are open now, in 4 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About tocilizumab

tocilizumab: first FDA approval 2010 (ACTEMRA), first EMA approval 2009. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 69 Arthritis, Juvenile studies recruiting now, 13 (19%) set no upper age limit and 50 (72%) stop at 75 or younger; 65 take children under 18; 11 take healthy volunteers.

This study: 2 Years to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies testing tocilizumab in Arthritis, Juvenile, or all of them as a file.
02

Study summary

This Phase IV, multicenter, single-arm, open-label study will evaluate the efficacy and safety of tocilizumab in Chinese participants with sJIA with persistent activity and an inadequate response to non-steroidal anti-inflammatory drugs (NSAIDs) and steroid therapy.

03

Conditions studied

  • Juvenile Idiopathic Arthritis

Browse trials for

04

Who can participate

Ages eligible
2 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants meeting International League of Associations for Rheumatology (ILAR) classification for sJIA
  • Greater than (>) 6 months of documented persistent sJIA activity prior to screening
  • Active disease
  • hsCRP >4.3 milligrams per liter (mg/L) or 0.43 milligrams per deciliter (mg/dL)
  • Participant who has recovered from any symptomatic serositis for at least 30 days prior to the screening visit, and requires a dose of CSs at baseline of \</=30 mg/day or \</=0.5 mg/kg/day, whichever is less
  • Participants meeting one of the following: Participant who is not receiving MTX or discontinued MTX >/=4 weeks prior to baseline visit; participant who has been taking MTX >/=12 weeks immediately prior to the baseline visit and on a stable dose of \</=20 mg/m\^2 for >/=8 weeks prior to the baseline visit, together with either folic acid or folinic acid according to local standard of care
  • Participant who was never treated with biologics or, if was previously treated with biologics, discontinued etanercept (or Yisaipu, Qiangke, or Anbainuo) >/=2 weeks, infliximab or adalimumab >/=8 weeks, anakinra >/=1 week, or abatacept >/=12 weeks prior to the baseline visit
  • Participant who is not currently receiving oral CSs, or is taking oral CSs at a stable dose for >/=2 weeks prior to the baseline visit at \</=30 mg/day or \</=0.5 mg/kg/day, whichever is less
  • Participant who is not taking NSAIDs, or taking \</=1 type of NSAID at a stable dose for >/=2 weeks prior to the baseline visit and is less than or equal to the maximum recommended daily dose

Exclusion criteria

Exclusion Criteria:

  • Wheelchair bound or bedridden participant
  • Any other , rheumatic disease, or overlap syndrome other than sJIA
  • Participant who is not fully recovered from recent surgery or \<6 weeks since surgery at the time of screening visit; or planned surgery during the initial 12 weeks of the study
  • Lack of peripheral venous access
  • Any significant concurrent medical or surgical condition that would jeopardize the participant's safety or ability to complete the trial
  • Evidence of serious uncontrolled concomitant diseases
  • Asthma for which the participant has required the use of oral or parenteral CSs for >/=2 weeks within 6 months prior to the baseline visit
  • Known human immunodeficiency () infection or other acquired forms of immune compromise or congenital conditions characterized by a compromised immune system
  • Any active acute, subacute, chronic, or recurrent bacterial, mycobacterial, viral, or systemic fungal infection or opportunistic infection
  • Any major episode of infection requiring hospitalization or treatment during screening, treatment with IV antibiotics completing within 4 weeks of the screening visit, or oral antibiotics completing within 2 weeks of the screening visit
  • History of atypical tuberculosis (TB)
  • Active TB requiring treatment within 2 years prior to screening visit
  • Positive purified protein derivative (PPD) or T-spot test (interferon-gamma [IFN-γ]-based test) at screen
  • Positive for latent TB
  • History of reactivation or new onset of a systemic infection such as herpes zoster or Epstein-Barr virus (EBV) within 2 months of the screening visit
  • surface antigen (Ag)- or antibody (Ab)-positive
  • History of macrophage activation syndrome (MAS) within 3 months prior to the screening visit
  • Evidence of active malignant disease or diagnosed
  • Uncontrolled diabetes mellitus
  • Previous treatment with tocilizumab
  • Intra-articular, intramuscular, IV, or long-acting CSs administration within 28 days prior to the baseline visit
  • Treatment with non-biologic disease-modifying antirheumatic drugs (DMARDs; other than MTX) within 6 weeks prior to the baseline visit
  • Treatment with leflunomide that was not followed by standardized cholestyramine washout and documented to be below the limit of detection prior to the baseline visit
  • Treatment with cyclophosphamide, etoposide (VP16) and statins within 90 days prior to the baseline visit
  • Treatment with growth hormone and androgens within 4 weeks prior to the baseline visit
  • Administration of IV immunoglobulin within 28 days prior to the baseline visit
  • Treatment with any cell-depleting therapies
  • Stem cell transplant at any time
  • Participant who has received live or attenuated vaccines within 4 weeks prior to the baseline visit, or intending to receive while on study drug or 3 months following the last dose of study drug
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    Tocilizumab

    Participants weighing greater than or equal to (\>/=) 30 kilograms (kg) will receive tocilizumab 8 milligrams per kilogram (mg/kg) intravenous (IV) infusion every 2 weeks (Q2W), and participants weighing less than (\<) 30 kg will receive tocilizumab 12 mg/kg IV infusion Q2W for 52 weeks. After Week 12, the dose of tocilizumab can be adjusted for non-transient changes in body weight (shifting from \<30 to \>/=30 kg) over a minimum of three consecutive dosing visits. MTX, NSAIDs, and oral corticosteroids (CSs) are permitted but not required during the study.

    Drug: Tocilizumab · Drug: NSAIDs · Drug: CSs · Drug: MTX

Interventions

  • Tocilizumab will be administered as per the schedule specified in the arm description.

    Also known as: RO4877533

  • DrugNSAIDs

    Participants may receive NSAIDs up to the maximum recommended stable daily dose. Study protocol does not enforce any particular NSAID.

  • DrugCSs

    Participants may receive CSs at a stable dose of 30 milligrams per day (mg/day) or 0.5 milligrams per kilogram per day (mg/kg/day), whichever is less. Study protocol does not enforce any particular CS.

  • DrugMTX

    Participants may receive MTX at a stable dose of less than or equal to (\</=) 20 milligrams per square meter (mg/m\^2).

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Juvenile Idiopathic Arthritis (JIA) American College of Rheumatology (ACR) 30 (JIA ACR30) Response With Absence of Fever, at Week 12

    Time frame: Week 12

Secondary outcomes

  1. Percentage of Participants Achieving JIA ACR30 Response With Absence of Fever, at Week 52

    Time frame: Week 52

  2. Percentage of Participants With 30 Percent (%), 50%, 70%, and 90% Improvement From Baseline in JIA Core Set Parameters

    Time frame: Baseline, Weeks 12, 24, and 52

  3. Percentage of Participants With Inactive Disease Assessed According to Criteria for Inactive Disease and Clinical Remission of sJIA (Wallace et. al. 2011 Criteria)

    Time frame: Weeks 24 and 52

  4. Percentage of Participants With Clinical Remission Assessed According to Criteria for Inactive Disease and Clinical Remission of sJIA (Wallace et. al. 2011 Criteria)

    Time frame: Week 52

  5. Percentage of Participants With an Elevated High-Sensitivity C-Reactive Protein (hsCRP) Levels at Baseline Who Have Normal hsCRP Levels at Weeks 12, 24, and 52

    Time frame: Baseline, Weeks 12, 24, and 52

  6. Mean Glucocorticoid Dose

    Time frame: Baseline up to Week 52

  7. Mean Methotrexate (MTX) Dose

    Time frame: Baseline up to Week 52

  8. Change From Baseline in Glucocorticoid Dose

    Time frame: From Baseline to Week 52

  9. Change From Baseline in MTX Dose

    Time frame: From Baseline to Week 52

  10. Pain Visual Analog Scale (VAS) Score

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

  11. Change From Baseline in Pain VAS Score

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

  12. Percentage of Participants Who Discontinue Permitted Concomitant Medication for sJIA

    Time frame: Baseline up to Week 52

  13. Percentage of Participants With Adverse Events (AEs)

    Time frame: Baseline up to end of study (up to Week 60)

07

Study locations

10 sites
  • Capital Institute of Pediatrics
    Beijing City, 100020, China
  • Beijing Children's Hospital, Capital Medical University; rheumatism
    Beijing City, 100045, China
  • The First Hospital of Jilin University
    Changchun City, 130021, China
  • Children's Hospital Chongqing Medical university
    Chongqing City, 400014, China
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University; Pediatric Rheumatology division
    Guangzhou City, 510120, China
  • The Children's Hospibal ZheJiang University School of Medicine
    Hangzhou City, 310052, China
  • Chilren's hospital of nanjing medical university; Rheumatoid immunology
    Nanjing, 210000, China
  • Shanghai Children's Medical Center; Renal rheumatology
    Shanghai City, 200127, China
  • Children's Hospital of Fudan University
    Shanghai, 201102, China
  • The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical College
    Wenzhou, 325000, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2018 to primary completion in Sep 2021, 40 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 21, 2017
First posted
Oct 4, 2017
StartActual
Apr 26, 2018
Primary completionActual
Sep 4, 2021
CompletionActual
Aug 5, 2022
Last update
Jan 30, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03301883
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Oct 4, 2017
Start date
Apr 26, 2018
Primary completion
Sep 4, 2021
Completion
Aug 5, 2022
Last update
Jan 30, 2024

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tocilizumab

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