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A study of saftey and efficacy of Tocilizumab (TCZ) in combination with Methotrexate (MTX) versus Tocilizumab Monotherapy in patients with mild to moderate rheumatoid arthritis, who have not adequately responded to their current treatment with MTX.

A multi-center study of the safety and effect on disease activity of Tocilizumab (TCZ) in combination with Methotrexate (MTX) versus Tocilizumab monotheraphy in patients with mild to moderate rheumatoid arthritis, with inadequate response to MTX (defined as DAS 28 = 4,5 and > 2,6) - OPTIMISE

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2011-001863-39-AT
Enrollment
Unknown
Registered
2011-06-15
Start date
2011-07-28
Completion date
Unknown
Last updated
2014-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mild to moderate rheumatoid arthritis MedDRA version: 16.1 Level: PT Classification code 10039073 Term: Rheumatoid arthritis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders

Interventions

Sponsors

Roche Austria GmbH
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Diagnosis of RA of = 1 years duration (or radiologic evidence of RA if diagnosis of RA 2,6) - Patients currently receiving MTX for at least 12 weeks and who have received MTX at a stable dose of at least 15mg/week for at least 6 weeks prior to treatment (day 1). Patients with a history of parenteral (subcutaneous or intramuscular) MTX prior to baseline are eligible. However, prior to treatment (day 1) these patients must have been on a stable dose of oral MTX of at least 15 mg/week for at least 6 weeks - Age = 18 years. - Body weight =65 years) yes F.1.3.1 Number of subjects for this age range 30

Exclusion criteria

Exclusion criteria: - Rheumatic autoimmune disease other than RA - Functional class IV as defined by the ACR Classification of Functional Status in RA - Treatment with a biologic agent at any time prior to baseline. - Treatment with traditional non-biologic DMARDs other than MTX within 1 month (for leflunomide 3 months) prior to baseline - History of severe allergic or anaphylactic reactions to human, humanized, or murine monoclonal antibodies - Evidence of serious uncontrolled concomitant cardiovascular, nervous system, pulmonary (including obstructive pulmonary disease), renal, hepatic, endocrine (including uncontrolled diabetes mellitus) or GI disease - Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other infections

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the effect on disease activity of treatment with TCZ+MTX combination therapy versus TCZ Monotherapy by change in DAS28 score from week 12 (time of randomization) to week 24.;Secondary Objective: - To assess other efficacy parameters such as DAS28 remission CDAI remission, SDAI remission, RADAI-5 remission - To assess quality of life parameters. ;Primary end point(s): - To assess the effect on disease activity of treatment with TCZ+MTX combination therapy versus TCZ Monotherapy with regard to the following primary endpoint in patients with mild to moderate rheumatoid arthritis (RA): - Change in DAS28 score from week 12 (time of randomization) to week 24;Timepoint(s) of evaluation of this end point: At week 24

Secondary

MeasureTime frame
Secondary end point(s): - Proportion of patients who achieve DAS28 remission at 24 weeks (DAS28 < 2,6) - Proportion of patients who achieve CDAI remission (CDAI < 2,8) at 24 weeks - Proportion of patients who achieve SDAI remission (SDAI < 3,3) at 24 weeks - Proportion of patients who achieve RADAI remission (RADAI-5 score ranging from 0 to 1.4) - Improvement in physical & mental health (HAQ-DI, SF-12, VAS Fatigue) - Incidence of adverse events and serious adverse events during study period - Patients’ satisfaction with treatments (TSQM) ;Timepoint(s) of evaluation of this end point: At week 24

Countries

Austria

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026