Clinical Trial Results:
Safety and Efficacy of BI 695500 in patients with moderately to severely active rheumatoid arthritis: an open-label extension trial
Summary
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EudraCT number |
2013-002622-23 |
Trial protocol |
NL PT BG BE DE HU ES GR |
Global end of trial date |
08 Nov 2016
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Results information
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Results version number |
v1(current) |
This version publication date |
12 Nov 2017
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First version publication date |
12 Nov 2017
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
1301.4
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01955733 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Boehringer Ingelheim
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Sponsor organisation address |
Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
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Public contact |
QRPE Processes and Systems Coordination, Clinical Trial Information Disclosure, Boehringer Ingelheim, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Scientific contact |
QRPE Processes and Systems Coordination, Clinical Trial Information Disclosure, Boehringer Ingelheim, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
13 Jul 2017
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
10 Aug 2015
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Global end of trial reached? |
Yes
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Global end of trial date |
08 Nov 2016
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
Primary objective: To evaluate the long-term safety of BI 695500 in adult patients with moderate to severe active Rheumatoid Arthritis [RA] who have successfully completed treatment in Trial 1301.1.
Secondary objective: To assess the long-term efficacy of BI 695500 in patients with moderately to severely active RA. These analyses will be displayed by the groups the patients were randomized in Trial 1301.1 as well as overall.
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Protection of trial subjects |
Only subjects that met all the study inclusion and none of the exclusion criteria were to be entered in the study. All subjects were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all subjects was adhered to throughout the trial conduct. Rescue medication was allowed for all patients as required.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
02 Oct 2013
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Spain: 3
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Country: Number of subjects enrolled |
United States: 63
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Country: Number of subjects enrolled |
Belgium: 1
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Country: Number of subjects enrolled |
Bulgaria: 2
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Country: Number of subjects enrolled |
Canada: 1
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Country: Number of subjects enrolled |
Chile: 1
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Country: Number of subjects enrolled |
Germany: 1
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Country: Number of subjects enrolled |
Greece: 1
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Country: Number of subjects enrolled |
Hungary: 2
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Country: Number of subjects enrolled |
Mexico: 9
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Country: Number of subjects enrolled |
Netherlands: 1
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Country: Number of subjects enrolled |
Poland: 9
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Country: Number of subjects enrolled |
Portugal: 3
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Worldwide total number of subjects |
97
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EEA total number of subjects |
23
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
75
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From 65 to 84 years |
22
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85 years and over |
0
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Recruitment
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Recruitment details |
97 subjects were screened for eligibility to participate in this extension trial. 91 subjects met all inclusion and exclusion criteria and were assigned to receive treatment. | ||||||||||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
All subjects were screened for eligibility to participate in the trial. Subjects attended specialist sites which would then ensure that they [the subjects] met all strictly implemented inclusion/exclusion criteria. Subjects were not to be randomised to trial treatment if any one of the specific entry criteria were violated. | ||||||||||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Period 1
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Is this the baseline period? |
No | ||||||||||||||||||||||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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BI 695500 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by Intravenous Infusion [IV]. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BI 695500
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by IV infusion. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders.
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Arm title
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Rituxan from 1301.1 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Rituxan from 1301.1
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later.
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Arm title
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MabThera from 1301.1 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
MabThera from 1301.1
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for injection
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Routes of administration |
Intravenous use
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Dosage and administration details |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later.
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Period 2
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Period 2 title |
Period 2
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Is this the baseline period? |
Yes [1] | ||||||||||||||||||||||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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BI 695500 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by Intravenous Infusion [IV]. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
BI 695500
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by IV infusion. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders.
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Arm title
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Rituxan from 1301.1 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Rituxan from 1301.1
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later.
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Arm title
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MabThera from 1301.1 | ||||||||||||||||||||||||||||||||||||||||
Arm description |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
MabThera from 1301.1
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate and solvent for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later.
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Notes [1] - Period 1 is not the baseline period. It is expected that period 1 will be the baseline period. Justification: The results presented in the outcome measures are based on period 2. Thus, period 2 is selected as the baseline period. |
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Notes [2] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Baseline characteristics are based on patients who were randomised after successfully completing the screening period and received at least one of the trial medications. [3] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: 2 subjects from 1301.1 safety run-in who also received treatment in 1301.4. Thus, the number of subjects in period 2 is 88. |
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Baseline characteristics reporting groups
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Reporting group title |
Period 2
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
BI 695500
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Reporting group description |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by Intravenous Infusion [IV]. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders. | ||
Reporting group title |
Rituxan from 1301.1
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Reporting group description |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||
Reporting group title |
MabThera from 1301.1
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Reporting group description |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||
Reporting group title |
BI 695500
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Reporting group description |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by Intravenous Infusion [IV]. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders. | ||
Reporting group title |
Rituxan from 1301.1
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Reporting group description |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||
Reporting group title |
MabThera from 1301.1
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Reporting group description |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. |
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End point title |
The percentage of patients with drug related adverse events during the treatment phase [1] | ||||||||||||||||
End point description |
This outcome measure presents percentage of patients with drug related adverse events during the treatment phase. Treatment Emergent Adverse Events [TEAEs] were defined as AEs that started or worsened in severity on or after the first dose of trial medication in this extension study [1301.4] and prior to the last date of trial medication + 180 days [inclusive]. Drug-related events were those considered by the investigator to have a causal relationship to trial medication.
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End point type |
Primary
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End point timeframe |
Week 48
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Statistical analysis evaluating this endpoint was purely for exploratory purposes. |
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Notes [2] - SAFRD. [3] - SAFRD. [4] - SAFRD. |
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No statistical analyses for this end point |
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End point title |
The change from baseline in trial 1301.1 in DAS28 [Disease Activity Score 28][Erythrocyte Sedimentation Rate [ESR] at Week 48 of Trial 1301.4 | ||||||||||||||||
End point description |
This outcome measure presents the change from baseline in trial 1301.1 in DAS28 ESR at Week 48 of Trial 1301.4. Assigned Set [ASD]: All subjects in the Enrolled Set [ENR set][All subjects who provide informed consent for this trial] who were assigned to trial medication in 1301.4 and who were randomized to trial medication in 1301.1 [initial randomization at Day 1] or entered in open-label safety run-in. Abbreviation used: CRP: C-Reactive Protein. ACR20: American College of Rheumatology 20% response criteria.
Full Analysis Set
[FAS]: Subjects from the ASD by excluding subjects from the open-label safety run-in in trial 1301.1, who
received at least one dose of trial medication, and had data recorded for at least one DAS28 [ESR or CRP] or
ACR20 during the trial.
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End point type |
Secondary
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End point timeframe |
Baseline and Week 48
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Notes [5] - FAS. [6] - FAS. [7] - FAS. |
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No statistical analyses for this end point |
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End point title |
The percentage of patients meeting the ACR20 [based on improvement since baseline in trial 1301.1] at Week 48 of trial 1301.4 | ||||||||||||||||
End point description |
This outcome measure presents the percentage of patients meeting the 20% ACR20 response criteria [based on improvement since baseline in trial 1301.1] at Week 48 of Trial 1301.4.
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End point type |
Secondary
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End point timeframe |
Week 48
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Notes [8] - FAS. [9] - FAS. [10] - FAS. |
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No statistical analyses for this end point |
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End point title |
The percentage of patients who meet the ACR/European League Against Rheumatism [EULAR] definition of remission [based on improvement since baseline in trial 1301.1] at Week 48 of trial 1301.4 | ||||||||||||||||
End point description |
This outcome measure presents the percentage of patients who meet the ACR/EULAR definition of remission [based on improvement since Baseline in Trial 1301.1] at Week 48 of Trial 1301.4.
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End point type |
Secondary
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End point timeframe |
Week 48
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Notes [11] - FAS. [12] - FAS. [13] - FAS. |
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No statistical analyses for this end point |
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End point title |
The percentage of patients who meet the EULAR response [good response, moderate response, or no response] [based on DAS28 improvement since baseline in trial 1301.1] at Week 48 of trial 1301.4 | ||||||||||||||||||||||||||||||||
End point description |
This outcome measure presents percentage of patients who meet the EULAR response [good response, moderate response, or no response] [based on DAS28 improvement since baseline in trial 1301.1] at Week 48 of trial 1301.4.
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End point type |
Secondary
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End point timeframe |
Week 48
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Notes [14] - FAS. [15] - FAS. [16] - FAS. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Enter time frame here
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Adverse event reporting additional description |
AEs are presented for the Safety Randomised Analysis Set [SAF] which consisted of all randomised subjects who received at least one dose of trial medication in this extension study [1301.4].
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
20.0
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Reporting groups
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Reporting group title |
BI 695500
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Reporting group description |
The subjects were administered BI 695500, concentrate for solution for infusion, 10 mg/mL by Intravenous Infusion [IV]. Two 1000 mg infusions were separated by 2 weeks. Each patient was treated with BI 695500 on Days 1 and 15, with a possible further two infusions at Weeks 24 and 26 for eligible responders. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Rituxan from 1301.1
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Reporting group description |
The Rituxan from 1301.1 [ClinicalTrials.gov identifier: NCT01682512] recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
MabThera from 1301.1
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Reporting group description |
The MabThera from 1301.1 recommended dose for use in patients with Rheumatoid Arthritis is 1000 mg by IV infusion followed by a second 1000 mg IV infusion 2 weeks later. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
Further development of BI 695500 has been stopped and the program was therefore prematurely discontinued on 3SEP2015. The decision was made by the Sponsor based on a strategic review of company’s product portfolio and not due to any safety concern. |