| 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 | 14.1 |
| 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 demonstrate the treatment effect of sarilumab and methotrexate (MTX) compared to etanercept and methotrexate (MTX) in patients with rheumatoid arthritis (RA) and an inadequate response to adalimumab and methotrexate by evaluation of the Disease Activity Score for 28 joints (DAS28) |
| Demostrar que la combinación de sarilumab y MTX es superior a la de etanercept y MTX para la mejoría de (reducción de) la puntuación de la actividad de la enfermedad (Disease Activity Score) en 28 articulaciones usando proteína C reactiva (puntuación DAS28-PCR) en comparación con la evaluación inicial de la fase de tratamiento aleatorizado, a la semana 24 en pacientes con AR y una respuesta inadecuada a 4 meses de tratamiento con adalimumab y MTX. |
|
| E.2.2 | Secondary objectives of the trial |
To assess the signs and symptoms of rheumatoid arthritis (RA) in patients taking sarilumab in combination with methotrexate (MTX) To assess the quality of life of patients with rheumatoid arthritis (RA) taking sarilumab in combination with methotrexate (MTX) To assess the safety and tolerability of sarilumab in combination with methotrexate (MTX) in patients with rheumatoid arthritis (RA) |
Evaluar los signos y síntomas de artritis reumatoide en pacientes en tratamiento con sarilumab y metotrexato. Evaluar la calidad de vida de los pacientes con artritis reumatoide en tratamiento con sarilumab y metotrexato. Evaluar la seguridad y tolerabilidad de sarilumab en combinación con metotrexato en pacientes con artritis reumatoide |
|
| E.2.3 | Trial contains a sub-study | Yes |
| E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
To assess the 12 month safety and tolerability of sarilumab in combination with methotrexate (MTX) in patients with rheumatoid arthritis (RA) 16 Nov 2012 - Version 1
Sub-Study objective ? To assess the 12-month safety and tolerability of sarilumab in combination with MTX ? To summarize signs and symptoms of RA during 12 months of treatment of sarilumab in combination with MTX |
16 Nov 2012 - Version 1
Objetivos del subestudio: Evaluar la seguridad y tolerabilidad a los 12 meses de sarilumab en combinación con MTX Elaborar un resumen de los signos y síntomas de la AR durante 12 meses de tratamiento de sarilumab en combinación con MTX |
|
| E.3 | Principal inclusion criteria |
Diagnosis of rheumatoid arthritis (RA) >/= 3 months duration. Continuous treatment of methotrexate (MTX) 10 - 25 mg/week (or per local labeling requirements if the dose range differs) for at least 12 weeks before screening visit and on a stable dose for 8 weeks before screening visit. Active disease defined as: at least 6/66 swollen and 8/68 tender joints and high sensitivity C-reactive protein > 10 mg/L. |
Diagnóstico de artritis reumatoide superior o igual a 3 meses de duración. Tratamiento continuo con metotrexato entre 10 y 25 mg/semana (o conforme a los requisitos de su ficha técnica local si difieren los intervalos posológicos) durante al menos 12 semanas antes de la visita de selección y con dosis estables durante al menos las 8 semanas anteriores a dicha visita Enfermedad activa, definida como: al menos 6 de 66 articulaciones hinchadas y 8 de 68 articulaciones hipersensibles, y proteína C reactiva de alta sensibilidad (PCR-as) superior a 10 mg/l |
|
| E.4 | Principal exclusion criteria |
Age < 18 years. Use of parenteral corticosteroids or intra-articular corticosteroids within 4 weeks of the screening visit. Use of oral corticosteroids in a dose higher than prednisone 10 mg or equivalent per day, or a change in dosage within 4 weeks of the screening visit. Prior treatment with a TNF (tumor necrosis factor)-alpha inhibitor, or other biological disease modifying anti-rheumatoid drug (DMARD) or Janus Kinase inhibitor. New treatment with or dose-adjustment of on-going nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclo-oxygenase-2 inhibitors (COX-2 inhibitors within 4 weeks of the screening visit. Treatment with traditional oral disease-modifying antirheumatic drugs (DMARD) /immunosuppressive agents other than MTX within 4 weeks or 12 weeks before the screening visit, depending on DMARD. |
Edad inferior a 18 años Administración de corticoesteroides por vía parenteral o intraarticular en las 4 semanas anteriores a la visita de selección Consumo de corticoesteroides por vía oral en una dosis superior a 10 mg de prednisona o equivalente al día, o cambio en la dosis en las 4 semanas anteriores a la visita de selección Tratamiento anterior con un inhibidor del FNT-? , otros fármacos biológicos antirreumáticos modificadores del curso de la enfermedad (DMARD) biológicos o inhibidores de Janus cinasa (como tofacitinib) |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
| Disease Activity Score for 28 joints - C-reactive protein (DAS28-CRP score) score change from baseline (randomized treatment phase) |
| Actividad de la enfermedad (Disease Activity Score) en 28 articulaciones usando proteína C reactiva (puntuación DAS28-PCR) cambios en la puntuación desde la basal (fase de tratamiento aleatorizada) |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
| E.5.2 | Secondary end point(s) |
- American Colleage of Rheumatology (ACR ) 20/50/70 response rate
- Disease Activity Score for 28 joints - C-reactive protein (DAS28-CRP) remission score (<2.6) incidence rate
- Change from baseline in Disease Activity Score for 28 joints - C-reactive protein (DAS28-CRP) score |
Tasas de respuesta (American Colleage of Rheumatology) ACR 20/50/70 Tasa de incidencia en la puntuación de la remisión conforme a DAS28-PCR (< 2,6) Cambio con respecto al momento inicial en la puntuación DAS28-PCR |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
Week 24 for items 1 and 2 Week 12 for item 3 |
Semana 24 para los puntos 1 y 2 Semana 12 para el punto 3 |
|
| 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 | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | Yes |
| E.6.11 | Pharmacogenomic | Yes |
| E.6.12 | Pharmacoeconomic | Yes |
| 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) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
| 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 | Yes |
| 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 | 3 |
| 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 | 137 |
| 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 |
| Australia |
| Brazil |
| Chile |
| Colombia |
| Czech Republic |
| Ecuador |
| Finland |
| France |
| Germany |
| Greece |
| Guatemala |
| Hungary |
| India |
| Israel |
| Italy |
| Korea, Republic of |
| Latvia |
| Lithuania |
| Malaysia |
| Mexico |
| New Zealand |
| Norway |
| Peru |
| Poland |
| Romania |
| Russian Federation |
| South Africa |
| Spain |
| Taiwan |
| Ukraine |
| United Kingdom |
| United States |
|
| E.8.7 | Trial has a data monitoring committee | Yes |
| 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
|
| LVLS |
| Última visita del último paciente |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 3 |
| E.8.9.1 | In the Member State concerned months | 7 |
| E.8.9.1 | In the Member State concerned days | 0 |
| E.8.9.2 | In all countries concerned by the trial years | 3 |
| E.8.9.2 | In all countries concerned by the trial months | 7 |
| E.8.9.2 | In all countries concerned by the trial days | 0 |