Rheumatoid Arthritis | Sarilumab Effect on the Pharmacokinetics of Simvastatin

Rheumatoid Arthritis research study

What is the primary objective of this study?

Primary Objective: To evaluate the effect of a single 200 mg subcutaneous injection of sarilumab on the pharmacokinetics of simvastatin in patients with rheumatoid arthritis Secondary Objective: To describe the safety and efficacy (exploratory) of sarilumab

Who is eligible to participate?

Inclusion criteria: Male or female, between 18 and 75 years of age, inclusive. Body weight between 50.0 and 120.0 kg, inclusive, if male, and between 40.0 and 110.0 kg, inclusive, if female. Diagnosis of RA, according to the ACR/European League against Rheumatism (EULAR) 2010 Rheumatoid Arthritis Classification Criteria with ≥ 3 months disease duration, ACR Class I-III functional status, based on 1991 revised criteria (Appendix B, 5). Moderate-to-severely active RA, defined as: o high sensitivity C-reactive protein (hs-CRP) ≥ 6 mg/L Laboratory parameters within the normal range (or defined screening threshold for the Investigator site), unless the Investigator considers an abnormality to be clinically irrelevant for RA patients; however following lab values must be met: - Hemoglobin >8.5 g/dL - White blood cells >3000/mm3 - Neutrophils >2000/mm3 - Platelet count >150 000 cells/mm3 Exclusion criteria: Prior or current significant concomitant illness(es) that, according to Investigator's judgment, would adversely affect the patient's participation in the study. Women of childbearing potential not protected by highly-effective contraceptive method(s) of birth control (as defined in the informed consent form), and/or who are unwilling or unable to be tested for pregnancy. Participation in any clinical research study that evaluated an investigational drug or therapy within 5 half-lives or 60 days of the Screening, whichever is longer. Patients with active TB or a history of incompletely treated TB. History of chronic infection or active infection. History of, or current, autoimmune or inflammatory systemic or localized joint disease(s) other than RA. A systemic hypersensitivity reaction, other than localized injection site reaction, to any biologic drug. History or presence of drug or alcohol abuse. Prior or current interstitial lung disease diagnosed by high resolution computed tomography and/or lung biopsy with consistent findings on pulmonary function tests and corroborating clinical findings. Prior or current history of malignancy, including lymphoproliferative diseases, other than adequately-treated carcinoma in-situ of the cervix, nonmetastatic squamous cell or basal cell carcinoma of the skin, within 5 years prior to the screening visit. Uncontrolled diabetes mellitus, defined as glycosylated hemoglobin (HbA1c) ≥9% at the screening visit. Current treatment with anti-TNF agents or other biologics. Current treatment with RA-directed biologic agents with non- TNF-α antagonist. Any contra-indications to simvastatin, according to the applicable labeling. Current treatment with a statin within 14 days before inclusion. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Rheumatoid Arthritis

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Drug:sarilumab SAR153191 (REGN88)Pharmaceutical form:Prefilled syringe of sarilumab solution Route of administration: Subcutaneous injection

Drug:simvastatinPharmaceutical form:Film-coated 20 mg Tablet Route of administration: oral

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Sarilumab SAR153191 (REGN88)Single dose of simvastatin before and after sarilumab administration

Study Status


Start Date: January 2014

Completed Date: March 2016

Phase: Phase 1

Type: Interventional


Primary Outcome: Assessment of PK parameters - area under curve from zero time until the last measurable concentration (AUClast) and AUC for simvastatin

Secondary Outcome: Assessment of additional PK parameters for simvastatin

Study sponsors, principal investigator, and references

Principal Investigator:

Lead Sponsor: Sanofi

Collaborator: Regeneron Pharmaceuticals

More information:

Discuss Simvastatin