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Golimumab

Phase 3

Arthritis | Small molecule | Immunology |Johnson & Johnson|Last Updated: Apr 30, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment433
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01004432Golimumab in Rheumatoid Arthritis Participants With an Inadequate Response to Etanercept (ENBREL) or Adalimumab (HUMIRA)PHASE3 COMPLETED 433Dec 1, 2009Oct 1, 2013Apr 30, 2015117 United States, Austria +6
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving Erythrocyte Sedimentation Rate (ESR)-Based American College of Rheumatology [ACR] 20 Response at Week 14
Week 14

Erythrocyte Sedimentation Rate (ESR)-based ACR 20 response: greater than or equal to (\>=) 20 percent (%) improvement from Baseline in tender (68 joints assessed) and swollen (66 joints assessed) joint counts and \>=20% improvement from Baseline in 3 of the following 5 assessments: 1- Participant's assessment of pain using Visual Analog Scale (VAS) (0 to 10 centimeters \[cm\]), 2- Participant's global assessment of disease activity using VAS (0 to 10 cm), 3- Physician's global assessment of disease activity using VAS (0 to 10 cm), 4- Participant's assessment of physical function as measured by the Disability Index of the Health Assessment Questionnaire (HAQ-DI) (score of 0-3 in 8 functional areas), 5- ESR.

Secondary Endpoints
Percentage of Participants Who Achieved Erythrocyte Sedimentation Rate (ESR)-Based ACR20 Response at Week 2
Within 2 weeks of initiating therapy
Percentage of Participants Who Achieved Erythrocyte Sedimentation Rate (ESR)-Based Disease Activity Score (DAS28) Response at Week 16 and Maintained Response Through Week 52
Week 52
Percentage of Participants Who Achieved Erythrocyte Sedimentation Rate (ESR)-Based ACR20 Response at Week 52 Relative to Week 16
Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Open-label (OL) Overall Group: Golimumab 50 mg SC + MTXEXPERIMENTALAll enrolled and dosed participants receive golimumab 50 milligram (mg) subcutaneous (SC) injection every 4 weeks + Methotrexate (MTX) from Week 0 to Week 12.
Double blind (DB) Group 2a: Golimumab 50mg SC & Placebo IV+MTXEXPERIMENTALParticipants, who do not achieve Disease Activity Score in 28 joints (DAS28) good response at Week 16, will be randomly assigned to receive golimumab 50 mg SC injection every 4 weeks + MTX from Week 16 to Week 48, along with placebo matched to golimumab intravenous infusion (IV) at Week 16, 20, 28, 36, and 44.
DB Group 2b: Golimumab 2mg/kg IV & Placebo SC + MTXEXPERIMENTALParticipants, who do not achieve DAS28 good response at Week 16, will be randomly assigned to receive golimumab 2 milligram per kilogram (mg/kg) intravenous infusion (IV) + MTX, at Week 16, 20, 28, 36 and 44, along with placebo matched to golimumab SC injection every 4 weeks from Week 16 to Week 48.
OL Group 1: Golimumab 50 mg SC + MTXEXPERIMENTALParticipants, who achieve DAS28 good response at Week 16, will receive golimumab 50 mg SC injection every 4 weeks + MTX from Week 16 to Week 48.
OL Study Extension Group: Golimumab 50 mg SC + MTXEXPERIMENTALParticipants who complete the main study (Week 0 to Week 52), do not meet lack of efficacy criteria, and participate in the OL study extension, will receive golimumab 50 mg SC injection every 4 weeks + MTX from Week 52 to Week 72.
Interventions
NameTypeDescription
Golimumab 50 mg SCDRUGGolimumab 50 milligram (mg) subcutaneous (SC) injection every 4 weeks.
Golimumab 2 mg/kg IVDRUGGolimumab 2 milligram per kilogram (mg/kg) intravenous infusion every 8 weeks.
Methotrexate (MTX)DRUGParticipants will continue taking their current Methotrexate (MTX) treatment regimen.
Placebo SCDRUGPlacebo matched to golimumab SC injection every 4 weeks.
Placebo IVDRUGPlacebo matched to golimumab intravenous infusion every 8 weeks.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites117

Inclusion Criteria: * Have inadequate RA disease control prior to the first administration of study agent despite treatment with etanercept (Enbrel) + methotrexate or adalimumab (Humira) + methotrexate (MTX) * Must have received a stable dose of MTX greater than or equal to (\>=) 7.5 milligram (mg)...

Countries:United StatesAustriaBelgiumCanadaGermanyGreeceSwedenUnited Kingdom
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Competitive Landscape -Arthritis 9 trials