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Juvenile Idiopathic ArthritisPhase 1NCT01904292

A Study of Subcutaneously Administered Tocilizumab in Participants With Systemic Juvenile Idiopathic Arthritis

A Phase 1 study testing Tocilizumab in people with Juvenile Idiopathic Arthritis, run by Hoffmann-La Roche at 42 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This open-label, multicenter study will evaluate the pharmacokinetics, pharmacodynamics, and safety of subcutaneously administered tocilizumab in participants with Systemic Juvenile Idiopathic Arthritis (sJIA). Read more about this study

Who is it for?
Ages 1 year to 17 years
Conditions the study is for
Juvenile Idiopathic Arthritis
What is being tested?
Tocilizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
42 sitesin 12 countries
Study dates
15 Aug 2013to 13 Jun 2017
Phase
Phase 1
Are there results?
None posted in the registry

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 1 year to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Diagnosis of sJIA according to the International League of Associations for Rheumatology (ILAR) classification
  • History of inadequate clinical response (in the opinion of the treating physician) to Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and corticosteroids
  • If a participant has received previous treatment with any biologic agents other than tocilizumab, these must have been discontinued according to the timelines defined by protocol prior to the baseline visit
  • Participants currently receiving tocilizumab by the intravenous (IV) route of administration and with well-controlled disease do not require a period of discontinuation of IV tocilizumab and should have their first dose of SC tocilizumab administered on the date that their next IV tocilizumab infusion would be due
  • Concurrent treatment with Disease Modifying Anti-Rheumatic Drugs (DMARDs) including methotrexate (MTX), NSAIDs, and oral corticosteroids are permitted at the discretion of the investigator
  • Participants of reproductive potential must be willing to use highly effective contraceptive methods

Who cannot join

  • Prior discontinuation of IV tocilizumab because of inadequate clinical response or safety events (including hypersensitivity)
  • Participants with poorly controlled disease (in the opinion of the treating physician) despite current treatment with IV tocilizumab
  • sJIA that is well controlled by any treatment agent other than tocilizumab (Juvenile Arthritis Disease Activity Score of 71 Joints [JADAS-71] less than or equal to [<=] 3.8 with no fever)
  • Participants who are wheelchair-bound or bedridden
  • Any other auto-immune, rheumatic disease, or overlapping syndrome other than sJIA
  • Lack of recovery from recent surgery or an interval of <6 weeks since surgery at the time of the screening visit
Show all 20Show fewer
  • Females who are pregnant, lactating, or intending to become pregnant during study conduct
  • Any significant concurrent medical or surgical condition that would jeopardize the participant's safety or ability to complete the study
  • Known Human Immunodeficiency Virus (HIV) infection or other acquired forms of immune compromise or inborn conditions characterized by a compromised immune system
  • History of alcohol, drug, or chemical abuse within 6 months of screening
  • Any active acute, subacute, chronic, or recurrent bacterial, viral, or systemic fungal infection or any major episode of infection requiring hospitalization or treatment during screening or treatment with IV antibiotics completed within 4 weeks of the screening visit or oral antibiotics completed within 2 weeks of the screening visit
  • History of atypical tuberculosis (TB) or active TB requiring treatment within 2 years prior to screening visit
  • Positive TB test at screening unless treated with anti-TB therapy for at least 4 weeks prior to receiving study drug
  • History of reactivation or new onset of a systemic infection such as herpes zoster or Epstein-Barr virus within 2 months of the screening visit
  • Hepatitis B surface antigen or hepatitis C antibody positivity or chronic viral or autoimmune hepatitis
  • History of concurrent serious gastrointestinal disorders such as ulcer or inflammatory bowel disease, Crohn's disease, ulcerative colitis, or other symptomatic lower gastrointestinal conditions
  • History of or current cancer or lymphoma
  • Uncontrolled diabetes mellitus with elevated glycosylated hemoglobin
  • Macrophage activation syndrome (MAS) within 3 months of the screening visit
  • Inadequate hematologic, renal or liver function

Trial locations and contacts

42 sites in 12 countries.

42 sites in 12 countries

United States11 sites
  • Levine Children's Hospital; Divison of Pediatric Rheumatology; Department of Pediatrics

    Charlotte, North Carolina, 28203

  • Ann & Robert H. Lurie Children's Hospital of Chicago; Division of Rheumatology

    Chicago, Illinois, 60611

  • The University of Chicago;Department of Pediatrics

    Chicago, Illinois, 60649

  • Cincinnati Children'S Hospital Medical Center; Division of Rheumatology

    Cincinnati, Ohio, 45229-3039

  • Cleveland Clinic Fndn

    Cleveland, Ohio, 44195

  • Duke University

    Durham, North Carolina, 27710

  • Hackensack University Medical Center; Pediatric Rheumatology

    Hackensack, New Jersey, 07601

  • Connecticut Children's Medical Center; 5E Clinical Trials Unit

    Hartford, Connecticut, 06106

  • Arkansas Children's Hospital Research Institute

    Little Rock, Arkansas, 72202

  • University of Utah; Immunology/Rheumatology/Allergy

    Salt Lake City, Utah, 84109

  • Seattle Children's Hospital

    Seattle, Washington, 98105

Other trials in United States

Spain5 sites
  • Hospital Sant Joan De Deu; Servicio de Reumatologia Pediatrica

    Esplugas de Llobregat, Barcelona, 08950

  • Hospital Infantil Universitario Niño Jesus, Servicio Reumatologia

    Madrid, 28009

  • Hospital Ramon y Cajal ; Servicio de Reumatologia

    Madrid, 28034

  • Hospital de La Paz; Unidad de Reumatologia Pediatrica

    Madrid, 28046

  • Hospital Universitario la Fe: Servicio de Reumatologia Pediatrica

    Valencia, 46026

Other trials in Spain

United Kingdom4 sites
  • Bristol Royal Hospital For Children

    Bristol, BS2 8BJ

  • Alder Hey Children's NHS Foundation Trust

    Liverpool, L12 2AP

  • Great Ormond Street Hospital; Somers Clinical Research Facility

    London, WC1N 3JH

  • Nottingham Children's Hospital

    Nottingham, NG7 2UH

Other trials in United Kingdom

Brazil3 sites
  • Hospital das Clinicas - FMUSP Ribeirao Preto; Pediatria - Imunologia e Reumatologia

    Ribeirão Preto, São Paulo, 14048-900

  • Hospital das Clinicas - FMUSP; Instituto da Crianca - Reumatologia

    São Paulo, São Paulo, 05403-000

  • Universidade Federal de Sao Paulo - UNIFESP

    São Paulo, São Paulo, 22793-080

Other trials in Brazil

Canada3 sites
  • Alberta Children'S Hospital

    Calgary, Alberta, T3B 6A8

  • Children'S Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • Hospital For Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Germany3 sites
  • Charité Campus; Virchow Klinikum Berlin

    Berlin, 13353

  • Uniklinikum Freiburg Zentrum für Kinder- und Jugendmedizin; Pädiatrische Infektio- u. Rheumatologie

    Freiburg im Breisgau, 79106

  • Asklepios Klinik; Zentrum fuer Allgemeine Paediatrie und Neonatologie

    Sankt Augustin, 53757

Other trials in Germany

Italy3 sites
  • Nuovo Ospedale Pediatrico Meyer; Reumatologia - Clinica Pediatrica 1°

    Florence, Tuscany, 50139

  • Istituto Giannina Gaslini-Ospedale Pediatrico IRCCS

    Genoa, Liguria, 16147

  • Irccs Ospedale Pediatrico Bambin Gesu - Dip. Di Medicina

    Rome, Lazio, 00165

Other trials in Italy

Mexico3 sites
  • Hospital Infantil de México "Federico Gomez"; Rheumatology

    México, 06720

  • Cliditer SA de CV

    Miexico City, 06700

  • Hospital Universitario Dr. Jose Eleuterio Gonzalez; Pediatria

    Monterrey, 64460

Other trials in Mexico

Argentina2 sites
  • Hospital Gral de Niños Pedro Elizalde

    Buenos Aires, 1270

  • Hospital de Ninos de la Santisima Trinidad; Reumatologia Infantil

    Córdoba, 5000

Other trials in Argentina

Australia2 sites
  • Royal Children'S Hospital; Paediatric Rheumatology

    Parkville, Victoria, 3052

  • Westmead Hospital; Paediatric Rheumatology

    Westmead, New South Wales, 2145

Other trials in Australia

Russia2 sites
  • FSBI "Scientific Research Institute of Rheumatology" of russian Academy of Medical Sciences

    Moscow, 115522

  • SI Sceintific children health center RAMS

    Moscow, 119991

Other trials in Russia

France1 site
  • CH de Bicêtre; Pediatrie Generale

    Le Kremlin-Bicêtre, 94275

Other trials in France

About this study

Official title: A Phase Ib, Open-Label, Multicenter Study to Investigate the Pharmacokinetics, Pharmacodynamics, and Safety of Tocilizumab Following Subcutaneous Administration to Patients With Systemic Juvenile Idiopathic Arthritis

This open-label, multicenter study will evaluate the pharmacokinetics, pharmacodynamics, and safety of subcutaneously administered tocilizumab in participants with Systemic Juvenile Idiopathic Arthritis (sJIA). Participants with body weight less than (<) 30 kilograms (kg) will receive subcutaneous (SC) tocilizumab dose every 2 weeks (Q2W) and participants with body weight greater than or equal to (>=) 30 kg will receive weekly (QW), for 52 weeks. Tocilizumab was administered every 10 days until pre-planned interim analysis was performed and changed to Q2W in participants with body weight <30 kg.

Being tested
Tocilizumab
Medical subject headings
Arthritis, Juvenile

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TocilizumabDrug

    Also called RoActemra/Actemra

    Subcutaneous 162 mg dose QW or Q2W for 52 weeks

Study groups in NCT01904292
Study groupRoleWhat they receive
TocilizumabExperimentalParticipants will receive SC dose of tocilizumab based on body weight; participants with <30 kg will receive 162 milligrams (mg) of tocilizumab Q2W and those participants =>30 kg will receive 162 mg of tocilizumab QW, for 52 weeks.
Receives: Drug: Tocilizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetics: Area Under the Concentration-Time Curve (AUC) of Tocilizumab

    Measured: Age <2 years: 0 hours(h) on Days(D) 0,84; on D5,14,42,70,85,88,98,182,266, 364. Weight <30kg, Age>=2 years: 0,6,12h on D0,84; on D2,5,14,42,56,70,86,87,88,90,98,182,266,364. Weight >=30kg: 0,6,12h on D0, 91; on D2,4,7,14,28,56,92,93,95,96,98,182,266, 364

  2. Pharmacokinetics: Maximum Plasma Concentration (Cmax) of Tocilizumab

    Measured: Age <2 years: 0h on D0,84; on D5,14,42,70,85,88,98,182,266,364. Weight <30 kg, Age >=2 years: 0,6,12h on D0,84; on D2,5,14,42,56,70,86,87,88,90,98,182,266,364. Weight >=30 kg: 0,6,12h on D0, 91; on D2,4,7,14,28,56,92,93,95,96,98,182,266,364

  3. Pharmacokinetics: Minimum Plasma Concentration (Cmin) of Tocilizumab

    Measured: Weight <30 kg: predose (0h) on Days 0 and 84. Weight >= 30 kg: predose (0h) on Days 0 and 91

Secondary outcomes (6)
  1. Pharmacodynamics: Serum Interleukin-6 (IL6) Levels

    Measured: Age<2 years: 0h on Days 0,84; Days 5,14,42,70,85,88,98,182,266,364. Weight <30 kg, Age >=2 years: 0,6,12h on Days 0,84; Days 2,5,14,42,56,70,86,87,88,90,98,182,266,364. Weight >=30kg: 0,6,12h on Days 0,91;Days 2,4,7,14,28,56,92,93,95,96,98,182,266,364

  2. Pharmacodynamics: Soluble IL-6 Receptor (sIL-6R) Levels

    Measured: Age<2 years: 0h on Days 0,84; Days 5,14,42,70,85,88,98,182,266,364. Weight <30 kg, Age >=2 years: 0,6,12h on Days 0,84; Days 2,5,14,42,56,70,86,87,88,90,98,182,266,364. Weight >=30kg: 0,6,12h on Days 0,91;Days 2,4,7,14,28,56,92,93,95,96,98,182,266,364

  3. Pharmacodynamics: Serum C-Reactive Protein (CRP) Levels

    Measured: Age <2years: Days 0,14,28,42,70,84,98,126, 154,182,210,238,266,294,322,350,364. Weight <30 kg, Age >=2years: Days 0,14,28,42,70, 98,126,154,182,210,238,266,294,322,350,364. Weight >=30kg: Days 0,7,14,21,28,42, 56,70,84,91,95,96,98,182,266,294,322,350,364

  4. Pharmacodynamics: Serum Erythrocyte Sedimentation Rate (ESR)

    Measured: Age <2years: Days 0,14,28,42,70,84,98,126, 154,182,210,238,266,294,322,350,364. Weight <30 kg, Age >=2years: Days 0,14,28,42,70, 98,126,154,182,210,238,266,294,322,350,364. Weight >=30kg: Days 0,7,14,21,28,42, 56,70,84,91,95,96,98,182,266,294,322,350,364

  5. Pharmacodynamics: Percentage of Participants with Anti-Tocilizumab Antibodies

    Measured: Age <2 years: Days 0, 84, 182, 266, 364. Weight <30 kg, Age >=2 years: Days 0, 84, 182, 266, 364. Weight >=30 kg: Days 0, 91, 182, 266, 364

  6. Safety: Percentage of Participants with At Least 1 Adverse Event

    Measured: 57 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2013 (estimated)
  2. Study start15 Aug 2013
  3. Primary completion13 Jun 2017
  4. Study completion13 Jun 2017

Resources

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01904292
Sponsor's protocol ID
WA28118
Other IDs
2012-003490-26
Status last verified
Nov 2017
First submitted
14 Jun 2013
Last updated
20 Nov 2017
Results posted
No

Publications

  • Ruperto N, Brunner HI, Ramanan AV, Horneff G, Cuttica R, Henrickson M, Anton J, Boteanu AL, Penades IC, Minden K, Schmeling H, Hufnagel M, Weiss JE, Pardeo M, Nanda K, Roth J, Rubio-Perez N, Hsu JC, Wimalasundera S, Wells C, Bharucha K, Douglass W, Bao M, Mallalieu NL, Martini A, Lovell D, Benedetti F; Paediatric Rheumatology INternational Trials Organisation (PRINTO) and the Paediatric Rheumatology Collaborative Study Group (PRCSG). Subcutaneous dosing regimens of tocilizumab in children with systemic or polyarticular juvenile idiopathic arthritis. Rheumatology (Oxford). 2021 Oct 2;60(10):4568-4580. doi: 10.1093/rheumatology/keab047.

    PubMed 33506875

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tocilizumab in people with Juvenile Idiopathic Arthritis, run by Hoffmann-La Roche at 42 sites in 12 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 6 inclusion and 20 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: finished, as of the sponsor's last update on 20 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Spain, United Kingdom, Brazil, Canada and 7 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Pharmacokinetics: Area Under the Concentration-Time Curve (AUC) of Tocilizumab (time frame: Age <2 years: 0 hours(h) on Days(D) 0,84; on D5,14,42,70,85,88,98,182,266, 364. Weight <30kg, Age>=2 years: 0,6,12h on D0,84; on D2,5,14,42,56,70,86,87,88,90,98,182,266,364. Weight >=30kg: 0,6,12h on D0, 91; on D2,4,7,14,28,56,92,93,95,96,98,182,266, 364). The study lists 3 primary outcomes in all. 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 NCT01904292, which also lists 1 linked publication.

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 20 Nov 2017.

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