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NCT00673920: FEATURE

A Study to Evaluate Ocrelizumab Compared With Placebo in Patients With Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate Therapy

Terminated Phase 3 Results posted Last updated 4 December 2020
What this trial tests

Phase 3 trial testing Methotrexate in Rheumatoid Arthritis in 314 participants. Terminated before completion.

Timeline
24 April 2008
Primary endpoint
26 October 2009
26 October 2009

Quick facts

Lead sponsorGenentech, Inc.
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment314
Start date24 April 2008
Primary completion26 October 2009
Estimated completion26 October 2009

Drugs / interventions tested

Conditions studied

Sponsor

Genentech, Inc. — full company profile →

Who can join

18 and older, any sex, with Rheumatoid Arthritis. 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.

Percentage of Participants With American College of Rheumatology (ACR) 20 Response Primary · Week 24

ACR20 response: greater than or equal to (≥) 20% improvement in tender or swollen joint counts and 20% improvement in 3 of the following 5 criteria: 1) Physician's global assessment of disease activity, 2) participant assessment of disease activity, 3) Patient Assessment of Pain (visual analog scale \[VAS\]), 4) participant assessment of functional disability via a Health Assessment Questionnaire (HAQ), and 5) erythrocyte sedimentation rate (ESR) at each visit.

GroupValue95% CI
Placebo28.117.1 – 39.1
Ocrelizumab 400mg37.628.8 – 46.4
Ocrelizumab 200mg - Cycle 152.744.1 – 61.2
Percentage of Participants Achieving Disease Activity Score 28 (DAS28) Remission (DAS28 < 2.6) Secondary · Week 24

The DAS28 was derived from assessments of erythrocyte sedimentation rate (ESR) measured in millimeters per hour (mm/h), tender joint count on 28 joints (TJC28), swollen joint count on 28 joints (SJC28), and Patient's Global Assessment of disease activity according to 100--millimeter (mm) Visual Analog Scale (VAS). DAS28 score was calculated as \[0.56 × square root of TJC\] + \[0.28 × square root of SJC\] + \[0.70 × natural log (ESR)\] + \[0.014 × VAS\]. DAS28 score could range from 0 to 10, where higher score represented higher disease activity. The change from Week 24 to Week 40 was averaged

GroupValue95% CI
Placebo3.1
Ocrelizumab 400mg4.3
Ocrelizumab 200mg - Cycle 15.3
Change in DAS28 From Baseline Secondary · Week 24

The DAS28 was derived from assessments of erythrocyte sedimentation rate (ESR) measured in millimeters per hour (mm/h), tender joint count on 28 joints (TJC28), swollen joint count on 28 joints (SJC28), and Patient's Global Assessment of disease activity according to 100--millimeter (mm) Visual Analog Scale (VAS). DAS28 score was calculated as \[0.56 × square root of TJC\] + \[0.28 × square root of SJC\] + \[0.70 × natural log (ESR)\] + \[0.014 × VAS\]. DAS28 score could range from 0 to 10, where higher score represented higher disease activity. The change from Week 24 to Week 40 was averaged

GroupValue95% CI
Placebo-0.79± 1.293
Ocrelizumab 400mg-1.60± 1.374
Ocrelizumab 200mg - Cycle 1-1.67± 1.320
European League Against Rheumatism (EULAR) Response Rates (Categorical DAS Responders) Secondary · Week 24
Week 4 No Response
GroupValue95% CI
Placebo62.5
Ocrelizumab 400mg62.4
Ocrelizumab 200mg - Cycle 158.0
Week 4 Moderate Response
GroupValue95% CI
Placebo37.5
Ocrelizumab 400mg33.3
Ocrelizumab 200mg - Cycle 138.9
Week 4 Good Response
GroupValue95% CI
Placebo0
Ocrelizumab 400mg4.3
Ocrelizumab 200mg - Cycle 13.1
Week 8 No Response
GroupValue95% CI
Placebo70.3
Ocrelizumab 400mg52.1
Ocrelizumab 200mg - Cycle 148.1
Week 8 Moderate Response
GroupValue95% CI
Placebo28.1
Ocrelizumab 400mg39.3
Ocrelizumab 200mg - Cycle 142.0
Week 8 Good Response
GroupValue95% CI
Placebo1.6
Ocrelizumab 400mg8.5
Ocrelizumab 200mg - Cycle 19.9
Week 12 No Response
GroupValue95% CI
Placebo68.8
Ocrelizumab 400mg41.9
Ocrelizumab 200mg - Cycle 135.9
Week 12 Moderate Response
GroupValue95% CI
Placebo29.7
Ocrelizumab 400mg49.6
Ocrelizumab 200mg - Cycle 154.2
Percentage of Participants Achieving an ACR50 Response Secondary · Week 24

The ACR50 response at any time was defined as \>/=50% improvement compared to baseline in TJC (assessed on 68 joints) and SJC (assessed on 66 joints); and 50% improvement compared to baseline in 3 of the following 5 criteria, respectively: 1) Patient's global assessment of disease activity according to 100-mm VAS, 2) Physician's global assessment of disease activity according to 100-mm VAS, 3) participant's global assessment of pain according to 100-mm VAS, 4) Participant's assessment of functional ability via HAQ-DI, and 5) Acute phase reactant (ESR in mm/h or CRP in mg/dL).

GroupValue95% CI
Placebo7.8
Ocrelizumab 400mg18.8
Ocrelizumab 200mg - Cycle 130.5
Percentage of Participants Achieving an ACR70 Response Secondary · Week 24

The ACR70 response at any time was defined as \>/=70% improvement compared to baseline in TJC (assessed on 68 joints) and SJC (assessed on 66 joints); and 70% improvement compared to baseline in 3 of the following 5 criteria, respectively: 1) Patient's global assessment of disease activity according to 100-mm VAS, 2) Physician's global assessment of disease activity according to 100-mm VAS, 3) participant's global assessment of pain according to 100-mm VAS, 4) Participant's assessment of functional ability via HAQ-DI, and 5) Acute phase reactant (ESR in mm/h or CRP in mg/dL).

GroupValue95% CI
Placebo1.6
Ocrelizumab 400mg6.8
Ocrelizumab 200mg - Cycle 17.6
Change From Baseline in the Individual Parameters of the ACR Core Set Secondary · Week 24

Change in the scores of the following parameters of ACR core set relative to respective baseline scores was measured: SJC (28 and 66 joints) and TJC (28 and 66 joints), patient's global assessment and physician's global assessment based on disease activity (both are expressed by VAS \[0 = no disease activity to 100 = maximum disease activity\]), HAQ (based on HAQ disability index \[HAQDI\]) which included 8 domains (dressing/grooming, arising, eating, walking, hygiene, reach, grip; common daily activities) rated on a 4-point scale (0=without any difficulty to 3=unable to do), where the sum of

SJC
GroupValue95% CI
Placebo-4.6
Ocrelizumab 400mg-7.5
Ocrelizumab 200mg - Cycle 1-8.7
TJC
GroupValue95% CI
Placebo-8.2
Ocrelizumab 400mg-10.2
Ocrelizumab 200mg - Cycle 1-12.0
Patient's global assessment
GroupValue95% CI
Placebo-7.6
Ocrelizumab 400mg-21.2
Ocrelizumab 200mg - Cycle 1-24.3
Physician's global assessment
GroupValue95% CI
Placebo-16.0
Ocrelizumab 400mg-24.3
Ocrelizumab 200mg - Cycle 1-26.0
Patient's pain assessment
GroupValue95% CI
Placebo-8.0
Ocrelizumab 400mg-17.2
Ocrelizumab 200mg - Cycle 1-21.0
HAQ-DI
GroupValue95% CI
Placebo-0.2
Ocrelizumab 400mg-0.4
Ocrelizumab 200mg - Cycle 1-0.5
Change From Baseline in the Individual Parameters of the ACR Core Set: C-Reactive Protein (CRP) Concentration Secondary · Week 24
GroupValue95% CI
Placebo-0.2
Ocrelizumab 400mg-1.0
Ocrelizumab 200mg - Cycle 1-0.8
Change From Baseline in the Individual Parameters of the ACR Core Set: Erythrocyte Sedimentation Rate (ESR) Secondary · Week 24
GroupValue95% CI
Placebo-3.0
Ocrelizumab 400mg-14.2
Ocrelizumab 200mg - Cycle 1-11.1
Percentage of Participants With a Reduction of Greater Than or Equal to 0.25 Units in the HAQ-DI Score Secondary · Week 24
GroupValue95% CI
Placebo37.525.6 – 49.4
Ocrelizumab 400mg55.646.6 – 64.6
Ocrelizumab 200mg - Cycle 158.850.3 – 67.2
Change in SF-36 Subscale and Summary Scores From Baseline Secondary · Week 24

Improved, change \> 5.42; Unchanged, -5.42 \<= Change \<= 5.42; Worsened, change \< -5.42

Mental Component Summary Category Improved
GroupValue95% CI
Placebo42.0
Ocrelizumab 400mg34.9
Ocrelizumab 200mg - Cycle 136.6
Mental Component Summary Category Unchanged
GroupValue95% CI
Placebo38.0
Ocrelizumab 400mg50.0
Ocrelizumab 200mg - Cycle 151.2
Mental Component Summary Category Worsened
GroupValue95% CI
Placebo20.0
Ocrelizumab 400mg15.1
Ocrelizumab 200mg - Cycle 112.2
Physical Component Improved
GroupValue95% CI
Placebo44.0
Ocrelizumab 400mg45.3
Ocrelizumab 200mg - Cycle 153.7
Physical Component Unchanged
GroupValue95% CI
Placebo42.0
Ocrelizumab 400mg51.9
Ocrelizumab 200mg - Cycle 142.3
Physical Component Worsened
GroupValue95% CI
Placebo14.0
Ocrelizumab 400mg2.8
Ocrelizumab 200mg - Cycle 14.1
Change in FACIT-F Fatigue Assessment From Baseline Secondary · Baseline, Weeks 4, 12, and 24

The FACIT-Fatigue score was calculated according to a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. FACIT-F is a 13-item questionnaire. Participants scored each item on a 5-point scale: 0 (Not at all) to 4 (Very much). The larger the participant's response to the questions (with the exception of 2 negatively stated), the greater the participants fatigue. For all questions, except for the 2 negatively stated ones, the code was reversed and a new score was calculated as (4 minus the participant's response). The sum of all responses r

Baseline
GroupValue95% CI
Placebo25.13± 10.616
Ocrelizumab 400mg25.33± 11.313
Ocrelizumab 200mg - Cycle 124.74± 11.161
Week 4
GroupValue95% CI
Placebo28.94± 11.371
Ocrelizumab 400mg28.60± 11.231
Ocrelizumab 200mg - Cycle 130.71± 11.136
Week 12
GroupValue95% CI
Placebo28.42± 12.015
Ocrelizumab 400mg32.09± 12.368
Ocrelizumab 200mg - Cycle 133.09± 10.903
Week 24
GroupValue95% CI
Placebo28.47± 12.406
Ocrelizumab 400mg31.38± 11.346
Ocrelizumab 200mg - Cycle 133.18± 11.011

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline up to 17 months. Reporting threshold: 0.05%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 5/64 (8%)
Deaths: 0/64
Ocrelizumab 400mg
Serious: 3/117 (3%)
Deaths: 0/117
Ocrelizumab 200mg
Serious: 2/131 (2%)
Deaths: 0/131
Ocrelizumab 200mg/ Ocrelizumab 200mg
Serious: 5/61 (8%)
Deaths: 0/61
Ocrelizumab 200mg/ Ocrelizumab 400mg
Serious: 5/61 (8%)
Deaths: 0/61
Ocrelizumab 400mg/ Ocrelizumab 400mg
Serious: 10/109 (9%)
Deaths: 1/109
Placebo/ Ocrelizumab 200mg
Serious: 3/29 (10%)
Deaths: 0/29
Placebo/ Ocrelizumab 400mg
Serious: 0/28 (0%)
Deaths: 0/28

Serious adverse events (27 terms)

ReactionSystemPlaceboOcrelizumab 400mgOcrelizumab 200mgOcrelizumab 200mg/ Ocreliz…Ocrelizumab 200mg/ Ocreliz…Ocrelizumab 400mg/ Ocreliz…Placebo/ Ocrelizumab 200mgPlacebo/ Ocrelizumab 400mg
BRONCHIECTASISInfections and infestations
MYCOBACTERIUM ABSCESSUS INFECTIONInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
COLITIS ULCERATIVEGastrointestinal disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
CELLULITISInfections and infestations
PNEUMONIAInfections and infestations
PROSTATE INFECTIONInfections and infestations
INFLUENZA LIKE ILLNESSGeneral disorders
UTERINE LEIOMYOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
DEPRESSIONPsychiatric disorders
COLITISGastrointestinal disorders
COLITIS ISCHAEMICGastrointestinal disorders
DIVERTICULAR PERFORATIONGastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGEGastrointestinal disorders
PANCREATITISGastrointestinal disorders
ESCHERICHIA URINARY TRACT INFECTIONInfections and infestations
PYELONEPHRITISInfections and infestations
BASAL CELL CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
MALIGNANT MELANOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCERNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ATRIAL FIBRILLATIONCardiac disorders
MYOCARDIAL INFARCTIONCardiac disorders
CATARACTEye disorders
CHEST PAINGeneral disorders
Other adverse events (17 terms — click to expand)

ReactionSystemPlaceboOcrelizumab 400mgOcrelizumab 200mgOcrelizumab 200mg/ Ocreliz…Ocrelizumab 200mg/ Ocreliz…Ocrelizumab 400mg/ Ocreliz…Placebo/ Ocrelizumab 200mgPlacebo/ Ocrelizumab 400mg
INFUSION RELATED REACTIONGeneral disorders
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
DIARRHOEAGastrointestinal disorders
URINARY TRACT INFECTIONInfections and infestations
BRONCHITISInfections and infestations
NAUSEAGastrointestinal disorders
HEADACHENervous system disorders
HYPERTENSIONVascular disorders
NASOPHARYNGITISInfections and infestations
FATIGUEGeneral disorders
VOMITINGGastrointestinal disorders
SINUSITISInfections and infestations
GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders
MUSCULOSKELETAL PAINMusculoskeletal and connective tissue disorders
RASHSkin and subcutaneous tissue disorders
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders
JOINT INJURYInjury, poisoning and procedural complications

Most-reported serious reactions: BRONCHIECTASIS, MYCOBACTERIUM ABSCESSUS INFECTION, URINARY TRACT INFECTION, COLITIS ULCERATIVE, DYSPNOEA, CELLULITIS, PNEUMONIA, PROSTATE INFECTION.

Data from ClinicalTrials.gov NCT00673920 adverse events section.

Sponsor's own description

This study will evaluate the efficacy and safety of ocrelizumab, compared to placebo, in patients with active rheumatoid arthritis who have an inadequate response to methotrexate therapy. Patients will be randomized 2:2:1 to receive 1) infusions of ocrelizumab 200mg iv on Days 1 and 15, 2) infusions of ocrelizumab 400mg iv on Day 1 and placebo iv on Day 15, or 3) infusions of placebo iv on Days 1 and 15. At the end of the placebo-controlled treatment period at 24 weeks, patients in groups 1 and 3 will be re-randomized to receive either a single infusion of 400mg iv ocrelizumab or 2 infusions of 200mg iv ocrelizumab, and group 2 will receive a second single infusion of 400mg iv ocrelizumab. All patients will receive a stable dose of concomitant methotrexate (7.5-25mg/week) throughout the study. The anticipated time on study treatment is 1-2 years. Target number of patients to be enrolled in this trial is 300.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Next-generation anti-CD20 monoclonal antibodies in autoimmune disease treatment.
    Du FH, Mills EA, Mao-Draayer Y. · · 2017 · cited 120× · PMID 29143151 · DOI 10.1007/s13317-017-0100-y
  2. Antibodies to watch in 2010.
    Reichert JM. · · 2010 · cited 68× · PMID 20065640 · DOI 10.4161/mabs.2.1.10677
  3. Safety with ocrelizumab in rheumatoid arthritis: results from the ocrelizumab phase III program.
    Emery P, Rigby W, Tak PP, Dörner T, et al · · 2014 · cited 61× · PMID 24498318 · DOI 10.1371/journal.pone.0087379
  4. Next generation and biosimilar monoclonal antibodies: essential considerations towards regulatory acceptance in Europe. February 3-4, 2011, Freiburg, Germany.
    Reichert JM. · · 2011 · cited 23× · PMID 21487235 · DOI 10.4161/mabs.3.3.15475

Verify or expand the search:

Other trials of Methotrexate

Trials testing the same drug.

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Trials by the same sponsor.

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