NCT03161457

Brief Summary

This is a multicentre, randomised, double-blind, parallel group study to compare the pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, safety, tolerability and efficacy of JHL1101 versus MabThera in subjects with moderate to severe RA who have previously failed at least 1 tumour necrosis factor alpha (TNF) inhibitor (i.e., intolerance or documented active disease despite at least 12 weeks treatment according to the TNF inhibitor-approved treatment and dosage), and are on concomitant treatment with MTX.

Trial Health

68
Monitor

Trial Health Score

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

Enrollment
153

participants targeted

Target at P75+ for phase_1 rheumatoid-arthritis

Timeline
Completed

Started Feb 2017

Typical duration for phase_1 rheumatoid-arthritis

Geographic Reach
11 countries

32 active sites

Status
terminated

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

Study Start

First participant enrolled

February 27, 2017

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 21, 2017

Completed
28 days until next milestone

First Posted

Study publicly available on registry

May 19, 2017

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 16, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 16, 2019

Completed
Last Updated

January 9, 2020

Status Verified

January 1, 2020

Enrollment Period

2.1 years

First QC Date

April 21, 2017

Last Update Submit

January 6, 2020

Conditions

Keywords

RAModerate RAModerate Rheumatoid ArthritisSevere RASevere Rheumatoid ArthritisModerate to Severe RAModerate to Severe Rheumatoid Arthritis

Outcome Measures

Primary Outcomes (3)

  • Area under plasma concentration versus time curve (AUC)

    Day 0 through Week 52

  • Trough Concentration

    Day 15

  • Maximum Concentration (Cmax)

    Day 15

Secondary Outcomes (14)

  • AUC

    Up to Week 12

  • Time to maximum plasma concentration

    Day 0 through Week 52

  • Cmax

    Day 0 through Week 52

  • Total body clearance

    Day 0 through Week 52

  • Volume of distribution

    Day 0 through Week 52

  • +9 more secondary outcomes

Study Arms (2)

JHL1101

EXPERIMENTAL

Each subject will receive 2 intravenous infusions of 1000 mg JHL1101: the first infusion on Baseline and the second on Day 15.

Biological: JHL1101

MabThera

ACTIVE COMPARATOR

Each subject will receive 2 intravenous infusions of 1000 mg MabThera: the first infusion on Baseline and the second on Day 15 (Visit 5).

Biological: MabThera

Interventions

JHL1101BIOLOGICAL

1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration

JHL1101
MabTheraBIOLOGICAL

1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration

Also known as: Rituximab
MabThera

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Moderate to severe active RA
  • Documented intolerance to or inadequate response to at least 12 weeks of treatment with the licensed regimen of at least one TNF inhibitor therapy
  • Women of childbearing potential must use a medically acceptable means of birth control and agree to continue its use during the study and for at least twelve months after the last dose of study drug.

You may not qualify if:

  • History of a severe allergic reaction or anaphylactic reaction to a biological agent or history of hypersensitivity to any component of the study drug including known hypersensitivity or allergy to a murine product
  • Class IV as per the Classification of Global Functional Status in Rheumatoid Arthritis or wheelchair/bed-bound
  • Have any significant systemic involvement with RA such as vasculitis, pulmonary fibrosis or Felty's syndrome
  • History of or current inflammatory joint disease other than RA or other systemic disorder where the treatment or current or potential symptoms could confound the assessment of RA, with the exception of secondary Sjögren's syndrome
  • Concomitant or recent DMARD treatments for RA
  • Oral corticosteroids \>10mg/day prednisone equivalent or dose which has not been stable for the 4 weeks prior to Baseline
  • Receipt of an intra-articular or other injectable corticosteroid within 4 weeks prior to Screening
  • Intolerance or contraindications to IV corticosteroids
  • Use of NSAIDs which have not been at a stable dose within 2 weeks prior to Baseline.
  • Have undergone surgical treatments for RA including synovectomy and arthroplasty in more than 3 joints and/or within the last 8 weeks prior to Screening
  • History of major surgery within the 12 weeks prior to Screening
  • History of an infected joint prosthesis which subsequently has not been surgically removed/replaced
  • Positive serological test for HBsAg, hepatitis B core antibody or hepatitis C serology.
  • History of HIV infection, or a positive test at Screening
  • History of tuberculosis (TB) infection.
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

JHL Biotech Investigational Site

Banja Luka, 78000, Bosnia and Herzegovina

Location

JHL Biotech Investigational Site

Bijeljina, 76300, Bosnia and Herzegovina

Location

JHL Biotech Investigational Site

Plovdiv, 4002, Bulgaria

Location

JHL Biotech Investigational Site

Sofia, 1336, Bulgaria

Location

JHL Biotech Investigational Site

Sofia, 1612, Bulgaria

Location

JHL Biotech Investigational Site

Prague, 14059, Czechia

Location

JHL Biotech Investigational Site

Bad Doberan, 18209, Germany

Location

JHL Biotech Investigational Site

Hildesheim, 31134, Germany

Location

JHL Biotech Investigational Site

Magdeburg, 39120, Germany

Location

JHL Biotech Investigational Site

Rendsburg, 24768, Germany

Location

JHL Biotech Investigational Site

Budapest, 1027, Hungary

Location

JHL Biotech Investigational Site

Vilnius, LT-08661, Lithuania

Location

JHL Biotech Investigational Site

Poznan, 61-113, Poland

Location

JHL Biotech Investigational Site

Wroclaw, 50-420, Poland

Location

JHL Biotech Investigational Site

Kazan', 420103, Russia

Location

JHL Biotech Investigational Site

Moscow, 111539, Russia

Location

JHL Biotech Investigational Site

Moscow, 119049, Russia

Location

JHL Biotech Investigational Site

Saint Petersburg, 197341, Russia

Location

JHL Biotech Investigational Site

Saint Petersburg, 197342, Russia

Location

JHL Biotech Investigational Site

Samara, 443095, Russia

Location

JHL Biotech Investigational Site

Saratov, 410026, Russia

Location

JHL Biotech Investigational Site

Yaroslavl, 150062, Russia

Location

JHL Biotech Investigational Site

Taichung, 402, Taiwan

Location

JHL Biotech Investigational Site

Taipei, 100, Taiwan

Location

JHL Biotech Investigational Site

Taipei, 11490, Taiwan

Location

JHL Biotech Investigational Site

Kharkiv, 61039, Ukraine

Location

JHL Biotech Investigational Site

Kyiv, 03680, Ukraine

Location

JHL Biotech Investigational Site

Lviv, 79010, Ukraine

Location

JHL Biotech Investigational Site

Poltava, 36011, Ukraine

Location

JHL Biotech Investigational Site

Vinnytsia, 21018, Ukraine

Location

JHL Biotech Investigational Site

London, E11 1NR, United Kingdom

Location

JHL Biotech Investigational Site

Southampton, SO16 6YD, United Kingdom

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

Rituximab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Design

Study Type
interventional
Phase
phase 1
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

April 21, 2017

First Posted

May 19, 2017

Study Start

February 27, 2017

Primary Completion

April 16, 2019

Study Completion

April 16, 2019

Last Updated

January 9, 2020

Record last verified: 2020-01

Locations