Study of clinical response, MRI progression, synovitis and changes in gene expression profiles in response to Sarilumab in patients with rheumatoid arthritis not responding to ANTI-TNF therapy

2024-514201-61-00 Protocol P1200_51 Therapeutic use (Phase IV) Ongoing, recruiting

Start 10 Dec 2019 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol P1200_51

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 30
Countries 1
Sites 1

Rheumatoid arthritis

To study the global gene expression profiles, as well as pathological and immunohistochemical characteristics of synovial biopsies obtained in these RA patients

Key facts

Sponsor
Cliniques Universitaires Saint-Luc
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
10 Dec 2019 → ongoing
Decision date (initial)
2024-07-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Sanofi-Aventis

External identifiers

EU CT number
2024-514201-61-00
EudraCT number
2019-003138-17

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To study the global gene expression profiles, as well as pathological and immunohistochemical characteristics of synovial biopsies obtained in these RA patients

Secondary objectives 3

  1. To assess the efficacy and safety and tolerability of Sarilumab compared to TNF BioDMARD prolongation in active RA on a background therapy with MTX over 3 months of treatment
  2. To evaluate MRI RAMRIS score.
  3. To analyse incidence and severity of AEs, lab test abnormalities and vital signs according to GCP guidelines and SUSAR reporting.

Conditions and MedDRA coding

Rheumatoid arthritis

VersionLevelCodeTermSystem organ class
23.1 PT 10039073 Rheumatoid arthritis 100000004859

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. 1) Males or females (not nursing and not pregnant) at least 18 years of age. Women of child-bearing potential are eligible if they are practicing effective contraceptive measures.
  2. 2) Subjects must meet the criteria of the 2010 EULAR/ACR criteria for the diagnosis of rheumatoid arthritis
  3. 3) Subjects must have a disease activity as defined by a tender joint count of > 4, swollen joint count of > 4 from 68 joints and a DAS28-CRP >3.7
  4. 4) Subjects must be treated with a TNF BioDMARD since 3 months on a background stable dose of MTX
  5. 5) Subjects must be naive to non TNF BioDMARDs (Abatacept, Tocilizumab, Rituximab and JAK inhibitor)

Exclusion criteria 4

  1. 1) WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy or women who are pregnant or breastfeeding
  2. 2) Subjects with a history of cancer within the last five years (other than nonmelanoma skin cell cancers cured by local resection). Existing non-melanoma skin cell cancers must be removed prior to dosing.
  3. 3) Subjects with any serious bacterial infection and at risk for tuberculosis (TB).
  4. 4) Subjects unable to accept and perform the procedure.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. To study the global gene expression profiles, as well as pathological and immunohistochemical characteristics of synovial biopsies obtained in these RA patients and ACR 20, 50 and EULAR response at week 12

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Kevzara 200 mg solution for injection in pre-filled syringe

PRD5263361 · Product

Active substance
Sarilumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
200 mg milligram(s)
Max total dose
200 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L04AC14 — -
Marketing authorisation
EU/1/17/1196/004
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Cliniques Universitaires Saint-Luc

Sponsor organisation
Cliniques Universitaires Saint-Luc
Address
Hippokrateslaan 10, Batiment 54 Batiment 54
City
Sint-Lambrechts-Woluwe
Postcode
1200
Country
Belgium

Scientific contact point

Organisation
Cliniques Universitaires Saint-Luc
Contact name
Patrick Durez

Public contact point

Organisation
Cliniques Universitaires Saint-Luc
Contact name
Patrick Durez

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 30 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
Cliniques Universitaires Saint-Luc
Rheumatology, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2019-12-10 2020-02-11

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-514201-61-00 1.2
Protocol (for publication) D4_Patient facing document_2024-514201-61-00 1
Protocol (for publication) D4_Patient facing document_2024-514201-61-00_2 1
Recruitment arrangements (for publication) SARABIO_2024-514201-61-00 1
Subject information and informed consent form (for publication) L1_SIS and ICF_BE_FR_adults 1.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Kevzara 1
Synopsis of the protocol (for publication) D1_Protocol_synopsis_BE_FR_2024-514201-61-00 1.0

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-18 Belgium Acceptable with conditions
2024-07-30
2024-07-30
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-23 Belgium Acceptable with conditions
2024-07-30
2026-01-23