A Study to Assess the Efficacy and Safety of RO7790121 in Patients with Moderate to Severe Rheumatoid Arthritis who have not Responded to or who Cannot Tolerate TNF and/or JAK Inhibitors

2025-521034-28-00 Protocol WA45846 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 5 Dec 2025 · Status Authorised, recruiting · 7 EU/EEA countries · 33 sites · Protocol WA45846

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 160
Countries 7
Sites 33

Moderate to Severe Rheumatoid Arthritis (RA)

To evaluate the efficacy of RO7790121 compared with placebo with respect to change from baseline in Disease Activity Score-28 C-Reactive Protein (DAS28-CRP) at Week 14

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20], Phenomena and Processes [G] - Immune System Phenomena [G13]
Trial duration
5 Dec 2025 → ongoing
Decision date (initial)
2025-11-25
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche Ltd

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Pharmacokinetic

To evaluate the efficacy of RO7790121 compared with placebo with respect to change from baseline in Disease Activity Score-28 C-Reactive Protein (DAS28-CRP) at Week 14

Secondary objectives 3

  1. To evaluate the efficacy of RO7790121 compared with placebo using American College of Rheumatology 20 (ACR20), ACR50 and ACR70 response rate at Week 14
  2. To evaluate the safety of RO7790121 compared with placebo
  3. To characterize the pharmacokinetic (PK) of RO7790121

Conditions and MedDRA coding

Moderate to Severe Rheumatoid Arthritis (RA)

VersionLevelCodeTermSystem organ class
27.0 LLT 10075557 Rheumatic arthritis acute 10028395

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Have moderate to severe active RA defined by the presence of ≥ 6 swollen joints and ≥ 6 tender joints at screening and baseline (based on 66/68-joint count)
  2. Agreement to adhere to the contraception requirements
  3. Diagnosis of RA for ≥ 3 months and also fulfills the 2010 American College of Rheumatology (ACR)/ European Alliance of Associations for Rheumatology (EULAR) classification criteria for RA
  4. Demonstrated an inadequate response or loss of response to or intolerance to one or more TNF/JAK inhibitor(s)

Exclusion criteria 4

  1. Class IV RA according to ACR revised response criteria
  2. Any major surgery within 6 weeks prior to screening or a major surgery planned during the study
  3. History of organ transplant
  4. Acquired or congenital immunodeficiency

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from baseline in DAS28-CRP at Week 14

Secondary endpoints 9

  1. ACR20 response rate at Week 14
  2. ACR50 response rate at Week 14
  3. ACR70 response rate at Week 14
  4. Change from baseline in DAS28-ESR at Week 14
  5. Change from baseline in SDAI score at Week 14
  6. Change from baseline in CDAI score at Week 14
  7. Change from baseline in SF-36 score at Week 14
  8. Incidence and severity of the following: - Adverse events - Serious adverse events - Adverse events leading to study treatment discontinuation - Adverse events of special interest - Change from baseline in selected vital signs - Change from baseline in selected clinical laboratory test results
  9. Serum concentration of RO7790121 at specified timepoints

Investigational products

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

Test 1

RO7790121

PRD11147706 · Product

Active substance
RO7790121
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Placebo 1

RO7790121 placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 10

OrganisationCity, countryDuties
Transperfect Translations International Inc.
ORG-100043494
New York, United States Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
Qualitymetric Incorporated LLC
ORG-100044132
Johnston, United States Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Other
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Other
Mapi Research Trust
ORG-100028753
Lyon, France Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Other
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Other

Locations

7 EU/EEA countries · 33 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Authorised, recruiting 3 2
Denmark Authorised, recruiting 3 2
France Authorised, recruiting 6 5
Germany Authorised, recruiting 8 4
Italy Authorised, recruiting 6 4
Poland Ongoing, recruiting 30 8
Spain Ongoing, recruiting 7 8
Rest of world
Brazil, Mexico, United States, United Kingdom, Argentina
97

Investigational sites

Belgium

2 sites · Authorised, recruiting
Hopital Erasme
Rheumatology and Physical Medicine, Lennikse Baan 808, 1070, Anderlecht
UZ Leuven
Rheumatology, Herestraat 49, 3000, Leuven

Denmark

2 sites · Authorised, recruiting
Region Sjaelland
Rheumatological Department, Lykkebaekvej 1, 4600, Koege
Region Hovedstaden
Department of Rheumatology, Bispebjerg Bakke 23, 2400, Copenhagen Nv

France

5 sites · Authorised, recruiting
Centre Hospitalier Universitaire De Toulouse
Rhumatologie, 1 Place Du Docteur Joseph Baylac, 31300, Toulouse
Les Hopitaux Universitaires De Strasbourg
Rhumatologie, 1 Avenue Moliere, Bp 49, Strasbourg Cedex 2
Centre Hospitalier Universitaire De Montpellier
Rhumatologie, 371 Avenue Du Doyen Gaston Giraud, 34091, Montpellier Cedex 5
Hopital Cochin Saint Vincent De Paul
Rhumatologie, 27 Rue Du Faubourg Saint Jacques, 75014, Paris
Centre Hospitalier Regional De Marseille
Rhumatologie, 147 Boulevard Baille, 13005, Marseille

Germany

4 sites · Authorised, recruiting
Studienambulanz Rheumazentrum Ratingen GbR
1. Medizinische Klinik, Calor-Emag-Strasse 3, Zentrum, Ratingen
MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH
Hamburger Rheuma Forschungszentrum II, Moenckebergstrasse 27, Hamburg-Altstadt, Hamburg
St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
Rheumazentrum Ruhrgebiet, Claudiusstrasse 45, Wanne, Herne
Staedtisches Klinikum Dresden
1. Medizinische Klinik, Friedrichstrasse 41, Friedrichstadt, Dresden

Italy

4 sites · Authorised, recruiting
Azienda Ospedaliera di Padova
Department of Medicine, Via Nicolo' Giustiniani 2, 35128, Padova
Azienda USL IRCCS Di Reggio Emilia
Rheumatology, Viale Risorgimento 80, 42123, Reggio Emilia
Humanitas Mirasole S.p.A.
Division of Rheumatology and Metabolism, Via Alessandro Manzoni 56, 20089, Rozzano
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Rheumatology, Largo Francesco Vito 1, 00168, Rome

Poland

8 sites · Ongoing, recruiting
Centrum Kliniczno-Badawcze J.Brzezicki B.Gornikiewicz-Brzezicka Lekarze sp.p.
Centrum Kliniczno – Badawcze J. Brzezicki,B. Górnikiewicz-Brzezicka Lekarze Spółka Partnerska, Ul. Studzienna 35-36/a, 82-300, Elblag
Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher
Centrum Wsparcia Badań Klinicznych, Ul. Spartanska 1, 02-637, Warsaw
Malopolskie Badania Kliniczne Sp. z o.o.
Małopolskie Badania Kliniczne Sp. z o.o., Ul. Pradnicka 12/502, 30-002, Cracow
Klinika Reuma Park Sp. z o.o. S.K.
Centrum Medyczne Reuma Park, Aleja Wilanowska 333, 02-665, Warsaw
Reumed Sp. z o.o.
Zespół Poradni Specjalistycznych REUMED filia nr 1 Wallenroda, Ul. Konrada Wallenroda 2f/4, 20-607, Lublin
Bif-Med
NZOZ Bif-Med S.C. Arkadiusz Wawiernia, Mariola Roykiewicz, Rafał Roykiewicz, ul. Zeromskiego 18, 41-902, Bytom
Reumatop Grzegorz Rozumek Karin Pistorius Sp. j.
Reumatop Grzegorz Rozumek Karin Pistorius Sp. j., Ul. Pigwowa 4 A, 52-210, Wroclaw
Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o.
Twoja Przychodnia NCM, Ul. Glowackiego 8d/2, 67-100, Nowa Sol

Spain

8 sites · Ongoing, recruiting
Complexo Hospitalario Universitario De Santiago
rheumatology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Quironsalud Infanta Luisa
rheumatology, Calle De San Jacinto 87, 41010, Sevilla
Complexo Hospitalario Universitario A Coruna
rheumatology, Lugar Jubias De Arriba 84, 15006, A Coruna
Hospital Universitari Vall D Hebron
rheumatology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Virgen De La Macarena
rheumatology, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitario Regional De Malaga
rheumatology, Avenida De Carlos De Haya S/N, 29010, Malaga
Hospital Universitario Reina Sofia
rheumatology, Avenida Menendez Pidal S/n, 14004, Cordoba
Hospital General Universitario Gregorio Maranon
rheumatology, Calle Del Doctor Esquerdo 46, 28009, Madrid

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 2025-12-05
Denmark 2025-12-05
France 2025-12-05
Germany 2025-12-05
Italy 2025-12-05
Poland 2025-12-05 2026-01-14
Spain 2025-12-05 2026-03-26

Results and documents

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

Documents 60 files

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

TypeTitleVersion
Protocol (for publication) d1_protocol-2025-521034-28-00-redacted 1
Protocol (for publication) d4_patient-facing-documents_memo 3
Recruitment arrangements (for publication) K1_ Recruitment arrangements_PL_san 2.0
Recruitment arrangements (for publication) K1_2025-521034-28_Recruit and Consent Procedure v1
Recruitment arrangements (for publication) K1_DK_Recruitment arrangement 3.0
Recruitment arrangements (for publication) K1_Recruitment and Informed Consent Procedure 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_san Italy_v1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_Spain V1.0
Recruitment arrangements (for publication) K2_2025-521034-28_Clinic Poster_red-san v3
Recruitment arrangements (for publication) K2_2025-521034-28_Participant Information Sheet_red-san v3
Recruitment arrangements (for publication) K2_2025-521034-28_Thank you letter_Considering_red-san v3
Recruitment arrangements (for publication) K2_DK_Recruitment material_Clinic Poster_Redaction Memo V3
Recruitment arrangements (for publication) K2_DK_Recruitment material_Participant Information Sheet_Redaction Memo V3
Recruitment arrangements (for publication) K2_Patient advertisement_PLACEHOLDER_FOR PUBLICATION 3
Recruitment arrangements (for publication) K2_Recruitment material_Clinic Poster_PH Red Doc 1
Recruitment arrangements (for publication) K2_Recruitment material_Clinic Poster_PL_redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Clinic Poster_Red_san 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Participant Information Sheet_PH Red Doc 1
Recruitment arrangements (for publication) K2_Recruitment material_Participant Information Sheet_PL_redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Participant Information Sheet_Red_san 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank You Letter considering_PH Red Doc 1
Recruitment arrangements (for publication) K2_Recruitment material_Thank you letter_considering_PL_redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Thank you letter_considering_Red_san 1.0
Recruitment arrangements (for publication) PFM placeholder - WA45846 3
Subject information and informed consent form (for publication) L1_2025-521034-28_Infant ICF_red-san V1.0FRA1.0
Subject information and informed consent form (for publication) L1_2025-521034-28_Main ICF_red-san V1.0FRA1.0
Subject information and informed consent form (for publication) L1_2025-521034-28_Pregnant Partner ICF_red-san V1.0FRA1.0
Subject information and informed consent form (for publication) L1_DK_Main ICF_redacted 1.0DNK3.0
Subject information and informed consent form (for publication) L1_DK_Right to not know_ICF DNK1.0
Subject information and informed consent form (for publication) L1_FSR ICF_red-san 1.0DEU1.0
Subject information and informed consent form (for publication) L1_ICF_Infant Authorisation_EN 1.0BEL1.0
Subject information and informed consent form (for publication) L1_ICF_Infant Authorisation_FR 1.0BEL1.0
Subject information and informed consent form (for publication) L1_ICF_Infant Authorisation_NL 1.0BEL1.0
Subject information and informed consent form (for publication) L1_ICF_Main_EN_redacted 1.0BEL2.0
Subject information and informed consent form (for publication) L1_ICF_Main_FR_redacted 1.0BEL2.0
Subject information and informed consent form (for publication) L1_ICF_Main_NL_redacted 1.0BEL2.0
Subject information and informed consent form (for publication) L1_ICF_Main_Redacted V1.0ES3.0A
Subject information and informed consent form (for publication) L1_ICF_PP_Redacted V1.0ESP2.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Partner Authorisation_EN 1.0BEL1.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Partner Authorisation_FR 1.0BEL1.0
Subject information and informed consent form (for publication) L1_ICF_Pregnant Partner Authorisation_NL 1.0BEL1.0
Subject information and informed consent form (for publication) L1_Main ICF_red-san 1.0DEU2.0
Subject information and informed consent form (for publication) L1_Pregnancy ICF_red-san 1.0DEU2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Infant_PL_san 1.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_PL_redacted V1.0POL2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Red_san V1.0ITA2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_PL_san 1.0POL1.0
Subject information and informed consent form (for publication) L2_2025-521034-28_Patient Alert Card_red-san v3
Subject information and informed consent form (for publication) L2_DK_Other subject information material_Your rights n/a
Subject information and informed consent form (for publication) L2_SIS and ICF_Main Privacy_san V1.0ITA1.0
Subject information and informed consent form (for publication) L3_SIS and ICF_Pregnant Partner_san V1.0ITA1.0
Subject information and informed consent form (for publication) L4_SIS and ICF_Infant Authorization_san V1.0ITA1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_be-de-2025-521034-28-00 4
Synopsis of the protocol (for publication) d1_protocol-synopsis_be-fr-2025-521034-28-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_be-nl-2025-521034-28-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng-2025-521034-28-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_es-2025-521034-28-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_fr-fr-2025-521034-28-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_it-2025-521034-28-00 4
Synopsis of the protocol (for publication) d1_protocol-synopsis_pl-2025-521034-28-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-01 Germany Acceptable
2025-11-21
2025-11-23
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-26 Germany Acceptable
2025-11-21
2025-11-26
3 SUBSTANTIAL MODIFICATION SM-1 2026-01-16 Acceptable 2026-01-26
4 NON SUBSTANTIAL MODIFICATION NSM-2 2026-02-24 Germany Acceptable 2026-02-24
5 NON SUBSTANTIAL MODIFICATION NSM-3 2026-03-13 Acceptable 2026-03-13