ClinicalTrials.gg
CompletedNCT06596772Updated Oct 8, 2026

A Study to Compare Efficacy, Pharmacokinetics, Safety and Immunogenicity of MB04 [Proposed Etanercept Biosimilar] to Enbrel® [EU-sourced] in Rheumatoid Arthritis

A Phase 3 interventional study of MB04 (proposed biosimilar to etanercept) and Enbrel (etanercept) in Rheumatoid Arthritis (RA), sponsored by mAbxience Research S.L.. Completed at 60 sites in 6 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by mAbxience Research S.L. (part of Fresenius Kabi) · Phase 3, Interventional, and Treatment

Updated Oct 8, 2026Now CompletedFirst site in Moldova+7 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
501
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

A study to compare efficacy, pharmacokinetics, safety and immunogenicity of MB04 [proposed etanercept biosimilar] to Enbrel® [EU-sourced] in rheumatoid arthritis

Read the detailed description

The study will randomize approximately 458 patients aged between 18 and 75 years with active Rheumatoid Arthritis despite methotrexate therapy.

All patients shall receive methotrexate for ≥12 weeks and on a stable dose (10 to 25 mg/week) for ≥8 weeks prior to randomization, and folic acid (≥5 mg/week) from 4 weeks prior to screening until the end of the treatment period (Week 36).

Screening evaluations will be completed within 28 days prior to randomization. There will be 2 periods in the study: Main Treatment Period and Transition Period.

During the Main Treatment Period, eligible patients will be randomized, at a 1:1 ratio, to administer a 50 mg weekly dose of MB04 or EU- sourced Enbrel® subcutaneously (SC) using an Interactive Response System (IRT). After completing Week 24 assessment, patients will continue to receive the study treatment up to Week 36. Those patients who were originally assigned to EU-sourced Enbrel® will be randomized, at a 1:1 ratio, to receive either MB04 or EU-sourced Enbrel® SC, while patients originally assigned to MB04 will continue with the same treatment until Week 36.

After treatment discontinuation, patients will undergo a Safety Follow-up Period for 4 weeks, up to Week 40.

02

Conditions studied

  • Rheumatoid Arthritis (RA)

Keywords

  • 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 501 is above the median of 96 across 2,220 interventional studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

mAbxience Research S.L. is the lead sponsor of 15 studies on the registry; 1 is open to participants now.

First submitted after mAbxience Research S.L. became part of Fresenius Kabi.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 8, 2026. See what changed

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion

  • Documented history of RA diagnosis consistent with the 2010 ACR/EULAR classification criteria ≥6 months prior to randomization (but not exceeding 15 years prior to screening).
  • Moderately to severe RA despite appropriate MTX at baseline therapy defined as having more than or equal to six swollen joints and more than or equal to six tender joints and either erythrocyte sedimentation rate (ESR, Westergren) ≥ 28 mm/h or serum C-reactive protein > 5.0 mg/dL and positive rheumatoid factor and/or CCP at screening
  • Stable dose MTX between 10 to 25 mg weekly during ≥12 weeks, since ≥8 weeks prior to randomization
  • Stable dose of NSAID and/or other analgesics for at least 4 weeks prior to randomization, when used
  • Stable dose ≤10 mg prednisone daily or equivalent for ≥4 weeks prior to randomization, when used
  • Patients who are otherwise medically stable according to investigator's discretion
  • Agree to use highly effective methods up to 6 months after last dose Exclusion
  • Previously treated with any biologic or targeted synthetic DMARD
  • Previously treated with any monoclonal antibody for a condition other than RA
  • to any component of study drug and/or prefilled syringe components
  • Arthritis with onset prior to age 16 years or current diagnosis of inflammatory joint disease other than RA
  • Systemic manifestations of RA other than rheumatoid nodules or secondary Sjogren's syndrome
  • Active infection or potentially relapsing infections that could have a severe outcome. Latent tuberculosis infection detected during screening should start an approved treatment regimen according to standard of care and rescreened
  • Solid or hematologic within the past 5 years
  • Pregnant and breastfeeding women
  • Any medical condition in the opinion of the investigator that would be a risk for safety, cooperation in the study or interferes with the interpretation of the study results
Terms in these criteria, in plain language(3)

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.

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.

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.

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

Study arms

  • Experimental
    MB04 (proposed etanercept biosimilar)

    MB04 50 mg/week via subcutaneous injection

    Drug: MB04 (proposed biosimilar to etanercept)

  • Active comparator
    Enbrel (etanercept)

    Enbrel 50 mg/week via subcutaneous injection

    Drug: Enbrel (etanercept)

Interventions

  • DrugMB04 (proposed biosimilar to etanercept)

    MB04 50 mg/week via subcutaneous injection

  • Enbrel 50 mg/week via subcutaneous injection

06

What researchers measure

Primary outcomes

  1. American College of Rheumatology 20% Response Criteria (ACR20)

    Time frame: Week 24

Secondary outcomes

  1. ACR20

    Time frame: Weeks 36

  2. American College of Rheumatology 50% Response Criteria (ACR50)

    Time frame: Weeks 24 and 36

  3. American College of Rheumatology 70% Response Criteria (ACR70)

    Time frame: Weeks 24 and 36

07

Study locations

60 sites
  • Research site 2007
    Haskovo, Bulgaria
  • Research site 2005
    Plovdiv, Bulgaria
  • Research Site 2002
    Rousse, Bulgaria
  • Research site 2001
    Sofia, Bulgaria
  • Research Site 2003
    Sofia, Bulgaria
  • Research Site 2008
    Sofia, Bulgaria
  • Research site 2004
    Vidin, Bulgaria
  • Research site 2006
    Vratsa, Bulgaria
  • Research site 7004
    Batumi, Georgia
  • Research site 7010
    Batumi, Georgia
  • Research site 7001
    Tbilisi, Georgia
  • Research site 7002
    Tbilisi, Georgia
  • Research site 7003
    Tbilisi, Georgia
  • Research site 7005
    Tbilisi, Georgia
  • Research site 7006
    Tbilisi, Georgia
  • Research site 7007
    Tbilisi, Georgia
  • Research site 7009
    Tbilisi, Georgia
  • Research Site 1301
    Chisinau, MD-2068, Moldova
  • Research site 1302
    Chisinau, MD2025, Moldova
  • Research site 1303
    Chisinau, Moldova
  • Research Site 1603
    Bialystok, Poland
  • Research Site 1614
    Bialystok, Poland
  • Research site 1616
    Bialystok, Poland
  • Research site 1613
    Bydgoszcz, Poland
  • Research site 1623
    Bytom, Poland
  • Research Site 1615
    Elblag, Poland
  • Research Site 1627
    Elblag, Poland
  • Research Site 1606
    Gdynia, Poland
  • Research Site 1611
    Katowice, Poland
  • Research Site 1617
    Krakow, Poland
  • Research Site 1622
    Lublin, Poland
  • Research site 1605
    Nowa Sól, Poland
  • Research Site 1618
    Opole, Poland
  • Research site 1628
    Piotrkow Trybunalski, Poland
  • Research Site 1624
    Poniatowa, Poland
  • Research Site 1601
    Poznan, Poland
  • Research Site 1602
    Poznan, Poland
  • Research Site 1608
    Poznan, Poland
  • Research Site 1619
    Poznan, Poland
  • Research Site 1621
    Poznan, Poland
  • Research Site 1612
    Siedlce, Poland
  • Research Site 1610
    Sochaczew, Poland
  • Research site 1629
    Stalowa Wola, Poland
  • Research Site 1620
    Torun, Poland
  • Research Site 1604
    Warsaw, Poland
  • Research Site 1607
    Warsaw, Poland
  • Research Site 1609
    Warsaw, Poland
  • Research Site 1625
    Wroclaw, Poland
  • Research Site 1626
    Zamość, Poland
  • Research Site 1803
    Bacau, Romania
  • Research Site 1805
    Brasov, Romania
  • Research Site 1801
    Bucharest, Romania
  • Research site 1802
    Bucharest, Romania
  • Research site 1804
    Bucharest, Romania
  • Research site 1806
    Râmnicu Vâlcea, Romania
  • Research site 1903
    Belgrade, Serbia
  • Research site 1904
    Belgrade, Serbia
  • Research site 1905
    Belgrade, Serbia
  • Research Site 1902
    Novi Sad, Serbia
  • Research site 1901
    Zrenjanin, Serbia
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2024 to primary completion in Feb 2026, 16 months.

Of 116 industry-sponsored phase 3 interventional studies under Arthritis, Rheumatoid, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 31. This study's 16 months is below that.

Counting every sponsor, half of 148 studies reached it within 26 months; a quarter within 17 and three quarters within 40.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 1, 2026: primary completion Oct 2025 → Feb 2026 and completion Jan 2026 → Feb 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Sep 11, 2024
First posted
Sep 19, 2024
StartActual
Oct 3, 2024
Primary completionActual
Feb 20, 2026was Oct 2025
CompletionActual
Feb 20, 2026was Jan 2026
Last update
Oct 8, 2026
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.
Status
Recruiting→Completed
changed Oct 1, 2026
Sites
15 sites added, 15 sites removed — first site in Moldova; no longer in Moldova, Republic of
Show 15 added (7 Poland, 4 Romania, 3 Moldova, 1 Bulgaria)
  • Research Site 2002 · Rousse, Bulgaria
  • Research Site 1301 · Chisinau, Moldova
  • Research site 1302 · Chisinau, Moldova
  • Research Site 1603 · Bialystok, Poland
  • Research site 1616 · Bialystok, Poland
  • Research site 1628 · Piotrkow Trybunalski, Poland
  • Research Site 1604 · Warsaw, Poland
  • Research Site 1607 · Warsaw, Poland
  • Research Site 1609 · Warsaw, Poland
  • Resarch Site 1801 · Bucharest, Romania
  • Research site 1802 · Bucharest, Romania
  • Research site 1804 · Bucharest, Romania
  • Research site 1303 · Chisinau, Moldova
  • Research Site 1619 · Poznan, Poland
  • Research Site 1801 · Bucharest, Romania
Show 15 removed
  • Research Site 2002 · Ruse, Bulgaria
  • Research Site 1301 · Chișinău, Moldova, Republic of
  • Research site 1302 · Chișinău, Moldova, Republic of
  • Research Site 1603 · Białystok, Poland
  • Research site 1616 · Białystok, Poland
  • Research site 1628 · Piotrków Trybunalski, Poland
  • Research Site 1604 · Warszawa, Poland
  • Research Site 1607 · Warszawa, Poland
  • Research Site 1609 · Warszawa, Poland
  • Resarch Site 1801 · Bucuresti, Romania
  • Research site 1802 · Bucuresti, Romania
  • Research site 1804 · Bucuresti, Romania
  • Resarch Site 1619 · Poznan, Poland
  • Resarch Site 1801 · Bucharest, Romania
  • Research site 1303 · Chisináu, Romania
across 2 updates, Oct 1, 2026 – Oct 8, 2026
Primary completion
Oct 2025→Feb 20, 2026 (actual)
Oct 1, 2026
Study completion
Jan 2026→Feb 20, 2026 (actual)
Oct 1, 2026
Enrollment
458 (estimated)→501 (actual)
Oct 1, 2026
Eligibility
4 criteria edited
What changed in the criteria
  • EditedPatients who are otherwise medically stable according to investigator\''s discretion
  • EditedAgree to use highly effective contraceptive methods up to 6 months after laslast dose Exclusion
  • EditedPreviously treated with any monoclonal antibody for othera condition other than RA
  • EditedSystemic manifestations of RA other thatthan rheumatoid nodules or secondary Sjogren\''s syndrome
Oct 8, 2026
Show all 2 updates
  1. Oct 8, 2026
    3 sites added, 3 sites removed
    Show 3 added (1 Moldova, 1 Poland, 1 Romania)
    • Research site 1303 · Chisinau, Moldova
    • Research Site 1619 · Poznan, Poland
    • Research Site 1801 · Bucharest, Romania
    Show 3 removed
    • Resarch Site 1619 · Poznan, Poland
    • Resarch Site 1801 · Bucharest, Romania
    • Research site 1303 · Chisináu, Romania
    Eligibility 4 criteria edited
    What changed in the criteria
    • EditedPatients who are otherwise medically stable according to investigator\''s discretion
    • EditedAgree to use highly effective contraceptive methods up to 6 months after laslast dose Exclusion
    • EditedPreviously treated with any monoclonal antibody for othera condition other than RA
    • EditedSystemic manifestations of RA other thatthan rheumatoid nodules or secondary Sjogren\''s syndrome
    + 2 other changes: verification date and description
  2. Oct 1, 2026
    Recruiting→Completed
    12 sites added, 12 sites removed — first site in Moldova; no longer in Moldova, Republic of
    Show 12 added (6 Poland, 3 Romania, 2 Moldova, 1 Bulgaria)
    • Research Site 2002 · Rousse, Bulgaria
    • Research Site 1301 · Chisinau, Moldova
    • Research site 1302 · Chisinau, Moldova
    • Research Site 1603 · Bialystok, Poland
    • Research site 1616 · Bialystok, Poland
    • Research site 1628 · Piotrkow Trybunalski, Poland
    • Research Site 1604 · Warsaw, Poland
    • Research Site 1607 · Warsaw, Poland
    • Research Site 1609 · Warsaw, Poland
    • Resarch Site 1801 · Bucharest, Romania
    • Research site 1802 · Bucharest, Romania
    • Research site 1804 · Bucharest, Romania
    Show 12 removed
    • Research Site 2002 · Ruse, Bulgaria
    • Research Site 1301 · Chișinău, Moldova, Republic of
    • Research site 1302 · Chișinău, Moldova, Republic of
    • Research Site 1603 · Białystok, Poland
    • Research site 1616 · Białystok, Poland
    • Research site 1628 · Piotrków Trybunalski, Poland
    • Research Site 1604 · Warszawa, Poland
    • Research Site 1607 · Warszawa, Poland
    • Research Site 1609 · Warszawa, Poland
    • Resarch Site 1801 · Bucuresti, Romania
    • Research site 1802 · Bucuresti, Romania
    • Research site 1804 · Bucuresti, Romania
    Primary completion Oct 2025→Feb 20, 2026 (now actual)
    Study completion Jan 2026→Feb 20, 2026 (now actual)
    Enrollment 458 (estimated)→501 (actual)
    + 5 other changes: identifiers, verification date, oversight details, contact details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06596772
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Oct 3, 2024
Primary completion
Feb 20, 2026
Completion
Feb 20, 2026
Last update
Oct 8, 2026

Oversight

Data monitoring committee
No
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 Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions 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.

Start the discussion