| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Rheumatoid arthritis |
| Artritis reumatoide |
|
| E.1.1.1 | Medical condition in easily understood language |
| Rheumatoid arthritis |
| Artritis reumatoide |
|
| E.1.1.2 | Therapeutic area | Diseases [C] - Musculoskeletal Diseases [C05] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 15.0 |
| E.1.2 | Level | PT |
| E.1.2 | Classification code | 10039073 |
| E.1.2 | Term | Rheumatoid arthritis |
| E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
|
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To explore the efficacy of mavrilimumab compared to an anti-TNF antibody in adult subjects with moderate-to-severe active RA who have had an inadequate response to one or two other anti-TNF agents. |
| Investigar la eficacia de mavrilimumab en comparación con un anticuerpo anti-TNF, en pacientes adultos AR activa moderada o grave que hayan tenido una respuesta insuficiente a uno o dos fármacos anti-TNF diferentes. |
|
| E.2.2 | Secondary objectives of the trial |
| Evaluation of safety tolerability, pharmacokinetic effects and immunogenicity of mavrilimumab. |
| Evaluar la seguridad y tolerabilidad, los efectos farmacocinéticos y la inmunogenicidad de mavrilimumab. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
? A diagnosis of at least moderately-active adult onset RA. ? Inadequate response to one or two anti-TNF agents other than the study comparator, as defined by the protocol. ? Receiving oral or injectable methotrexate, as defined by the protocol. |
* Diagnóstico de AR de inicio en la edad adulta al menos moderadamente activa * Respuesta insuficiente a uno o dos fármacos anti-TNF distintos del comparador del estudio, como define el protocolo * Estar recibiendo metotrexato oral o inyectable, como define el protocolo |
|
| E.4 | Principal exclusion criteria |
? A rheumatic autoimmune disease or other inflammatory joint disease other than RA. ? Previous treatment with biologic therapies other than anti-TNF for RA. ? Treatment with other DMARDs or NSAIDs, as defined by the protocol. ? Medical history as defined by the protocol. |
* Enfermedad reumática autoinmune u otra artropatía inflamatoria distinta de la AR. * Tratamiento previo con productos biológicos distintos de anti-TNF para la AR. * Tratamiento con otros FARMEs y AINEs, como se define en el protocolo. * Historia médica definida en el protocolo |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
| Established endpoints of RA efficacy, as defined in the protocol. |
| Criterios de valoración de la eficacia definidos en el protocolo. |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
| E.5.2 | Secondary end point(s) |
| Safety and tolerability via assessment of AEs and SAEs. Assessment of PK and IM parameters, as defined in the protocol. |
Seguridad y tolerabilidad a través de evaluación de AAs y AAGs. Evaluación de parámetros de FC e IM, como se define en el protocolo. |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
| 36 weeks (24 weeks treatment + 12 weeks Safety Follow-up) |
| 36 semanas (24 semanas de tratamiento + 12 semanas de seguimiento de la seguridad) |
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Yes |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | Yes |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 2 |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
| E.8.5 | The trial involves multiple Member States | Yes |
| E.8.5.1 | Number of sites anticipated in the EEA | 23 |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
| Argentina |
| Brazil |
| France |
| Germany |
| Greece |
| Hungary |
| Israel |
| Mexico |
| Portugal |
| Russian Federation |
| Spain |
|
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 5 |
| E.8.9.1 | In the Member State concerned months | 4 |
| E.8.9.1 | In the Member State concerned days | 0 |
| E.8.9.2 | In all countries concerned by the trial years | 5 |
| E.8.9.2 | In all countries concerned by the trial months | 4 |
| E.8.9.2 | In all countries concerned by the trial days | 0 |