Trial Information
Summary: SCORE Study: A Study of MabThera (Rituximab) in Patients With Rheumatoid Arthritis and Inadequate Response to Methotrexate.
Status: Recruiting
Protocol Number: MA21056
Sponsor: Hoffmann-La Roche
Company Division: Pharmaceutical
Official Scientific Title: A randomized, placebo controlled, multicenter clinical study investigating efficacy of rituximab (Mabthera/Rituxan) in the inhibition of joint structural damage assessed by magnetic resonance imaging in patients with rheumatoid arthritis and inadequate response to methotrexate - the R.A. SCORE stud
Brief Summary: This 3 arm study will assess the efficacy of MabThera in the prevention of progression of structural joint damage in patients with active rheumatoid arthritis who have an inadequate clinical response to methotrexate. Patients will be randomized to receive MabThera 1000mg i.v., MabThera 500mg i.v. or placebo i.v. on days 1 and 15; all patients will receive concomitant methotrexate at a stable dosage of 12.5-25mg/week throughout the study. Further courses of MabThera will be provided to eligible patients. Structural joint damage will be assessed by magnetic resonance imaging (MRI) at baseline, and at intervals during the study. The anticipated time on study treatment is 1-2 years, and the target sample size is 100-500 individuals. Target sample size is 180.
Study Phase: III
Study Design / Study Details:
- Purpose: Treatment
- Allocation: Randomized
- Masking: Double Blind
- Control: Placebo
- Assignment: Parallel
- Endpoints: Safety/Efficacy
Study Type:
Interventional
Condition: Rheumatoid Arthritis
Intervention Type: Drug
Intervention Name: rituximab [MabThera/Rituxan]
Primary Outcome: 1. Changes in MRI bone erosion score from baseline Time frame: Week 24
Key Secondary Outcomes: 1. Change from baseline in MRI erosion, synovitis and osteitis Time frame: Week 12, 24 and 52
2. DAS 28-CRP, ACR 20/50/70, and HAQ. Time frame: Week 24 and 52
3. AEs, laboratory parameters, C-reactive protein, ESR. Time frame: Throughout study
Inclusion Criteria:
- adult patients, 18-80 years of age;
- active rheumatoid arthritis for >=3 months and <=10 years;
- evidence of erosive disease and/or clinical synovitis in a signal joint;
- inadequate response to 12.5-25mg/week methotrexate for >=12 weeks.
Exclusion Criteria:
- rheumatic autoimmune disease or inflammatory joint disease other than rheumatoid arthritis;
- any surgical procedure within 12 weeks prior to baseline;
- previous treatment with a biologic agent or with a B cell modulating or cell depleting therapy.
Gender: Males or Females
Age Limits: Min: 18 Years Max: 80 Years
Accepts Healthy Volunteers: No
Anticipated Start Date: November, 2007
Trial Registration Date: 12/19/2007
Date Last Updated: 09/19/2008
Link To Trial Results
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Contact:
Research Site:
Located In:
Buenos Aires , Argentina, C1015ABO
Telephone: 973-235-5000 or 800-526-6367
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Trial listings updated: October 6, 2008 at 2:58:27 PM