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Trial · NCT01709578

To Evaluate The Effect Of SAR153191 (REGN88) Added To Other RA Drugs In Patients With RA Who Are Not Responding To Or Intolerant Of Anti-TNF Therapy (SARIL-RA-TARGET)

NCT01709578, Phase 3, Completed, Sanofi; results first posted 2017-08-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. To Evaluate The Effect Of SAR153191 (REGN88) Added To Other RA Drugs In Patients With RA Who Are Not Responding To Or Intolerant Of Anti-TNF Therapy (SARIL-RA-TARGET). Trials, record NCT01709578. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01709578

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Trial

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

Title
To Evaluate The Effect Of SAR153191 (REGN88) Added To Other RA Drugs In Patients With RA Who Are Not Responding To Or Intolerant Of Anti-TNF Therapy (SARIL-RA-TARGET)
NCT number
NCT01709578
Status
Completed
Phases
Phase 3
Enrollment
546 participants, actual
Lead sponsor
Sanofi
Conditions
Rheumatoid Arthritis
Interventions
Sarilumab, placebo, hydroxychloroquine, methotrexate, sulfasalazine, leflunomide
First posted
2012-10-18
Last updated
2017-08-08
Other registries' IDs
eudract:2011-003538-16
Results first posted
2017-08-08

Source ClinicalTrials.gov

Registered outcomes41

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Who Achieved at Least 20% Improvement in the American College of Rheumatology (ACR20) Criteria at Week 24Week 24
ACR responses are assessed with a composite rating scale of the American College of Rheumatology that includes 7 variables: tender joint count (TJC); swollen joint count (SJC); levels of an acute phase reactant (C-reactive Protein levels \[CRP\]); participant's assessment of pain; participant's global assessment of disease activity; physician's global assessment of disease activity; participant's assessment of physical function by (health assessment questionnaire disability index \[HAQ-DI\]). ACR20 is defined as achieving at least 20% improvement in both TJC and SJC, and at least 20% improvement in at least 3 of the 5 other assessments of the ACR.
PrimaryChange From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12Baseline, Week 12
Physical function was assessed by HAQ-DI. It consisted of at least 2 questions per category, participant reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week rated on a 4-point scale where 0 = no difficulty; 1 = some difficulty; 2 = much difficulty; 3 = unable to do. Overall score was computed as the sum of category scores and divided by the number of categories answered, ranging from 0 to 3, where 0 = no disability and 3 = unable to do, high-dependency disability. Least-squares (LS) means and standard errors (SE) at Week 12 were obtained from a mixed-effect model with repeated measures (MMRM) with treatment, region, number of previous anti-TNFs, visit, and treatment-by-visit interaction as fixed effects and baseline HAQ-DI as a covariate.
SecondaryChange From Baseline in Disease Activity Score for 28 Joints -C-Reactive Protein (DAS28--CRP) Score at Week 24Baseline, Week 24
DAS28 is a composite score that includes 4 variables: TJC (based on 28 joints); SJC (based on 28 joints); General health (GH) assessment by the participant assessed from the ACR rheumatoid arthritis (RA) core set questionnaire (participant global assessment) in 100 mm visual analog scale (VAS). Marker of inflammation assessed by the high sensitivity C-reactive protein (hs-CRP) in mg/L. The DAS28 score provides a number indicating the current disease activity of the RA. DAS28 total score ranges from 2-10. A DAS28 score above 5.1 means high disease activity, whereas a DAS28 score below 3.2 indicates low disease activity and a DAS28 score below 2.6 means disease remission. LS means and SE at Week 24 were obtained from a MMRM with treatment, region, number of previous anti-TNFs, visit, and treatment-by-visit interaction as fixed effects and baseline DAS28-CRP score as a covariate.
SecondaryPercentage of Participants Achieving ACR50 Criteria at Week 24Week 24
ACR responses are assessed with a composite rating scale that includes 7 variables: TJC; SJC; levels of an acute phase reactant (CRP level); participant's assessment of pain; participant's global assessment of disease activity; physician's global assessment of disease activity; participant's assessment of physical function by HAQ--DI. ACR50 is defined as achieving at least 50% improvement in both TJC and SJC, and at least 50% improvement in at least 3 of the 5 other assessments of the ACR.
SecondaryPercentage of Participants Achieving ACR70 Criteria at Week 24Week 24
ACR responses are assessed with a composite rating scale of the American College of Rheumatology that includes 7 variables: TJC; SJC; levels of an acute phase reactant (CRP level); participant's assessment of pain; participant's global assessment of disease activity; physician's global assessment of disease activity; participant's assessment of physical function by HAQ--DI. ACR70 is defined as achieving at least 70% improvement in both TJC and SJC, and at least 70% improvement in at least 3 of the 5 other assessments of the ACR.
SecondaryPercentage of Participants Achieving Clinical Remission Score (DAS28-CRP) <2.6 at Week 24Week 24
DAS28 is a composite score that includes 4 variables: TJC (based on 28 joints); SJC (based on 28 joints); GH by the participant assessed from the ACR rheumatoid arthritis core set questionnaire (participant global assessment) in 100 mm VAS; marker of inflammation assessed by hs-CRP in mg/L. The DAS28 provides a number indicating the current activity of the RA. DAS28 total score ranges from 2-10. A DAS28 score above 5.1 means high disease activity, whereas a DAS28 score below 3.2 indicates low disease activity and a DAS28 score below 2.6 means disease remission.
SecondaryChange From Baseline in Clinical Disease Activity Index (CDAI) at Week 24Baseline, Week 24
CDAI is a composite index constructed to measure clinical remission in RA that does not include a laboratory test, and is a numerical summation of 4 components: TJC (28 joints), SJC (28 joints), Participant's Global Assessment of Disease Activity VAS (in cm), and Physician's Global Assessment of Disease VAS (in cm). Total scores ranges from 0 to 76 with a negative change in CDAI score indicating an improvement in disease activity and a positive change in score indicating a worsening of disease activity. LS means and SE at Week 24 were obtained from a MMRM with treatment, region, number of previous anti-TNFs, visit, and treatment-by-visit interaction as fixed effects and baseline CDAI as a covariate.
SecondaryChange From Baseline in HAQ-DI at Week 24Baseline, Week 24
Physical function was assessed by HAQ-DI. It consisted of at least 2 questions per category, participant reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week rated on a 4-point scale where 0 = no difficulty; 1 = some difficulty; 2 = much difficulty; 3 = unable to do. Overall score was computed as the sum of category scores and divided by the number of categories answered, ranging from 0 to 3, where 0 = no disability and 3 = unable to do, high-dependency disability. LS means and SE at Week 24 were obtained from a MMRM with treatment, region, number of previous anti-TNFs, visit, and treatment-by-visit interaction as fixed effects and baseline HAQ-DI as a covariate.
SecondaryChange From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Component Summary Scores (PCS) at Week 24Baseline, Week 24
SF-36 is a generic 36-item questionnaire measuring health-related quality of life (HRQL) covering 2 summary measures: PCS and mental component summary (MCS). The SF-36 consists of 8 subscales. The PCS had 4 subscales: physical function, role limitations due to physical problems, pain, and general health perception. The MCS had 4 subscales: vitality, social function, role limitations due to emotional problems, and mental health. Participants self-report on items in a subscale that have between 2-6 choices per item using Likert-type responses (e.g. none of the time, some of the time, etc.). Summations of item scores of the same subscale give the subscale scores, which are transformed into a range from 0 to 100; 0= worst HRQL, 100=best HRQL. Higher scores indicate better health and well-being. LS mean and SE at Week 24 by MMRM with treatment,region,number of previous anti TNFs,visit,and treatment-by-visit interaction as fixed effects and baseline SF-36 (PCS) as a covariate.
SecondaryChange From Baseline in SF-36 MCS at Week 24Baseline, Week 24
SF-36 is a generic 36-item questionnaire measuring HRQL covering 2 summary measures: PCS and MCS. The SF-36 consists of 8 subscales. The PCS is represented by 4 subscales: physical function, role limitations due to physical problems, pain, and general health perception. The MCS is represented by 4 subscales: vitality, social function, role limitations due to emotional problems, and mental health. Participants self-report on items in a subscale that have between 2-6 choices per item using Likert-type responses (e.g. none of the time, some of the time, etc.). Summations of item scores of the same subscale give the subscale scores, which are transformed into a range from 0 to 100; 0= worst HRQL, 100=best HRQL. Higher scores indicate better health and well-being. LS mean and SE at Week 24 were obtained from a MMRM with treatment, region, number of previous anti-TNFs, visit, and treatment-by-visit interaction as fixed effects and baseline SF-36 MCS as a covariate.

Outcomes41

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Who Achieved at Least 20% Improvement in the American College of Rheumatology (ACR20) Criteria at Week 24Week 24Intent-to-treat (ITT) population included all randomized participants.percentage of participantsNUMBER
PRIMARYChange From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12Baseline, Week 12ITT population. Number of participants analyzed = number of participants with HAQ-DI assessment at both baseline and Week 12.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Disease Activity Score for 28 Joints -C-Reactive Protein (DAS28--CRP) Score at Week 24Baseline, Week 24ITT population. Number of participants analyzed = number of participants with DAS28--CRP Score assessment at both baseline and Week 24.units on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Achieving ACR50 Criteria at Week 24Week 24ITT population.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving ACR70 Criteria at Week 24Week 24ITT population.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving Clinical Remission Score (DAS28-CRP) <2.6 at Week 24Week 24ITT population.Percentage of participantsNUMBER
SECONDARYChange From Baseline in Clinical Disease Activity Index (CDAI) at Week 24Baseline, Week 24ITT population. Number of participants analyzed=number of participants with CDAI assessment at both baseline and Week 24.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in HAQ-DI at Week 24Baseline, Week 24ITT population. Number of participants analyzed = number of participants with HAQ-DI assessment at both baseline and Week 24.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Component Summary Scores (PCS) at Week 24Baseline, Week 24ITT population. Number of participants analyzed = participants with SF-36 PCS assessment at both baseline and Week 24.units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in SF-36 MCS at Week 24Baseline, Week 24ITT population. Number of participants analyzed=participants with SF-36 MCS assessment at both baseline and Week 24.units on a scaleLEAST_SQUARES_MEAN

Results by group162

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Who Achieved at Least 20% Improvement in the American College of Rheumatology (ACR20) Criteria at Week 24Placebo q2w33.7percentage of participants
Percentage of Participants Who Achieved at Least 20% Improvement in the American College of Rheumatology (ACR20) Criteria at Week 24Sarilumab 150 mg q2w55.8percentage of participants
Percentage of Participants Who Achieved at Least 20% Improvement in the American College of Rheumatology (ACR20) Criteria at Week 24Sarilumab 200 mg q2w60.9percentage of participants
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12Placebo q2w-0.26Standard Error 0.043units on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12Sarilumab 150 mg q2w-0.46Standard Error 0.044units on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) at Week 12Sarilumab 200 mg q2w-0.47Standard Error 0.043units on a scale
Change From Baseline in Disease Activity Score for 28 Joints -C-Reactive Protein (DAS28--CRP) Score at Week 24Placebo q2w-1.38Standard Error 0.119units on a scale
Change From Baseline in Disease Activity Score for 28 Joints -C-Reactive Protein (DAS28--CRP) Score at Week 24Sarilumab 150 mg q2w-2.35Standard Error 0.111units on a scale
Change From Baseline in Disease Activity Score for 28 Joints -C-Reactive Protein (DAS28--CRP) Score at Week 24Sarilumab 200 mg q2w-2.82Standard Error 0.108units on a scale
Percentage of Participants Achieving ACR50 Criteria at Week 24Placebo q2w18.2Percentage of participants

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo q2w181
Overall StudySTARTEDSarilumab 150 mg q2w181
Overall StudySTARTEDSarilumab 200 mg q2w184
Overall StudyCOMPLETEDPlacebo q2w101
Overall StudyCOMPLETEDSarilumab 150 mg q2w125
Overall StudyCOMPLETEDSarilumab 200 mg q2w133
Overall StudyNOT COMPLETEDPlacebo q2w80
Overall StudyNOT COMPLETEDSarilumab 150 mg q2w56
Overall StudyNOT COMPLETEDSarilumab 200 mg q2w51

Adverse events96

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsPlacebo q2w9181
otherNasopharyngitisInfections and infestationsSarilumab 150 mg q2w11181
otherNasopharyngitisInfections and infestationsSarilumab 200 mg q2w7184
otherUrinary tract infectionInfections and infestationsPlacebo q2w12181
otherUrinary tract infectionInfections and infestationsSarilumab 150 mg q2w6181
otherUrinary tract infectionInfections and infestationsSarilumab 200 mg q2w13184
otherNeutropeniaBlood and lymphatic system disordersPlacebo q2w2181
otherNeutropeniaBlood and lymphatic system disordersSarilumab 150 mg q2w23181
otherNeutropeniaBlood and lymphatic system disordersSarilumab 200 mg q2w22184
otherHypertriglyceridaemiaMetabolism and nutrition disordersPlacebo q2w3181

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo q2w
Total, all-cause mortalitySarilumab 150 mg q2w
Total, all-cause mortalitySarilumab 200 mg q2w
Total, other adverse eventsPlacebo q2w26181
Total, other adverse eventsSarilumab 150 mg q2w60181
Total, other adverse eventsSarilumab 200 mg q2w57184
Total, serious adverse eventsPlacebo q2w6181
Total, serious adverse eventsSarilumab 150 mg q2w6181
Total, serious adverse eventsSarilumab 200 mg q2w10184

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27860410RESULTPubMed
28326189DERIVEDPubMed
29556418DERIVEDPubMed
30877216DERIVEDPubMed
32522251DERIVEDPubMed
32907617DERIVEDPubMed
33871596DERIVEDPubMed
34519964DERIVEDPubMed
36008838DERIVEDPubMed
36413080DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT01709578

GET https://conductscience.org/api/trials/v1/NCT01709578/registered?page=2