An Extension Study to Assess Long-Term Safety and Efficacy of Afimkibart in Participants with Rheumatoid Arthritis

2025-523579-47-00 Protocol WA46440 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 7 EU/EEA countries · 31 sites · Protocol WA46440

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 120
Countries 7
Sites 31

moderate to severe rheumatoid arthritis (RA)

To evaluate the long-term safety and tolerability of afimkibart

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]
Decision date (initial)
2026-05-27
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Efficacy, Safety

To evaluate the long-term safety and tolerability of afimkibart

Secondary objectives 3

  1. To monitor the long-term efficacy of afimkibart
  2. To evaluate the safety of afimkibart
  3. To characterize Pharmacokinetics (PK) of afimkibart

Conditions and MedDRA coding

moderate to severe rheumatoid arthritis (RA)

VersionLevelCodeTermSystem organ class
23.1 PT 10039073 Rheumatoid arthritis 100000004859

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Completed the treatment period of the parent study
  2. Agreement to adhere to the contraception requirements
  3. Continued to be evaluated at the follow-up visit of the parent study and achieved ≥ 20%improvement in the Swollen Joint Count (SJC)66/ Tender Joint Count (TJC)68 relative to baseline

Exclusion criteria 4

  1. Withdrawal of consent and/or premature discontinuation from parent study
  2. Any permanent discontinuation of study drug in parent study
  3. Use of a prohibited therapy during the parent study
  4. Evidence of any new or uncontrolled concomitant disease that, in the investigator’s judgment, would preclude participant participation in the trial

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence and severity of adverse events, serious adverse events, adverse events leading to study treatment discontinuation, adverse events of special interest

Secondary endpoints 6

  1. Proportion of participants with American College of Rheumatology ACR20, ACR50, and ACR70 response (improvements will be assessed using the baseline of the parent study)
  2. Change from baseline DAS28-CRP)
  3. Proportion of participants achieving LDA, CR based on DAS28-CRP, DAS28-ESR, CDAI, or SDAI
  4. Change from baseline in selected clinical laboratory test results
  5. Change from baseline in selected vital signs
  6. Serum concentration of afimkibart 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

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 8

OrganisationCity, countryDuties
Qualitymetric Incorporated LLC
ORG-100044132
Johnston, United States Other
Medical University Of Vienna
ORG-100006190
Vienna, Austria Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Pharmaceutical Product Development LLC
ORG-100016999
Richmond, United States Laboratory analysis
Iqvia Laboratories Limited
ORG-100042527
Reading, United Kingdom Laboratory analysis
Mapi Research Trust
ORG-100028753
Lyon, France Other

Locations

7 EU/EEA countries · 31 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Authorised, recruitment pending 2 2
Denmark Authorised, recruitment pending 2 2
France Authorised, recruitment pending 4 5
Germany Authorised, recruitment pending 6 2
Italy Authorised, recruitment pending 4 4
Poland Authorised, recruitment pending 23 8
Spain Authorised, recruitment pending 5 8
Rest of world
Argentina, United Kingdom, United States, Brazil, Mexico
74

Investigational sites

Belgium

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

Denmark

2 sites · Authorised, recruitment pending
Region Sjaelland
Rheumatological Department, Lykkebaekvej 1, 4600, Koege
Region Hovedstaden
Department of Rheumatology, Nordre Fasanvej 57, 1st Floor Entrance 2, Frederiksberg

France

5 sites · Authorised, recruitment pending
Assistance Publique Hopitaux De Paris
Rheumatology A Department, 27 Rue Du Faubourg Saint Jacques, 75014, Paris
Centre Hospitalier Regional De Marseille
Rheumatology Department, 147 Boulevard Baille, 13005, Marseille
Centre Hospitalier Universitaire De Montpellier
Rheumatology Department, 371 Avenue Du Doyen Gaston Giraud, 34091, Montpellier Cedex 5
Centre Hospitalier Universitaire De Toulouse
Rheumatology Department, 1 Place Du Docteur Joseph Baylac, 31300, Toulouse
Les Hopitaux Universitaires De Strasbourg
Rheumatology Department, 1 Avenue Moliere, Bp 49, Strasbourg Cedex 2

Germany

2 sites · Authorised, recruitment pending
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, recruitment pending
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 · Authorised, recruitment pending
Narodowy Instytut Geriatrii Reumatologii I Rehabilitacji Im Prof. Dr Hab. Med. Eleonory Reicher
Centrum Wsparcia Badan Klinicznych, Ul. Spartanska 1, 02-637, Warsaw
Bif-Med
n/a, ul. Zeromskiego 18, 41-902, Bytom
Klinika Reuma Park Sp. z o.o. S.K.
n/a, Aleja Wilanowska 333, 02-665, Warsaw
Malopolskie Badania Kliniczne Sp. z o.o.
n/a, Ul. Pradnicka 12/502, 30-002, Cracow
Reumatop Grzegorz Rozumek Karin Pistorius Sp. j.
n/a, Ul. Pigwowa 4 A, 52-210, Wroclaw
Reumed Sp. z o.o.
n/a, Ul. Konrada Wallenroda 2f/4, 20-607, Lublin
Centrum Kliniczno-Badawcze J.Brzezicki B.Gornikiewicz-Brzezicka Lekarze sp.p.
n/a, Ul. Studzienna 35-36/a, 82-300, Elblag
Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o.
n/a, Ul. Glowackiego 8d/2, 67-100, Nowa Sol

Spain

8 sites · Authorised, recruitment pending
Complexo Hospitalario Universitario A Coruna
Rheumatology, Lugar Jubias De Arriba 84, 15006, A Coruna
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
Hospital Universitario Virgen De La Macarena
Rheumatology, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Quironsalud Infanta Luisa
Rheumatology, Calle De San Jacinto 87, 41010, Sevilla
Hospital Universitari Vall D Hebron
Rheumatology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Complexo Hospitalario Universitario De Santiago
Rheumatology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario Regional De Malaga
Rheumatology, Avenida De Carlos De Haya S/N, 29010, Malaga

Results and documents

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

Documents 42 files

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

TypeTitleVersion
Protocol (for publication) d1_protocol-2025-523579-47-00-redacted 1
Protocol (for publication) d4_patient-facing-documents_memo 3
Recruitment arrangements (for publication) K1_EU CTR Recruitment and Informed consent procedure 1
Recruitment arrangements (for publication) K1_Recruitment and Informed Consent Procedure 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_DK 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_san Italy_v1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_san 1.0
Recruitment arrangements (for publication) K1_Recruitment arrengements_Spain 1
Subject information and informed consent form (for publication) L1_ Main ICF_red-san V1DEUde2
Subject information and informed consent form (for publication) L1_ICF_Infant Data Collection_CLEAN SAN V1.0FRA2.0
Subject information and informed consent form (for publication) L1_ICF_Main_CLEAN RED-SAN V1.0FRA2.0
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_Pregnant Partner Data Collection_CLEAN SAN V1.0FRA2.0
Subject information and informed consent form (for publication) L1_Main ICF_CL_Redacted V1.0ESP3.0
Subject information and informed consent form (for publication) L1_PP ICF_CL_Redacted V1.0ESP2.0
Subject information and informed consent form (for publication) L1_Pregnancy ICF_red-san V1DEUde2
Subject information and informed consent form (for publication) L1_SIS and ICF Infant_san 1.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_san_red V1.0POL2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_san 1.0POL1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_redacted V1.0DNK2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Red_san V1.0ITA1.0
Subject information and informed consent form (for publication) L2_ICF_Infant Authorization_en 1.0BEL1.0
Subject information and informed consent form (for publication) L2_ICF_Infant Authorization_fr 1.0BEL1.0
Subject information and informed consent form (for publication) L2_ICF_Infant Authorization_nl 1.0BEL1.0
Subject information and informed consent form (for publication) L2_ICF_Pregnant Partner Authorization_en 1.0BEL1.0
Subject information and informed consent form (for publication) L2_ICF_Pregnant Partner Authorization_fr 1.0BEL1.0
Subject information and informed consent form (for publication) L2_ICF_Pregnant Partner Authorization_nl 1.0BEL1.0
Subject information and informed consent form (for publication) L2_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_de-be-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_es-es-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_fr-be-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_fr-fr-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_it-it-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_nl-be-2025-523579-47-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_pl-pl-2025-523579-47-00 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-01-29 Germany Acceptable
2026-05-26
2026-05-27