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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT01061723




Registration number
NCT01061723
Ethics application status
Date submitted
2/02/2010
Date registered
3/02/2010
Date last updated
8/08/2017

Titles & IDs
Public title
Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 (REGN88) in Patients With Ankylosing Spondylitis
Scientific title
A Randomized Double Blind-placebo Controlled Dose Ranging Study to Evaluate the Efficacy and Safety of SAR153191 in Participants With Ankylosing Spondylitis (AS)
Secondary ID [1] 0 0
2009-016068-35
Secondary ID [2] 0 0
DRI11073
Universal Trial Number (UTN)
Trial acronym
ALIGN
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Ankylosing Spondylitis 0 0
Condition category
Condition code
Inflammatory and Immune System 0 0 0 0
Other inflammatory or immune system disorders
Musculoskeletal 0 0 0 0
Other muscular and skeletal disorders
Inflammatory and Immune System 0 0 0 0
Rheumatoid arthritis

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Sarilumab
Treatment: Drugs - Placebo

Placebo comparator: Placebo - Placebo (for sarilumab) weekly (qw) for 12 weeks.

Experimental: Sarilumab 100 mg q2w - Sarilumab 100 mg Subcutaneous (SC) injection alternating with placebo every other week (q2w) for 12 weeks.

Experimental: Sarilumab 150 mg q2w - Sarilumab 150 mg SC injection alternating with placebo q2w for 12 weeks.

Experimental: Sarilumab 100 mg qw - Sarilumab 100 mg SC injection qw for 12 weeks.

Experimental: Sarilumab 200 mg q2w - Sarilumab 200 mg SC injection alternating with placebo q2w for 12 weeks.

Experimental: Sarilumab 150 mg qw - Sarilumab 150 mg SC injection qw for 12 weeks.


Treatment: Drugs: Sarilumab
Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Treatment: Drugs: Placebo
Pharmaceutical form: Solution for injection

Route of administration: Subcutaneous

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants Who Achieved 20% Response According to the Assessment in Ankylosing Spondylitis (AS) Working Group Criteria for Response (ASAS20) at Week 12
Timepoint [1] 0 0
Baseline to Week 12 (Last Observation Carried Forward [LOCF])
Secondary outcome [1] 0 0
Percentage of Participants Who Achieved 40% Response According to the Assessment in AS Working Group Criteria for Response (ASAS40) at Week 12
Timepoint [1] 0 0
Baseline to Week 12 (LOCF)
Secondary outcome [2] 0 0
Percentage of Participants Who Achieved Partial Remission According to the Assessment in AS Working Group Criteria for Response (ASAS) at Week 12
Timepoint [2] 0 0
Baseline to Week 12 (LOCF)
Secondary outcome [3] 0 0
Change From Baseline in Ankylosing Spondylitis Disease Activity Score (ASDAS) at Week 12
Timepoint [3] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [4] 0 0
Change From Baseline in BASDAI Score at Week 12
Timepoint [4] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [5] 0 0
Change From Baseline in Range of Motion Assessed by the Bath AS Metrology Index (BASMI) at Week 12
Timepoint [5] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [6] 0 0
Change From Baseline in Magnetic Resonance Imaging (MRI) Score of the Spine Assessed by the Berlin Modification of the AS Spine MRI-active (ASspiMRI-a) Score at Week 12
Timepoint [6] 0 0
Baseline, Week 12
Secondary outcome [7] 0 0
Percentage of Participants Who Achieved ASAS 5/6 Improvement Criteria at Week 12
Timepoint [7] 0 0
Baseline to Week 12 (LOCF)
Secondary outcome [8] 0 0
Change From Baseline in Chest Expansion at Week 12
Timepoint [8] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [9] 0 0
Change From Baseline in Swollen Joint Index at Week 12
Timepoint [9] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [10] 0 0
Change From Baseline in Hs-CRP at Week 12
Timepoint [10] 0 0
Baseline, Week 12 (LOCF)
Secondary outcome [11] 0 0
Change From Baseline in ASAS Individual Components at Week 12
Timepoint [11] 0 0
Baseline, Week 12 (LOCF)

Eligibility
Key inclusion criteria
Inclusion criteria:

* Diagnosis of AS according to the New York modified criteria
* Participants must had an adequate trial of at least 2 different Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) taken for at least 2 weeks in each case and, on a stable dose for =2 weeks or be intolerant to NSAIDs
* Participants must had active AS for =3 months before screening and active disease must be present at screening and at baseline; Active AS being defined by:

* Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of =4 (Numerical Rating Scale 0-10)
* Total back pain score =4 (Numerical Rating Scale 0-10)

Participants treated with corticosteroid must be on a stable dose for =2 weeks prior to baseline

Participants treated with the Disease Modifying Anti-Rheumatic Drugs (DMARDs) hydroxychloroquine, sulfasalazine and methotrexate (MTX) must be on stable dose =12 weeks prior to baseline
Minimum age
18 Years
Maximum age
75 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion criteria:

* <18 years old or =75 years old
* Complete fusion of the spine
* Past history of non response to any anti-Tumor Necrosis Factors (TNFs) treatment or non response to any other biological treatment for AS
* Any past or current treatment with anti-TNF's or any biological agent within 3 months prior to screening
* Treatment with DMARDs except for hydroxychloroquine, sulfasalazine and MTX
* MTX >25 mg/week
* hydroxychloroquine >400 mg/day
* Sulfasalazine >3 g/day
* Treatment with oral prednisone or equivalent corticosteroids >10 mg/day within 6 weeks prior to screening
* Use of intramuscular or intra-articular corticosteroids within the last 4 weeks before screening
* Previous treatment with cyclosporine, azathioprine

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s

The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Investigational Site Number 036001 - East Malvern
Recruitment hospital [2] 0 0
Investigational Site Number 036003 - Hobart
Recruitment hospital [3] 0 0
Investigational Site Number 036004 - Shenton Park
Recruitment hospital [4] 0 0
Investigational Site Number 036002 - Woolloongabba
Recruitment postcode(s) [1] 0 0
3145 - East Malvern
Recruitment postcode(s) [2] 0 0
7001 - Hobart
Recruitment postcode(s) [3] 0 0
6008 - Shenton Park
Recruitment postcode(s) [4] 0 0
4102 - Woolloongabba
Recruitment outside Australia
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United States of America
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Alabama
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California
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Ankara
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Sanofi
Address
Country
Other collaborator category [1] 0 0
Commercial sector/industry
Name [1] 0 0
Regeneron Pharmaceuticals
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Sciences & Operations
Address 0 0
Sanofi
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

No information has been provided regarding IPD availability


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

TypeCitations or Other Details
Journal Sieper J, Braun J, Kay J, Badalamenti S, Radin AR,... [More Details]