NCT00365001

Brief Summary

This 2 arm study will investigate the pharmacokinetics of simvastatin and methotrexate in combination with tocilizumab to assess any potential drug interactions. Patients will be randomized to receive either tocilizumab (10mg/kg iv infusion on day 8) + methotrexate (10-25mg po /week) or tocilizumab + methotrexate + simvastatin (40mg po on days 1, 15 and 43). Blood samples will be taken for analysis at intervals up to day 44. The anticipated time on study treatment is \<3 months, and the target sample size is \<100 individuals.

Trial Health

85
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at P25-P50 for phase_1 rheumatoid-arthritis

Geographic Reach
2 countries

11 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 15, 2006

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 16, 2006

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2008

Completed
Last Updated

June 11, 2010

Status Verified

June 1, 2010

First QC Date

August 15, 2006

Last Update Submit

June 10, 2010

Conditions

Outcome Measures

Primary Outcomes (1)

  • Pharmacokinetic parameters for simvastatin and metabolite, and methotrexate and metabolite.

    Days 1, 15 and 43

Secondary Outcomes (3)

  • Pharmacokinetic parameters for tocilizumab.

    Days 11, 22, 29 and 36.

  • CRP, IL-6, sIL-6R changes

    Throughout study

  • AEs, laboratory parameters.

    Throughout study

Study Arms (2)

1

EXPERIMENTAL
Drug: tocilizumab [RoActemra/Actemra]Drug: MethotrexateDrug: Simvastatin

2

ACTIVE COMPARATOR
Drug: tocilizumab [RoActemra/Actemra]Drug: Methotrexate

Interventions

10mg/kg iv on day 8

12

10-25mg po/week

12

40mg po on days 1, 15 and 43

1

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adult patients, 18-75 years of age;
  • rheumatoid arthritis for \>=6 months;
  • methotrexate for \>=12 weeks prior to day 1 (stable at 10-25mg/week for 8 weeks).

You may not qualify if:

  • history of, or current inflammatory joint disease or rheumatic autoimmune disease other than RA;
  • concurrent treatment with any DMARD other than methotrexate;
  • prior treatment with tocilizumab.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Unknown Facility

Anniston, Alabama, 36207, United States

Location

Unknown Facility

Scottsdale, Arizona, 85251, United States

Location

Unknown Facility

Little Rock, Arkansas, 72202, United States

Location

Unknown Facility

Jacksonville, Florida, 32216, United States

Location

Unknown Facility

Palm Harbor, Florida, 34684, United States

Location

Unknown Facility

Royal Oak, Michigan, 48073, United States

Location

Unknown Facility

Omaha, Nebraska, 68154, United States

Location

Unknown Facility

Oklahoma City, Oklahoma, 73103, United States

Location

Unknown Facility

Duncansville, Pennsylvania, 16635, United States

Location

Unknown Facility

Austin, Texas, 78704, United States

Location

Unknown Facility

Christchurch, New Zealand

Location

Related Publications (1)

  • Schmitt C, Kuhn B, Zhang X, Kivitz A, Grange S. Tocilizumab has no clinically relevant effects on methotrexate pharmacokinetics in patients with rheumatoid arthritis. Int J Clin Pharmacol Ther. 2012 Mar;50(3):218-23. doi: 10.5414/cp201613.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

tocilizumabMethotrexateSimvastatin

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

AminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsLovastatinNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic Compounds

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

August 15, 2006

First Posted

August 16, 2006

Study Completion

April 1, 2008

Last Updated

June 11, 2010

Record last verified: 2010-06

Locations