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A Phase I/III Study to Evaluate Efficacy, PK and Safety Between CT-P13 SC and CT-P13 IV in Patients With Active RA

Celltrion Healthcare logo

Celltrion Healthcare

Status and phase

Completed
Phase 3

Conditions

Rheumatoid Arthritis

Treatments

Biological: CT-P13

Study type

Interventional

Funder types

Industry

Identifiers

NCT03147248
2016-002125-11 (EudraCT Number)
CT-P13 3.5 (SC)

Details and patient eligibility

About

This is a Phase I/III Study to Evaluate Efficacy, Pharmacokinetics and Safety between CT-P13 SC and CT-P13 IV in Patients with Active Rheumatoid Arthritis (RA).

Full description

A new subcutaneous infliximab formulation is developed by Celltrion, Inc. as an alternative to the intravenous regimen where subcutaneous infliximab injection typically takes less than 2 minutes. The availability of a subcutaneous formulation of infliximab would increase the treatment options available to patients, particularly those wishing to self-administer their therapy. This Phase I/III Study randomized, double-blinded (Part 2 only), multicenter, parallel-group study was designed to evaluate Efficacy, Pharmacokinetics and Safety between Subcutaneous CT-P13 and Intravenous CT-P13 in Patients with Active RA.

Enrollment

407 patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patient is male or female between 18 and 75 years old, inclusive.
  • Patient has a diagnosis of RA according to the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria for at least 6 months
  • Patient has active disease as defined by the presence of 6 or more swollen joints (of 28 assessed), 6 or more tender joints (of 28 assessed) and serum C-reactive protein (CRP) concentration >0.6 mg/dL
  • Patient who completed at least 3 months of treatment of oral or parenteral dosing with Methotrexate between 12.5 to 25 mg/kg (between 10 to 25 mg/week in Korea) and on stable dosing with Methotrexate for at least 4 weeks prior to the first administration of the study drug.

Exclusion criteria

  • Patient who has previously received a biological agent for the treatment of RA and/or a TNFα inhibitor for the treatment of other disease
  • Patient who has allergies to any of the excipients of infliximab or any other murine and/or human proteins or patient with a hypersensitivity to immunoglobulin product
  • Patient who had current or past history of chronic infection with hepatitis C or human immunodeficiency virus (HIV)-1 or -2 or current infection with hepatitis B
  • Patient who had acute infection requiring oral antibiotics within 2 weeks or parenteral injection of antibiotics within 4 weeks prior to the first administration of the study drug, other serious infection within 6 months prior to the first administration of study drug or recurrent herpes zoster or other chronic or recurrent infection within 6 weeks prior to the first administration of the study drug.
  • Patient who had an indeterminate result for interferon-γ release assay (IGRA) or latent tuberculosis (TB) at Screening. For Part 2, if IGRA result was indeterminate at Screening, 1 retest was possible during the screening. If the repeated IGRA result was negative, the patient could be included in the study.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

407 participants in 6 patient groups

Cohort 1: CT-P13 IV 3 mg/kg
Active Comparator group
Description:
CT-P13 Intravenous (IV) (Infliximab), 3 mg/kg by IV infusion every 8 weeks (Part 1)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Cohort 2: CT-P13 SC 90 mg
Experimental group
Description:
CT-P13 Subcutaneous (SC) (Infliximab), 90 mg by SC injection every other week (Part 1)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Cohort 3: CT-P13 SC 120 mg
Experimental group
Description:
CT-P13 SC (Infliximab), 120 mg by SC injection every other week (Part 1)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Cohort 4: CT-P13 SC 180 mg
Experimental group
Description:
CT-P13 SC (Infliximab), 180 mg by SC injection every other week (Part 1)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Arm 1: CT-P13 SC 120 mg
Experimental group
Description:
CT-P13 SC (Infliximab), 120 mg by SC injection every other week with placebo intravenous infusion at Weeks 6, 14 and 22 (Part 2)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Arm 2: CT-P13 IV 3 mg/kg
Active Comparator group
Description:
CT-P13 IV (Infliximab), 3 mg/kg by IV infusion every 8 weeks with placebo subcutaneous injection at Week 6 and every 2 weeks thereafter up to Week 28 (Part 2)
Treatment:
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13
Biological: CT-P13

Trial documents
4

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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