Trial · NCT03600818
Evaluation of the Efficacy and Safety of Sarilumab in Patients With Polymyalgia Rheumatica
NCT03600818, Phase 3, Terminated, Sanofi; results first posted 2022-06-10
3 sourcestrials-2026-11-12-0.5.0
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ConductScience Library. Evaluation of the Efficacy and Safety of Sarilumab in Patients With Polymyalgia Rheumatica. Trials, record NCT03600818. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03600818
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Trial
As registered on ClinicalTrials.gov, in the graph's capture of the registry.
- Title
- Evaluation of the Efficacy and Safety of Sarilumab in Patients With Polymyalgia Rheumatica
- NCT number
- NCT03600818
- Status
- Terminated
- Phases
- Phase 3
- Enrollment
- 118 participants, actual
- Lead sponsor
- Sanofi
- Conditions
- Polymyalgia Rheumatica
- Interventions
- Sarilumab SAR153191 (REGN88), Sarilumab-matching placebo, Prednisone, Prednisone-matching placebo, Prednisone
- First posted
- 2018-07-26
- Last updated
- 2022-06-10
- Other registries' IDs
- eudract:2017-002989-42
- Results first posted
- 2022-06-10
- Limitations and caveats
Protracted recruitment timeline exacerbated by COVID-19 pandemic led to pre-mature termination of study, resulting in a change in the total expected number of participants and change in the statistical significance level.
Source ClinicalTrials.gov
Registered outcomes17
Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.
| List | Outcome | Time frame | Description |
|---|---|---|---|
| Primary | Percentage of Participants Achieving Sustained Remission at Week 52 | At Week 52 | Sustained remission was defined as meeting all of the following parameters: achievement of disease remission (defined as resolution of signs and symptoms of polymyalgia rheumatica \[PMR\], and normalization of C-reactive protein \[CRP\] {less than \[\<\]10 milligrams per liter \[mg/L\]}) not later than Week 12, absence of disease flare (defined as recurrence of signs and symptoms attributable to active PMR plus an increase in corticosteroid \[CS\] dose due to PMR or elevation of erythrocyte sedimentation rate \[ESR\] attributable to active PMR plus an increase in CS dose due to PMR) from Week 12 through Week 52, sustained reduction of CRP (to \<10 mg/L, with absence of successive elevations to greater than or equal to \[\>=\]10 mg/L) from Week 12 through Week 52, and successful adherence to prednisone taper from Week 12 through Week 52. |
| Secondary | Total Cumulative Corticosteroid Dose | Up to Week 52 | Cumulative dose of CS used for PMR disease was defined as the dose taken up to the end of treatment, including expected prednisone in tapering regimen per protocol, add-on prednisone, CS used in rescue therapy and the use of commercial prednisone (an excess of \<=100 mg of prednisone during the study treatment period). The total cumulative CS dose was based on the total number of days with complete or partial intake, no imputation was done on missed tablets. |
| Secondary | Number of Participants Who Achieved Disease Remission up to Week 12 | Up to Week 12 | Disease remission was defined as resolution of signs and symptoms of PMR, and normalization of CRP (\< 10 mg/L). The status of normalization of CRP (\<10 mg/L) was determined based on the last two non-missing post-baseline CRP values measured up to Week 12. If at least one of the value was \<10 mg/L, then it was considered as normalization of CRP. Participants who took rescue CS due to active PMR prior to Week 12 or who permanently withdrew from the study treatment prior to Week 12 were considered as not achieved disease remission by Week 12. During the initial 12 weeks of prednisone taper, treatment for one flare before Week 12 was permitted if it was successfully treated with a low dose (\<=5 mg/day) prednisone add-on taper regimen (completed prior to Week 12) and provided that all other sustained remission parameters were met. |
| Secondary | Number of Participants With Absence of Disease Flare From Week 12 Through Week 52 | From Week 12 Through Week 52 | Disease flare was defined as either recurrence of signs and symptoms attributable to active PMR plus an increase in CS dose due to PMR, or elevation of ESR attributable to active PMR plus an increase in CS dose due to PMR. |
| Secondary | Number of Participants With Sustained Reduction of CRP From Week 12 Through Week 52 | From Week 12 through Week 52 | Normalization (sustained reduction) of CRP was defined as CRP levels \<10 mg/L. If there were two or more consecutive visits with CRP \>=10 mg/L, then it was categorized as no normalization of CRP. |
| Secondary | Number of Participants With Successful Adherence to the Prednisone Taper From Week 12 Through Week 52 | From Week 12 through Week 52 | Successful adherence to the prednisone taper from Week 12 through Week 52 was defined as participants who did not take rescue therapy from Week 12 through Week 52 and any excess prednisone (beyond the per protocol CS tapering regimen) with a cumulative dose of \<=100 mg (or equivalent), such as those employed to manage adverse event (AE) not related to PMR. |
| Secondary | Time to First Polymyalgia Rheumatica Flare After Clinical Remission up to Week 52 | Up to Week 52 | Time to first PMR flare was defined as the duration (in days) from randomization to first PMR flare after clinical remission (defined as resolution of signs and symptoms and normalization of CRP \[\<10 mg/L\]) and up to 52 weeks. Disease flare was defined as either the recurrence of signs or symptoms attributable to active plus an increase in CS dose due to PMR or elevation of ESR attributable to active PMR plus an increase in CS dose due to PMR. Kaplan-Meier method was used for the analysis. Participants who never achieved remission were censored at randomization day; and those who achieved clinical remission and never flared were censored at the end of treatment assessment date up to Week 52. |
| Secondary | Composite Glucocorticoid Toxicity Index (C-GTI): Cumulative Worsening Score (CWS) and Aggregate Improvement Score (AIS) at Week 52 | At Week 52 | GTI assessed glucocorticoid (GC) related morbidity and GC-sparing ability of other therapies; composed of 2 components: C-GTI and Specific List. C-GTI contained 9 domains and Specific List contained of 23 items (11 domains), used as complementary tool to C-GTI. C-GTI score was sum of 9 domain-specific scores at each visit and Cumulative GTI score was sum of C-GTI scores across each visit. Two cumulative GTI scores: CWS and AIS at Week 52 are reported in this outcome measure. CWS assessed cumulative GC toxicity regardless of whether toxicity had lasting effects or was transient. AIS assessed new therapy effectiveness in decreasing any Baseline GC toxicity over time. Negative scores reflect improvement in CS toxicities present from Baseline. For CWS, composite score ranged from 0 to 439 and for AIS, composite score ranged from -346 to 439. For both CWS and AIS, minimum score implies least toxicity and maximum score implies most toxicity. |
| Secondary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | From first dose (i.e. Day 1) up to 60 days after last dose date of study drug (i.e. up to Week 60) | An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. Serious AEs (SAEs) were any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. TEAEs were the AEs that developed or worsened or became serious during the TEAE period (defined as the time from the first dose of the investigational medicinal product (IMP) to the last dose of the IMP +60 days). |
| Secondary | Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities During TEAE Period | From first dose (i.e., Day 1) up to 60 days after last dose date of study drug (i.e., up to Week 60) | Criteria for potentially clinically significant vital sign abnormalities: Systolic Blood Pressure (SBP): \<= 95 mmHg and decrease from baseline (DFB) more than or equal to (\>=) 20 mmHg; \>= 160 mmHg and increase from baseline (IFB) \>= 20 mmHg Diastolic blood pressure (DBP): \<=45 mmHg and DFB \>=10 mmHg; \>=110 mmHg and IFB \>=10 mmHg. Heart Rate (HR): \<= 50 beats per min (bpm) and DFB \>=20 bpm; \>=120 bpm and IFB \>= 20 bpm Weight: \>=5% DFB; \>=5% IFB. TEAE period was defined as the time from the first dose of the IMP to the last dose of the IMP + 60 days. |
1 to 10 of 17Source ClinicalTrials.gov
See all 17 registered outcomesOutcomes17
Each outcome the trial posted results for, in ClinicalTrials.gov's words.
| Type | Outcome | Time frame | Population | Units | Measured as |
|---|---|---|---|---|---|
| PRIMARY | Percentage of Participants Achieving Sustained Remission at Week 52 | At Week 52 | Analysis was performed on intent-to-treat (ITT) population that included all participants who were allocated to a randomized treatment group, and were analyzed according to the treatment group allocated by randomization. | percentage of participants | NUMBER |
| SECONDARY | Total Cumulative Corticosteroid Dose | Up to Week 52 | Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure. | milligrams | MEAN |
| SECONDARY | Number of Participants Who Achieved Disease Remission up to Week 12 | Up to Week 12 | Analysis was performed on ITT population. | Participants | COUNT_OF_PARTICIPANTS |
| SECONDARY | Number of Participants With Absence of Disease Flare From Week 12 Through Week 52 | From Week 12 Through Week 52 | Analysis was performed on ITT population. | Participants | COUNT_OF_PARTICIPANTS |
| SECONDARY | Number of Participants With Sustained Reduction of CRP From Week 12 Through Week 52 | From Week 12 through Week 52 | Analysis was performed on ITT population. | Participants | COUNT_OF_PARTICIPANTS |
| SECONDARY | Number of Participants With Successful Adherence to the Prednisone Taper From Week 12 Through Week 52 | From Week 12 through Week 52 | Analysis was performed on ITT population. | Participants | COUNT_OF_PARTICIPANTS |
| SECONDARY | Time to First Polymyalgia Rheumatica Flare After Clinical Remission up to Week 52 | Up to Week 52 | Analysis was performed on ITT population. | days | MEDIAN |
| SECONDARY | Composite Glucocorticoid Toxicity Index (C-GTI): Cumulative Worsening Score (CWS) and Aggregate Improvement Score (AIS) at Week 52 | At Week 52 | Analysis was performed on ITT population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure. | units on a scale | LEAST_SQUARES_MEAN |
| SECONDARY | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) | From first dose (i.e. Day 1) up to 60 days after last dose date of study drug (i.e. up to Week 60) | Analysis was performed on safety population that included participants who had received at least one dose or part of a dose of IMP and were analyzed according to the treatment actually received. | Participants | COUNT_OF_PARTICIPANTS |
| SECONDARY | Number of Participants With Potentially Clinically Significant Vital Signs Abnormalities During TEAE Period | From first dose (i.e., Day 1) up to 60 days after last dose date of study drug (i.e., up to Week 60) | Analysis was performed on safety population. Here, 'overall number of participants analyzed' = participants evaluable for this outcome measure and 'number analyzed' = participants with available data for each specified category. | Participants | COUNT_OF_PARTICIPANTS |
1 to 10 of 17Source ClinicalTrials.gov
See all 17 outcomesResults by group136
Each measurement the trial posted, group by group, in the words and numbers it posted.
| Outcome | Group | Category | Value | Spread | Units |
|---|---|---|---|---|---|
| Percentage of Participants Achieving Sustained Remission at Week 52 | Placebo+52 Week Taper | 10.3 | percentage of participants | ||
| Percentage of Participants Achieving Sustained Remission at Week 52 | Sarilumab 200mg q2w+14 Week Taper | 28.3 | percentage of participants | ||
| Total Cumulative Corticosteroid Dose | Placebo+52 Week Taper | 2235.8 | Standard Deviation 839.4 | milligrams | |
| Total Cumulative Corticosteroid Dose | Sarilumab 200mg q2w+14 Week Taper | 1039.5 | Standard Deviation 612.2 | milligrams | |
| Number of Participants Who Achieved Disease Remission up to Week 12 | Placebo+52 Week Taper | 22 | Participants | ||
| Number of Participants Who Achieved Disease Remission up to Week 12 | Sarilumab 200mg q2w+14 Week Taper | 28 | Participants | ||
| Number of Participants With Absence of Disease Flare From Week 12 Through Week 52 | Placebo+52 Week Taper | 19 | Participants | ||
| Number of Participants With Absence of Disease Flare From Week 12 Through Week 52 | Sarilumab 200mg q2w+14 Week Taper | 33 | Participants | ||
| Number of Participants With Sustained Reduction of CRP From Week 12 Through Week 52 | Placebo+52 Week Taper | 26 | Participants | ||
| Number of Participants With Sustained Reduction of CRP From Week 12 Through Week 52 | Sarilumab 200mg q2w+14 Week Taper | 40 | Participants |
1 to 10 of 136Source ClinicalTrials.gov
See all 136 results by groupParticipant flow8
How many started, completed or left each group, period by period.
| Period | Milestone | Group | Participants | Units counted |
|---|---|---|---|---|
| Overall Study | STARTED | Placebo+52 Week Taper | 58 | |
| Overall Study | STARTED | Sarilumab 200mg q2w+14 Week Taper | 60 | |
| Overall Study | Safety Population | Placebo+52 Week Taper | 58 | |
| Overall Study | Safety Population | Sarilumab 200mg q2w+14 Week Taper | 59 | |
| Overall Study | COMPLETED | Placebo+52 Week Taper | 36 | |
| Overall Study | COMPLETED | Sarilumab 200mg q2w+14 Week Taper | 42 | |
| Overall Study | NOT COMPLETED | Placebo+52 Week Taper | 22 | |
| Overall Study | NOT COMPLETED | Sarilumab 200mg q2w+14 Week Taper | 18 |
Source ClinicalTrials.gov
Adverse events116
Each adverse event the trial posted, group by group: the participants affected out of those at risk.
| Type | Event | Organ system | Group | Affected | At risk | Events |
|---|---|---|---|---|---|---|
| other | Increased Tendency To Bruise | Blood and lymphatic system disorders | Placebo+52 Week Taper | 4 | 58 | 4 |
| other | Increased Tendency To Bruise | Blood and lymphatic system disorders | Sarilumab 200mg q2w+14 Week Taper | 4 | 59 | 4 |
| other | Leukopenia | Blood and lymphatic system disorders | Placebo+52 Week Taper | 0 | 58 | 0 |
| other | Leukopenia | Blood and lymphatic system disorders | Sarilumab 200mg q2w+14 Week Taper | 4 | 59 | 4 |
| other | Neutropenia | Blood and lymphatic system disorders | Placebo+52 Week Taper | 0 | 58 | 0 |
| other | Neutropenia | Blood and lymphatic system disorders | Sarilumab 200mg q2w+14 Week Taper | 7 | 59 | 9 |
| other | Dry Eye | Eye disorders | Placebo+52 Week Taper | 4 | 58 | 4 |
| other | Dry Eye | Eye disorders | Sarilumab 200mg q2w+14 Week Taper | 0 | 59 | 0 |
| other | Constipation | Gastrointestinal disorders | Placebo+52 Week Taper | 0 | 58 | 0 |
| other | Constipation | Gastrointestinal disorders | Sarilumab 200mg q2w+14 Week Taper | 4 | 59 | 4 |
1 to 10 of 116Source ClinicalTrials.gov
See all 116 adverse eventsAdverse event totals6
The totals the trial posted for each group.
| Total | Group | Affected | At risk |
|---|---|---|---|
| Total, all-cause mortality | Placebo+52 Week Taper | 0 | 58 |
| Total, all-cause mortality | Sarilumab 200mg q2w+14 Week Taper | 0 | 59 |
| Total, other adverse events | Placebo+52 Week Taper | 42 | 58 |
| Total, other adverse events | Sarilumab 200mg q2w+14 Week Taper | 42 | 59 |
| Total, serious adverse events | Placebo+52 Week Taper | 12 | 58 |
| Total, serious adverse events | Sarilumab 200mg q2w+14 Week Taper | 8 | 59 |
Source ClinicalTrials.gov
Papers2
The papers the trial lists on ClinicalTrials.gov.
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 comparisons6
Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.
| Comparison | Source |
|---|---|
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: Number of Participants With Sustained Reduction of CRP From Week 12 Through Week 52 | Trial comparisons |
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: Number of Participants Who Achieved Disease Remission up to Week 12 | Trial comparisons |
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: Number of Participants With Successful Adherence to the Prednisone Taper From Week 12 Through Week 52 | Trial comparisons |
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: deaths from any cause | Trial comparisons |
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: Number of Participants With Absence of Disease Flare From Week 12 Through Week 52 | Trial comparisons |
| Placebo+52 Week Taper vs Sarilumab 200mg q2w+14 Week Taper: serious adverse events | Trial comparisons |
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.
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/NCT03600818
GET https://conductscience.org/api/trials/v1/NCT03600818/results?page=2