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NCT01326962

A Study of RoActemra/Actemra (Tocilizumab) in Patients With Rheumatoid Arthritis Who Have an Inadequate Response to DMARDs or Anti-TNF

Completed Phase 3 Results posted Last updated 16 August 2017
What this trial tests

Phase 3 trial testing tocilizumab [RoActemra/Actemra] in Rheumatoid Arthritis in 28 participants. Completed in 12 May 2013.

Timeline
30 November 2011
Primary endpoint
12 May 2013
12 May 2013

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment28
Start date30 November 2011
Primary completion12 May 2013
Estimated completion12 May 2013
Sites4 locations across Saudi Arabia

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — 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.

Disease Activity as Measured by Disease Activity Score 28 (DAS28) Primary · Up to 1 year

The DAS28 is a combined index for measuring disease activity in rheumatoid arthritis (RA). The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (erythrocyte sedimentation rate \[ESR\] in millimeters per hour \[mm/hr\]), and general health status (participant global assessment of disease activity using visual analog scale \[VAS\], range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity.

Baseline (n=28)
GroupValue95% CI
Tocilizumab5.44.1 – 7.9
Visit 3 (n=27)
GroupValue95% CI
Tocilizumab3.51.9 – 5.7
Visit 4 (n= 26)
GroupValue95% CI
Tocilizumab2.80.9 – 5.5
Visit 5 (n= 25)
GroupValue95% CI
Tocilizumab2.21.3 – 4.2
Visit 6 (n= 25)
GroupValue95% CI
Tocilizumab1.90.4 – 4.6
Visit 7 (n= 25)
GroupValue95% CI
Tocilizumab1.70.5 – 2.8
Visit 8 (n= 23)
GroupValue95% CI
Tocilizumab1.70.5 – 3.4
Visit 9 (n= 21)
GroupValue95% CI
Tocilizumab1.90.0 – 3.7
Number of Participants Who Achieved Remission (DAS28 < 2.6) Primary · Up to 1 year

The DAS28 is a combined index for measuring disease activity in RA. The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (ESR in mm/hr), and general health status (participant global assessment of disease activity using VAS, range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity.

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab3
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab7
Visit 5 (n=25)
GroupValue95% CI
Tocilizumab12
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab14
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab17
Visit 8 (n=23)
GroupValue95% CI
Tocilizumab16
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab15
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab18
Time to Das28 Remission Primary · Up to 1 year

Time to DAS28 Remission was the Time in days from the first infusion of study drug to the achievement of a DAS28 score \< 2.6 units. The DAS28 is a combined index for measuring disease activity in RA. The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (ESR in mm/hr), and general health status (participant global assessment of disease activity using VAS, range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores represent h

GroupValue95% CI
Tocilizumab189.01± 7.053
Number of Participants Who Achieved a Clinically Meaningful Improvement in DAS28 (Reduction of At Least 1.2 Units) Primary · Up to 1 year

DAS28 Clinically Significant Improvement was defined as a DAS28 score reduction of at least 1.2 units from Baseline. The DAS28 is a combined index for measuring disease activity in RA. The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (ESR in mm/hr), and general health status (participant global assessment of disease activity using VAS, range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease ac

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab21
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab20
Visit 5 (n=25)
GroupValue95% CI
Tocilizumab20
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab22
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab21
Visit 8 (n=23)
GroupValue95% CI
Tocilizumab20
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab19
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab20
Number of Participants Who Achieved Low Disease Activity (DAS28 < 3.2) Primary · Up to 1 year

DAS28 low disease activity was defined as a DAS28 score reduction of at least 3.2 units from Baseline. The DAS28 is a combined index for measuring disease activity in RA. The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (ESR in mm/hr), and general health status (participant global assessment of disease activity using VAS, range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores represent higher disease activity.

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab7
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab9
Visit 5 (n= 25)
GroupValue95% CI
Tocilizumab7
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab7
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab4
Visit 8 (n= 23)
GroupValue95% CI
Tocilizumab3
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab3
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab2
Number of Participants Who Achieved Clinically Meaningful Health Assessment Questionnaire Response Primary · Up to 1 year

Health Assessment Questionnaire (HAQ) is a self-completed participant questionnaire specific for Rheumatoid Arthritis. It consists of 20 questions referring to 8 domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip; common daily activities. Each domain has at least 2 component questions. There are 4 possible responses for each component 0=without any difficulty, 1=with some difficulty, 2=with much difficulty, and 3=unable to do. To calculate HAQ, the participant must have a domain score for at least 6 out of 8 domains. The HAQ is the sum of the scores, divided by the numb

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab7
Visit 4 (n=25)
GroupValue95% CI
Tocilizumab6
Visit 5 (n= 25)
GroupValue95% CI
Tocilizumab6
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab7
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab6
Visit 8 (n= 23)
GroupValue95% CI
Tocilizumab4
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab5
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab4
Changes in Participant's Fatigue Assessed Using the Mean FACIT-Fatigue Score Primary · Up to 1 year

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. 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 resulted in the FACIT-Fatigue score f

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab23.5
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab24.1
Visit 5 (n= 25)
GroupValue95% CI
Tocilizumab23.6
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab24.0
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab21.6
Visit 8 (n= 23)
GroupValue95% CI
Tocilizumab22.0
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab19.1
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab22.3
Change in Fatigue as Measured Using the Fatigue Visual Analog Scale Primary · Up to 1 year

The VAS for Fatigue (VAS-F) consists of a 100 mm line, with 0 (No Fatigue) on one end, and 100 (Extreme Fatigue) on the other end, which a participant marks to indicate how much fatigue he or she feels. The marked point in mm is converted into a numeric value from 0 to 100, where 0=no fatigue and 100=maximum fatigue. Increasing numbers=increasing fatigue.

Visit 3 (n=27)
GroupValue95% CI
Tocilizumab38.1
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab32.3
Visit 5 (n= 25)
GroupValue95% CI
Tocilizumab29.0
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab20.1
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab14.4
Visit 8 (n= 23)
GroupValue95% CI
Tocilizumab18.0
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab13.1
Visit 10 (n=22)
GroupValue95% CI
Tocilizumab20.7
Number of Participants With Any Adverse Event and Serious Adverse Event Secondary · Up to 1 year

An adverse event (AE) is defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event.

Any AE
GroupValue95% CI
Tocilizumab4
Any SAE
GroupValue95% CI
Tocilizumab2
Number of Participants With AE or SAE Related Discontinuation of Tocilizumab Secondary · Up to 1 year

It included participants who discontinued from the study due to occurrence of AE or SAE.

GroupValue95% CI
Tocilizumab2
Number of Participants Who Achieved ACR20, ACR50, ACR70 and ACR90 Response Secondary · Up to 1 year

ACR20, ACR50, ACR70, and ACR90 are defined as greater than or equal to (≥)20 percent (%), ≥50%, ≥70%, or ≥90% improvement, respectively, in swollen joint count (SJC; 66 joints) and tender joint count (TJC; 68 joints). It also comprises ≥20%, ≥50%, ≥70%, or ≥90% improvement, respectively, in 3 of the following 5 assessments: Patient's Global Assessment of Pain (VAS); Patient's Global Assessment of Disease Activity (VAS); Investigator/Physician's Global Assessment of Disease Activity (VAS); participant's assessment of disability measured by the Health Assessment Questionnaire Disability Index (H

ACR20: Visit 3 (n=27)
GroupValue95% CI
Tocilizumab3
ACR20: Visit 4 (n=26)
GroupValue95% CI
Tocilizumab4
ACR20:Visit 5 (n=25)
GroupValue95% CI
Tocilizumab1
ACR20: Visit 6 (n=25)
GroupValue95% CI
Tocilizumab1
ACR20: Visit 7 (n=25)
GroupValue95% CI
Tocilizumab0
ACR20: Visit 8 (n=23)
GroupValue95% CI
Tocilizumab0
ACR20: Visit 9 (n=21)
GroupValue95% CI
Tocilizumab0
ACR20: Visit 10 (n=22)
GroupValue95% CI
Tocilizumab0
Number of Participants With C-Reactive Protein Abnormality Secondary · Up to 1 year

CRP is a biological marker of inflammation. A reduction in CRP indicates improvement. It is measured in milligram per liter (mg/L).

Baseline (n=28)
GroupValue95% CI
Tocilizumab16
Visit 3 (n=27)
GroupValue95% CI
Tocilizumab8
Visit 4 (n=26)
GroupValue95% CI
Tocilizumab7
Visit 5 (n=25)
GroupValue95% CI
Tocilizumab2
Visit 6 (n=25)
GroupValue95% CI
Tocilizumab5
Visit 7 (n=25)
GroupValue95% CI
Tocilizumab6
Visit 8 (n=23)
GroupValue95% CI
Tocilizumab7
Visit 9 (n=21)
GroupValue95% CI
Tocilizumab7

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 1 Year. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tocilizumab
Serious: 2/28 (7%)
Deaths:

Serious adverse events (4 terms)

ReactionSystemTocilizumab
HypotensionVascular disorders
Skin RashSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytpeniaBlood and lymphatic system disorders
Other adverse events (16 terms — click to expand)

ReactionSystemTocilizumab
HypertensionVascular disorders
NeutropeniaBlood and lymphatic system disorders
Low hemoglobinBlood and lymphatic system disorders
Low red blood cellsBlood and lymphatic system disorders
EpistaxisBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
DiplopiaEye disorders
Dry eyeEye disorders
Infusion site painGeneral disorders
Headache & dizzinessGeneral disorders
Headache & generalized body acheGeneral disorders
FibromyalgiaMusculoskeletal and connective tissue disorders
Low back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
FluRespiratory, thoracic and mediastinal disorders
HyponatremiaMetabolism and nutrition disorders

Most-reported serious reactions: Hypotension, Skin Rash, Neutropenia, Thrombocytpenia.

Data from ClinicalTrials.gov NCT01326962 adverse events section.

Sponsor's own description

This open-label, single arm study will evaluate the safety and efficacy of RoActemra/Actemra (tocilizumab) in patients with active, moderate to severe rheumatoid arthritis who have an inadequate response to disease-modifying antirheumatic drugs (DMARDs) or anti-TNF. Patients will receive RoActemra/Actemra at a dose of 8 mg/kg (max 800 mg) intravenously every 4 weeks for a total of 6 infusions. Non-biologic DMARD therapy may be continued throughout the study. Anticipated time on study treatment is 24 weeks.

Publications & conference data

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

  1. Biologics or tofacitinib for people with rheumatoid arthritis naive to methotrexate: a systematic review and network meta-analysis.
    Singh JA, Hossain A, Mudano AS, Tanjong Ghogomu E, et al · · 2017 · cited 44× · PMID 28481462 · DOI 10.1002/14651858.cd012657
  2. Biologics or tofacitinib for people with rheumatoid arthritis unsuccessfully treated with biologics: a systematic review and network meta-analysis.
    Singh JA, Hossain A, Tanjong Ghogomu E, Mudano AS, et al · · 2017 · cited 38× · PMID 28282491 · DOI 10.1002/14651858.cd012591
  3. Tocilizumab efficacy and safety in rheumatoid arthritis patients after inadequate response to disease-modifying anti-rheumatic drugs oranti-tumor necrosis factor.
    Abdulkader OAF, Qushmaq K, Aljishi F. · · 2016 · cited 3× · PMID 27236390 · DOI 10.5144/0256-4947.2016.190

Verify or expand the search:

Other trials of tocilizumab [RoActemra/Actemra]

Trials testing the same drug.

Other recruiting trials for Rheumatoid Arthritis

Currently open trials in the same condition.

Other Hoffmann-La Roche trials

Trials by the same sponsor.

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Data sources for this page

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/NCT01326962.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing