Rheumatoid ArthritisPhase 3SCRIPTNCT00476996
A Study of Ocrelizumab Compared to Placebo in Patients With Active Rheumatoid Arthritis Who Don't Have a Response to Anti-TNF-α Therapy (SCRIPT)
A Phase 3 study testing Leflunomide, Methotrexate and Ocrelizumab in people with Rheumatoid Arthritis, run by Genentech, Inc. at 266 sites in 25 countries.
Trial summary
This study will evaluate the efficacy and safety of ocrelizumab, compared with placebo, in patients with active rheumatoid arthritis who have an inadequate response to at least one anti-TNF-alpha therapy. Patients will be randomized to receive placebo, 200mg of intravenous ocrelizumab, or 500mg of i.v. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- Leflunomide, Methotrexate and Ocrelizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 836 participants
- Where
- 266 sitesin 25 countries
- Study dates
- 15 May 2007to 14 May 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients, ≥ 18 years of age
- Rheumatoid arthritis for at least 3 months
- Inadequate response to previous or current treatment with at least one anti-TNF-alpha agent
- Receiving either leflunomide or methotrexate for ≥ 12 weeks, with a stable dose for the last 4 weeks
- Swollen joint count (SJC) ≥ 4 (66 joint count) and tender joint count (TJC) ≥ 4 (68 joint count) at screening and baseline.
- CRP ≥ 0.6 mg/dL using a high-sensitivity assay.
- Positive rheumatoid factor or positive anti-CCP antibody or both.
Who cannot join
- Rheumatic autoimmune disease or inflammatory joint disease, other than RA
- Any surgical procedure in past 12 weeks,or planned within 48 weeks of baseline
Trial locations and contacts
266 sites in 25 countries.
266 sites in 25 countries
United States144 sites
The Center of Rheumatology
Albany, New York, 12206
Aamr Research Clinic
Amarillo, Texas, 79106
Amarillo Center For Clinical Research
Amarillo, Texas, 79124
Clinsite;Research Division of Integrated Health Associates
Ann Arbor, Michigan, 48106
Pinnacle Research Group; Llc, Central
Anniston, Alabama, 36207
Arthritis Clinic of Northern Virginia
Arlington, Virginia, 22205
Asheville Arthritis & Osteoporosis Center, PA
Asheville, North Carolina, 28803
Atlanta Center For Clinical Research.
Atlanta, Georgia, 30342
University of Colorado Cancer Center
Aurora, Colorado, 80045
Austin Rheumatology Research
Austin, Texas, 78705
Walter F. Chase, Md, Pa
Austin, Texas, 78705
Arthritis & Rheumatism; Disease Specialities
Aventura, Florida, 33180
Johns Hopkins University; Department of Rheumatology
Baltimore, Maryland, 21224
Baton Rouge Clinic, Amc
Baton Rouge, Louisiana, 70808
Arthritis Associates
Belmont, North Carolina, 28012
Bend Memorial Clinic
Bend, Oregon, 97701
East Penn Rheumatology Associates, Pc
Bethlehem, Pennsylvania, 18015
Rheumatology Associates
Birmingham, Alabama, 35205
St. Alexius Medical Center; Arthritis Clinic
Bismarck, North Dakota, 58501
Intermountain Orthopaedics
Boise, Idaho, 83702
Arthritis & Osteoporosis Center
Brooklyn, New York, 11201
Arthritis & Osteoporosis Center P.C.
Camden, Connecticut, 06510
Physician'S Clinic of Iowa
Cedar Rapids, Iowa, 52401
Low Country Research Center
Charleston, South Carolina, 29406
Metrolina Medical Research
Charlotte, North Carolina, 28209
Carolina Bone & Joint P.A.
Charlotte, North Carolina, 28210
Uni of Chicago
Chicago, Illinois, 60637
Deaconess Arthritis Center; Rheumatic Disease Study Group
Cincinnati, Ohio, 45219
University Hospitals Case Medical Center
Cleveland, Ohio, 44106
Coeur D'Alene Arthritis Clinic
Coeur d'Alene, Idaho, 83814
Arthritis Assoc & Osteoporosis; Ctr of Colorado Springs
Colorado Springs, Colorado, 80920
Csi Research, Inc.
Cumming, Georgia, 30041
Arthritis Care & Diagnostic Center
Dallas, Texas, 75231-4406
Arthritis Care and Research Centre
Dallas, Texas, 75231
Metroplex Clinical Research
Dallas, Texas, 75231
Arthritis Centers of Texas
Dallas, Texas, 75246
Uni of Texas Southwestern Medical Center; Internal Medicine
Dallas, Texas, 75390
Stat Research, Inc
Dayton, Ohio, 45402
Seacoast Arthritis and Osteoporosis Center
Dover, New Hampshire, 03820
St Luke's Whiteside Research
Duluth, Minnesota, 55805
St. Mary'S Duluth Clinic Health System; Rheumatology Dept
Duluth, Minnesota, 55805
St. Paul Rheumatology
Eagan, Minnesota, 55121
Center For Arthritis & Osteoporosis
Elizabethtown, Kentucky, 42701
Arthritis Associates
Erie, Pennsylvania, 16508
Rheumatology Associates of NW Pa
Erie, Pennsylvania, 16508
Pro Research
Eugene, Oregon, 97401
Evanston Northwestern Healthcare; Rheumatology
Evanston, Illinois, 60201
David S Rosenberg
Florissant, Missouri, 63031
Jackson Arthritis Clinic
Flowood, Mississippi, 39232
Palmetto Clinical Trial Services, LLC
Fountain Inn, South Carolina, 29644
Rheumatic Disease Center
Glendale, Wisconsin, 53217
Physicians East Pa
Greenville, North Carolina, 27834
Mark Fisher Md, Facr, Llc
Haddon Heights, New Jersey, 08035
Unifour Medical Research Associates
Hickory Grove, South Carolina, 28602
CHI St. Vincent Medical Group Hot Springs
Hot Springs, Arkansas, 71913
Rheumatology Associates of North Alabama
Huntsville, Alabama, 35801
Iu Outpatient Clinical Research Facility
Indianapolis, Indiana, 46202-5149
Diagnostic Rheumatology & Research
Indianapolis, Indiana, 46227
West Tennessee Research Institute
Jackson, Tennessee, 38305
Jacksonville Center For Clinical Research
Jacksonville, Florida, 32216
Rheumatology, P.C.; Medical Arts Building
Kalamazoo, Michigan, 49009
Borgess Research Institute
Kalamazoo, Michigan, 49048
Uni of Kansas Medical Center
Kansas City, Kansas, 66160
Rheumatology Consultants
Knoxville, Tennessee, 37909
Allergy & Rheumatology Centre
La Jolla, California, 92037
Portland Rheumatology Clinic Llc
Lake Oswego, Oregon, 97035
Fiechtner Research Inc
Lansing, Michigan, 48910
Rheumatolgy Consultants of Deleware
Lewes, Delaware, 19958
Bluegrass Comm Research, Inc.
Lexington, Kentucky, 40515
Little Rock Diagnostic Clinic
Little Rock, Arkansas, 72205
Private Practice
Long Beach, California, 90808
Valerius Medical Group & Research Ctr of Greater Long Beach
Los Alamitos, California, 90720
Uni of Southern California School of Medicine
Los Angeles, California, 90033
Pacific Arthritis Care Center
Los Angeles, California, 90045
Kentuckiana Center For Better Bone & Joint Healthx
Louisville, Kentucky, 40202
Arthritis & Osteoporosis Associates, LLP
Lubbock, Texas, 79424
Marietta Rheumatology Associates, Pc
Marietta, Georgia, 30060
David Mandel Inc
Mayfield, Ohio, 44143
Arthritis Group
Memphis, Tennessee, 38104
Ramesh Gupta - PP
Memphis, Tennessee, 38119
Idaho Arthritis Center
Meridian, Idaho, 83642
Arizona Arthritis & Rheumatology Research, Pllc
Mesa, Arizona, 85202
Arthrocare, Arthritis Care and Research, P.C.
Mesa, Arizona, 85208
Southwest Rheumatology
Mesquite, Texas, 75150
Paramount Medical Research
Middleburg Heights, Ohio, 44130
Park Nicollet Inst. ; Rtrc
Minneapolis, Minnesota, 55416
Quad City Rheumatology, Sc
Moline, Illinois, 61265
Illinois Bone & Joint Inst.
Morton Grove, Illinois, 60053
Medical Specialists Clinical Research Center
Munster, Indiana, 46321
Nashua Rheumatology - Foundation Medical Partners
Nashua, New Hampshire, 03060
Javed Rheumatology Associates, Inc.
Newark, Delaware, 19713
Sentara Medical Group
Norfolk, Virginia, 23507
Medical Uni of South Carolina
North Charleston, South Carolina, 29425
Health Research of Oklahoma, Llc
Oklahoma City, Oklahoma, 73103
Oklahoma Medical Research Foundation
Oklahoma City, Oklahoma, 73104
Southern Tier Arthritis & Rheumatism
Olean, New York, 14760
Westroads Medical Group
Omaha, Nebraska, 68114
Gundersen Clinic Ltd;Sec. Rheumatology/Dept. of Internal Med
Onalaska, Wisconsin, 54605
Arthritis Center Palm Harbor
Palm Harbor, Florida, 34684
Arthritis Rsrch of Florida, Inc.
Palm Harbor, Florida, 34684
Stanford Uni Medical Center; Divison of Rheumatology
Palo Alto, California, 94304
Arthritis Group
Philadelphia, Pennsylvania, 19152
Providence Arthritis Center
Portland, Oregon, 97213
Aair Research Center
Rochester, New York, 14618
Andrew Porges Pc
Roslyn, New York, 11576
Office of Andrew Sulich, Md
Saint Clair Shores, Michigan, 48080
Uni of Utah Medical Center
Salt Lake City, Utah, 84132
Radiant Research
San Antonio, Texas, 78217
Texas Arthritis Research Center; Center for Arthritis & Rheumatic Diseases
San Antonio, Texas, 78217
Ucsd, Dept of Medicine; Rheumatology
San Diego, California, 92093
San Diego Arthritis Med Clnc
San Diego, California, 92108
East Bay Rheumatology
San Leandro, California, 94578
Sarasota Arthritis Center; Research Dept
Sarasota, Florida, 34239
Seattle Rheumatology Associates
Seattle, Washington, 98104
Rheumatology Associates of Long Island
Smithtown, New York, 11787
Center For Arthritis; Research Dept
South Miami, Florida, 33143
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Arthritis Northwest, Spokane
Spokane, Washington, 99204
Springfield Clinic
Springfield, Illinois, 62703
St. John'S Health System Inc.; St. John'S Medical Research
Springfield, Missouri, 65807
Clayton Medical Research
St Louis, Missouri, 63117
Physicians Group, LC DBA Rheumatology & Internal Medicine Associates
St Louis, Missouri, 63131
Arthritis Consultants
St Louis, Missouri, 63141
Texas Research Center
Sugar Land, Texas, 77479
Office of George Krick, Md
Tacoma, Washington, 98405
Tacoma Center For Arthritis Research
Tacoma, Washington, 98405
SW Florida Clinical Research
Tampa, Florida, 33609
Tampa General Hospital; Rheumatology Research Dept
Tampa, Florida, 33612
Burnette & Silverfield, MDS
Tampa, Florida, 33614
Arthritis Treatment Center of South Bay
Torrance, California, 90505
New England Research Associates
Trumbull, Connecticut, 06611
Catalina Pointe Clinical Research, Inc.
Tucson, Arizona, 85704
Uni of Arizona Health Science Center; Dept of Rheumatology/Immunology
Tucson, Arizona, 85724
Oklahoma Center For Arthritis Therapy & Research
Tulsa, Oklahoma, 74104
Healthcare Research Consultants
Tulsa, Oklahoma, 74135
North Mississippi Medical Ctr; Internal Medicine Associates
Tupelo, Mississippi, 38802
Vancouver Clinic; Research Dept
Vancouver, Washington, 98664
Arthritis Rheumatic & Back Disease Associates
Voorhees Township, New Jersey, 08043
Advanced Rheumatology & Arthritis Research Center
Wexford, Pennsylvania, 15090
Center For Rheumatology & Bone Research
Wheaton, Maryland, 20902
Clinical Pharmacology Study Group
Worcester, Massachusetts, 01610
Clinical Research Center of Reading
Wyomissing, Pennsylvania, 19610
Clinical Trials Northwest
Yakima, Washington, 98902
Florida Medical Center
Zephyrhills, Florida, 33540
Canada16 sites
Wharton Medical Clinic; Burlington
Burlington, Ontario, L7R 1E2
The Governors of the Uni of Alberta; Heritage Medical Research Centre
Edmonton, Alberta, T6G 2S2
Mac Research Inc.
Hamilton, Ontario, L8N 2B6
K-W Musculoskeletal Research
Kitchener, Ontario, N2M 5N6
St. Joseph'S Health Care Centre; Rheumatology
London, Ontario, N6A 4V2
Credit Valley, Rheumatology
Mississauga, Ontario, L5M 2V8
Hopital Maisonneuve- Rosemont; Rheumatology
Montreal, Quebec, H1T 2M4
Institut de Rhumatologie de Montreal
Montreal, Quebec, H2L 1S6
Montreal Rheumatic Disease Centre
Montreal, Quebec, H3Z 2Z3
The Ottawa Hospital - Riverside Campus; the Arthritis Centre
Ottawa, Ontario, K1H 7W9
Groupe de Recherche En Rhumatologie Et Maladies Osseuses
Québec, Quebec, G1V 3M7
Royal Uni Hospital; Medicine Dept
Saskatoon, Saskatchewan, S7N 0W8
University Health Network; Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Clin. de Rhumatologie
Trois-Rivières, Quebec, G8Z 1Y2
Arthritis Research Centre
Vancouver, British Columbia, V5Z 1L7
Manitoba Clinic
Winnipeg, Manitoba, R3A 1M3
Germany16 sites
Praxis Dr. med. Reiner Kurthen
Aachen, 52064
Schlosspark Klinik; Abt. Rheumatologie
Berlin, 14059
Klinik der Uni zu Köln; Klinik für Innere Medizin
Cologne, 50924
Klinik Duisburg; Klinik Für Rheumatologie
Duisburg, 47055
Endokrinologikum Frankfurt; Rheumatologie & Gynäkologie
Frankfurt, 60596
Universitätsklinikum Freiburg; Medizinische UNI-Klinik; Abt. Innere Medizin - VI Rheumatologie
Freiburg im Breisgau, 79106
Internistisches Praxiszentrum Am Krankenhaus Balserische Stiftung; Innere Medizin / Rheumatologie
Giessen, 35392
Evangelisches Krankenhaus Hagen-Haspe Rheumaklinik
Hagen, 58135
Medizinische Hochschule Zentrum Innere Medizin Abt.Klinische Immunologie und Rheumatologie
Hanover, 30625
Rheumapraxis PD Dr.med. Bernhard Heilig
Heidelberg, 69120
UNI-Klinikum Heidelberg Medizinische Klinik Innere Medizin V
Heidelberg, 69120
Fachärzte für Innere Medizin - Rheumatologie - Dr. med. Ino Gao und Dr. med. Maria Anna Meier
Heidelberg, 69121
Uniklinik Mainz; I. Medizinische Klinik
Mainz, 55131
Klinikum der Universitat Munchen; Bereich Pettenkoferstr; Rheumaeinheit der medizinischen Klinik IV
München, 80336
Rheumapraxis an der Hase
Osnabrück, 49074
Universitätsklinikum Würzburg; Medizinische Klinik und Poliklinik II; Hämatologie / Onkologie
Würzburg, 97080
Japan14 sites
Seihoku Chuoh Hospital; Department Of Rheumatology
Aomori, 037-0053
Univ. of Occupational and Environmental Health; Rheumatology, Clinical Immunology and Medicine
Fukuoka, 807-8555
National Hospital Organization Kyushu Medical Center; Rheumatology and Internal Medicine
Fukuoka, 810-8563
Higashihiroshima Memorial Hospital; Rheumatology, Internal Medicine
Hiroshima, 739-0002
Hokkaido Uni Hospital; Second Department of Internal Medicine
Hokkaido, 060-8648
Matsubara Mayflower Hospital; Rheumatology
Hyōgo, 673-1462
Sasebo Chuo Hospital ; Internal Medicine
Nagasaki, 857-1195
Osaka Minami Medical Center; Rheumatoid Arthritis
Osaka, 586-8521
Saitama Medical University Hospital ; Rheumatology and Applied Immunology
Saitama, 350-0495
Saitama Medical Center/School; Rheumatology, Clinical immunology
Saitama, 350-0844
Seirei Hamamatsu General Hospital; Rheumatology
Shizuoka, 430-8558
Jichi Medical School Hospital; Rheumatology and Clinical Immunology
Tochigi, 329-0498
Tokyo Medical & Dental University; Medicine & Rheumatology
Tokyo, 113-8519
Tokyo Women's Medical University
Tokyo, 162-0054
Spain13 sites
Complejo Hospitalario Universitario A Coruña (CHUAC); Servicio de Reumatologia
A Coruña, LA Coruña, 15006
Hospital Universitario Infanta Cristina; Servicio de Reumatologia
Badajoz, 06080
Hospital Clinic i Provincial; Servicio de Reumatologia
Barcelona, 08036
Hospital Universitari de Bellvitge; Servicio de Reumatologia
Barcelona, 08907
Hospital de Basurto; Servicio de Reumatologia
Bilbao, Vizcaya, 48013
Complejo Asistencial Universitario de Burgos; Servicio de Reumatología
Burgos, 06006
Hospital General Universitario de Guadalajara; Servicio de Reumatologia
Guadalajara, 19002
Hospital de Jerez de la Frontera; Servicio de Reumatologia
Jerez de la Frontera, Cadiz, 11407
Hospital Universitario 12 de Octubre; Servicio de Reumatologia
Madrid, 28041
Hospital Univ. Central de Asturias; Servicio de Reumatologia
Oviedo, Principality of Asturias, 33006
Corporacio Sanitaria Parc Tauli; Servicio de Reumatologia
Sabadell, Barcelona, 08208
Hospital Clinico Universitario de Salamanca; Servicio de Reumatologia
Salamanca, 37007
Hospital Sierrallana; Servicio de Reumatologia
Torrelavega, Cantabria, 39300
France10 sites
Hopital De Bois Guillaume; Rhumatologie
Bois-Guillaume, 76233
CH Jean Rougier; Rhumato Reed Fonctionnelle
Cahors, 46005
Hopital Louis Pasteur; Service De Medecine Interne et de Rhumatologie
Colmar, 68024
CH Du Mans; Rhumatologie
Le Mans, 72037
Hopital B Roger Salengro; Rhumatologie
Lille, 59037
Fondation Hopital Saint Joseph; Rhumatologie
Marseille, 13285
Hopital Lapeyronie; Immunologie Rhumatologie
Montpellier, 34295
Hopital de L'Archet; Rhumatologie
Nice, 06202
Hopital Cochin; Rhumatologie A
Paris, 75679
Hopital Cochin; Rhumatologie B
Paris, 75679
Belgium7 sites
AZ Sint Jan
Bruges, 8000
CHU Brugmann (Victor Horta)
Brussels, 1020
CHU de Charleroi
Charleroi, 6000
UZ Gent
Ghent, 9000
GHdC Site Saint-Joseph
Gilly (Charleroi), 6000
UZ Leuven Gasthuisberg
Leuven, 3000
ZNA Jan Palfijn
Merksem, 2170
Brazil5 sites
Hospital das Clinicas - UNICAMP
Campinas, São Paulo, 13083-888
Centro de Estudos em Terapias Inovadoras - CETI
Curtiba, Paraná, 80030-110
Centro Internacional de Pesquisa; Reumatologia
Goiânia, Goiás, 74110010
Hospital Universitario Clementino Fraga Filho - UFRJ; Reumatologia
Rio de Janeiro, Rio de Janeiro, 21941-590
Hospital Abreu Sodre - AACD;Pesquisa Clinica
São Paulo, São Paulo, 04027-000
Israel5 sites
Assaf Harofe; Dept of Medicine B
Beer Yaakov, 6093000
Soroka Medical Center; Reumatology
Beersheba, 8410101
Meir Medical Center; Heamatology Dept
Kfar Saba, 4428164
Beilinson Medical Center; Rheumatology
Petah Tikva, 4941492
Sourasky / Ichilov Hospital; Rheumatology
Tel Aviv, 6423906
Hungary4 sites
Orszagos Reumatologiai Es Fizioterapias Intezet
Budapest, 1023
Budai Irgalmasrendi Kórház KHT. II. Reumatológia
Budapest, 1027
Debreceni Egyetem Orvos- és Egészségtudományi Centrum; Belgyógyászati Intézet, Reumatológiai Tanszék
Debrecen, 4032
Vas Megye Es Szombathely M.J.V. Markusovszky Korhaza
Szombathely, 9700
Italy4 sites
Università Degli Studi Di Genova - Dimi; Reumatologia
Genoa, Liguria, 16132
Irccs Policlinico San Matteo; Reumatologia Adulti
Pavia, Lombardy, 27100
Az. Osp. Pisana Ospedale S. Chiara; U.O. Di Reumatologia
Pisa, Tuscany, 56100
Arcispedale Santa Maria Nuova; Reumatologia
Reggio Emilia, Emilia-Romagna, 42100
Mexico4 sites
Consultorio Privado Dr. Javier Orozco
Guadalajara, 44650
Unidad de Reumatologia Rehabilitacion Integral; Centro Medico Del Angel
Mexicali, 21100
Unidad De Enfermedades; Cronico Degenerativas, SC.
México, 44620
Clinica San Jose Obregon; Rheumatology
Obregón, 85000
Argentina3 sites
Organizacion Medica de Investigacion
Buenos Aires, C1015ABO
Inst. de Rehabilitacion Psicofisica; Reumathology
Buenos Aires, C1428DQG
CER Instituto Médico; REUMATOLOGÍA
San Juan Bautista, B1878DVB
Australia3 sites
Sunshine Coast Rheumatology Research Unit
Maroochydore, Queensland, 4558
Royal Perth Hospital; Rheumatology
Shenton Park, Western Australia, 6008
Princess Alexandra Hospital; Rheumatology
Woolloongabba, Queensland, 4102
Peru3 sites
Hospital Alberto Sabogal Sologuren; Remautology
Callao
Clinica San Felipe; Consultorio de Reumatología
Lima, 11
Hospital Nacional Edgardo Rebagliati Martins; Servicio de Reumatología
Lima, 11
Poland3 sites
Szpital Uniwersytecki; nr 2 im. Dr J. Biziela
Bydgoszcz, 85-168
Wojewodzki Szpital Zespolony; Oddzial Reumatologii
Elblag, 82-300
Klinika Reumatologii I Chorób Wewn. Pum W Szczecinie; Samodzielny Publiczny Szpital Kliniczny Nr 1
Szczecin, 71-252
Netherlands2 sites
Academisch Medisch Centrum; Division of Clinical Immunology & Rheumatology
Amsterdam, 1105 AZ
Maxima Medisch Centrum; Rheumatology
Eindhoven, 5631 BM
Sweden2 sites
Uni Hospital Linkoeping; Dept. of Rheumatology
Linköping, 58185
Akademiska sjukhuset, Reumatologkliniken
Uppsala, 75185
Switzerland2 sites
CHUV; Hôpital orthopédique, Rhumatologie
Lausanne, 1011
Universitätsspital Zürich; Klinik für Rheumatologie
Zurich, 8091
Panama1 site
Centro de Infusion Marbella; Consultorios Royal Center Num 214
Panama City, 32400
Slovakia1 site
Narodny Ustav Reumatickych Chorob - 34479; Rheumatology
Piešťany, 921 01
Slovenia1 site
Bolnica dr. Petra Drzaja, Klinicni center Ljubljana; Klinicni oddelek za revmatologijo
Ljubljana, 1000
Taiwan1 site
Chang Gung Medical Foundation - Kaohsiung; Rheumatology
Kaohsiung City, 00833
About this study
Official title: A Randomized, Double-Blind, Parallel Group, International Study to Evaluate the Safety and Efficacy of Ocrelizumab Compared to Placebo in Patients With Active Rheumatoid Arthritis Who Have an Inadequate Response to at Least One Anti-TNF-α Therapy
This study will evaluate the efficacy and safety of ocrelizumab, compared with placebo, in patients with active rheumatoid arthritis who have an inadequate response to at least one anti-TNF-alpha therapy. Patients will be randomized to receive placebo, 200mg of intravenous ocrelizumab, or 500mg of i.v. ocrelizumab on days 1 and 15. A repeat course of i.v. treatment will be administered at weeks 24 and 26. All patients will receive stable doses of either concomitant methotrexate (7.5-25mg/week) or leflunomide (10-20mg po daily) and may receive additional DMARDs. The treatment period is planned for 48 weeks (until primary analysis) and then participants will enter the open label phase until the drug is commercialized. Target sample size is 1000.
- Conditions
- Rheumatoid Arthritis
- Being tested
- Leflunomide, Methotrexate, Ocrelizumab, Placebo
- Keywords
- RA, SCRIPT, anti-CD20, CD20
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LeflunomideDrug
Oral repeating dose
MethotrexateDrug
Oral or parenteral repeating dose
OcrelizumabDrug
Intravenous repeating dose (200mg)
OcrelizumabDrug
Intravenous repeating dose (500mg)
PlaceboDrug
Intravenous repeating dose
| Study group | Role | What they receive |
|---|---|---|
| Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy | Experimental | Participants will receive 2 intravenous (IV) infusions of 200 milligram (mg) of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD Receives: Drug: Leflunomide; Drug: Methotrexate; Drug: Ocrelizumab |
| Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy | Experimental | Participants will receive 2 IV infusions of 500 mg of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD Receives: Drug: Leflunomide; Drug: Methotrexate; Drug: Ocrelizumab |
| Placebo x 2 IV + Non-Biologic DMARD Therapy | Placebo comparator | Participants will receive ocrelizumab matching placebo IV in two infusions, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD Receives: Drug: Leflunomide; Drug: Methotrexate; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With American College of Rheumatology 20 (ACR20) Responses
ACR20 response: greater than or equal to (≥) 20% improvement in tender or swollen joint counts and 20% improvement in 3 of the following 5 criteria: 1) Physician's global assessment of disease activity, 2) participant assessment of disease activity, 3) Patient Assessment of Pain (visual analog scale [VAS]), 4) participant assessment of functional disability via a Health Assessment Questionnaire (HAQ), and 5) erythrocyte sedimentation rate (ESR) at each visit.
Measured: Weeks 24 and 48
Secondary outcomes (7)
Percentage of Participants With a Major Clinical Response
Major clinical response was defined as achieving an ACR70 response and maintaining this response for a consecutive period of at least 6 months.
Measured: Week 48
Percentage of Participants Achieving Disease Activity Score (DAS28) Remission
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10. Scores below 2.6 indicate best disease control and scores above 5.1 indicate worse disease control. DAS28 Remission is defined as a DAS28 score < 2.6.
Measured: Weeks 24 and 48
Change in DAS28 From Baseline
The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and the erythrocyte sedimentation rate (ESR) for a total possible score of 0 to approximately 10.
Measured: Weeks 24 and 48
Percentage of Participants With EULAR Response Rates of Good/ Moderate
The EULAR response rate was based on the assessment of disease activity using the DAS28. The EULAR response criteria included not only change in disease activity but current disease activity. To be classified as responders, participants had to have a significant change in DAS28 and a low current disease activity. There were 4 categories of EULAR response rates: good, moderate, good/moderate, and none.
Measured: Weeks 24 and 48
Percentage of Participants Achieving an ACR50 Response
ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: physician's global assessment of disease activity (MDG), patient's global assessment of disease activity (PGA), patient's assessment of pain, Health Assessment Questionnaire with Disability Index (HAQ-DI), and C-Reactive Protein (CRP).
Measured: Weeks 24 and 48
Percentage of Participants Achieving an ACR70 Response
ACR70 response is defined as a ≥ 70% improvement (reduction) compared with Baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: physician's global assessment of disease activity (MDG), patient's global assessment of disease activity (PGA), patient's assessment of pain, HAQ-DI and CRP.
Measured: Weeks 24 and 48
Percentage of Participants With a Reduction in the HAQ-DI Score
Health Assessment Questionnaire - Disability Index (HAQ-DI): The Stanford Health Assessment Questionnaire disability index is a patient reported questionnaire specific for RA. It consists of 20 questions referring to eight component. Reduction in the HAQ-DI score of 0.25 units from baseline to weeks 24 and 48 represented a minimal clinically relevant improvement.
Measured: Weeks 24 and 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2007 (estimated)
- Study start15 May 2007
- Primary completion21 Jan 2010
- Study completion14 May 2018
Why it stopped: Recruitment was fully completed for this study; however, the study was terminated during conduct after the primary endpoint analysis was completed.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 836 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Roche Pharma AG
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00476996
- Sponsor's protocol ID
- ACT3986g
- Other IDs
- WA20495, 2006-005330-20
- Acronym
- SCRIPT
- Status last verified
- Aug 2019
- First submitted
- 18 May 2007
- Last updated
- 12 Aug 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Emery P, Rigby W, Tak PP, Dorner T, Olech E, Martin C, Millar L, Travers H, Fisheleva E. Safety with ocrelizumab in rheumatoid arthritis: results from the ocrelizumab phase III program. PLoS One. 2014 Feb 3;9(2):e87379. doi: 10.1371/journal.pone.0087379. eCollection 2014.
PubMed 24498318Tak PP, Mease PJ, Genovese MC, Kremer J, Haraoui B, Tanaka Y, Bingham CO 3rd, Ashrafzadeh A, Travers H, Safa-Leathers S, Kumar S, Dummer W. Safety and efficacy of ocrelizumab in patients with rheumatoid arthritis and an inadequate response to at least one tumor necrosis factor inhibitor: results of a forty-eight-week randomized, double-blind, placebo-controlled, parallel-group phase III trial. Arthritis Rheum. 2012 Feb;64(2):360-70. doi: 10.1002/art.33353.
PubMed 22389919
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel Group, International Study to Evaluate the Safety and Efficacy of Ocrelizumab Compared to Placebo in Patients With Active Rheumatoid Arthritis Who Have an Inadequate Response to at Least One Anti-TNF-α Therapy
- ClinicalTrials.gov ID
- NCT00476996
- Acronym / sponsor ID
- SCRIPT / ACT3986g
- Conditions
- Rheumatoid Arthritis
- Keywords
- RA, SCRIPT, anti-CD20, CD20
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Recruitment was fully completed for this study; however, the study was terminated during conduct after the primary endpoint analysis was completed.
- Enrolment
- 836 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Roche Pharma AG
- Study start
- 15 May 2007 (actual)
- Primary completion
- 21 Jan 2010 (actual)
- Study completion
- 14 May 2018 (actual)
- First posted
- 22 May 2007 (estimated)
- Results
- Posted 12 Aug 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy and safety of ocrelizumab, compared with placebo, in patients with active rheumatoid arthritis who have an inadequate response to at least one anti-TNF-alpha therapy. Patients will be randomized to receive placebo, 200mg of intravenous ocrelizumab, or 500mg of i.v. ocrelizumab on days 1 and 15. A repeat course of i.v. treatment will be administered at weeks 24 and 26. All patients will receive stable doses of either concomitant methotrexate (7.5-25mg/week) or leflunomide (10-20mg po daily) and may receive additional DMARDs. The treatment period is planned for 48 weeks (until primary analysis) and then participants will enter the open label phase until the drug is commercialized. Target sample size is 1000.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy | Experimental | Drug: Leflunomide, Drug: Methotrexate, Drug: OcrelizumabParticipants will receive 2 intravenous (IV) infusions of 200 milligram (mg) of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD |
| Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy | Experimental | Drug: Leflunomide, Drug: Methotrexate, Drug: OcrelizumabParticipants will receive 2 IV infusions of 500 mg of ocrelizumab, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD |
| Placebo x 2 IV + Non-Biologic DMARD Therapy | Placebo comparator | Drug: Leflunomide, Drug: Methotrexate, Drug: PlaceboParticipants will receive ocrelizumab matching placebo IV in two infusions, separated by 14 days (Day 1 and Day 15) in combination with any non-biologic DMARD |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adult patients, ≥ 18 years of age
- Rheumatoid arthritis for at least 3 months
- Inadequate response to previous or current treatment with at least one anti-TNF-alpha agent
- Receiving either leflunomide or methotrexate for ≥ 12 weeks, with a stable dose for the last 4 weeks
- Swollen joint count (SJC) ≥ 4 (66 joint count) and tender joint count (TJC) ≥ 4 (68 joint count) at screening and baseline.
Key exclusion criteria (2 listed)
- Rheumatic autoimmune disease or inflammatory joint disease, other than RA
- Any surgical procedure in past 12 weeks,or planned within 48 weeks of baseline
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LeflunomideOral repeating dose | Drug | Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy, Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy, Placebo x 2 IV + Non-Biologic DMARD Therapy |
| MethotrexateOral or parenteral repeating dose | Drug | Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy, Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy, Placebo x 2 IV + Non-Biologic DMARD Therapy |
| OcrelizumabIntravenous repeating dose (200mg) | Drug | Ocrelizumab 200 mg x 2 IV + Non-Biologic DMARD Therapy |
| OcrelizumabIntravenous repeating dose (500mg) | Drug | Ocrelizumab 500 mg x 2 IV + Non-Biologic DMARD Therapy |
| PlaceboIntravenous repeating dose | Drug | Placebo x 2 IV + Non-Biologic DMARD Therapy |
Primary outcome
Percentage of Participants With American College of Rheumatology 20 (ACR20) Responses
Time frame: Weeks 24 and 48
ACR20 response: greater than or equal to (≥) 20% improvement in tender or swollen joint counts and 20% improvement in 3 of the following 5 criteria: 1) Physician's global assessment of disease activity, 2) participant assessment of disease activity, 3) Patient Assessment of Pain (visual analog scale [VAS]), 4) participant assessment of functional disability via a Health Assessment Questionnaire (HAQ), and 5) erythrocyte sedimentation rate (ESR) at each visit.
7 secondary outcomes
Percentage of Participants With a Major Clinical Response
Time frame: Week 48
Percentage of Participants Achieving Disease Activity Score (DAS28) Remission
Time frame: Weeks 24 and 48
Change in DAS28 From Baseline
Time frame: Weeks 24 and 48
Percentage of Participants With EULAR Response Rates of Good/ Moderate
Time frame: Weeks 24 and 48
Percentage of Participants Achieving an ACR50 Response
Time frame: Weeks 24 and 48
Percentage of Participants Achieving an ACR70 Response
Time frame: Weeks 24 and 48
Percentage of Participants With a Reduction in the HAQ-DI Score
Time frame: Weeks 24 and 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24498318Emery P, Rigby W, Tak PP, Dorner T, Olech E, Martin C, Millar L, Travers H, Fisheleva E. Safety with ocrelizumab in rheumatoid arthritis: results from the ocrelizumab phase III program. PLoS One. 2014 Feb 3;9(2):e87379. doi: 10.1371/journal.pone.0087379. eCollection 2014.
- Derived from this study: PubMed 22389919Tak PP, Mease PJ, Genovese MC, Kremer J, Haraoui B, Tanaka Y, Bingham CO 3rd, Ashrafzadeh A, Travers H, Safa-Leathers S, Kumar S, Dummer W. Safety and efficacy of ocrelizumab in patients with rheumatoid arthritis and an inadequate response to at least one tumor necrosis factor inhibitor: results of a forty-eight-week randomized, double-blind, placebo-controlled, parallel-group phase III trial. Arthritis Rheum. 2012 Feb;64(2):360-70. doi: 10.1002/art.33353.
Related trials for Rheumatoid Arthritis
Not yet recruitingObservational study
Pain Phenotyping of Rheumatic Diseases - An Observational Study
Rheumatic Diseases, Lupus Erythematosus, Systemic
Active, not recruitingObservational study
Frequency and Complications of Major Orthopedic Procedures in Medicare Beneficiaries
Rheumatoid Arthritis, Ankylosing Spondylitis
RecruitingPhase 2
A PHASE II PROSPECTIVE RANDOMIZED DOUBLE-MASKED CONTROLLED STUDY ASSESSING THE SAFETY & EFFICACY OF RHPRG4 (450 µG/ML RECOMBINANT HUMAN PROTEOGLYCAN 4) COMPARED TO VEHICLE FOR THE TREATMENT OF SJÖGREN'S RELATED DRY EYE DISEASE
Sjögren's Syndrome
RecruitingObservational study
Characterization of Diseases With Salivary Gland Involvement
Healthy Volunteer, Sjogren's Syndrome
Not yet recruitingPhase 2
A Clinical Trial of MK-8690 in Participants With Rheumatoid Arthritis (MK-8690-004)
Rheumatoid Arthritis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
266 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Leflunomide, Methotrexate and Ocrelizumab in people with Rheumatoid Arthritis, run by Genentech, Inc. at 266 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 12 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 266 sites in United States, Canada, Germany, Japan, Spain and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With American College of Rheumatology 20 (ACR20) Responses (time frame: Weeks 24 and 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00476996, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2019.