UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028010
Receipt number R000032030
Scientific Title Randomized, double-blind, parallel group comparison trial of Tocilizumab for colchicine-resistant familial Mediterranean fever
Date of disclosure of the study information 2017/07/07
Last modified on 2021/12/16 11:11:47

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Basic information

Public title

Randomized, double-blind, parallel group comparison trial of Tocilizumab for colchicine-resistant familial Mediterranean fever

Acronym

Clinical trial of Tocilizumab for colchicine-resistant familial Mediterranean fever

Scientific Title

Randomized, double-blind, parallel group comparison trial of Tocilizumab for colchicine-resistant familial Mediterranean fever

Scientific Title:Acronym

Clinical trial of Tocilizumab for colchicine-resistant familial Mediterranean fever

Region

Japan


Condition

Condition

familial Mediterranean fever

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To assess the efficacy, safety and pharmacokinetics of Tocilizumab by placebo-controlled trial

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Number of fever attacks (up to 4 times) at 24 weeks

Key secondary outcomes

[Efficacy (at 24 weeks)]
(1) Number of occurrences of accompanying symptoms during attacks
(2) Time until fever attack occurs
(3) Duration of fever attack
(4) serum CRP, SAA
(5) SF-36 Health Survey Questionnaire
(6) General evaluation by doctor (100 mm VAS)
(7) Body temperature
(8) Percentage of achievement of FMF 50 at 12 weeks and 24 weeks

[Safety]
Adverse event

[PK]
Serum Tocilizumab level, CRP, ESR, sIL-6 receptor


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Tocilizumab

Interventions/Control_2

Placebo

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

12 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

For patients who satisfy all the following conditions
[Temporarily registered]
Temporary registration is permitted when the target patient meets all the following criteria.
(1) Patients diagnosed as familial Mediterranean fever (clinically typical) according to the following diagnostic criteria ("Regarding diagnostic criteria and severity classification related to designated intractable diseases" by the Ministry of Health, Labor and Welfare)

(2) Patients with colchicine ineffective or colchicine inadequate
(3) Patients who aged 12 to over 75 years old (regardless of gender)
(4) Patients who got adequate explanation about the contents of explanatory documents and other matters concerning clinical trials, understand the contents thereof, and obtain written consent based on free will about participation in this trial

[When randomized]
When provisionally registered patient meets all the following criteria, it is randomly assignable.
(1) Patients who had a fever attack (a fever that lasted more than 6 hours and had a fever over 38.0 during the observation period
(2) Patients who could exclude diseases other than familial Mediterranean fever, which cause fever, such as infectious diseases
(3) Patients whose fever attacks had disappeared during the observation period
[Rescue transition]
It allows for transition to rescue when the target patient meets all the following criteria.
(1) Patients who received one or more investigational drugs in a double-blind period
(2) Patients who have experienced more than four fever attacks since the start of the study drug administration.
(3) Patients whose fever attacks of (2) had disappeared
(4) Patients judged by investigators or clinical trial doctors to be appropriate from a safety point of view
(5) Patients who got consent from subjects and substitutes (subjects under 20 years of age)

Key exclusion criteria

Patients applicable to even one of the following are excluded from the subject
(1) Women who are breast-feeding, pregnant, or may become pregnant
(2) Patients who have obvious infection within 4 weeks before the study and judged inappropriate by investigator or clinical trial doctor
(3) Patients with a history of hypersensitivity to the components of tocilizumab
(4) Patients who are recently being treated with biologics.
(5) Patients with past history of tocilizumab
(6) Patients who are routinely using corticosteroids (excluding topical therapy such as external preparations) due to diseases other than familial Mediterranean fever and whose investigator or clinical trial doctor judged inappropriate
(7) Investigational drugs Patients falling under any of the following criteria for examination within one week prior to initial administration
1) Leukocyte count less than 3500 / microL
2) neutrophil count less than 1000 / microL
3) Lymphocyte count less than 500 / microL
4) Number of platelets less than 100000 / microL
(8) Patients with active tuberculosis
(9) Patients with a history of intestinal perforation
(10) Patients who have interstitial pneumonia and who are judged inappropriate by investigators or clinical trial doctors
(11) Patient diagnosed as having a malignant tumor within 5 years before the study.
(12) Patients with active type B or C hepatitis or patients with a history of hepatitis B
(13) Patients who have complicated serious diseases and who are judged inappropriate by investigators or clinical trial doctors as clinical trials
(14) Patients inoculated with a live vaccine within 6 weeks before the study
(15) Patients who are using other investigational drugs within 6 months before the initial investigational drug
(16)Patients judged inappropriate by investigators or clinical trial doctors

Target sample size

24


Research contact person

Name of lead principal investigator

1st name Kawakami
Middle name
Last name Atsushi

Organization

Nagasaki University Graduate School of Biomedical Sciences

Division name

Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences

Zip code

8528501

Address

Sakamoto 1-7-1, Nagasaki

TEL

095-819-7260

Email

atsushik@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Kawakami
Middle name
Last name Atsushi

Organization

Nagasaki University Graduate School of Biomedical Sciences

Division name

Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences

Zip code

8528501

Address

Sakamoto 1-7-1, Nagasaki

TEL

095-819-7260

Homepage URL


Email

atsushik@nagasaki-u.ac.jp


Sponsor or person

Institute

Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board, Nagasaki University Hospital

Address

1-7-1 Sakamoto, Nagasaki 852-8501

Tel

095-819-7256

Email

2745@ml.nagasaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

長崎大学病院(長崎県)、千葉大学医学部附属病院(千葉県)、福島県立医科大学附属病院(福島県)、九州大学病院(福岡県)、京都大学医学部附属病院(京都府)、金沢大学附属病院(金沢県)、信州大学医学部附属病院(長野県)、横浜市立大学附属病院(神奈川県)、国立大学法人北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

23

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 12 Day

Date of IRB

2018 Year 09 Month 28 Day

Anticipated trial start date

2018 Year 03 Month 01 Day

Last follow-up date

2019 Year 12 Month 10 Day

Date of closure to data entry

2019 Year 12 Month 27 Day

Date trial data considered complete

2020 Year 02 Month 12 Day

Date analysis concluded

2020 Year 03 Month 27 Day


Other

Other related information



Management information

Registered date

2017 Year 06 Month 30 Day

Last modified on

2021 Year 12 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032030


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name