Evaluation of Sarilumab (SAR153191/REGN88) on Top of Meth... | NCT01061736 | Trialant
NCT01061736
Sponsor
Sanofi
Status
Completed
Last Update Posted
Jun 28, 2017Actual
Enrollment
1,675Actual
Phase
Phase 2Phase 3
Conditions
Rheumatoid Arthritis
Interventions
Sarilumab
Placebo (for sarilumab)
Methotrexate
Folic Acid
Countries
United States
Argentina
Australia
Austria
Belarus
Belgium
Brazil
Canada
Chile
Colombia
Czechia
Egypt
Estonia
Finland
Germany
Greece
Hungary
India
Lithuania
Malaysia
Mexico
Netherlands
New Zealand
Norway
Philippines
Poland
Portugal
Romania
Russia
South Africa
South Korea
Spain
Taiwan
Thailand
Turkey (Türkiye)
Ukraine
Protocol Section
Identification Module
NCT ID
NCT01061736
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
EFC11072
Secondary IDs
ID
Type
Description
Link
2009-016266-90
EudraCT Number
Brief Title
Evaluation of Sarilumab (SAR153191/REGN88) on Top of Methotrexate in Rheumatoid Arthritis Patients
Official Title
A Randomized, Double-blind, Placebo-controlled, Multicenter, Two-part, Dose Ranging and Confirmatory Study With an Operationally Seamless Design, Evaluating Efficacy and Safety of SAR153191 on Top of Methotrexate (MTX) in Patients With Active Rheumatoid Arthritis Who Are Inadequate Responders to MTX Therapy
Acronym
RA-MOBILITY
Organization
SanofiINDUSTRY
Status Module
Record Verification Date
Jun 2017
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Mar 2010
Primary Completion Date
Oct 2013Actual
Completion Date
Oct 2013Actual
First Submitted Date
Feb 2, 2010
First Submission Date that Met QC Criteria
Feb 2, 2010
First Posted Date
Feb 3, 2010Estimated
Results Waived
Not provided
Results First Submitted Date
May 23, 2017
Results First Submitted that Met QC Criteria
Jun 27, 2017
Results First Posted Date
Jun 28, 2017Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Nov 19, 2014
Certification/Extension First Submitted that Passed QC Review
Nov 19, 2014
Certification/Extension First Posted Date
Dec 9, 2014Estimated
Last Update Submitted Date
Jun 27, 2017
Last Update Posted Date
Jun 28, 2017Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
SanofiINDUSTRY
Collaborators
Name
Class
Regeneron Pharmaceuticals
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
Primary Objectives:
Part A (dose ranging study):
To demonstrate that sarilumab (SAR153191/REGN88) on top of MTX was effective on reduction of signs and symptoms of rheumatoid arthritis at 12 weeks.
Part B (pivotal study):
To demonstrate that sarilumab added to MTX was effective in:
reduction of signs and symptoms of rheumatoid arthritis at 24 weeks
inhibition of progression of structural damage at 52 weeks
improvement in physical function at 16 weeks
Secondary Objectives:
Part B:
To demonstrate that sarilumab added to MTX was effective in induction of a major clinical response at 52 weeks
To assess the safety of sarilumab added to MTX
To document the pharmacokinetic profile of sarilumab added to MTX in participants with active rheumatoid arthritis who were inadequate responders to MTX therapy.
Detailed Description
The total study duration for a participant was 16-22 weeks (Part A) and 56-62 weeks (Part B) broken down as follows:
Screening: Up to 4 weeks
Treatment: 12 weeks (Part A) and 52 weeks (Part B)*
Follow-up: 6 weeks (for participants who would not continue in the long-term extension study).
'*' Participants successfully completing their treatment period would be offered the opportunity to enter the long term extension study LTS11210 (SARIL-RA-EXTEND) (NCT01146652).
Conditions Module
Conditions
Rheumatoid Arthritis
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
1,675Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Part A: SAR 100 mg qw
Experimental
Sarilumab 100 mg subcutaneous (SC) injection weekly (qw) on top of MTX for 12 weeks.
Drug: Sarilumab
Drug: Methotrexate
Drug: Folic Acid
Part A: SAR 150 mg qw
Experimental
Sarilumab 150 mg SC injection qw on top of MTX for 12 weeks.
Drug: Sarilumab
Drug: Methotrexate
Drug: Folic Acid
Part A: SAR 100 mg q2w
Experimental
Sarilumab 100 mg SC injection every other week (q2w) alternating with placebo on top of MTX for 12 weeks.
Drug: Sarilumab
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part A: SAR 150 mg q2w
Experimental
Sarilumab 150 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
Drug: Sarilumab
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part A: SAR 200 mg q2w
Experimental
Sarilumab 200 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Sarilumab
Drug
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
Part A: SAR 100 mg q2w
Part A: SAR 100 mg qw
Part A: SAR 150 mg q2w
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Part A: Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
ACR20 response was defined, based on guidelines set forth by the American College of Rheumatology (ACR), as ≥20 % improvement in tender joint count and swollen joint count as well as ≥20% improvement in at least 3 of 5 following measures: C-Reactive Protein (CRP), Participant assessment of pain; Participant's global assessment of disease activity; Physician global assessment of disease activity; and Health Assessment Question-Disability Index (HAQ-DI). Missing data imputed by Last Observation Carried Forward (LOCF).
Baseline to Week 12
Part B: Percentage of Participants Achieving ACR20 Response at Week 24
ACR20 improvement responses were determined without imputation of missing post-baseline values. In addition data collected after treatment discontinuation or rescue was set to missing. Responder status was determined if possible. With these rules, participants automatically became non-responders for all time points beyond the time point they started rescue treatment or discontinued study treatment.
Baseline to Week 24
Part B: Change From Baseline in Health Assessment Question Disability Index (HAQ-DI) at Week 16
HAQ-DI was a participant-reported questionnaire that assesses the difficulty of performing daily activities: dress/groom, arise, eat, walk, reach, grip, hygiene and common activities. Overall score range from 0=least difficulty to 3=extreme difficulty. An increase in the score indicates a worsening of physical function while a decrease in the score represents improvement. Data collected after treatment discontinuation was set to missing.
Baseline, Week 16
Part B: Change From Baseline in Van Der Heijde Modified Total Sharp Score (mTSS) at Week 52
The Sharp method modified by D. van der Heijde involves separate scores for erosions and joint space narrowing based on radiographs to assess the degree of structural damage. Total score range from 0 (normal) to 448 (worst possible total score). An increase in total score represents progression of structural damage. Missing data were imputed by the linear extrapolation method.
Secondary Outcomes
Measure
Description
Time Frame
Part B: Percentage of Participants Achieving a Major Clinical Response at Week 52
Major clinical response was defined as an ACR70 response maintained for at least 24 consecutive weeks. ACR70 response uses the same criteria as for ACR20 but requires 70% improvement. In the primary approach, data collected after treatment discontinuation or rescue was set to missing. No imputation of missing post-baseline values was performed. Responder status was determined if possible. With these rules, participants automatically became non-responders for all time points beyond the time point they started rescue treatment or discontinued study treatment.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion criteria :
Diagnosis of rheumatoid arthritis ≥3 months duration
Active disease defined as:
at least 8/68 tender joints and 6/66 swollen joints,
high sensitivity C-reactive protein (hs-CRP) >6 mg/l,
continuous treatment with MTX for at least 12 weeks prior to baseline visit and on stable dose for at least 6 weeks prior to screening visit.
Part B only:
Bone erosion based on documented X-ray prior to first study drug intake, or
Cyclic Citrullinated Peptide (CCP) positive, or
Rheumatoid Factor (RF) positive.
Exclusion criteria:
Age <18 years or >75 years.
Treatment with disease-modifying antirheumatic drugs (DMARDs) other than MTX within 4 weeks or 12 weeks prior to screening (depending on DMARDs).
Past history of non-response to prior Tumor Necrosis Factor (TNF) or biologic treatment.
Any past or current biologic agents for the treatment of rheumatoid arthritis within 3 months.
Use of parenteral glucocorticoids or intraarticular glucocorticoids within 4 weeks prior to screening visit.
Use of oral glucocorticoid greater than 10mg/day or equivalent/day, or a change in dosage within 4 weeks prior to baseline visit.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
75 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Mark C Genovese, MD, Professor of Medicine
Division of Immunology and Rheumatology - Stanford University - USA
Principal Investigator
TWJ Huizinga, Prof Dr
Dpt of Rheumatology - Leiden University Medical Center - The Netherlands
Strand V, Kosinski M, Chen CI, Joseph G, Rendas-Baum R, Graham NM, van Hoogstraten H, Bayliss M, Fan C, Huizinga T, Genovese MC. Sarilumab plus methotrexate improves patient-reported outcomes in patients with active rheumatoid arthritis and inadequate responses to methotrexate: results of a phase III trial. Arthritis Res Ther. 2016 Sep 6;18(1):198. doi: 10.1186/s13075-016-1096-9.
Randomization was performed centrally with allocation generated by Interactive Voice/Web Response System, stratified by geographical region and prior biological use. 306 participants were randomized in Part A. 1369 participants were randomized in part B, 172 before dose selection (cohort 1) and 1197 after dose selection (cohort 2).
Recruitment Details
The study was conducted at 247 centers in 36 countries. Overall, 3715 participants were screened between March 2010 and July 2012, 2040 of whom were screen failures. Screen failures were mainly due to failure to meet the inclusion criterion for severity of the disease and/or due to meeting the exclusion criterion.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Part A: SAR 100 mg qw
Sarilumab 100 mg subcutaneous (SC) injection weekly (qw) on top of methotrexate (MTX) for 12 weeks.
FG001
Part A: SAR 150 mg qw
Sarilumab 150 mg SC injection qw on top of MTX for 12 weeks.
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Not provided
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantInvestigatorOutcomes Assessor
Drug: Sarilumab
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part A: Placebo qw
Placebo Comparator
Placebo (for sarilumab) qw on top of MTX for 12 weeks.
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part B Cohort 1: Non-selected Doses
Experimental
Sarilumab 100 mg qw, 150 mg qw or 100 mg q2w SC injections as in Part A on top of MTX up to dose selection. After dose selection, participants were not continued but were allowed to participate in the open-label, long-term, extension study SARIL-RA-EXTEND (LTS11210).
Drug: Sarilumab
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Experimental
Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.
Drug: Sarilumab
Drug: Methotrexate
Drug: Folic Acid
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Experimental
Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.
Drug: Sarilumab
Drug: Methotrexate
Drug: Folic Acid
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Experimental
Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with open-label highest dose of sarilumab.
Drug: Placebo (for sarilumab)
Drug: Methotrexate
Drug: Folic Acid
Part A: SAR 150 mg qw
Part A: SAR 200 mg q2w
Part B Cohort 1: Non-selected Doses
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
SAR153191
REGN88
Placebo (for sarilumab)
Drug
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
Part A: Placebo qw
Part A: SAR 100 mg q2w
Part A: SAR 150 mg q2w
Part A: SAR 200 mg q2w
Part B Cohort 1: Non-selected Doses
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Methotrexate
Drug
Same weekly dose as received prior to enrollment
Part A: Placebo qw
Part A: SAR 100 mg q2w
Part A: SAR 100 mg qw
Part A: SAR 150 mg q2w
Part A: SAR 150 mg qw
Part A: SAR 200 mg q2w
Part B Cohort 1: Non-selected Doses
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Folic Acid
Drug
According to local standard
Part A: Placebo qw
Part A: SAR 100 mg q2w
Part A: SAR 100 mg qw
Part A: SAR 150 mg q2w
Part A: SAR 150 mg qw
Part A: SAR 200 mg q2w
Part B Cohort 1: Non-selected Doses
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Baseline, Week 52
Baseline up to Week 52
Birmingham
Alabama
35205
United States
Investigational Site Number 840072
Gilbert
Arizona
85234
United States
Investigational Site Number 840029
Beverly Hills
California
90211
United States
Investigational Site Number 840007
Palm Desert
California
92260
United States
Investigational Site Number 840008
San Francisco
California
94143
United States
Investigational Site Number 840021
Santa Maria
California
94354
United States
Investigational Site Number 840049
Upland
California
91786
United States
Investigational Site Number 840050
Dunedin
Florida
34698
United States
Investigational Site Number 840041
Jacksonville
Florida
32209
United States
Investigational Site Number 840067
Jupiter
Florida
33458
United States
Investigational Site Number 840048
Miami
Florida
33155
United States
Investigational Site Number 840006
Orlando
Florida
32806
United States
Investigational Site Number 840063
Palm Harbor
Florida
34684
United States
Investigational Site Number 840060
Sarasota
Florida
34239
United States
Investigational Site Number 840003
Atlanta
Georgia
30322
United States
Investigational Site Number 840028
Decatur
Georgia
30033
United States
Investigational Site Number 840027
Marietta
Georgia
30060
United States
Investigational Site Number 840018
Idaho Falls
Idaho
83404
United States
Investigational Site Number 840046
Chicago
Illinois
60612
United States
Investigational Site Number 840015
Lexington
Kentucky
40504
United States
Investigational Site Number 840073
Cumberland
Maryland
21502
United States
Investigational Site Number 840055
Frederick
Maryland
21702
United States
Investigational Site Number 840013
Wheaton
Maryland
20902
United States
Investigational Site Number 840066
St Louis
Missouri
63117
United States
Investigational Site Number 840071
Omaha
Nebraska
68114
United States
Investigational Site Number 840056
New York
New York
10016
United States
Investigational Site Number 840068
Hickory
North Carolina
28601
United States
Investigational Site Number 840044
Toledo
Ohio
43606
United States
Investigational Site Number 840002
Oklahoma City
Oklahoma
73103
United States
Investigational Site Number 840011
Tulsa
Oklahoma
74104
United States
Investigational Site Number 840065
Tulsa
Oklahoma
74135
United States
Investigational Site Number 840010
Bethlehem
Pennsylvania
18015
United States
Investigational Site Number 840009
Duncansville
Pennsylvania
16635
United States
Investigational Site Number 840062
Reading
Pennsylvania
19611
United States
Investigational Site Number 840058
Columbia
South Carolina
29204
United States
Investigational Site Number 840016
North Charleston
South Carolina
29406
United States
Investigational Site Number 840025
Jackson
Tennessee
38305
United States
Investigational Site Number 840001
Dallas
Texas
75231
United States
Investigational Site Number 840022
Dallas
Texas
75235
United States
Investigational Site Number 840012
Dallas
Texas
75390
United States
Investigational Site Number 840020
Houston
Texas
77034
United States
Investigational Site Number 840069
Lubbock
Texas
79424
United States
Investigational Site Number 840074
Mesquite
Texas
75150
United States
Investigational Site Number 840061
Tacoma
Washington
98405
United States
Investigational Site Number 032005
Buenos Aires
4000
Argentina
Investigational Site Number 032007
Buenos Aires
Argentina
Investigational Site Number 032008
Buenos Aires
Argentina
Investigational Site Number 032006
Caba
C1015ABO
Argentina
Investigational Site Number 032002
Córdoba
X5004BAL
Argentina
Investigational Site Number 032003
Córdoba
Argentina
Investigational Site Number 032012
Mar del Plata
B7600
Argentina
Investigational Site Number 032011
Quilmes
B1878DVB
Argentina
Investigational Site Number 032010
Ramos Mejía
1704
Argentina
Investigational Site Number 032001
Rosario
2000
Argentina
Investigational Site Number 032004
San Miguel de Tucumán
4000
Argentina
Investigational Site Number 032009
Zárate
2800
Argentina
Investigational Site Number 036003
Camperdown
2050
Australia
Investigational Site Number 036005
Clayton
3168
Australia
Investigational Site Number 036012
Fitzroy
3065
Australia
Investigational Site Number 036010
Garran
2605
Australia
Investigational Site Number 036004
Heidelberg West
3081
Australia
Investigational Site Number 036009
Herston
4029
Australia
Investigational Site Number 036002
Malvern East
3145
Australia
Investigational Site Number 036001
Maroochydore
4558
Australia
Investigational Site Number 036006
St Leonards
2065
Australia
Investigational Site Number 036011
Sydney
2035
Australia
Investigational Site Number 036014
Victoria Park
6100
Australia
Investigational Site Number 036007
Woodville
5011
Australia
Investigational Site Number 040001
Graz
8036
Austria
Investigational Site Number 040002
Vienna
1100
Austria
Investigational Site Number 112002
Minsk
220037
Belarus
Investigational Site Number 112001
Minsk
220116
Belarus
Investigational Site Number 056003
Genk
3600
Belgium
Investigational Site Number 056001
Liège
4000
Belgium
Investigational Site Number 076008
Campinas
13015-001
Brazil
Investigational Site Number 076012
Campinas
13083-970
Brazil
Investigational Site Number 076001
Curitiba
80060-240
Brazil
Investigational Site Number 076006
Goiânia
74110-120
Brazil
Investigational Site Number 076010
Juiz de Fora
36010-570
Brazil
Investigational Site Number 076004
Porto Alegre
90610-000
Brazil
Investigational Site Number 076005
Rio de Janeiro
20551-030
Brazil
Investigational Site Number 076011
Salvador
40050-410
Brazil
Investigational Site Number 076002
São Paulo
04039-901
Brazil
Investigational Site Number 076003
São Paulo
04230 000
Brazil
Investigational Site Number 076013
Vitória
29055 450
Brazil
Investigational Site Number 124004
Burlington
L7R 1E2
Canada
Investigational Site Number 124003
Mississauga
L5M 2V8
Canada
Investigational Site Number 124008
Newmarket
L3Y 3R7
Canada
Investigational Site Number 124002
St. Catharines
L2N 7E4
Canada
Investigational Site Number 124005
Toronto
M5T 2S8
Canada
Investigational Site Number 124001
Toronto
M9R 2Y8
Canada
Investigational Site Number 124012
Winnipeg
R3A 1M3
Canada
Investigational Site Number 152005
Osorno
Chile
Investigational Site Number 152010
Port Montt
Chile
Investigational Site Number 152012
Santiago
7500922
Chile
Investigational Site Number 152001
Santiago
Chile
Investigational Site Number 152002
Santiago
Chile
Investigational Site Number 152008
Santiago
Chile
Investigational Site Number 152009
Santiago
Chile
Investigational Site Number 152011
Santiago
Chile
Investigational Site Number 152013
Santiago
Chile
Investigational Site Number 152014
Talca
3460000
Chile
Investigational Site Number 152004
Valdivia
Chile
Investigational Site Number 152007
Viña del Mar
2570017
Chile
Investigational Site Number 152006
Viña del Mar
Chile
Investigational Site Number 170004
Barranquilla
Colombia
Investigational Site Number 170001
Bogotá
Colombia
Investigational Site Number 170003
Bogotá
Colombia
Investigational Site Number 170006
Bogotá
Colombia
Investigational Site Number 170008
Bogotá
Colombia
Investigational Site Number 170007
Bucaramanga
Colombia
Investigational Site Number 170009
Bucaramanga
Colombia
Investigational Site Number 170002
Medellín
Colombia
Investigational Site Number 203005
Brno
63801
Czechia
Investigational Site Number 203004
Hlučín
74801
Czechia
Investigational Site Number 203001
Prague
12850
Czechia
Investigational Site Number 203002
Uherské Hradiště
68601
Czechia
Investigational Site Number 818001
Cairo
Egypt
Investigational Site Number 818002
Cairo
Egypt
Investigational Site Number 233001
Tallinn
10128
Estonia
Investigational Site Number 233002
Tallinn
13419
Estonia
Investigational Site Number 246001
Helsinki
00290
Finland
Investigational Site Number 246002
Hyvinkää
05800
Finland
Investigational Site Number 246003
Pori
28100
Finland
Investigational Site Number 276007
Berlin
12161
Germany
Investigational Site Number 276008
Berlin
12161
Germany
Investigational Site Number 276004
Erlangen
91054
Germany
Investigational Site Number 276003
Frankfurt am Main
60590
Germany
Investigational Site Number 276015
Halle
06108
Germany
Investigational Site Number 276005
Hamburg
22081
Germany
Investigational Site Number 276013
Hamburg
22147
Germany
Investigational Site Number 276012
Heidelberg
69120
Germany
Investigational Site Number 276001
Herne
44652
Germany
Investigational Site Number 276006
Hildesheim
31134
Germany
Investigational Site Number 300001
Athens
11527
Greece
Investigational Site Number 300002
Heraklion
71110
Greece
Investigational Site Number 300003
Thessaloniki
546 36
Greece
Investigational Site Number 348006
Budapest
1023
Hungary
Investigational Site Number 348014
Budapest
1027
Hungary
Investigational Site Number 348003
Debrecen
4032
Hungary
Investigational Site Number 348010
Debrecen
4043
Hungary
Investigational Site Number 348011
Eger
3300
Hungary
Investigational Site Number 348013
Gy?r
9025
Hungary
Investigational Site Number 348005
Sátoraljaújhely
3980
Hungary
Investigational Site Number 348015
Szombathely
H-9700
Hungary
Investigational Site Number 348004
Veszprém
8200
Hungary
Investigational Site Number 356015
Ahmedabad
380009
India
Investigational Site Number 356007
Bangalore
560079
India
Investigational Site Number 356003
Chennai
600004
India
Investigational Site Number 356012
Hyderabad
500003
India
Investigational Site Number 356005
Hyderabad
500004
India
Investigational Site Number 356011
Lucknow
226003
India
Investigational Site Number 356013
Lucknow
226014
India
Investigational Site Number 356001
Maharashtra
411 001
India
Investigational Site Number 356010
Mumbai
400008
India
Investigational Site Number 356004
Mumbai
400012
India
Investigational Site Number 356002
New Delhi
122001
India
Investigational Site Number 356008
New Delhi
76
India
Investigational Site Number 440001
Kaunas
LT-50009
Lithuania
Investigational Site Number 440002
Vilnius
LT-08661
Lithuania
Investigational Site Number 458001
Ipoh
30990
Malaysia
Investigational Site Number 458002
Kuching
93586
Malaysia
Investigational Site Number 458003
Putrajaya
Malaysia
Investigational Site Number 484008
Durango
34270
Mexico
Investigational Site Number 484002
Guadalajara
44690
Mexico
Investigational Site Number 484007
Metepec
52140
Mexico
Investigational Site Number 484001
Mexico City
11850
Mexico
Investigational Site Number 484003
Mexico City
6726
Mexico
Investigational Site Number 484004
Mérida
97000
Mexico
Investigational Site Number 484009
Mérida
97000
Mexico
Investigational Site Number 484005
Monterrey
64000
Mexico
Investigational Site Number 528002
Heerlen
6419 PC
Netherlands
Investigational Site Number 554004
Christchurch
8002
New Zealand
Investigational Site Number 554002
Rotorua
New Zealand
Investigational Site Number 554003
Tauranga
3001
New Zealand
Investigational Site Number 554001
Timaru
New Zealand
Investigational Site Number 578004
Kristiansand
4604
Norway
Investigational Site Number 578006
Tønsberg
3105
Norway
Investigational Site Number 608003
Cebu City
6000
Philippines
Investigational Site Number 608001
Manila
1008
Philippines
Investigational Site Number 608002
Manila
Philippines
Investigational Site Number 616002
Bialystok
15-354
Poland
Investigational Site Number 616003
Bialystok
15-461
Poland
Investigational Site Number 616001
Krakow
30-510
Poland
Investigational Site Number 616005
Lublin
20-607
Poland
Investigational Site Number 616006
Torun
87-100
Poland
Investigational Site Number 616004
Warsaw
02-118
Poland
Investigational Site Number 616012
Wroclaw
50-044
Poland
Investigational Site Number 620003
Aveiro
3814-501
Portugal
Investigational Site Number 620001
Lisbon
1649-035
Portugal
Investigational Site Number 620002
Lisbon
Portugal
Investigational Site Number 642006
Brăila
810019
Romania
Investigational Site Number 642001
Bucharest
010976
Romania
Investigational Site Number 642002
Bucharest
020983
Romania
Investigational Site Number 642003
Bucharest
400347
Romania
Investigational Site Number 642004
Bucharest
Romania
Investigational Site Number 642010
Bucharest
Romania
Investigational Site Number 642005
Galati
800578
Romania
Investigational Site Number 642008
Ploieşti
Romania
Investigational Site Number 643017
Kemerovo
650066
Russia
Investigational Site Number 643006
Kemerovo
650099
Russia
Investigational Site Number 643004
Moscow
107014
Russia
Investigational Site Number 643020
Moscow
115404
Russia
Investigational Site Number 643001
Moscow
115522
Russia
Investigational Site Number 643002
Moscow
117997
Russia
Investigational Site Number 643012
Moscow
121359
Russia
Investigational Site Number 643009
Novosibirsk
630099
Russia
Investigational Site Number 643016
Ryazan
390026
Russia
Investigational Site Number 643007
Saint Petersburg
190068
Russia
Investigational Site Number 643008
Saint Petersburg
192242
Russia
Investigational Site Number 643014
Saint Petersburg
196247
Russia
Investigational Site Number 643010
Samara
443095
Russia
Investigational Site Number 643011
Saratov
410053
Russia
Investigational Site Number 643013
Ufa
450005
Russia
Investigational Site Number 710011
Cape Town
7405
South Africa
Investigational Site Number 710007
Cape Town
7530
South Africa
Investigational Site Number 710009
Cape Town
8001
South Africa
Investigational Site Number 710003
Durban
4001
South Africa
Investigational Site Number 710002
Durban
4091
South Africa
Investigational Site Number 710001
Johannesburg
2013
South Africa
Investigational Site Number 710004
Kempton Park
1619
South Africa
Investigational Site Number 710005
Pretoria
0075
South Africa
Investigational Site Number 710006
Pretoria
0182
South Africa
Investigational Site Number 710008
Pretoria
South Africa
Investigational Site Number 710010
Stellenbosch
7600
South Africa
Investigational Site Number 410014
Anyang
431-070
South Korea
Investigational Site Number 410006
Busan
602-739
South Korea
Investigational Site Number 410004
Daegu
700-721
South Korea
Investigational Site Number 410013
Daegu
705-718
South Korea
Investigational Site Number 410005
Daejeon
302-799
South Korea
Investigational Site Number 410010
Gwangju
501-757
South Korea
Investigational Site Number 410009
Incheon
400-711
South Korea
Investigational Site Number 410001
Incheon
South Korea
Investigational Site Number 410011
Jeonju
561-712
South Korea
Investigational Site Number 410007
Seoul
110-744
South Korea
Investigational Site Number 410012
Seoul
133-792
South Korea
Investigational Site Number 410003
Seoul
150-713
South Korea
Investigational Site Number 410002
Seoul
South Korea
Investigational Site Number 410008
Suwon
443-721
South Korea
Investigational Site Number 724009
A Coruña
15006
Spain
Investigational Site Number 724010
Barcelona
08025
Spain
Investigational Site Number 724011
Sabadell
08208
Spain
Investigational Site Number 724012
Santiago de Compostela
15705
Spain
Investigational Site Number 724007
Seville
41008
Spain
Investigational Site Number 158002
Linkou District
333
Taiwan
Investigational Site Number 158001
Taipei
100
Taiwan
Investigational Site Number 764001
Bangkok
10400
Thailand
Investigational Site Number 764003
Bangkok
10700
Thailand
Investigational Site Number 792003
Adana
01330
Turkey (Türkiye)
Investigational Site Number 792002
Ankara
06100
Turkey (Türkiye)
Investigational Site Number 792005
Ankara
Turkey (Türkiye)
Investigational Site Number 792004
Antalya
07059
Turkey (Türkiye)
Investigational Site Number 792001
Izmir
35340
Turkey (Türkiye)
Investigational Site Number 804003
Dnipropetrovsk
49008
Ukraine
Investigational Site Number 804002
Donetsk
83114
Ukraine
Investigational Site Number 804010
Kharkiv
61022
Ukraine
Investigational Site Number 804008
Kyiv
01023
Ukraine
Investigational Site Number 804004
Kyiv
03151
Ukraine
Investigational Site Number 804005
Lviv
79005
Ukraine
Investigational Site Number 804006
Simferopol
95017
Ukraine
Investigational Site Number 804009
Zaporizhzhia
69600
Ukraine
Result
Huizinga TW, Fleischmann RM, Jasson M, Radin AR, van Adelsberg J, Fiore S, Huang X, Yancopoulos GD, Stahl N, Genovese MC. Sarilumab, a fully human monoclonal antibody against IL-6Ralpha in patients with rheumatoid arthritis and an inadequate response to methotrexate: efficacy and safety results from the randomised SARIL-RA-MOBILITY Part A trial. Ann Rheum Dis. 2014 Sep;73(9):1626-34. doi: 10.1136/annrheumdis-2013-204405. Epub 2013 Dec 2.
Genovese MC, Fleischmann R, Kivitz AJ, Rell-Bakalarska M, Martincova R, Fiore S, Rohane P, van Hoogstraten H, Garg A, Fan C, van Adelsberg J, Weinstein SP, Graham NM, Stahl N, Yancopoulos GD, Huizinga TW, van der Heijde D. Sarilumab Plus Methotrexate in Patients With Active Rheumatoid Arthritis and Inadequate Response to Methotrexate: Results of a Phase III Study. Arthritis Rheumatol. 2015 Jun;67(6):1424-37. doi: 10.1002/art.39093.
Choy E, Bykerk V, Lee YC, van Hoogstraten H, Ford K, Praestgaard A, Perrot S, Pope J, Sebba A. Disproportionate articular pain is a frequent phenomenon in rheumatoid arthritis and responds to treatment with sarilumab. Rheumatology (Oxford). 2023 Jul 5;62(7):2386-2393. doi: 10.1093/rheumatology/keac659.
Rubbert-Roth A, Furst DE, Fiore S, Praestgaard A, Bykerk V, Bingham CO, Charles-Schoeman C, Burmester G. Association between low hemoglobin, clinical measures, and patient-reported outcomes in patients with rheumatoid arthritis: results from post hoc analyses of three phase III trials of sarilumab. Arthritis Res Ther. 2022 Aug 25;24(1):207. doi: 10.1186/s13075-022-02891-x.
Rehberg M, Giegerich C, Praestgaard A, van Hoogstraten H, Iglesias-Rodriguez M, Curtis JR, Gottenberg JE, Schwarting A, Castaneda S, Rubbert-Roth A, Choy EHS; MOBILITY, MONARCH, TARGET, and ASCERTAIN investigators. Identification of a Rule to Predict Response to Sarilumab in Patients with Rheumatoid Arthritis Using Machine Learning and Clinical Trial Data. Rheumatol Ther. 2021 Dec;8(4):1661-1675. doi: 10.1007/s40744-021-00361-5. Epub 2021 Sep 14.
Genovese MC, Burmester GR, Hagino O, Thangavelu K, Iglesias-Rodriguez M, John GS, Gonzalez-Gay MA, Mandrup-Poulsen T, Fleischmann R. Interleukin-6 receptor blockade or TNFalpha inhibition for reducing glycaemia in patients with RA and diabetes: post hoc analyses of three randomised, controlled trials. Arthritis Res Ther. 2020 Sep 9;22(1):206. doi: 10.1186/s13075-020-02229-5.
Genovese MC, Fleischmann R, Kivitz A, Lee EB, van Hoogstraten H, Kimura T, St John G, Mangan EK, Burmester GR. Efficacy and safety of sarilumab in combination with csDMARDs or as monotherapy in subpopulations of patients with moderately to severely active rheumatoid arthritis in three phase III randomized, controlled studies. Arthritis Res Ther. 2020 Jun 10;22(1):139. doi: 10.1186/s13075-020-02194-z.
Boyapati A, Schwartzman S, Msihid J, Choy E, Genovese MC, Burmester GR, Lam G, Kimura T, Sadeh J, Weinreich DM, Yancopoulos GD, Graham NMH. Association of High Serum Interleukin-6 Levels With Severe Progression of Rheumatoid Arthritis and Increased Treatment Response Differentiating Sarilumab From Adalimumab or Methotrexate in a Post Hoc Analysis. Arthritis Rheumatol. 2020 Sep;72(9):1456-1466. doi: 10.1002/art.41299. Epub 2020 Aug 25.
Genovese MC, van der Heijde D, Lin Y, St John G, Wang S, van Hoogstraten H, Gomez-Reino JJ, Kivitz A, Maldonado-Cocco JA, Seriolo B, Stanislav M, Burmester GR. Long-term safety and efficacy of sarilumab plus methotrexate on disease activity, physical function and radiographic progression: 5 years of sarilumab plus methotrexate treatment. RMD Open. 2019 Aug 1;5(2):e000887. doi: 10.1136/rmdopen-2018-000887. eCollection 2019.
Muszbek N, Proudfoot C, Fournier M, Chen CI, Kuznik A, Kiss Z, Gal P, Michaud K. Economic Evaluation of Sarilumab in the Treatment of Adult Patients with Moderately-to-Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Conventional Synthetic Disease-Modifying Antirheumatic Drugs. Adv Ther. 2019 Jun;36(6):1337-1357. doi: 10.1007/s12325-019-00946-1. Epub 2019 Apr 19.
Boyapati A, Msihid J, Fiore S, van Adelsberg J, Graham NM, Hamilton JD. Sarilumab plus methotrexate suppresses circulating biomarkers of bone resorption and synovial damage in patients with rheumatoid arthritis and inadequate response to methotrexate: a biomarker study of MOBILITY. Arthritis Res Ther. 2016 Oct 6;18(1):225. doi: 10.1186/s13075-016-1132-9.
FG002
Part A: SAR 100 mg q2w
Sarilumab 100 mg SC injection every other week (q2w) alternating with placebo on top of MTX for 12 weeks.
FG003
Part A: SAR 150 mg q2w
Sarilumab 150 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
FG004
Part A: SAR 200 mg q2w
Sarilumab 200 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
FG005
Part A: Placebo qw
Placebo (for sarilumab) qw on top of MTX for 12 weeks.
FG006
Part B Cohort 1: Non-selected Doses
Sarilumab 100 mg qw, 150 mg qw or 100 mg q2w SC injections as in Part A on top of MTX up to dose selection. After dose selection, participants were not continued but were allowed to participate in the open-label, long-term, extension study SARIL-RA-EXTEND (LTS11210).
FG007
Part B: SAR 150 mg q2w (Cohort 1 [Selected Dose]+Cohort 2)
Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
FG008
Part B: SAR 200 mg q2w (Cohort 1 [Selected Dose]+Cohort 2)
Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
FG009
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
FG00050 subjects
FG00150 subjects
FG00251 subjects
FG00351 subjects
FG00452 subjects
FG00552 subjects
FG00684 subjects
FG007430 subjects
FG008427 subjects
FG009428 subjects
Treated
FG00050 subjects
FG00150 subjects
FG00251 subjects
FG00351 subjects
FG00451 subjects
FG00552 subjects
FG00684 subjects
FG007428 subjects
FG008426 subjects
FG009428 subjects
Rescued
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG00761 subjectsIncluded both participants who completed and did not complete the study.
FG00855 subjectsIncluded both participants who completed and did not complete the study.
FG009168 subjectsIncluded both participants who completed and did not complete the study.
COMPLETED
FG00037 subjects
FG00146 subjects
FG00245 subjects
FG00348 subjects
FG00445 subjects
FG00549 subjects
FG0060 subjects
FG007336 subjects
FG008330 subjects
FG009354 subjects
NOT COMPLETED
FG00013 subjects
FG0014 subjects
FG0026 subjects
FG0033 subjects
FG0047 subjects
FG0053 subjects
FG00684 subjects
FG00794 subjects
FG00897 subjects
FG00974 subjects
Type
Comment
Reasons
Dose regimen not selected
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG00679 subjects
FG0070 subjects
FG0080 subjects
FG0090 subjects
Adverse Event
FG00013 subjects
FG0011 subjects
FG0023 subjects
FG0032 subjects
FG004
Lack of Efficacy
FG0000 subjects
FG0012 subjects
FG0021 subjects
FG0031 subjects
FG004
Poor compliance to protocol
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Not treated
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Other than specified above
FG0000 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG004
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Part A: SAR 100 mg qw
Sarilumab 100 mg SC injection qw on top of MTX for 12 weeks.
BG001
Part A: SAR 150 mg qw
Sarilumab 150 mg SC injection qw on top of MTX for 12 weeks.
BG002
Part A: SAR 100 mg q2w
Sarilumab 100 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
BG003
Part A: SAR 150 mg q2w
Sarilumab 150 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
BG004
Part A: SAR 200 mg q2w
Sarilumab 200 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
BG005
Part A: Placebo qw
Placebo (for sarilumab) qw on top of MTX for 12 weeks.
BG006
Part B Cohort 1: Non-selected Doses
Sarilumab 100 mg qw, 150 mg qw or 100 mg q2w SC injections on top of MTX up to dose selection. After dose selection, participants were not continued but were allowed to participate in the open-label, long-term, extension study SARIL-RA-EXTEND (LTS11210).
BG007
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
BG008
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
BG009
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks. Participants with inadequate response from Week 16 could be rescued with high dose of sarilumab (SAR 200 mg q2w).
BG010
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00050
BG00150
BG00251
BG00351
BG00452
BG00552
BG00684
BG007430
BG008427
BG009428
BG0101675
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00053.9± 12.3
BG00150.9± 11.1
BG00253.5± 11.8
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00041
BG00142
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Part A: Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
ACR20 response was defined, based on guidelines set forth by the American College of Rheumatology (ACR), as ≥20 % improvement in tender joint count and swollen joint count as well as ≥20% improvement in at least 3 of 5 following measures: C-Reactive Protein (CRP), Participant assessment of pain; Participant's global assessment of disease activity; Physician global assessment of disease activity; and Health Assessment Question-Disability Index (HAQ-DI). Missing data imputed by Last Observation Carried Forward (LOCF).
Part A Intent-to-treat (ITT) population defined as all randomized participants.
Posted
Number
Percentage of participants
Baseline to Week 12
ID
Title
Description
OG000
Part A: SAR 100 mg qw
Sarilumab 100 mg SC injection qw on top of MTX for 12 weeks.
OG001
Part A: SAR 150 mg qw
Sarilumab 150 mg SC injection qw on top of MTX for 12 weeks.
OG002
Part A: SAR 100 mg q2w
Sarilumab 100 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
OG003
Part A: SAR 150 mg q2w
Sarilumab 150 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
OG004
Part A: SAR 200 mg q2w
Sarilumab 200 mg SC injection q2w alternating with placebo on top of MTX for 12 weeks.
OG005
Part A: Placebo qw
Placebo (for sarilumab) qw on top of MTX for 12 weeks.
Units
Counts
Participants
OG00050
OG00150
OG00251
OG003
Title
Denominators
Categories
Title
Measurements
OG00062
OG00172
OG00249
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG005
Analysis was performed using two-sided Cochran-Mantel-Haenszel test. Pairwise comparisons of the response rates between each dose of sarilumab and placebo were derived. The multiplicity issues were addressed by using the Hommel-procedure.
Cochran-Mantel-Haenszel
0.1155
Threshold for significance = 0.05.
Odds Ratio (OR)
1.99
2-Sided
95
0.85
4.64
Superiority or Other
Primary
Part B: Percentage of Participants Achieving ACR20 Response at Week 24
ACR20 improvement responses were determined without imputation of missing post-baseline values. In addition data collected after treatment discontinuation or rescue was set to missing. Responder status was determined if possible. With these rules, participants automatically became non-responders for all time points beyond the time point they started rescue treatment or discontinued study treatment.
ITT population which included all participants randomized after dose selection (cohort 2).
Posted
Number
Percentage of participants
Baseline to Week 24
ID
Title
Description
OG000
Part B: SAR 150 mg q2w
Participants randomized after dose selection received Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG001
Part B: SAR 200 mg q2w
Participants randomized after dose selection received Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG002
Part B: Placebo q2w
Participants randomized after dose selection received Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks
Primary
Part B: Change From Baseline in Health Assessment Question Disability Index (HAQ-DI) at Week 16
HAQ-DI was a participant-reported questionnaire that assesses the difficulty of performing daily activities: dress/groom, arise, eat, walk, reach, grip, hygiene and common activities. Overall score range from 0=least difficulty to 3=extreme difficulty. An increase in the score indicates a worsening of physical function while a decrease in the score represents improvement. Data collected after treatment discontinuation was set to missing.
Cohort 2 ITT population only and included participants with available data of HAQ-DI at baseline and on or before Week 16.
Posted
Mean
Standard Deviation
units on a scale
Baseline, Week 16
ID
Title
Description
OG000
Part B: SAR 150 mg q2w
Participants randomized after dose selection received Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG001
Part B: SAR 200 mg q2w
Participants randomized after dose selection received Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG002
Part B: Placebo q2w
Participants randomized after dose selection received Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks.
Primary
Part B: Change From Baseline in Van Der Heijde Modified Total Sharp Score (mTSS) at Week 52
The Sharp method modified by D. van der Heijde involves separate scores for erosions and joint space narrowing based on radiographs to assess the degree of structural damage. Total score range from 0 (normal) to 448 (worst possible total score). An increase in total score represents progression of structural damage. Missing data were imputed by the linear extrapolation method.
Cohort 2 ITT population and included participants with available data of mTSS at baseline and on or before Week 52.
Posted
Mean
Standard Deviation
units on a scale
Baseline, Week 52
ID
Title
Description
OG000
Part B: SAR 150 mg q2w
Participants randomized after dose selection received Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG001
Part B: SAR 200 mg q2w
Participants randomized after dose selection received Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG002
Part B: Placebo q2w
Participants randomized after dose selection received Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks.
Secondary
Part B: Percentage of Participants Achieving a Major Clinical Response at Week 52
Major clinical response was defined as an ACR70 response maintained for at least 24 consecutive weeks. ACR70 response uses the same criteria as for ACR20 but requires 70% improvement. In the primary approach, data collected after treatment discontinuation or rescue was set to missing. No imputation of missing post-baseline values was performed. Responder status was determined if possible. With these rules, participants automatically became non-responders for all time points beyond the time point they started rescue treatment or discontinued study treatment.
ITT population which included all participants randomized after dose selection (cohort 2).
Posted
Number
Percentage of participants
Baseline up to Week 52
ID
Title
Description
OG000
Part B: SAR 150 mg q2w
Participants randomized after dose selection received Sarilumab 150 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG001
Part B: SAR 200 mg q2w
Participants randomized after dose selection received Sarilumab 200 mg SC injection q2w on top of MTX for a maximum of 52 weeks.
OG002
Part B: Placebo q2w
Participants randomized after dose selection received Placebo (for sarilumab) q2w on top of MTX for a maximum of 52 weeks.
Time Frame
All Adverse Events (AE) were collected from signature of the informed consent form up to study completion regardless of seriousness or relationship to investigational medicinal product (IMP).
Description
Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'on treatment period' (from the first IMP injection up to the end of the study). Safety population defined as all randomized participants who received at least one dose of IMP.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Part A: SAR 100 mg qw
Part A participants exposed to sarilumab 100 mg qw on top of MTX (mean exposure of 10 weeks).
3
50
16
50
EG001
Part A: SAR 150 mg qw
Part A participants exposed to sarilumab 150 mg qw on top of MTX (mean exposure of 12 weeks).
0
50
16
50
EG002
Part A: SAR 100 mg q2w
Part A participants exposed to sarilumab 100 mg q2w on top of MTX (mean exposure of 11 weeks).
3
51
7
51
EG003
Part A: SAR 150 mg q2w
Part A participants exposed to sarilumab 150 mg q2w on top of MTX (mean exposure of 12 weeks). Included the participant randomized to placebo qw who received sarilumab 150 mg q2w in error.
0
52
12
52
EG004
Part A: SAR 200 mg q2w
Part A participants exposed to sarilumab 200 mg q2w on top of MTX (mean exposure of 11 weeks).
0
51
19
51
EG005
Part A: Placebo qw
Part A participants exposed to placebo on top of MTX (mean exposure of 12 weeks). Excluded 1 participant who received an erroneous IMP kit with sarilumab 150 mg q2w. He/she was considered in the 150 mg q2w treatment group for safety analysis.
2
51
11
51
EG006
Part B: SAR 100 mg qw Cohort 1 (Non-selected Dose)
Part B participants exposed to sarilumab 100 mg qw on top of MTX (mean exposure of 10 weeks).
2
29
6
29
EG007
Part B: SAR 150 mg qw Cohort 1 (Non-selected Dose)
Part B participants exposed to sarilumab 150 mg qw on top of MTX (mean exposure of 12 weeks). Excluded 1 participant who received sarilumab 100 mg q2w in error. He/she was considered in the 100 mg q2w treatment group for safety analysis.
2
26
8
26
EG008
Part B: SAR 100 mg q2w Cohort 1 (Non-selected Dose)
Part B participants exposed to sarilumab 100 mg q2w on top of MTX (mean exposure of 13 weeks). Included 1 participant who received sarilumab 100 mg q2w in error.
0
29
6
29
EG009
Part B: SAR 150 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B participants exposed to sarilumab 150 mg q2w on top of MTX (mean exposure of 42 weeks). 61 participants with inadequate response from Week 16 rescued with high dose of sarilumab (SAR 200 mg q2w) were not included. Included 3 participants randomized to sarilumab 200 mg q2w who received at least one dose of sarilumab 150 mg q2w in error.
35
370
163
370
EG010
Part B: SAR 200 mg q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B participants exposed to sarilumab 200 mg q2w on top of MTX (mean exposure of 42 weeks). 55 participants with inadequate response from Week 16 rescued with high dose of sarilumab (SAR 200 mg q2w) were not included. Excluded 3 participants randomized to sarilumab 200 mg q2w who received at least one dose of sarilumab 150 mg q2w in error and included a participant randomized to placebo q2w who received sarilumab 200 mg q2w in error.
46
369
194
369
EG011
Part B: Placebo q2w (Cohort 1[Selected Dose]+Cohort 2)
Part B participants exposed to placebo q2w on top of MTX (mean exposure of 40 weeks). 168 participants with inadequate response from Week 16 rescued with high dose of sarilumab (SAR 200 mg q2w) were not included. Excluded 1 participant randomized to placebo q2w who received sarilumab 200 mg q2w in error. He/she was considered in the 200 mg q2w treatment group for safety analysis.
21
259
95
259
EG012
Part B Sarilumab Rescue: Cohort 1(Selected Doses)+Cohort2
Part B participants exposed to sarilumab 150 mg q2w or 200 mg q2w or placebo q2w, without adequate response from Week 16, rescued with high dose of sarilumab (SAR 200 mg q2w) (mean exposure of 49 weeks from beginning of randomization to the end of rescue treatment).
7
284
83
284
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Iron deficiency anemia
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG0030 affected52 at risk
EG004
Leukopenia
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Neutropenia
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Splenic vein thrombosis
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Thrombocytopenia
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cardio-respiratory arrest
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cardiovascular insufficiency
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Myocardial ischemia
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pericarditis
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Right ventricular failure
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Sick sinus syndrome
Cardiac disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Conjunctivitis
Eye disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Abdominal discomfort
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Abdominal wall hematoma
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Alcoholic pancreatitis
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Duodenal ulcer
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Duodenal ulcer hemorrhage
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Duodenal ulcer perforation
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Duodenitis
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Gastric hemorrhage
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Gastric ulcer hemorrhage
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hemorrhoids
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pancreatitis
Gastrointestinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Immediate post-injection reaction
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Impaired healing
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pyrexia
General disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Bile duct stone
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cholecystitis chronic
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Drug-induced liver injury
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hepatitis toxic
Hepatobiliary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Abscess limb
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Abscess oral
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Arthritis bacterial
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Bronchitis fungal
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Clostridium difficile colitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Endometritis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Erysipelas
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Herpes zoster
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Incision site infection
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Infected skin ulcer
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Necrotising fasciitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Osteomyelitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Otitis media acute
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Otitis media chronic
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pelvic abscess
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pharyngitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pneumonia streptococcal
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pyelonephritis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pyelonephritis chronic
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Septic shock
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Subacute endocarditis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Tinea cruris
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hip fracture
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Joint dislocation
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Ligament rupture
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Procedural pain
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Road traffic accident
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Tendon rupture
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Wound hemorrhage
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Blood alkaline phosphatase increased
Investigations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hepatic enzyme increased
Investigations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Transaminases increased
Investigations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Diabetes mellitus
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hypercalcemia
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Type 2 diabetes mellitus
Metabolism and nutrition disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Lumbar spinal stenosis
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pathological fracture
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Rheumatoid arthritis
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Basal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Breast cancer metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Invasive lobular breast carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Malignant melanoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Meningioma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Neoplasm of appendix
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Plasmacytoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Squamous cell carcinoma of skin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Brain oedema
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Dizziness
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Embolic cerebral infarction
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Ischemic stroke
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Syncope
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Transient ischemic attack
Nervous system disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Abortion spontaneous
Pregnancy, puerperium and perinatal conditions
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Completed suicide
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Depression
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Psychotic disorder
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Suicide attempt
Psychiatric disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Renal failure
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Renal failure acute
Renal and urinary disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Metrorrhagia
Reproductive system and breast disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Acute respiratory distress syndrome
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Bronchial secretion retention
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Chronic obstructive pulmonary disease
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Interstitial lung disease
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pneumonitis
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Pulmonary oedema
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Respiratory distress
Respiratory, thoracic and mediastinal disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Cutaneous lupus erythematosus
Skin and subcutaneous tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Aortic thrombosis
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Embolism arterial
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hypertension
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Hypertensive crisis
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Shock hemorrhagic
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0020 affected51 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Neutropenia
Blood and lymphatic system disorders
MedDRA 16.0
Systematic Assessment
EG0006 affected50 at risk
EG0015 affected50 at risk
EG0020 affected51 at risk
EG0031 affected52 at risk
EG00410 affected51 at risk
EG0050 affected51 at risk
EG0061 affected29 at risk
EG0072 affected26 at risk
EG0081 affected29 at risk
EG00936 affected370 at risk
EG01055 affected369 at risk
EG0110 affected259 at risk
EG0125 affected284 at risk
Injection site erythema
General disorders
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0011 affected50 at risk
EG0021 affected51 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0012 affected50 at risk
EG0020 affected51 at risk
EG003
Influenza
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0002 affected50 at risk
EG0011 affected50 at risk
EG0022 affected51 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0001 affected50 at risk
EG0012 affected50 at risk
EG0020 affected51 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 16.0
Systematic Assessment
EG0003 affected50 at risk
EG0010 affected50 at risk
EG0021 affected51 at risk
EG003
Accidental overdose
Injury, poisoning and procedural complications
MedDRA 16.0
Systematic Assessment
EG0002 affected50 at risk
EG0013 affected50 at risk
EG0021 affected51 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 16.0
Systematic Assessment
EG0002 affected50 at risk
EG0012 affected50 at risk
EG0020 affected51 at risk
EG003
Rheumatoid arthritis
Musculoskeletal and connective tissue disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0013 affected50 at risk
EG0021 affected51 at risk
EG003
Hypertension
Vascular disorders
MedDRA 16.0
Systematic Assessment
EG0000 affected50 at risk
EG0010 affected50 at risk
EG0022 affected51 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
If no publication has occurred within 12 months of the completion of the study, the Investigator shall have the right to publish/present independently the results of the study. The Investigator shall provide the Sponsor with a copy of any such presentation/publication for comment at least 30 days before any presentation/submission for publication. If requested by the Sponsor, any presentation/submission shall be delayed up to 90 days, to allow the Sponsor to preserve its proprietary rights.
Point of Contact
Title
Organization
Phone
Extension
Email
Trial Transparency Team
Sanofi
Contact-US@sanofi.com
ID
Term
D001172
Arthritis, Rheumatoid
Ancestor Terms
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
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C000592401
sarilumab
D008727
Methotrexate
D005492
Folic Acid
Ancestor Terms
ID
Term
D000630
Aminopterin
D011622
Pterins
D011621
Pteridines
D006574
Heterocyclic Compounds, 2-Ring
D000072471
Heterocyclic Compounds, Fused-Ring
D006571
Heterocyclic Compounds
Browse Leaves
Not provided
Browse Branches
Not provided
4 subjects
FG0051 subjects
FG0064 subjects
FG00763 subjects
FG00867 subjects
FG00934 subjects
1 subjects
FG0052 subjects
FG0061 subjects
FG0079 subjects
FG0089 subjects
FG00910 subjects
0 subjects
FG0050 subjects
FG0060 subjects
FG0072 subjects
FG0085 subjects
FG0099 subjects
1 subjects
FG0050 subjects
FG0060 subjects
FG0072 subjects
FG0081 subjects
FG0090 subjects
1 subjects
FG0050 subjects
FG0060 subjects
FG00718 subjects
FG00815 subjects
FG00921 subjects
51.2
± 12.9
BG00448.7± 12.4
BG00555.2± 12.5
BG00651.1± 11.5
BG00750.3± 11.9
BG00850.8± 12.0
BG00951.1± 11.2
BG01051.04± 11.79
38
BG00342
BG00442
BG00538
BG00669
BG007345
BG008359
BG009346
BG0101362
Male
BG0009
BG0018
BG00213
BG0039
BG00410
BG00514
BG00615
BG00785
BG00868
BG00982
BG010313
51
OG00452
OG00552
66.7
OG00465.4
OG00546.2
OG001
OG005
Cochran-Mantel-Haenszel
0.0041
Threshold for significance = 0.05.
Odds Ratio (OR)
3.84
2-Sided
95
1.53
9.63
Superiority or Other
OG002
OG005
Cochran-Mantel-Haenszel
0.7119
Threshold for significance = 0.05.
Odds Ratio (OR)
1.17
2-Sided
95
0.52
2.61
Superiority or Other
OG003
OG005
Cochran-Mantel-Haenszel
0.0363
Threshold for significance = 0.05.
Odds Ratio (OR)
2.38
2-Sided
95
1.06
5.35
Superiority or Other
OG004
OG005
Cochran-Mantel-Haenszel
0.0426
Threshold for significance = 0.05.
Odds Ratio (OR)
2.34
2-Sided
95
1.03
5.29
Superiority or Other
Units
Counts
Participants
OG000400
OG001399
OG002398
Title
Denominators
Categories
Title
Measurements
OG00058
OG00166.4
OG00233.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Analysis was performed using two-sided Cochran-Mantel-Haenszel test. Pairwise comparisons of the response rates between each dose of sarilumab and placebo was derived. The multiplicity issues for part B were addressed by using a Bonferroni correction for each dose together with a hierarchical testing procedure across the 3 co-primary and the main secondary endpoints. The hierarchical testing sequence continued only when previous endpoint was statistically significant at 0.025 level.
Cochran-Mantel-Haenszel
<0.0001
Threshold for significance = 0.025.
Odds Ratio (OR)
2.773
2-Sided
95
2.077
3.703
Superiority or Other
OG001
OG002
Cochran-Mantel-Haenszel
<0.0001
Threshold for significance = 0.025.
Odds Ratio (OR)
3.975
2-Sided
95
2.957
5.344
Superiority or Other
Units
Counts
Participants
OG000362
OG001365
OG002378
Title
Denominators
Categories
Baseline
Title
Measurements
OG0001.63± 0.63
OG0011.69± 0.63
OG0021.61± 0.65
Week 16
Title
Measurements
OG0001.08± 0.67
OG0011.11± 0.7
OG0021.31± 0.67
Change from baseline at Week 16
Title
Measurements
OG000-0.54± 0.55
OG001-0.58± 0.63
OG002-0.3± 0.58
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Analysis was performed using a mixed model for repeated measures (MMRM). Differences in least square (LS) mean between each dose of sarilumab and placebo were derived. Testing was performed according to the hierarchical testing procedure (performed only when the previous endpoint was statistically significant).
Mixed Models Analysis
<0.0001
Threshold for significance = 0.025.
LS mean difference
-0.235
2-Sided
95
-0.312
-0.157
Superiority or Other
OG001
OG002
Mixed Models Analysis
<0.0001
Threshold for significance = 0.025.
LS mean difference
-0.258
2-Sided
95
-0.336
-0.181
Superiority or Other
Units
Counts
Participants
OG000352
OG001359
OG002352
Title
Denominators
Categories
Baseline
Title
Measurements
OG00054.67± 63.42
OG00146.34± 57.43
OG00248.01± 65.23
Week 52
Title
Measurements
OG00055.57± 63.73
OG00146.59± 57.63
OG00250.79± 65.82
Change from baseline at Week 52
Title
Measurements
OG0000.90± 4.66
OG0010.25± 4.61
OG0022.78± 7.73
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Analysis was performed using two-sided rank-based ANCOVA model. Testing was performed according to the hierarchical testing procedure (performed only when the previous endpoints were statistically significant).
Rank ANCOVA
<0.0001
Threshold for significance = 0.025.
Superiority or Other
OG001
OG002
Rank ANCOVA
<0.0001
Threshold for significance = 0.025.
Superiority or Other
Units
Counts
Participants
OG000400
OG001399
OG002398
Title
Denominators
Categories
Title
Measurements
OG00012.8
OG00114.8
OG0023
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Analysis was performed using two-sided Cochran-Mantel-Haenszel test. Pairwise comparisons of the response rates between each dose of sarilumab and placebo were derived. Testing was performed according to the hierarchical testing procedure (performed only when the previous endpoints were statistically significant).