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Experimental: Arm A: DRL_RI

Phase 3

Rheumatoid Arthritis | Monoclonal antibody | Immunology |Dr. Reddy's Laboratories Ltd|Last Updated: Nov 18, 2023

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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment140
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04268771A Phase III Transition Study of DRL Rituximab to Reference Medicinal ProductsPHASE3 COMPLETED 140Apr 8, 2020Apr 20, 2022Nov 18, 202326 United States
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Study Endpoints
Primary Endpoints
Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 1
ADA will be obtained before the administration of study treatment on Day 1

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 1 was reported

Number of Subjects With Positive Anti-Drug Antibodies (ADA) on Day 15
ADA will be obtained before the administration of study treatment on Day 15

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) on Day 15 was reported

Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 4
ADA will be obtained before the administration of study treatment at Week 4

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 4 was reported

Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 8
ADA will be obtained before the administration of study treatment at Week 8

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 8 was reported

Number of Subjects With Positive Anti-Drug Antibodies (ADA) at Week 12 Visits
ADA will be obtained at Week 12

For Immunogenicity: Number of subjects with positive Anti-Drug Antibodies (ADA) at Week 12 visits was reported

Secondary Endpoints
Number of Subjects Reporting Anaphylactic Reactions at Dosing Time Points (Either at Week 1 or Week 3)
Assessments of Anaphylactic reactions will be carried out at either Week 1 or Week 3
Number of Subjects Reporting TEAEs (Treatment Emergent Adverse Events) That Led to Study Drug Discontinuation at Either Week 1 or Week 3 Dosing Timepoint
Assessment of AE's (Adverse Events) that led to study drug discontinuation were carried out at either week 1 or week 3 dosing timepoint
Number of Subjects Reporting SAEs (Serious Adverse Events) From Baseline (Week 1) to End of Study (Week 26)
Assessment of SAE's was carried out from baseline (week 1) to end of study (week 26)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A: DRL_RIEXPERIMENTALSubjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with Rituximab, will be enrolled. DRL\_RI will be administrated in combination with MTX as two 1000 mg infusions on Day 1 and Day 15
Arm B: US-Rituximab or EU-RituximabACTIVE_COMPARATORSubjects who have already received at least 1 full course comprising two 1000 mg infusions of either US-rituximab or EU-rituximab and are candidates for re-treatment with rituximab, will be enrolled. Patients enrolled in Arm -B will continue to receive US-rituximab or EU-rituximab. The rituximab reference product used (US-licensed rituximab \[Rituxan\] or EU-approved rituximab \[MabThera\]) should be the same in the prior and the randomized treatment course, respectively.
Interventions
NameTypeDescription
Experimental: Arm A: DRL_RIBIOLOGICALProposed rituximab biosimilar, 100mg or 500mg, concentrate for solution for infusion
Arm B: Rituxan®/Mabthera®BIOLOGICALReference product US- rituximab (Rituxan®) or EU-rituximab (MabThera®), 100mg or 500mg, concentrate for solution for infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion Criteria: 1. Male or female subjects aged 18 years or older who have provided valid written informed consent. 2. Subjects with a diagnosis of active RA who are eligible for the subsequent treatment course with US-rituximab or EU-rituximab according to the clinical judgment of the investig...

Countries:United States
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