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Trial · NCT00664521

Atacicept in Combination With Rituximab in Subjects With Rheumatoid Arthritis (August III)

NCT00664521, Phase 2, Completed, Merck KGaA, Darmstadt, Germany; results first posted 2016-12-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Atacicept in Combination With Rituximab in Subjects With Rheumatoid Arthritis (August III). Trials, record NCT00664521. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00664521

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Atacicept in Combination With Rituximab in Subjects With Rheumatoid Arthritis (August III)
NCT number
NCT00664521
Status
Completed
Phases
Phase 2
Enrollment
27 participants, actual
Lead sponsor
Merck KGaA, Darmstadt, Germany
Conditions
Rheumatoid Arthritis
Interventions
Rituximab, Atacicept, Placebo matched to atacicept
First posted
2008-04-23
Last updated
2016-12-30
Results first posted
2016-12-30

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to Week 64
An AE was defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship. An SAE was defined as an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
PrimaryPercentage of Participants With Immunoglobulin G (IgG) Level Less Than 3 Gram Per Liter (g/L)Week 64
PrimaryPercent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Baseline, Week 32
Vital signs assessed included blood pressure (systolic and diastolic), pulse and body temperature. Routine safety lab parameters evaluated included red blood cell (RBC), hemoglobin, hematocrit, platelets, mean cellular hemoglobin (MCH), MCH concentration, MCH volume, white blood cell (WBC), lymphocytes, monocytes, eosinophils, basophils, neutrophils, gamma glutamyl transferase (GGT), alanine aminotransferase (ALT), albumin, alkaline phosphatase (AP), aspartate aminotransferase (AST), bilirubin, calcium, creatinine, glucose, potassium, total protein, sodium, uric acid, and blood urea nitrogen. Percent change from baseline was calculated as (\[Week 32 value minus baseline value\] multiplied by 100) divided by baseline value.
PrimaryPercent Change From Baseline in Anti-tetanus and Anti-diphteria Immunization Titer at Week 32Baseline, Week 32Percent change from baseline was calculated as (\[Week 32 value minus baseline value\] multiplied by 100) divided by baseline value.
PrimaryPercent Change From Baseline in Anti-pneumococcus Titer at Week 32Baseline, Week 32Percent change from baseline was calculated as (\[Week 32 value minus baseline value\] multiplied by 100) divided by baseline value.
SecondaryPercentage of Participants Achieving American College of Rheumatology 20 Response Based on C-reactive Protein (ACR20-CRP), ACR50-CRP and ACR70-CRP at Week 32Week 32
ACR20-CRP response: greater than or equal to (\>=) 20 percent (%) improvement in both tender joint counts (based on a total of 68 joints) and swollen joint counts (based on a total of 66 joints) together with \>=20% improvement in at least 3 of the following: 1) participant's assessment of pain; 2) participant's global assessment of disease activity; 3) physician's global assessment of disease activity; 4) participant's assessment of physical function; and 5) acute-phase marker (CRP). ACR50-CRP and ACR70-CRP response are defined as \>=50% and \>=70% improvement in both tender joint counts (based on a total of 68 joints) and swollen joint counts (based on a total of 66 joints) respectively together with \>=50% and \>=70% improvement in at least 3 of the following respectively: 1) participant's assessment of pain; 2) participant's global assessment of disease activity; 3) physician's global assessment of disease activity; 4) participant's assessment of physical function; and 5) CRP.
SecondaryChange From Baseline in Disease Activity Score in 28 Joints (DAS28) Based on CRP (DAS28-CRP) at Week 32Baseline, Week 32
DAS28-CRP incorporates non-graded joint counts for tenderness and swelling based on a total of 28 joints, CRP as a marker of inflammation, and a general health assessment using a 100 mm visual analog scale (the participant's global assessment of disease activity). DAS28 score ranges between 0 and 10 representing current disease activity. A value above 5.1 represents high disease activity, a value below 3.2 represents low disease activity, and a value below 2.6 represents remission.
SecondaryMedian Percentage Change From Baseline in Levels of Total, Mature and Memory B CellsBaseline, Week 3, 7, 12, 16, 26 and 32Flow cytometric analysis of lymphocyte populations using four-color fluorescence-activated cell sorting was performed for the analysis of total, mature and memory B cell levels.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to Week 64Safety population included all participants who received at least one dose of atacicept or placebo.ParticipantsNUMBER
PRIMARYPercentage of Participants With Immunoglobulin G (IgG) Level Less Than 3 Gram Per Liter (g/L)Week 64
Safety population included all participants who received at least one dose of atacicept or placebo. Here. N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.
percentage of participantsNUMBER
PRIMARYPercent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Baseline, Week 32
Safety population included all participants who received at least one dose of atacicept or placebo. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure and 'n' signifies those participants who were evaluable for the specified category.
Percent changeMEAN
PRIMARYPercent Change From Baseline in Anti-tetanus and Anti-diphteria Immunization Titer at Week 32Baseline, Week 32
Safety population included all participants who received at least one dose of atacicept or placebo. Here. N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.
percent changeMEDIAN
PRIMARYPercent Change From Baseline in Anti-pneumococcus Titer at Week 32Baseline, Week 32
Safety population included all participants who received at least one dose of atacicept or placebo. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.
percent changeMEDIAN
SECONDARYPercentage of Participants Achieving American College of Rheumatology 20 Response Based on C-reactive Protein (ACR20-CRP), ACR50-CRP and ACR70-CRP at Week 32Week 32ITT population included all randomized participants.percentage of participantsNUMBER
SECONDARYChange From Baseline in Disease Activity Score in 28 Joints (DAS28) Based on CRP (DAS28-CRP) at Week 32Baseline, Week 32ITT population included all randomized participants. Here 'n' signifies those participants who were evaluable for the specified category.Units on a scaleMEAN
SECONDARYMedian Percentage Change From Baseline in Levels of Total, Mature and Memory B CellsBaseline, Week 3, 7, 12, 16, 26 and 32Safety population included all participants who received at least one dose of atacicept or placebo. Here 'n' signifies those participants who were evaluable for the specified category.percent changeMEDIAN

Results by group120

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Rituximab Plus AtaciceptAEs17Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Rituximab Plus PlaceboAEs9Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Rituximab Plus AtaciceptSAEs6Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Rituximab Plus PlaceboSAEs2Participants
Percentage of Participants With Immunoglobulin G (IgG) Level Less Than 3 Gram Per Liter (g/L)Rituximab Plus Atacicept0percentage of participants
Percentage of Participants With Immunoglobulin G (IgG) Level Less Than 3 Gram Per Liter (g/L)Rituximab Plus Placebo0percentage of participants
Percent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Rituximab Plus AtaciceptSystolic Blood Pressure (n = 12, 9)3.74Standard Deviation 11.76Percent change
Percent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Rituximab Plus PlaceboSystolic Blood Pressure (n = 12, 9)-6.29Standard Deviation 13.80Percent change
Percent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Rituximab Plus AtaciceptDiastolic Blood Pressure (n = 12, 9)1.09Standard Deviation 11.19Percent change
Percent Change From Baseline in Vital Signs and Routine Safety Lab Parameters at Week 32Rituximab Plus PlaceboDiastolic Blood Pressure (n = 12, 9)4.89Standard Deviation 10.09Percent change

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRituximab Plus Atacicept18
Overall StudySTARTEDRituximab Plus Placebo9
Overall StudyCOMPLETEDRituximab Plus Atacicept12
Overall StudyCOMPLETEDRituximab Plus Placebo8
Overall StudyNOT COMPLETEDRituximab Plus Atacicept6
Overall StudyNOT COMPLETEDRituximab Plus Placebo1

Adverse events228

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUpper respiratory tract infectionInfections and infestationsRituximab Plus Atacicept318
otherUpper respiratory tract infectionInfections and infestationsRituximab Plus Placebo39
otherInfluenzaInfections and infestationsRituximab Plus Atacicept218
otherInfluenzaInfections and infestationsRituximab Plus Placebo19
otherRhinitisInfections and infestationsRituximab Plus Atacicept218
otherRhinitisInfections and infestationsRituximab Plus Placebo09
otherUrinary tract infectionInfections and infestationsRituximab Plus Atacicept118
otherUrinary tract infectionInfections and infestationsRituximab Plus Placebo19
otherViral upper respiratory tract infectionInfections and infestationsRituximab Plus Atacicept118
otherViral upper respiratory tract infectionInfections and infestationsRituximab Plus Placebo19

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRituximab Plus Atacicept
Total, all-cause mortalityRituximab Plus Placebo
Total, other adverse eventsRituximab Plus Atacicept1718
Total, other adverse eventsRituximab Plus Placebo99
Total, serious adverse eventsRituximab Plus Atacicept618
Total, serious adverse eventsRituximab Plus Placebo29

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
26137975RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Rituximab Plus Atacicept vs Rituximab Plus Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00664521

GET https://conductscience.org/api/trials/v1/NCT00664521/results?page=2