Long-term Efficacy and Safety of Repeated Ofatumumab Treatment Courses in RA Patients Who Previously Received Ofatumumab or Placebo in Trial Hx-CD20-403
TerminatedPhase 2Results postedLast updated 5 December 2017
What this trial tests
Phase 2 trial testing ofatumumab in Arthritis, Rheumatoid in 124 participants. Terminated before completion.
18 and older, any sex, with Arthritis, Rheumatoid. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Minimum Change From Baseline in Disease Activity Score Based on 28 Joints (DAS28) Over the Course of Weeks (Wk) 1 to 24 in Each Treatment Course (TC), Assessed by Erythrocyte Sedimentation Rate (ESR; Rate at Which Red Blood Cells Sediment in 1 Hour)Secondary· Baseline (last visit prior to dosing in each TC) and last visit of each TC (8 wk post infusion, then every 4 wk until Wk 24; up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
DAS28(ESR) is a numeric outcome that measures RA activity based on the ESR (a non-specific general indicator of inflammation), tender joint count (JC), swollen JC, and participant's global assessment of disease activity on a 100 millimeter Visual Analog Scale. DAS28 values range from 0 (no activity) and upwards; increasing values indicate increasing activity (there is no upper limit on the scale). Change from baseline (CFB) was calculated at all visits; however, minimum CFB was calculated as the minimum CFB obtained over the course of weeks 1-24 of each treatment cycle.
Treatment Course 1, n=91
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.92
± 0.918
Treatment Course 2, n=71
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.58
± 0.824
Treatment Course 3, n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.52
± 0.849
Treatment Course 4, n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.65
± 1.110
Treatment Course 5, n=8
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-2.16
± 1.114
Treatment Course 6, n=4
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-0.87
± 0.771
Treatment Course 7, n=2
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-2.10
± 2.146
Minimum Change From Baseline in DAS28 Over the Course of Weeks 1 to 24 in Each Treatment Course, Based on C-reactive Protein (CRP)Secondary· Baseline (last visit prior to dosing in each TC) and last visit of each TC (8 wk post infusion, then every 4 wk until Wk 24; up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
DAS28(CRP) is a numeric outcome that measures RA activity based on the CRP (used to monitor acute inflammatory phases of RA), tender JC, swollen JC, and participant's global assessment of disease activity on a 100 millimeter Visual Analog Scale. DAS28 values range from 0 (no activity) and upwards; increasing values indicate increasing activity (there is no upper limit on the scale). Change from baseline (CFB) was calculated at all visits; however, minimum CFB was calculated as the minimum CFB obtained over the course of weeks 1-24 of each treatment cycle.
Treatment Course 1, n=91
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.79
± 0.906
Treatment Course 2, n=71
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.32
± 0.771
Treatment Course 3, n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.27
± 0.793
Treatment Course 4, n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.55
± 0.970
Treatment Course 5, n=8
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-1.88
± 1.181
Treatment Course 6, n=4
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-0.88
± 0.572
Treatment Course 7, n=2
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
-2.14
± 1.893
Time to Re-treatment in Each Treatment CourseSecondary· Week 16 to Week 104 of each treatment course (up to 125 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Time to re-treatment in each treatment course (TC) is defined as the time from the first infusion of ofatumumab until the date of the first infusion of the first re-treatment course. The data presented reflect the time to re-treatment, which is defined as the time in days between the first infusion of each TC and the first infusion of the following TC. For TC 1, time to re-treatment is defined as the time between the first infusion in TC 1 and the first infusion in TC 2; similarly, for TC 2 it is the time between the first infusion of TC 2 and the first infusion of TC 3. The study was terminat
Treatment Course 1, n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
291.01
± 127.367
Treatment Course 2, n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
328.83
± 122.427
Treatment Course 3, n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
235.95
± 93.924
Treatment Course 4, n=8
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
154.88
± 19.172
Treatment Course 5, n=4
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
161.75
± 22.066
Treatment Course 6, n=2
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
120.00
± 0.000
Ofatumumab Serum ConcentrationSecondary· Before infusion and at the end of infusion for each Treatment Course (8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next TC; up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial vi
Blood samples of participants were collected for the measurement of ofatumumab concentration in the blood. The blood samples were collected before infusion (BI) (baseline of that particular treatment course) and at the end of infusion (EI) of ofatumumab.
Treatment Course 1, Baseline (BI); n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
3596.3
± 32324.08
Treatment Course 1, Baseline (EI); n=91
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
295588.3
± 67754.65
Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
NA
± NA
Treatment Course 2, Baseline (BI); n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
837.6
± 3102.94
Treatment Course 2, Baseline (EI); n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
292283.5
± 87672.90
Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
NA
± NA
Treatment Course 3, Baseline (BI); n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
955.0
± 3270.64
Treatment Course 3, Baseline (EI); n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
276719.3
± 68620.07
Percentage of Cluster of Differentiation (CD)19+, 4+, 3+, and 8+ B-cell Subsets in the BloodSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of CD19+, CD4+, CD3+, and CD8+ B-cell subsets. These biomarkers are associated with immune functions.
CD19+, Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
6.4
± 4.45
CD19+, Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
4.0
± NA
CD19+, Treatment Course 2, Baseline; n=72
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1.9
± 3.06
CD19+, Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.0
± NA
CD19+, Treatment Course 3, Baseline; n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.6
± 2.99
CD19+, Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1.0
± NA
CD19+, Treatment Course 4, Baseline; n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1.7
± 2.68
CD19+, Treatment Course 4, Week 40; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
3.0
± NA
CD19+, CD4+, CD3+, and CD8+ Cell Counts, Measured in mm^3Secondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of CD19+, CD4+, CD3+, and CD8+ cell counts. These cells are present on white blood cells and are used as markers to associate cells with immune functions.
CD19+, Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
109.6
± 91.12
CD19+, Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
95.0
± NA
CD19+, Treatment Course 2, Baseline; n=71
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
30.0
± 49.36
CD19+, Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
24.0
± NA
CD19+, Treatment Course 3, Baseline; n=51
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
43.8
± 50.11
CD19+, Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
16.0
± NA
CD19+, Treatment Course 4, Baseline; n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
27.2
± 43.75
CD19+, Treatment Course 4, Week 40; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
54.0
± NA
Ratio of CD 4+/CD8+Secondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of CD4+ and CD8+ cell counts and the ratio was calculated.
Treatment Course 1, Baseline; n=72
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.55
± 1.295
Treatment Course 1, Week 48; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
5.40
± NA
Treatment Course 2, Week 24; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
4.10
± NA
Treatment Course 2, Week 56; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.60
± NA
Treatment Course 3, Baseline; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.60
± NA
Treatment Course 3, Week 32; n=2
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
2.40
± 0.424
Treatment Course 4, Baseline; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1.50
± NA
Number of Participants With Rheumatoid Factor (RA Factor) >13 International Units Per MilliliterSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaulation of RA factor. RA factor is an antibody found in the blood of participants with rheumatoid arthritis and is used for the diagnosis of rheumatoid arthritis.
Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
79
Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Treatment Course 1, At any time; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
81
Treatment Course 2, Baseline; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
60
Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Treatment Course 2, At any time; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
63
Treatment Course 3, Baseline; n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
42
Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Number of Participants With Anti-cyclic Citrullinated Peptide Antibody (CCP) >6.9 International Units Per LiterSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of Anti-CCP. Anti-CCP plays an important role in immune response and helps assess the disease condition.
Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
80
Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Treatment Course 1, At any time; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
83
Treatment Course 2, Baseline; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
66
Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Treatment Course 2, At any time; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
67
Treatment Course 3, Baseline; n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
48
Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Number of Participants With B-Lymphocyte Stimulator (BLyS) >2.49 Micrograms Per LiterSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of BLyS. BLyS is a potent co-stimulator of B lymphocytes, and elevated levels of BLyS are observed in automimmune diseases. It regulates the immunnoglobin (antibody produced by B cells that is used by the immune system to indentify bacteria and viruses in the body) secretion of normal B cells (type of cells in the blood).
Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
12
Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
0
Treatment Course 1, At any time; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
81
Treatment Course 2, Baseline; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
38
Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
0
Treatment Course 2, At any time; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
65
Treatment Course 3, Baseline; n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
32
Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Number of Participants With Interleukin 6 (IL-6) >11.9 Picograms Per MilliliterSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of IL-6. IL-6 plays an important role in immune response and helps assess the disease condition.
Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
40
Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
0
Treatment Course 1, At any time; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
47
Treatment Course 2, Baseline; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
12
Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
1
Treatment Course 2, At any time; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
27
Treatment Course 3, Baseline; n=52
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
11
Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
0
Assessment of Sodium, Potassium, Chloride, Bicarbonate, Calcium, and Uric AcidSecondary· Baseline of each TC and 8 wk post infusion, then every 4 wk until Wk 24, then every 8 wk until next treatment course (up to 144 weeks). TCs were individualized based on clinical status and may not correlate to trial visits or study weeks.
Blood samples of participants were collected for the evaluation of uric acid and electrolytes (sodium, potassium, chloride, and calcium), as increased levels may reflect B-cell lysis due to treatment with ofatumumab.
Sodium, Treatment Course 1, Baseline; n=92
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
142.1
± 2.76
Sodium, Treatment Course 1, Week 104; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
144.0
± NA
Sodium, Treatment Course 2, Baseline; n=73
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
142.3
± 2.25
Sodium, Treatment Course 2, Week 80; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
145.0
± NA
Sodium, Treatment Course 3, Baseline; n=53
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
143.3
± 2.26
Sodium, Treatment Course 3, Week 64; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
147.0
± NA
Sodium, Treatment Course 4, Baseline; n=20
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
142.8
± 2.65
Sodium, Treatment Course 4, Week 40; n=1
Group
Value
95% CI
Ofatumumab 700 mg IV Infusion
145.0
± NA
Adverse events — posted to ClinicalTrials.gov
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Ofatumumab 700 mg IV Infusion
Serious: 11/92 (12%)
Deaths: —
Serious adverse events (16 terms)
Reaction
System
Ofatumumab 700 mg IV Infus…
Memory impairment
Nervous system disorders
—
Amnesia
Nervous system disorders
—
Aphasia
Nervous system disorders
—
Cholecystitis
Hepatobiliary disorders
—
Cholelithiasis
Hepatobiliary disorders
—
Disturbance in attention
Nervous system disorders
—
Fall
Injury, poisoning and procedural complications
—
Hypertension
Vascular disorders
—
Joint dislocation
Injury, poisoning and procedural complications
—
Myocardial infarction
Cardiac disorders
—
Osteitis
Musculoskeletal and connective tissue disorders
—
Pancreatitis
Gastrointestinal disorders
—
Pneumonia
Infections and infestations
—
Rash
Skin and subcutaneous tissue disorders
—
Rheumatoid arthritis
Musculoskeletal and connective tissue disorders
—
Visual impairment
Eye disorders
—
Other adverse events (158 terms — click to expand)
A 3-year open-label trial for patients who previously participated in Trial Hx-CD20-403 and who fulfill the eligibility criteria for this trial (GEN413) . Th e primary purpose of the trial is to evaluate the long-term effectiveness of repeated courses ( a maximum of 9 treatment courses) of ofatumumab in RA patients who previously received ofatumumab or placebo in Trial Hx-CD20-403.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
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NCT06121349 — WOE of Anti-CD20 Therapies
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NCT05627271 — The 'Wearing Off' Effect of DMT
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
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Sponsor: as reported to ClinicalTrials.gov by GlaxoSmithKline
Last refreshed: 5 December 2017
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00655824.