Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This 2 arm study will assess the safety and efficacy of tocilizumab monotherapy versus methotrexate in patients with active rheumatoid arthritis (RA). Patients will be randomized to receive tocilizumab 8mg/kg iv every 4 weeks plus placebo po weekly, or methotrexate 7.5-20mg po weekly plus placebo iv every 4 weeks. The anticipated time on study treatment is 3-12 months and the target sample size is 500+ individuals.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methotrexate | Drug | 7.5-20mg po weekly |
| |
| tocilizumab [RoActemra/Actemra] |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients with ACR 20 response | Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients with ACR 20 response | Week 8 | |
| Percentage of patients with ACR 50 and ACR 70 responses | Week 24 | |
| Mean change in parameters of ACR core set |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Montgomery | Alabama | 36111 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33413588 | Derived | Drobinski PJ, Bay-Jensen AC, Karsdal MA, Sardar S, Siebuhr AS. Connective tissue remodelling is differently modulated by tocilizumab versus methotrexate monotherapy in patients with early rheumatoid arthritis: the AMBITION study. Arthritis Res Ther. 2021 Jan 7;23(1):13. doi: 10.1186/s13075-020-02378-7. | |
| 28955499 | Derived |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
8mg/kg iv every 4 weeks |
|
| Week 24 |
| AEs, laboratory parameters, vital signs. | Throughout study |
| Mesa |
| Arizona |
| 85208 |
| United States |
| Paradise Valley | Arizona | 85253 | United States |
| Phoenix | Arizona | 85013 | United States |
| Little Rock | Arkansas | 72205 | United States |
| Huntington Beach | California | 92646 | United States |
| Long Beach | California | 90806 | United States |
| Los Angeles | California | 90045 | United States |
| Palm Springs | California | 92262 | United States |
| Sacramento | California | 95825 | United States |
| San Leandro | California | 94578 | United States |
| Santa Maria | California | 93454 | United States |
| Jupiter | Florida | 33458 | United States |
| Palm Habor | Florida | 34684 | United States |
| Palm Harbor | Florida | 34684 | United States |
| Port Orange | Florida | 32127 | United States |
| Tampa | Florida | 33609 | United States |
| Tampa | Florida | 33614 | United States |
| Idaho Falls | Idaho | 83404 | United States |
| Meridian | Idaho | 83642 | United States |
| Morton Grove | Illinois | 60053 | United States |
| Springfield | Illinois | 62704 | United States |
| Indianapolis | Indiana | 46202 | United States |
| Cedar Rapids | Iowa | 52401 | United States |
| Des Moines | Iowa | 50322 | United States |
| Bowling Green | Kentucky | 42102 | United States |
| Baton Rouge | Louisiana | 70808 | United States |
| Slidell | Louisiana | 70458 | United States |
| Greenbelt | Maryland | 20770 | United States |
| Pittsfield | Massachusetts | 01201 | United States |
| Grand Rapids | Michigan | 49546 | United States |
| Kalamazoo | Michigan | 49048 | United States |
| Lansing | Michigan | 48910 | United States |
| Eagan | Minnesota | 55121 | United States |
| Saint Cloud | Minnesota | 56303 | United States |
| Flowood | Mississippi | 39232 | United States |
| Tupelo | Mississippi | 38802 | United States |
| St Louis | Missouri | 63117 | United States |
| St Louis | Missouri | 63131 | United States |
| Dover | New Hampshire | 03820 | United States |
| Nashua | New Hampshire | 03060 | United States |
| Haddon Heights | New Jersey | 08035 | United States |
| New Brunswick | New Jersey | 08903 | United States |
| Albany | New York | 12206 | United States |
| Syracuse | New York | 13210 | United States |
| Fayetteville | North Carolina | 28304 | United States |
| Canton | Ohio | 44718 | United States |
| Mayfield | Ohio | 44143 | United States |
| Oklahoma City | Oklahoma | 73103 | United States |
| Oklahoma City | Oklahoma | 73109 | United States |
| Tulsa | Oklahoma | 74104 | United States |
| Tulsa | Oklahoma | 74135 | United States |
| Duncansville | Pennsylvania | 16635 | United States |
| Philadelphia | Pennsylvania | 19152 | United States |
| Willow Grove | Pennsylvania | 19090 | United States |
| Wyomissing | Pennsylvania | 19610 | United States |
| Charleston | South Carolina | 29406 | United States |
| Columbia | South Carolina | 29204 | United States |
| Greenville | South Carolina | 29601 | United States |
| Hickory Grove | South Carolina | 28602 | United States |
| Hixson | Tennessee | 37343 | United States |
| Nashville | Tennessee | 37203 | United States |
| Amarillo | Texas | 79124 | United States |
| Austin | Texas | 78705 | United States |
| Mesquite | Texas | 75150 | United States |
| Chesapeake | Virginia | 23320 | United States |
| Mountlake Terrace | Washington | 98043 | United States |
| Olympia | Washington | 98502 | United States |
| Spokane | Washington | 99204 | United States |
| Yakima | Washington | 98902 | United States |
| Buenos Aires | C1015ABO | Argentina |
| Buenos Aires | C1428DQG | Argentina |
| Rosario | S2000PBJ | Argentina |
| San Juan Bautista | B1878DVB | Argentina |
| Adelaide | 5041 | Australia |
| Hobart | 7000 | Australia |
| Shenton Park | 6008 | Australia |
| Sydney | 2050 | Australia |
| Woodville | 5011 | Australia |
| Woolloongabba | 4102 | Australia |
| Victoria | British Columbia | V8V 3P9 | Canada |
| Winnipeg | Manitoba | R3A 1M3 | Canada |
| Winnipeg | Manitoba | R3A 1M4 | Canada |
| St. John's | Newfoundland and Labrador | A1A 5E8 | Canada |
| Burlington | Ontario | L7M 4Y1 | Canada |
| Hamilton | Ontario | L8N 2B6 | Canada |
| Kitchener | Ontario | N2M 5N6 | Canada |
| Mississauga | Ontario | L5M 2V8 | Canada |
| Ottawa | Ontario | K1H 1A2 | Canada |
| Guangzhou | 510630 | China |
| Hefei Anhui | 230022 | China |
| Jinan | 250012 | China |
| Copenhagen | 2400 | Denmark |
| Hillerød | 3400 | Denmark |
| Hvidovre | 2650 | Denmark |
| Brest | 29609 | France |
| Lyon | 69437 | France |
| Paris | 75679 | France |
| Rouen | 76031 | France |
| Ashkelon | 78306 | Israel |
| Beersheba | 8410101 | Israel |
| Haifa | 31048 | Israel |
| Haifa | 34354 | Israel |
| Kfar Saba | 44281 | Israel |
| Ramat Gan | 52621 | Israel |
| Rishon LeZiyyon | 70300 | Israel |
| Genova | 16132 | Italy |
| Milan | 20157 | Italy |
| Pavia | 27100 | Italy |
| Reggio Emilia | 42100 | Italy |
| Siena | 53100 | Italy |
| Kaunas | 50009 | Lithuania |
| Klaipėda | 92288 | Lithuania |
| Panevezys | 35144 | Lithuania |
| Šiauliai | 76231 | Lithuania |
| Vilnius | LT-08661 | Lithuania |
| Guadalajara | 44340 | Mexico |
| Guadalajara | 44620 | Mexico |
| Guadalajara | 45235 | Mexico |
| Mexico City | 06700 | Mexico |
| Mexico City | 07760 | Mexico |
| Mexico City | 14050 | Mexico |
| Levanger | 7600 | Norway |
| Lillehammer | 2609 | Norway |
| Lima | 11 | Peru |
| Lima | 13 | Peru |
| Almada | 2801-951 | Portugal |
| Lisbon | 1050-34 | Portugal |
| Lisbon | 1349-019 | Portugal |
| Belgrade | 11000 | Serbia |
| Niška Banja | 18250 | Serbia |
| Ljubljana | 1000 | Slovenia |
| Maribor | 2000 | Slovenia |
| Cape Town | 4001 | South Africa |
| Cape Town | 7500 | South Africa |
| Diepkloof | 1862 | South Africa |
| Pinelands | 7405 | South Africa |
| Radiokop | 2040 | South Africa |
| Alcorcón | 28922 | Spain |
| Barcelona | 08035 | Spain |
| Córdoba | 14004 | Spain |
| Guadalajara | 19002 | Spain |
| Lugo | 27004 | Spain |
| Salamanca | 37007 | Spain |
| San Cristóbal de La Laguna | 38320 | Spain |
| Santiago de Compostela | 15706 | Spain |
| Valencia | 46017 | Spain |
| Strand V, Michalska M, Birchwood C, Pei J, Tuckwell K, Finch R, Gabay C, Kavanaugh A, Jones G. Impact of tocilizumab monotherapy on patient-reported outcomes in patients with rheumatoid arthritis from two randomised controlled trials. RMD Open. 2017 Sep 14;3(2):e000496. doi: 10.1136/rmdopen-2017-000496. eCollection 2017. |
| 27909081 | Derived | Jones G, Wallace T, McIntosh MJ, Brockwell L, Gomez-Reino JJ, Sebba A. Five-year Efficacy and Safety of Tocilizumab Monotherapy in Patients with Rheumatoid Arthritis Who Were Methotrexate- and Biologic-naive or Free of Methotrexate for 6 Months: the AMBITION Study. J Rheumatol. 2017 Feb;44(2):142-146. doi: 10.3899/jrheum.160287. Epub 2016 Dec 1. |
| 22491018 | Derived | Wang J, Bansal AT, Martin M, Germer S, Benayed R, Essioux L, Lee JS, Begovich A, Hemmings A, Kenwright A, Taylor KE, Upmanyu R, Cutler P, Harari O, Marchini J, Criswell LA, Platt A. Genome-wide association analysis implicates the involvement of eight loci with response to tocilizumab for the treatment of rheumatoid arthritis. Pharmacogenomics J. 2013 Jun;13(3):235-41. doi: 10.1038/tpj.2012.8. Epub 2012 Apr 10. |
| 19297346 | Derived | Jones G, Sebba A, Gu J, Lowenstein MB, Calvo A, Gomez-Reino JJ, Siri DA, Tomsic M, Alecock E, Woodworth T, Genovese MC. Comparison of tocilizumab monotherapy versus methotrexate monotherapy in patients with moderate to severe rheumatoid arthritis: the AMBITION study. Ann Rheum Dis. 2010 Jan;69(1):88-96. doi: 10.1136/ard.2008.105197. |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D008727 | Methotrexate |
| C502936 | tocilizumab |
| ID | Term |
|---|---|
| D000630 | Aminopterin |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided