A Study of the Efficacy and Safety of TACI-antibody Fusion Protein Injection (RC18) in Subjects with Inadequate Response to MTX Due to Treat Moderate and Severe Rheumatoid Arthritis.
A Phase III Study of RC18,a Recombinant Human B Lymphocyte Stimulating Factor Receptor-Antibody Fusion Protein in Subjects with Poor Efficacy of MTX Due to Treat Moderate and Severe Rheumatoid Arthritis.
The purpose of this study is to initially access the safety and effectivity of RC18 combined with methotrexate (MTX) in comparison with the use of methotrexate alone in participants with moderate to severe Rheumatoid Arthritis (RA) who have an inadequate response to MTX therapy.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
479 participants
Study completion date
December 29, 2022
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
The proportion of patients in each group reached ACR20 at week 24
ACR20 response: Patients with tenderness and swollen joint counts and 20% improvement,At least 3 20% improvement in the following 5:a.Health Assessment Questionnaire;b.Subjects assessed pain VAS score;c.Assess the overall situation of the disease subject VAS score;d.Researchers assessed the overall situation of the disease in the VAS score;e.Acute phase reactants(ESR or CRP).
Week 24(Visit 9)
Secondary Outcomes (6)
Percentage of Participants Achieving American College of Rheumatology ACR50 and ACR70 Responses at week 24.
Week 24
Percentage of Participants Achieving Low Disease Activity and clinical remission. (DAS28 ≤3.20 and DAS28 < 2.6).
Week 24
Percentage of Participants Achieving American College of Rheumatology ACR50 and ACR70 Responses at week 12 or week 24.
Week 12 and Week 24
Sharp Score Relative Change from Baseline at Week 24
Week 24
Percentage of Participants With American College of Rheumatology 20% ,50% and 70% (ACR20, ACR50 and ACR70) Response
Patients received placebo SC plus MTX weekly administered subcutaneously for 24 times.All patients had a foundation MTX therapy, MTX dose should be stable, not to adjust the dose. All subjects received RC-18 treatment once a week from week 24 to week 48.
Biological: Placebo plus MTX
Experimental: RC18 160 mg+MTX
EXPERIMENTAL
Patients received the test group RC18 160mg plus MTX weekly administered subcutaneously for 24 times. All patients had a foundation MTX therapy, MTX dose should be stable, not to adjust the dose.
Biological: RC18 160 mg plus MTX
Interventions
Placebo plus MTXBiological
The trial was divided into two groups: (1) placebo + MTX; (2) telitacicept 160 mg + MTX. MTX was used as the basic treatment, the dose of MTX was stable during the trial, and could not be adjusted. Telitacicept or placebo was administered once a week for the first 24 weeks. Beginning at week 24, subjects in the placebo group will enter the RC-18 treatment group. All subjects received RC-18 treatment once a week from week 24 to week 48.
Also known as: MTX=Methotrexate
Placebo plus MTX
RC18 160 mg plus MTXBiological
Eligibility Criteria
Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Diagnosis of adult onset RA by a physician as defined by the 1987 and/or 2010 ACR criteria and ESR or C - reaction protein ( CRP ) is greater than the normal range;
Lymphoma, Non-HodgkinLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesArthritis
Study Officials
Fengchun Zhang
Peking Union Medical College Hospital
PRINCIPAL INVESTIGATOR
Enrollment
479 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Study Record Dates
First Submitted
January 8, 2017
First Posted
January 10, 2017
Study Start
March 29, 2017
Actual (reported)
The trial was divided into two groups: (1) placebo + MTX; (2) telitacicept 160 mg + MTX. MTX was used as the basic treatment, the dose of MTX was stable during the trial, and could not be adjusted. Telitacicept or placebo was administered once a week for the first 24 weeks. Beginning at week 24, subjects in the placebo group will enter the RC-18 treatment group. All subjects received RC-18 treatment once a week from week 24 to week 48.
Also known as: RC18, MTX=Methotrexate
Experimental: RC18 160 mg+MTX
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Consent to use effective contraception during the study period (women of childbearing age);
Patients with an inadequate response to existing therapies at least one anti-TNFs Infliximab (Remicade ) at least three times, adalimumab (Humira), at least four times, etanercept ( Enbrel) use at least 8 weeks, etanercept use at least 8 weeks.And Last medication time to randomization more than 12 weeks;
Voluntarily signed informed consent;
Patients have been taking MTX for at least 12 weeks at the screening and maintaining dose stability ≥7.5mg/ weeks (or equivalent dose) 4 weeks before randomization;
Treatment with traditional oral disease-modifying antirheumatic drugs (DMARD) /immunosuppressive agents other than MTX within 4 weeks or 12 weeks before the screening visit, depending on DMARD;
If subjects are receiving treatment of corticosteroid, must stabilize dose (dose of prednisone) at least equal to or less than 10mg/day for 4 weeks (before randomization);
If subjects are receiving treatment of NSAIDs,must stabilize dose (dose of prednisone) at least 4 weeks (before randomization);
When the patient's condition to achieve moderate to severe active RA at the screening, defined as at least 6/68 tenderness joints and at least 6/66 swollen joints.
You may not qualify if:
The subjects with any other inflammatory arthritis (such as juvenile chronic arthritis, regional enteritis (Krohn S disease), ulcerative colitis, gout, active vasculitis, psoriatic arthritis or ankylosing spondylitis);
The subjects had a history of prosthetic joint infection, whenever the infection occurred, and the artificial joint is still in the body;
The subjects due to RA and/or shoulder hand syndrome IV grade received more than 3 times the arthroplasty;
The subjects' Types of X-ray phases reach IV phase.
The subjects can not accept the prohibited drugs listed in the following table:
Use of analgesics (acetaminophen / paracetamol) within 24 hours before baseline assessment;
dosage regimen of nonsteroidal anti-inflammatory analgesic NSAIDs/COX-2 inhibitors (except acetaminophen) have occurred any change within 14 days before baseline assessment;
The dosage of oral glucocorticoids have occurred any change within 28 days before baseline assessment;
Intramuscular injection/intravenous injection/intra-articular injection of glucocorticoid has used within 28 days before baseline assessment;
Intra-articular injection of hyaluronic acid has used within 28 days before baseline assessment;
Tripterygium wilfordii or other traditional Chinese medicine for treating RA has used within 28 days before baseline assessment.
The researchers confirmed that the subjects had current or recent severe, progressive and or not controlled heart, lung, liver, kidney and other important organs and blood, endocrine system lesions and history; Abnormal laboratory parameters need to be excluded, including but not limited to:
Cr \>135μmol/L or 5 times the upper limit of laboratory reference value;
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