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The development was stopped due to company's strategy consideration
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This is a multicentre, randomised, double-blind, parallel group study to compare the pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, safety, tolerability and efficacy of JHL1101 versus MabThera in subjects with moderate to severe RA who have previously failed at least 1 tumour necrosis factor alpha (TNF) inhibitor (i.e., intolerance or documented active disease despite at least 12 weeks treatment according to the TNF inhibitor-approved treatment and dosage), and are on concomitant treatment with MTX.
This study will take place across approximately 31 centres across 12 countries and will randomise approximately 150 subjects as outpatients.
The primary objective is to investigate and compare the pharmacokinetic profiles of JHL1101 and MabThera (rituximab). The secondary objectives are to investigate the safety, tolerability, and immunogenicity of JHL1101 versus MabThera, to investigate the pharmacodynamics profile of JHL1101 versus MabThera, and investigate the efficacy of JHL1101 versus MabThera.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| JHL1101 | Experimental | Each subject will receive 2 intravenous infusions of 1000 mg JHL1101: the first infusion on Baseline and the second on Day 15. |
|
| MabThera | Active Comparator | Each subject will receive 2 intravenous infusions of 1000 mg MabThera: the first infusion on Baseline and the second on Day 15 (Visit 5). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JHL1101 | Biological | 1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area under plasma concentration versus time curve (AUC) | Day 0 through Week 52 | |
| Trough Concentration | Day 15 | |
| Maximum Concentration (Cmax) | Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| AUC | Up to Week 12 | |
| Time to maximum plasma concentration | Day 0 through Week 52 | |
| Cmax |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| JHL Biotech Investigational Site | Banja Luka | 78000 | Bosnia and Herzegovina | |||
| JHL Biotech Investigational Site |
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| MabThera | Biological | 1000 mg containing 10 mg/mL rituximab to be diluted to a concentration of 1 to 4 mg/mL in 0.9% normal saline or 5% D-glucose for administration |
|
|
| Day 0 through Week 52 |
| Total body clearance | Day 0 through Week 52 |
| Volume of distribution | Day 0 through Week 52 |
| Terminal half life | Day 0 through Week 52 |
| Area under plasma concentration versus time curve | Week 2 to Week 24 |
| Incidence of treatment-related adverse events (safety) | Until End-of-Study follow-up at Week 52 |
| Immunogenicity | Human anti-chimeric antibody analysis | Baseline, Weeks 12, 16, 24, and 52 |
| Area under the depletion-time curve of CD19+ B-cell | Day 0 to Day 15, Day 0 to Week 12, Day 0 to Week 24, and Day 0 to Week 52 (end of study) |
| Change from Baseline in CD4+ T-cell counts | Day 0 through Week 52 |
| American College of Rheumatology (ACR) criteria 20, 50, 70 response rate | Weeks 4, 8, 12, 16, 24 and 52 and over time from Baseline to Week 52 |
| Swollen and tender joint count | From Baseline to Week 52 |
| Subject's assessment of arthritis pain | 2010 ACR/European League Against Rheumatism (EULAR) Classification Criteria for RA | From Baseline to Week 52 |
| Bijeljina |
| 76300 |
| Bosnia and Herzegovina |
| JHL Biotech Investigational Site | Plovdiv | 4002 | Bulgaria |
| JHL Biotech Investigational Site | Sofia | 1336 | Bulgaria |
| JHL Biotech Investigational Site | Sofia | 1612 | Bulgaria |
| JHL Biotech Investigational Site | Prague | 14059 | Czechia |
| JHL Biotech Investigational Site | Bad Doberan | 18209 | Germany |
| JHL Biotech Investigational Site | Hildesheim | 31134 | Germany |
| JHL Biotech Investigational Site | Magdeburg | 39120 | Germany |
| JHL Biotech Investigational Site | Rendsburg | 24768 | Germany |
| JHL Biotech Investigational Site | Budapest | 1027 | Hungary |
| JHL Biotech Investigational Site | Vilnius | LT-08661 | Lithuania |
| JHL Biotech Investigational Site | Poznan | 61-113 | Poland |
| JHL Biotech Investigational Site | Wroclaw | 50-420 | Poland |
| JHL Biotech Investigational Site | Kazan' | 420103 | Russia |
| JHL Biotech Investigational Site | Moscow | 111539 | Russia |
| JHL Biotech Investigational Site | Moscow | 119049 | Russia |
| JHL Biotech Investigational Site | Saint Petersburg | 197341 | Russia |
| JHL Biotech Investigational Site | Saint Petersburg | 197342 | Russia |
| JHL Biotech Investigational Site | Samara | 443095 | Russia |
| JHL Biotech Investigational Site | Saratov | 410026 | Russia |
| JHL Biotech Investigational Site | Yaroslavl | 150062 | Russia |
| JHL Biotech Investigational Site | Taichung | 402 | Taiwan |
| JHL Biotech Investigational Site | Taipei | 100 | Taiwan |
| JHL Biotech Investigational Site | Taipei | 11490 | Taiwan |
| JHL Biotech Investigational Site | Kharkiv | 61039 | Ukraine |
| JHL Biotech Investigational Site | Kyiv | 03680 | Ukraine |
| JHL Biotech Investigational Site | Lviv | 79010 | Ukraine |
| JHL Biotech Investigational Site | Poltava | 36011 | Ukraine |
| JHL Biotech Investigational Site | Vinnytsia | 21018 | Ukraine |
| JHL Biotech Investigational Site | London | E11 1NR | United Kingdom |
| JHL Biotech Investigational Site | Southampton | SO16 6YD | United Kingdom |
| 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 |
|---|---|
| D000069283 | Rituximab |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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