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This 2 arm study will investigate the pharmacokinetics of simvastatin and methotrexate in combination with tocilizumab to assess any potential drug interactions. Patients will be randomized to receive either tocilizumab (10mg/kg iv infusion on day 8) + methotrexate (10-25mg po /week) or tocilizumab + methotrexate + simvastatin (40mg po on days 1, 15 and 43). Blood samples will be taken for analysis at intervals up to day 44. The anticipated time on study treatment is <3 months, and the target sample size is <100 individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tocilizumab [RoActemra/Actemra] | Drug | 10mg/kg iv on day 8 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic parameters for simvastatin and metabolite, and methotrexate and metabolite. | Days 1, 15 and 43 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic parameters for tocilizumab. | Days 11, 22, 29 and 36. | |
| CRP, IL-6, sIL-6R changes | Throughout study | |
| AEs, laboratory parameters. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anniston | Alabama | 36207 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22373834 | Derived | Schmitt C, Kuhn B, Zhang X, Kivitz A, Grange S. Tocilizumab has no clinically relevant effects on methotrexate pharmacokinetics in patients with rheumatoid arthritis. Int J Clin Pharmacol Ther. 2012 Mar;50(3):218-23. doi: 10.5414/cp201613. |
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| Methotrexate |
| Drug |
10-25mg po/week |
|
| Simvastatin | Drug | 40mg po on days 1, 15 and 43 |
|
| Throughout study |
| Scottsdale |
| Arizona |
| 85251 |
| United States |
| Little Rock | Arkansas | 72202 | United States |
| Jacksonville | Florida | 32216 | United States |
| Palm Harbor | Florida | 34684 | United States |
| Royal Oak | Michigan | 48073 | United States |
| Omaha | Nebraska | 68154 | United States |
| Oklahoma City | Oklahoma | 73103 | United States |
| Duncansville | Pennsylvania | 16635 | United States |
| Austin | Texas | 78704 | United States |
| Christchurch | New Zealand |
| 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 |
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| ID | Term |
|---|---|
| C502936 | tocilizumab |
| D008727 | Methotrexate |
| D019821 | Simvastatin |
| ID | Term |
|---|---|
| D000630 | Aminopterin |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D008148 | Lovastatin |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
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