ClinicalTrials.gg
CompletedNCT04268771RI-01-007Updated Nov 18, 2023Results posted

A Phase III Transition Study of DRL Rituximab to Reference Medicinal Products

A Phase 3 interventional study of Experimental: Arm A: DRL_RI and Arm B: Rituxan®/Mabthera® in Rheumatoid Arthritis, sponsored by Dr. Reddy's Laboratories Limited. Completed at 26 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-18.

Sponsored by Dr. Reddy's Laboratories Limited · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The objective of the current study is to assess the immunogenicity and safety of transitioning subjects with RA to DRL_RI from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab.

The primary objective of this study is to assess the immunogenicity of transitioning subjects with RA to DRL_RI (biosimilar rituximab) from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab

To assess the safety of transitioning subjects with RA to DRL_RI from US-rituximab/EU-rituximab to continued treatment with US-rituximab/EU-rituximab.

Read the detailed description

This is a randomized, double-blind, parallel group, multicenter, Phase 3 transition study in subjects with active RA who are eligible for the subsequent treatment course with US-rituximab or EU-rituximab according to the clinical judgment of the investigator.

Subjects will then be randomized by interactive web response system (IWRS) to receive either two 1000 mg infusions of DRL_RI (Arm A) or US-rituximab/EU-rituximab (Arm B) on Day 1 and Day 15.

Subjects randomized to Arm A will receive DRL_RI and subjects randomized to Arm B will continue to receive either US-rituximab or EU-rituximab.

The study will consist of a screening period (Days -14 to 0) and a double-blind period (Day 1 to Week 12). Subjects will attend a screening visit followed by a visit at Weeks 0 (Day 1), 2, 4, 8, and 12 after randomization

It is planned that approximately 50 sites will be initiated for this study in up to 7 countries (including but not restricted to United States). There has been no randomization of patients till date for this study.

The study endpoints include:

The immunogenicity endpoint is:

  • The incidence of anti-drug antibodies (ADA), including titer and neutralizing antibodies (NAb).

The primary safety endpoints are:

  • Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).
  • Incidence of anaphylactic reactions, hypersensitivity reactions, and IRRs.
02

Conditions studied

  • Rheumatoid Arthritis
03

In context

Arthritis, Rheumatoid

3,332 studies on the registry are indexed under Arthritis, Rheumatoid; 443 are open to participants now.

This study's enrollment of 140 is above the median of 96 across 2,220 interventional studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

Dr. Reddy's Laboratories Limited is the lead sponsor of 224 studies on the registry; 2 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 11 (85%) 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

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

  1. Male or female subjects aged 18 years or older who have provided valid written .
  2. Subjects with a diagnosis of active RA who are eligible for the subsequent treatment course with US-rituximab or EU-rituximab according to the clinical judgment of the investigator.
  3. Documented evidence that subject has received at least 1 full course comprising two 1000 mg infusions of either US-rituximab at least 16 weeks prior to the randomization visit or EU-rituximab at least 24 weeks prior to the day of randomization visit.
  4. Subjects receiving a stable dose of weekly methotrexate (MTX) for at least 4 weeks prior to randomization (between 7.5 mg and 25 mg) and folic acid (at least 5 mg per week.

Exclusion criteria

EXCLUSION CRITERIA;

  1. Subjects with RA in functional Class IV
  2. Subjects with (positive HIV1Ab or HIV2Ab), virus and/or virus infection, including those with positive results in the viral disease screening.
  3. Subjects with active tuberculosis. Subjects with evidence of latent TB or a history of TB must have completed treatment or have initiated treatment for at least 1 month before the first dose of study treatment (Day 1). TB testing is required only if it is required by local regulations or practice.
  4. Active systemic infection.
  5. Severely .
  6. History of severe to either US-rituximab or EU-rituximab or any of its requiring drug discontinuation.
  7. Any serious illness or uncontrolled medical condition, including but not limited to severe infections, significant hepatic or renal disease, uncontrolled hypertension despite treatment (defined as blood pressure ≥160/95 mmHg), congestive heart failure ( [NYHA] Class III or IV), or other severe, uncontrolled cardiac disease or uncontrolled diabetes with immediate risk of acute complications.
  8. Any condition that in the opinion of the investigator represents an obstacle for study conduct and/or represents a potential unacceptable risk for subjects.
  9. Requires treatment with any biological medicinal product during the study other than the study treatment.
  10. Previous treatment with B-cell modulating or cell depleting biologic therapy except US-rituximab or EU-rituximab.
  11. Prior participation in this clinical trial or prior participation in any clinical trial with any monoclonal antibody within 12 months of screening or prior participation in any clinical trial within 3 months of screening or within 5 half-lives of the drug or until the expected PD effect has returned to baseline, whichever is longer.
  12. Treatment with other biologic disease-modifying anti-rheumatic drugs, or Janus kinase (JAK) inhibitors administered within 12 weeks before the first dose of rituximab of the prior treatment course onwards till the date of randomization.
  13. Subjects with the following laboratory abnormalities:

    • Subjects with screening total white blood cell count \<3000/μL, \<100,000/μL, neutrophils \<1,500/μL, or \<8.5 g/dL
    • Abnormal liver function tests such as , alanine aminotransferase, or alkaline phosphatase >2 × (ULN). A single parameter >2 × ULN can be re-checked as soon as possible, at least prior to randomization, if required as per the investigator's discretion.
    • (Cockcroft \& Gault formula) of less than 50 mL/min.
  14. History of vaccination with within 4 weeks of the first dose of study treatment (Day 1) or known to require live vaccines during the study.
  15. Lactating or pregnant female.
  16. Women of who do not consent to use highly effective methods of (e.g., barrier contraceptives, oral contraceptives, intrauterine devices, true abstinence if it allowed as per the country specific regulatory requirement [periodic abstinence {e.g., calendar ovulation, symptothermal, post-ovulation methods} and withdrawal are not acceptable methods of contraception], or sterilization) during treatment and for at least 12 months after the last administration of study treatment.
  17. For men involved in any sexual intercourse that could lead to pregnancy, subjects must agree to use 1 of the highly effective methods of birth control listed in Exclusion Criterion #16 during treatment and for at least 12 months after the last administration of study treatment.
  18. Subject with serum IgG \< lower limit of normal.
Terms in these criteria, in plain language(17)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    Arm A: DRL_RI

    Subjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with Rituximab, will be enrolled. DRL_RI will be administrated in combination with MTX as two 1000 mg infusions on Day 1 and Day 15

    Biological: Experimental: Arm A: DRL_RI

  • Active comparator
    Arm B: US-Rituximab or EU-Rituximab

    Subjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with rituximab, will be enrolled. Patients enrolled in Arm -B will continue to receive US-rituximab or EU-rituximab. The rituximab reference product used (US-licensed rituximab \[Rituxan\] or EU-approved rituximab \[MabThera\]) should be the same in the prior and the randomized treatment course, respectively.

    Biological: Arm B: Rituxan®/Mabthera®

Interventions

  • BiologicalExperimental: Arm A: DRL_RI

    Proposed rituximab biosimilar, 100mg or 500mg, concentrate for solution for infusion

  • BiologicalArm B: Rituxan®/Mabthera®

    Drug page: Rituximab

    Reference product US- rituximab (Rituxan®) or EU-rituximab (MabThera®), 100mg or 500mg, concentrate for solution for infusion

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 1 was reported

    Time frame: ADA will be obtained before the administration of study treatment on Day 1

  2. Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 15

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 15 was reported

    Time frame: ADA will be obtained before the administration of study treatment on Day 15

  3. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 4

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 4 was reported

    Time frame: ADA will be obtained before the administration of study treatment at Week 4

  4. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 8

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 8 was reported

    Time frame: ADA will be obtained before the administration of study treatment at Week 8

  5. Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits

    For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 12 visits was reported

    Time frame: ADA will be obtained at Week 12

Secondary outcomes

  1. Number of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Number of Subjects reporting anaphylactic reactions during the study drug administration either at Week 1 or Week 3 was reported

    Time frame: Assessments of Anaphylactic reactions will be carried out at either Week 1 or Week 3

  2. Number of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint

    TEAEs (Treatment emergent adverse events) which lead to study subjects discontinuation from the study drug administration at either week 1 or week 3 dosing timepoint

    Time frame: Assessment of AE's (Adverse Events) that led to study drug discontinuation were carried out at either week 1 or week 3 dosing timepoint

  3. Number of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)

    Incidence of SAEs: SAE is defined as "Results in death, is life-threatening, Requires in-subject hospitalization or prolongs existing hospitalization, Results in persistent or significant disability/incapacity". The measure here is only subjects reporting SAE.

    Time frame: Assessment of SAE's was carried out from baseline (week 1) to end of study (week 26)

  4. Number of TEAEs Reported From Baseline (Week 1) to End of Study (Week 26)

    Number of TEAEs: Treatment-emergent AE are defined as any AE occurring or worsening on or after the first dose of study medication.

    Time frame: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  5. Number of Subjects Reporting AE From Baseline (Week 1) to End of Study (Week 26)

    number of subjects reporting AE in the overall study are defined as any AE occurring or worsening after the ICF signed in the study

    Time frame: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  6. Number of Subjects Reporting TEAEs From Baseline (Week 1) to End of Study (Week 26)

    Number of subjects reporting Treatment-emergent AE (TEAEs) are defined as any AE occurring or worsening on or after the first dose of study medication.

    Time frame: Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)

  7. Number of Subjects Reporting Hypersensitivity Reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Safety assessment will be done by measuring hypersensitivity reactions at Dosing Time Points (Either at Week 1 or Week 3)

    Time frame: Assessments of hypersensitivity reactions either at Week 1 or Week 3

  8. Number of Subjects Reporting Infusion-related Reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3)

    Safety assessment: Number of Subjects Reporting Infusion-related reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3) was reported

    Time frame: Assessments of IRRs were carried out at either Week 1 or Week 3

07

Results

Posted Nov 18, 2023

Participant flow

Participant flow — Overall Study
MilestoneArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Started7070
Completed6668
Not completed42

Outcome measures

PrimaryNumber of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 1 was reported

Time frame:
ADA will be obtained before the administration of study treatment on Day 1
Reported as:
Count of participants · Participants
Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 131
PrimaryNumber of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 15

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 15 was reported

Time frame:
ADA will be obtained before the administration of study treatment on Day 15
Reported as:
Count of participants · Participants
Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 15
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1510
PrimaryNumber of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 4

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 4 was reported

Time frame:
ADA will be obtained before the administration of study treatment at Week 4
Reported as:
Count of participants · Participants
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 4
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 400
PrimaryNumber of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 8

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 8 was reported

Time frame:
ADA will be obtained before the administration of study treatment at Week 8
Reported as:
Count of participants · Participants
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 8
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 810
PrimaryNumber of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 12 visits was reported

Time frame:
ADA will be obtained at Week 12
Reported as:
Count of participants · Participants
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits12
SecondaryNumber of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)

Number of Subjects reporting anaphylactic reactions during the study drug administration either at Week 1 or Week 3 was reported

Time frame:
Assessments of Anaphylactic reactions will be carried out at either Week 1 or Week 3
Reported as:
Count of participants · Participants
Number of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)00
SecondaryNumber of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint

TEAEs (Treatment emergent adverse events) which lead to study subjects discontinuation from the study drug administration at either week 1 or week 3 dosing timepoint

Time frame:
Assessment of AE's (Adverse Events) that led to study drug discontinuation were carried out at either week 1 or week 3 dosing timepoint
Reported as:
Count of participants · Participants
Number of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint11
SecondaryNumber of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)

Incidence of SAEs: SAE is defined as "Results in death, is life-threatening, Requires in-subject hospitalization or prolongs existing hospitalization, Results in persistent or significant disability/incapacity". The measure here is only subjects reporting SAE.

Time frame:
Assessment of SAE's was carried out from baseline (week 1) to end of study (week 26)
Reported as:
Count of participants · Participants
Number of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)42
SecondaryNumber of TEAEs Reported From Baseline (Week 1) to End of Study (Week 26)

Number of TEAEs: Treatment-emergent AE are defined as any AE occurring or worsening on or after the first dose of study medication.

Time frame:
Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)
Reported as:
Number · Number of events
Number of TEAEs Reported From Baseline (Week 1) to End of Study (Week 26)
Number of eventsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of TEAEs Reported From Baseline (Week 1) to End of Study (Week 26)3554
SecondaryNumber of Subjects Reporting AE From Baseline (Week 1) to End of Study (Week 26)

number of subjects reporting AE in the overall study are defined as any AE occurring or worsening after the ICF signed in the study

Time frame:
Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)
Reported as:
Count of participants · Participants
Number of Subjects Reporting AE From Baseline (Week 1) to End of Study (Week 26)
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting AE From Baseline (Week 1) to End of Study (Week 26)2427
SecondaryNumber of Subjects Reporting TEAEs From Baseline (Week 1) to End of Study (Week 26)

Number of subjects reporting Treatment-emergent AE (TEAEs) are defined as any AE occurring or worsening on or after the first dose of study medication.

Time frame:
Assessment of AE's will be carried out from baseline (week 1) to end of study (week 26)
Reported as:
Count of participants · Participants
Number of Subjects Reporting TEAEs From Baseline (Week 1) to End of Study (Week 26)
ParticipantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting TEAEs From Baseline (Week 1) to End of Study (Week 26)2427
SecondaryNumber of Subjects Reporting Hypersensitivity Reactions at Dosing Time Points (Either at Week 1 or Week 3)

Safety assessment will be done by measuring hypersensitivity reactions at Dosing Time Points (Either at Week 1 or Week 3)

Time frame:
Assessments of hypersensitivity reactions either at Week 1 or Week 3
Reported as:
Number · participants
Number of Subjects Reporting Hypersensitivity Reactions at Dosing Time Points (Either at Week 1 or Week 3)
participantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting Hypersensitivity Reactions at Dosing Time Points (Either at Week 1 or Week 3)01
SecondaryNumber of Subjects Reporting Infusion-related Reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3)

Safety assessment: Number of Subjects Reporting Infusion-related reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3) was reported

Time frame:
Assessments of IRRs were carried out at either Week 1 or Week 3
Reported as:
Number · participants
Number of Subjects Reporting Infusion-related Reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3)
participantsArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
Number of Subjects Reporting Infusion-related Reactions (IRRs) at Dosing Time Points (Either at Week 1 or Week 3)20

Adverse events

Collected over Till week 26. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm A: DRL_RI4/70 (5.7%)4/70 (5.7%)3/70 (4.3%)
Arm B: US-Rituximab or EU-Rituximab2/70 (2.9%)2/70 (2.9%)17/70 (24.3%)
Most frequent serious events
Most frequent serious events
EventArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
COVID-19 PneumoniaInfections and infestations2/700/70
Myocardial InfarctionCardiac disorders1/700/70
Intestinal resectionSurgical and medical procedures1/700/70
Embolic strokeNervous system disorders0/701/70
EnteritisGastrointestinal disorders0/701/70
CystitisInfections and infestations0/701/70
EmpyemaInfections and infestations0/701/70
Septic ShockInfections and infestations0/701/70
Most frequent other events
Most frequent other events
EventArm A: DRL_RIArm B: US-Rituximab or EU-Rituximab
HeadacheNervous system disorders0/705/70
DiarrhoeaGastrointestinal disorders2/705/70
COVID-19Infections and infestations1/704/70
NasopharyngitisInfections and infestations0/703/70

Baseline characteristics

Baseline analysis population include all the randomized study Participants

Age, Categorical
Age, Categorical(Participants)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
<=18 years000
Between 18 and 65 years473986
>=65 years233154
Sex: Female, Male
Sex: Female, Male(Participants)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
Female5461115
Male160925
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
Hispanic or Latino7512
Not Hispanic or Latino6064124
Unknown or Not Reported314
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White6970139
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
United States232245
Europe474895
Time from prior rituximab
Time from prior rituximab(months)Arm A: DRL_RIArm B: US-Rituximab or EU-RituximabTotal
Mean7.5 ± 2.657.6 ± 2.857.6 ± 2.77
08

Study locations

26 sites
  • Arizona Arthritis and Rheumatology Research, PLLC
    Phoenix, Arizona 85032, United States
  • California Allergy and Asthma Medical Group - CRN - PPDS 41230 11th Street West, Suite A
    Palmdale, California 93551, United States
  • Inland Rheumatology Clinical Trials Incorporated
    Upland, California 91786, United States
  • Rheumatology Consultant of Delaware dba Delaware Arthritis
    Lewes, Delaware 19958, United States
  • MedBio Trials
    Aventura, Florida 33180, United States
  • Clinical Research of West Florida Inc - Clearwater
    Clearwater, Florida 33765, United States
  • Medical Research Center
    Miami, Florida 33144, United States
  • AppleMed Research Group, LLC
    Miami, Florida 33155, United States
  • Integral Rheumatology and Immunology Specialist, 140 Southwest 84th Avenue, Suite B
    Plantation, Florida 33324., United States
  • Vicis Clinical Research INC
    Tampa, Florida 33615, United States
  • Springfield Clinic (Clinic location)
    Springfield, Illinois 62702, United States
  • Bluegrass Community Research Inc,330 Waller Avenue, Suite 100,
    Lexington, Kentucky 40504., United States
  • Arthritis and Osteoporosis Associates
    Freehold, New Jersey 07728, United States
  • Integrative Rheumatology
    Charlotte, North Carolina 28210, United States
  • Altoona Center For Clinical Research, 175 Meadowbrook Lane,
    Duncansville, Pennsylvania 16635, United States
  • Articularis Healthcare Group, Inc dba Low Country Rheumatology
    Summerville, South Carolina 29486, United States
  • Accurate Clinical Management, LLC
    Baytown, Texas 77521, United States
  • Trinity Clinical Research LLC, 2008 East Hebron Parkway, Suites 120/114/100,
    Carrollton, Texas 75010, United States
  • Abigail Neiman
    Houston, Texas 77084, United States
  • Accurate Clinical Management, LLC
    Houston, Texas 77084, United States
  • Laila A Hassan, MD, PA
    Houston, Texas 77084, United States
  • Accurate Clinical Research-Houston, 11003 Resource Parkway, Suite 102
    Houston, Texas 77089, United States
  • Houston Rheumatology & Arthritis Specialists
    Katy, Texas 77494, United States
  • Clinical Associates in Research Therapeutics of America, LLC
    San Antonio, Texas 78212, United States
  • Accurate Clinical Research, Inc.
    San Antonio, Texas 78229, United States
  • Accurate Clinical Research-League City
    Texas City, Texas 77034, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04268771
Collaborators
PPD DEVELOPMENT, LP
Responsible party
Sponsor
First posted
Feb 13, 2020
Start date
Apr 8, 2020
Primary completion
Jan 26, 2022
Completion
Apr 20, 2022
Results posted
Nov 18, 2023
Last update
Nov 18, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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