FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2019/12/022313 [Registered on: 11/12/2019] Trial Registered Prospectively
Last Modified On: 02/09/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   To study the safety and effectiveness of Investigational product GSK versus placebo and tofacitinib in subjects who have moderate to severe Rheumatoid Arthritis who have limited response to methotrexate  
Scientific Title of Study   A 52-week, Phase 3, Multicentre, Randomised, Double Blind, Efficacy and Safety Study Comparing GSK3196165 With Placebo and With Tofacitinib, in Combination With Methotrexate in Participants With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate 
Trial Acronym  contRAst-1 
Secondary IDs if Any  
Secondary ID  Identifier 
201790 dated 22 May 2019  Protocol Number 
NCT03980483  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Suneela Thatte 
Designation  Head- India Local Solutions, Director- Early Clinical Development 
Affiliation  IQVIA RDS (India) Private Limited 
Address  Natraj by Rustomjee 6th Floor, 194 MV Road, Near Western Express Highway Metro Station Andheri East

Mumbai
MAHARASHTRA
400069
India 
Phone  2266774242  
Fax  2266774343  
Email  suneela.thatte@quintiles.com  
 
Details of Contact Person
Public Query
 
Name  Suneela Thatte 
Designation  Head- India Local Solutions, Director- Early Clinical Development 
Affiliation  IQVIA RDS (India) Private Limited 
Address  Natraj by Rustomjee 6th Floor, 194 MV Road, Near Western Express Highway Metro Station Andheri East


MAHARASHTRA
400069
India 
Phone  2266774242  
Fax  2266774343  
Email  suneela.thatte@quintiles.com  
 
Source of Monetary or Material Support  
GlaxoSmithKline Research & Development Limited 980 Great West Road Brentford Middlesex, TW8 9GS UK  
 
Primary Sponsor  
Name  GlaxoSmithKline Research and Development Limited 
Address  980 Great West Road Brentford Middlesex, TW8 9GS UK  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
IQVIA RDSIndia Pvt Ltd   2nd Floor, Etamin Block, Prestige Technology Park II Sarjapur-Marathahalli Outer Ring Road, Bangalore-560103 Karnataka  
 
Countries of Recruitment     Argentina
Brazil
Canada
China
Czech Republic
Hungary
India
Italy
Latvia
Lithuania
Malaysia
Mexico
Philippines
Poland
Russian Federation
Serbia
South Africa
Spain
Ukraine
United Kingdom
United States of America  
Sites of Study
Modification(s)  
No of Sites = 26  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Girish Bhatia  7 Orange Hospital  Dept.: Rheumatology Floor name Ground floor Room No: OPD No 3 Pawana Nagar, Next to Jain School, Near Chapekar Chowk, Chinchwad, Pune-411033, Maharashtra, India
Pune
MAHARASHTRA 
7350055754

drgirishbhatia@gmail.com 
Dr Vishnu Sharma  Avron Multispecialty Hospitals  Dept.: Rheumatology Floor name -2nd floor Room No: 5 4 Shantiniketan Park, Near Sardar Patel Colony Naranpura 380013
Ahmadabad
GUJARAT 
91-79-30400480

drvishnusharma@yahoo.co.in 
Dr Himanshu Panchal  B.J. Medical Collage & Civil Hospital  Dept.: Clinical Research Department Research Lab Floor name : 2nd floor Room No: NA Asarwa, Ahmedabad –380016
Ahmadabad
GUJARAT 
79-22685938

drhimanshupanchal@gmail.com 
Dr Naisar Dilip Nahar   Chopda Medicare & Research Centre Pvt. Ltd;  Dept.: Department of Clinical Research Floor name : 4th floor Room No: No. 10 Magnum Heart Institute, 3/5, Patil Lane No.1, Laxmi Nagar, Canada Corner, Nashik -422005
Nashik
MAHARASHTRA 
9970222227

dr.naisar@yahoo.com 
Dr Vaijayanti Lagu Joshi   Deenanath Mangeshkar Hospital & Research Centre  Dept.: Rheumatology OPD Floor name Ground Floor Room No: Research room Erandawane, Pune - 411004
Pune
MAHARASHTRA 
9881011188

drvaijuvardhan@rediffmail.com 
Dr Vijay G Goni   Dept of Orthopaedics, Nehru Hospital, PGIMER  Dept.: Department of Orthopedics Floor name: Ground Floor Room No: NA Chandigarh - 160012
Chandigarh
CHANDIGARH 
0172-2756747

vijaygoni@gmail.com 
Dr Rajiv Daveshwar   Government Medical College and SSG Hospital Baroda  Dept.: NA Floor name: Ground floor Room No: Skin and VD Demonstration room one Jail Road Opp Bharat Petrol Pump Indira Avenue, Anandpur, Vadodara - 390001
Vadodara
GUJARAT 
9427322493

dr_rndaveshwar@yahoo.com 
Dr Ajit Nalawade   Grant Medical Foundation Ruby Hall Clinic  Dept.: Rheumatology Floor name – 1st Floor Room No: 107 40, Sassoon Road, Pune- 411001
Pune
MAHARASHTRA 
9822746248

dr.ajitnalawade@gmail.com 
Dr Parasar Ghosh  IPGME&R / SSKM Hospital   Dept.: Rheumatology Floor name 5th floor Room No: NA 244 A.J.C Bose Road, Kolkata – 700020
Kolkata
WEST BENGAL 
9433988317

drparasar@gmail.com 
Dr Ramaswamy Subramanian  JSS Medical College and Hospital  Dept.: Dept of Master Health Checkup Floor name: 2nd floor Room No: NA MG Road, Mysore - 570004
Mysore
KARNATAKA 
9945472441

subsan05@gmail.com 
Dr Archana Uppin   KLES Dr.Prabhakar Kore Hospital and MRC  Dept.: Rheumatology Floor name -Ground floor Room No: 5 (OPD No 11) Nehru Nagar, Belagavi-590010
Belgaum
KARNATAKA 
91-831-2470400

drarchanak85@gmail.com 
DrNilesh Patil   Lifepoint Multispecialty Hospital  Dept.: Rheumatology Floor name -3rd floor Room No: Clinical research department 145/1, Mumbai Bangalore Highway, Wakad, Pune-411057
Pune
MAHARASHTRA 
20-66434366

patilnj81@gmail.com 
Dr Alok Kumar Kalyani   Maharaja Agrasen Hospital  Dept.: Rheumatology Floor name Ground floor Room No: 05 West Punjabi Bagh, New Delhi – 110026
New Delhi
DELHI 
9540946955

alokkalyani@gmail.com 
Bankimchandra Nanubhai Desai   Nirmal Hospital   Dept.: Rheumatology Floor name – 5th floor Room No: Research room Ring Road, Surat-395002
Surat
GUJARAT 
9825136077

drbankim.desai@gmail.com 
Dr Puja Shrivastava   Panchshil Hospital  Dept.: Clinical Research Department Floor name : 2nd floor Room No: Research Room First Floor, Highway, Ramnagar, Sabarmati, Ahmedabad – 380015
Ahmadabad
GUJARAT 
079-27506336

dr.pujasrivastava@gmail.com 
Dr Rahul Katta   S.R.Kalla Memorial Gastro & General Hospital   Dept.: Research Department Floor name – 1st floor Room No: Clinical research department 78-79 Dhuleshwar Garden, Sardar Patel Marg C-Scheme, Jaipur-302001
Jaipur
RAJASTHAN 
9829010490

rahulkatta@hotmail.com 
Dr Manish Bavaliya   Shree Giriraj Multispeciality Hospital  Dept.: Department of Clinical Research Floor name : Ground Floor Room No: NA A Unit of Shree Giriraj Lifecare Pvt. Ltd., 150 Feet Ring Road, 27 Navjyot Park Main Road, Rajkot - 360005
Rajkot
GUJARAT 
912817151200

bavaliyadrmanish@gmail.com 
Dr Ashish Pongde  Shree Hospital and Critical Care Centre  Dept.: Clinical Research Department Floor name : 1st floor Room No: NA 799 Om Nagar Opp. Tajshree Building Sakkardara Square Nagpur- 440009
Nagpur
MAHARASHTRA 
0712-2702215

drpongde@gmail.com 
Dr Avinash Agarwal   Shri Nidaan Hospital & Hope Fertility Centre  Dept.: Clinical research department Floor name 2nd floor Room No: 23 27 Vidhut-A, Ajmer Road Jaipur-302021
Jaipur
RAJASTHAN 
911412351770
911412359313
dravitrial@gmail.com 
Dr Atul Kakar   Sir Ganga Ram Hospital  Dept.: Dept of Medicine Floor name – 1st floor Room No: Clinical Research Room Rajinder Nagar, New Delhi - 110060
New Delhi
DELHI 
9811110802

atulkakar@hotmail.com 
Dr A Venkateshwar Rao   St. Theresa’s Hospital  Dept.: Dept of Clinical Research Floor name: 1st floor, Krupa Ward Room No: NA Sanathnagar, Hyderabad - 500018
Hyderabad
TELANGANA 
9440040662

cpdstth@gmail.com 
Dr Ripal Shah   Sterling Hospital  Dept.: Clinical Research Department Floor name : 5th floor Room No: 520 Opp. Inox, Race Course Circle (West), Vadodara - 390007
Vadodara
GUJARAT 
0265-2354455

drripalshah@gmail.com 
Dr Praveen Pratap Jadhav   Sujata Birla Hospital & Medical Research Centre  Dept.: Clinical Research department Floor name: 4th floor Room No: 01 Nashik Pune Highway, Nashik Road, Nashik – 422101
Nashik
MAHARASHTRA 
9879222625
0253-2461324
praveenjadhav@rediffmail.com 
Dr Nirmal Jaiswal   Suretech Hospital & Research Centre Pvt. Ltd.  Dept.: Research department Floor name -Ground Floor Room No: NA 13-A, Banerjee Marg, Dhantoli, Nagpur - 440012
Nagpur
MAHARASHTRA 
9890955055

drnirmaljaiswal@gmail.com 
DrVikram Haridas Murlidhar  Sushruta Multispeciality Hospital and Research Centre   Dept.: Research Room Floor name 3rd floor Room No: 314-315 Pvt. Ltd., P. B. Road, Vidyanagar, Hubballi-580021
Dharwad
KARNATAKA 
934649883

drvikramharidas@gmail.com 
Dr Reena Sharma   Swastik Rheumatology Clinic  Dept.: Rheumatology Floor name – 1st floor Room No: 2 B-101(office), Shilp Aaron Road, Sindhu Bhavan Road, Bodakdev, Ahmedabad- 380054
Ahmadabad
GUJARAT 
9978662400

reena141@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 27  
Name of Committee  Approval Status 
Avron Multi Specialty Hospitals Ethics Committee, Avron Multi Specialty Hospitals  Approved 
Avron Multispeciality Hospital Ethics Committee  Approved 
Ethics Committee, Sri Ganga Ram Hospital   Submittted/Under Review 
Ethics Committee, St. Theresa’s Hospital  Approved 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee KLES   Approved 
Institutional Ethics Committee for human Research Medical College Barod  Submittted/Under Review 
Institutional Ethics Committee of Sai Sneh Hospital & Diagnostic centre  Approved 
Institutional Ethics Committee Poona Medical Research Foundation  Approved 
Institutional Ethics Committee Suretech Hospital & Research Centre Pvt. Ltd  Approved 
Institutional Ethics Committee, B.J. Medical College & Civil Hospital  Submittted/Under Review 
Institutional Ethics Committee, IPGME&R/SSKM Hospital   Submittted/Under Review 
Institutional Ethics Committee, JSS Medical College & Hospital, JSS Hospital  Approved 
Institutional Ethics Committee,Deenanath Mangeshkar Hospital & Research Centre   Approved 
LPR Ethics Committee, Lifepoint Multispecialty Hospital  Approved 
Magna-Care Ethics Committee, C/o Chopda Medicare & Research Centre Pvt. Ltd  Approved 
Maharaja Agrasen Hospital Institutional Ethics Committee  Approved 
Nirmal Hospital Pvt. Ltd  Approved 
Panchshil Institutional Ethics Committee, Office of Ethics Committee  Approved 
S.R.Kalla Memorial Ethical Committee for Human Research, S.R.Kalla Memorial Gastro & General Hospital  Approved 
Sangini Hospital ethics Committee   Approved 
Shree Giriraj Hospital Research Ethics Committee, Shree Giriraj Multispeciality Hospital  Approved 
Shree Hospital Ethics Committee, Shri Hospital Unit  Approved 
Sterling Ethics Committee, Sterling Hospital  Submittted/Under Review 
Sushruta Hospitals Ethics Committee, C/o Sushruta Multispeciality Hospital & Research Centre Pvt. Ltd  Submittted/Under Review 
Swastic Ethics Committee Shri Nidaan Hospital & Hope Fertility Centre  Submittted/Under Review 
Yash Society Ethics Committee, Sujata Birla Hospital & Medical Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M069||Rheumatoid arthritis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Active Comparator Tofacitinib Entire treatment period 52 Weeks Tofacitinib 5 mg cap twice daily plus placebo SC injection once weekly. Participants will also receive a stable oral dose of MTX and more than or equals to 5 mg per week folic or folinic acid as SoC.   Drug Tofacitinib 5 mg Tofacitinib cap over encapsulated 5mg tablet to be administered orally. Drug Placebo to GSK3196165 Placebo sterile 0.9 percent w per v sodium chloride solution in vial pre-filled syringe to be administered SC. Drug Methotrexate Stable oral dose of MTX as SoC. Drug Folic or folinic acid Folic or folinic acid more than equals to 5 mg per week.  
Intervention  GSK3196165 150 mg Entire treatment period 52 Weeks GSK3196165 150 mg SC injection once weekly plus placebo cap twice daily. Participants will also receive a stable oral dose of MTX and more than or equals to 5 mg per week folic or folinic acid as SoC.   GSK3196165 solution in pre-filled syringe to be administered SC. Drug Placebo to tofacitinib Placebo cap containing lactose to be administered orally. Drug Methotrexate Stable oral dose of MTX as SoC Drug Folic acid Folic acid more than equals to 5 mg per week. Entire Treatment period 52 weeks  
Intervention  GSK3196165 90 mg GSK3196165 90 mg SC injection once weekly plus placebo cap twice daily. Participants will also receive a stable oral dose of MTX and more than equals to 5 mg/week folic acid as standard of care   GSK3196165 solution in pre-filled syringe to be administered SC. Drug Placebo to tofacitinib Placebo cap containing lactose to be administered orally. Drug Methotrexate Stable oral dose of MTX as SoC Drug Folic acid Folic acid more than equals to 5 mg per week. Entire Treatment period 52 weeks  
Comparator Agent  Placebo Comparator Placebo sequence 1 From Week 0 to11 Placebo SC injection once weekly plus placebo cap twice daily. From Week 12 onwards GSK3196165 90 mg SC injection once weekly plus placebo cap twice daily. Participants will also receive a stable oral dose of MTX and more than equal to 5 mg per week folic or folinic acid as SoC throughout.   GSK3196165 solution in vial pre filled syringe to be administered SC. Drug Placebo to GSK3196165 Placebo sterile 0.9 w per v sodium chloride solution in vial prefilled syringe to be administered SC. Drug Placebo to tofacitinib Placebo cap containing lactose to be administered orally. Drug: Methotrexate Stable oral dose of MTX as SoC. Drug: Folic or folinic acid Folic or folinic acid more than equals to 5 mg per week.  
Comparator Agent  Placebo Comparator Placebo sequence 2 From Week 0 to 11 Placebo SC injection once weekly plus placebo capsule twice daily. From Week 12 onwards GSK3196165 150 mg SC injection once weekly plus placebo cap twice daily. Participants will also receive a stable oral dose of MTX and more than equals to 5 mg per week folic or folinic acid as SoC throughout.   GSK3196165 GSK3196165 solution in vial pre filled syringe to be administered SC. Drug Placebo to GSK3196165 Placebo sterile 0.9 percent w per v sodium chloride solution in vial per prefilled syringe to be administered SC. Drug Placebo to tofacitinib Placebo cap containing lactose to be administered orally. Drug Methotrexate Stable oral dose of MTX as SoC. Drug: Folic or folinic acid Folic or folinic acid more than equal to 5 mg per week.  
Comparator Agent  Placebo Comparator Placebo sequence 3 From Week 0 to 11 Placebo SC injection once weekly plus placebo cap twice daily. From Week 12 onwards Tofacitinib 5 mg cap twice daily plus placebo SC injection once weekly. Participants will also receive a stable oral dose of MTX and more than equal to 5 mg per week folic or folinic acid as SoC throughout.   Drug Tofacitinib 5 mg Tofacitinib cap over encapsulated 5mg tablet to be administered orally. Drug Placebo to GSK3196165 Placebo sterile 0.9 percent w per v sodium chloride solution in vial pre filled syringe to be administered SC. Drug Placebo to tofacitinib Placebo cap containing lactose to be administered orally. Drug Methotrexate Stable oral dose of MTX as SoC. Drug: Folic or folinic acid Folic or folinic acid more than equals 5 mg per week  
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  A. Has had RA for more than or equal to 6 months and was not diagnosed before 16 years of age
B. Has active disease, as defined by having both: (1)
C. More than or equal to 6/68 tender/painful joints, and
D. More than or equal to 6/66 swollen joints
E. Has at least 1 bone erosion present on hand/wrist or foot radiographs
F. Has had an inadequate response to MTX, despite currently taking MTX 15-25 mg/week (2) oral or injected

1. f surgical treatment of a joint has been performed, that joint cannot be counted in the TJC or SJC.

2. A lower dose of 7.5 mg/week is acceptable if reduced for reasons of intolerance to MTX or per local requirement.
 
 
ExclusionCriteria 
Details  Has had any active and/or recurrent infection excluding recurrent fungal infections of the nail bed) or has required management of acute or chronic infections.
Has received prior treatment with an antagonist of GM-CSF or its receptor or targeted synthetic DMARDs (either experimental or approved, including Janus kinase (JAK) inhibitors
Has received prior treatment with a biologic DMARD that was discontinued due to an inadequate response
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of participants achieving 20% improvement in American College of Rheumatology Criteria (ACR20) at Week 12: superiority comparison with placebo   Proportion of participants achieving 20% improvement in American College of Rheumatology Criteria (ACR20) at Week 12: superiority comparison with placebo


Time point: Week 12







 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of participants achieving Clinical disease activity index (CDAI) total score less than or equals to 10 [CDAI Low disease activity (LDA)] at Week 12 [ Time Frame: Week 12 ]  CDAI for rheumatoid arthritis determines composite score determining disease severity using only clinical data. It is calculated by sum of 4 following parameters Tender joint and Swollen joint count (28 each), Patients and Physicians global assessment of arthritis both transformed to a 0 to 10 scale. Total score approximate range 0 to 76, higher score indicating more severe disease. Proportion of participants achieving CDAI total score less than or equal to10 at Week 12 will be summarized 
Change from Baseline in health assessment questionnaire - disability index (HAQ-DI) at Week 12 [ Time Frame: Week 12 ]  HAQ-DI: 20-questions which assesses the degree of difficulty a participant has in accomplishing tasks in eight functional areas: dressing/grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. 
Proportion of participants achieving ACR20 at Week 12: non-inferiority comparison with tofacitinib [ Time Frame: Week 12 ]  ACR20 is calculated as a 20% improvement from baseline in both tender and swollen joint counts and a 20% improvement in 3 of the following 5 measures: patient and physician global assessment of disease activity, pain VAS, HAQ-DI and an acute-phase reactant (high sensitivity C-reactive protein [hsCRP] or erythrocyte sedimentation rate [ESR]). Proportion of participants achieving ACR20 at Week 12 will be summarized. 
Proportion of participants achieving CDAI total score less than or equal to (CDAI LDA) at Week 24 [ Time Frame: Week 24 ]  CDAI a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. Proportion of participants achieving CDAI total score less than or equal to10 at Week 24 will be summarized. 
Proportion of participants achieving CDAI total score less than or equal to10 (CDAI LDA) at Week 52 [ Time Frame: Week 52 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. Proportion of participants achieving CDAI total score less than or equal to10 at Week 52 will be summarized. 
Proportion of participants achieving CDAI total score less than or equal to 2.8 (CDAI Remission) at Week 12 [ Time Frame: Week 12 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. Proportion of participants achieving CDAI total score less than or equal to 2.8 at Week 12 will be summarized 
Proportion of participants achieving CDAI total score less than or equal to 2.8 (CDAI Remission) at Week 24 [ Time Frame: Week 24 ]
 
CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. Proportion of participants achieving CDAI total score less than or equal to 2.8 at Week 24 will be summarized. 
Proportion of participants achieving CDAI total score less than or equal to 2.8 (CDAI Remission) at Week 52 [ Time Frame: Week 52 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. Proportion of participants achieving CDAI total score less than or equal to 2.8 at Week 52 will be summarized. 
Proportion of participants achieving ACR20/50/70 at Week 12 [ Time Frame: Week 12 ]  ACR20/50/70 is calculated as a 20%/50%/70% improvement from baseline in both tender and swollen joint counts and a 20%/50%/70% improvement in 3 of the following 5 measures: patient global assessment of disease activity, physician global assessment of disease activity, pain VAS, HAQ-DI and an acute-phase reactant (hsCRP or ESR). Proportion of participants achieving ACR20/50/70 at Week 12 will be summarized 
Proportion of participants achieving ACR20/50/70 at Week 24 [ Time Frame: Week 24 ]  ACR20/50/70 is calculated as a 20%/50%/70% improvement from baseline in both tender and swollen joint counts and a 20%/50%/70% improvement in 3 of the following 5 measures: patient global assessment of disease activity, physician global assessment of disease activity, pain VAS, HAQ-DI and an acute-phase reactant (hsCRP or ESR). Proportion of participants achieving ACR20/50/70 at Week 24 will be summarized 
Proportion of participants achieving ACR20/50/70 at Week 52 [ Time Frame: Week 52 ]  ACR20/50/70 is calculated as a 20%/50%/70% improvement from baseline in both tender and swollen joint counts and a 20%/50%/70% improvement in 3 of the following 5 measures: patient global assessment of disease activity, physician global assessment of disease activity, pain VAS, HAQ-DI and an acute-phase reactant (hsCRP or ESR). Proportion of participants achieving ACR20/50/70 at Week 52 will be summarized 
Proportion of participants achieving Disease Activity Score using 28 joint count and C-Reactive Protein (DAS28-CRP) less than or equal to 3.2 (DAS28-CRP LDA) at Week 12 [ Time Frame: Week 12 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than or equal to 3.2 at Week 12 will be summarized. 
Proportion of participants achieving DAS28 Erythrocyte Sedimentation Rate (ESR) less than or equal to 3.2 (DAS28-ESR LDA) at Week 12 [ Time Frame: Week 12 ]  DAS28-ESR is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), ESR (mm/hour) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28 ESR less than or equal to 3.2 at Week 12 will be summarize 
Proportion of participants achieving DAS28-CRP less than or equal to 3.2 (DAS28-CRP LDA) at Week 24 [ Time Frame: Week 24 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than or equal to 3.2 at Week 24 will be summarized.

 
Proportion of participants achieving DAS28-ESR less than or equal to 3.2 (DAS28-ESR LDA) at Week 24 [ Time Frame: Week 24 ]  DAS28-ESR is a derived measurement with differential weighting given to each component: tender joint count and swollen joint count (28-joint count), ESR (mm/hour) and patients global assessment of disease activity (PtGA) transformed to a 0-10 scale. Total score approximate range 0-9.4, higher score indicating more disease activity. Proportion of participants achieving DAS28 ESR less than or equal to 3.2 at Week 24 will be summarized. 
Proportion of participants achieving DAS28-CRP less than or equal to 3.2 (DAS28-CRP LDA) at Week 52 [ Time Frame: Week 52 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than or equal to 3.2 at Week 52 will be summarized. 
Proportion of participants achieving DAS28-ESR less than or equal to 3.2 (DAS28-ESR LDA) at Week 52 [ Time Frame: Week 52 ]  DAS28-ESR is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), ESR (mm/hour) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28 ESR less than or equal to 3.2 at Week 52 will be summarized 
Proportion of participants achieving DAS28-CRP less than 2.6 (DAS28-CRP Remission) at Week 12 [ Time Frame: Week 12 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than 2.6 at Week 12 will be summarized 
Proportion of participants achieving DAS28 ESR less than 2.6 (DAS28-ESR Remission) at Week 12 [ Time Frame: Week 12 ]  DAS28-ESR is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), ESR (mm/hour) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-ESR less than 2.6 at Week 12 will be summarized. 
Proportion of participants achieving DAS28-CRP less than 2.6 (DAS28-CRP Remission) at Week 24 [ Time Frame: Week 24 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than 2.6 at Week 24 will be summarized. 
Proportion of participants achieving DAS28 ESR less than 2.6 (DAS28-ESR Remission) at Week 24 [ Time Frame: Week 24 ]  DAS28-ESR is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), ESR (mm/hour) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-ESR less than 2.6 at Week 24 will be summarized. 
Proportion of participants achieving DAS28-CRP less than 2.6 (DAS28-CRP Remission) at Week 52 [ Time Frame: Week 52 ]  DAS28-CRP is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), hsCRP (mg/L) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-CRP less than 2.6 at Week 52 will be summarized. 
Proportion of participants achieving DAS28 ESR less than 2.6 (DAS28-ESR Remission) at Week 52 [ Time Frame: Week 52 ]  DAS28-ESR is a measure of RA disease activity calculated using the number of tender joints and swollen joints (28 joint count), ESR (mm/hour) and patients global assessment of disease activity (transformed to a 0-10 scale). Total score approximate range 0-9.4, higher score indicating more severe disease. Proportion of participants achieving DAS28-ESR less than 2.6 at Week 52 will be summarized 
Proportion of participants achieving a good/moderate EULAR response at Week 12 [ Time Frame: Week 12 ]  Proportion of participants achieving a good/moderate EULAR response at Week 12 will be summarized. 
Proportion of participants achieving a good/moderate EULAR response at Week 24 [ Time Frame: Week 24 ]  Proportion of participants achieving a good/moderate EULAR response at Week 24 will be summarized. 
Proportion of participants achieving a good/moderate EULAR response at Week 52 [ Time Frame: Week 52 ]  Proportion of participants achieving a good/moderate EULAR response at Week 52 will be summarized. 
Proportion of participants achieving ACR/EULAR remission at Week 12 [ Time Frame: Week 12 ]  Proportion of participants achieving ACR/EULAR remission at Week 12 will be summarized. 
Proportion of participants achieving ACR/EULAR remission at Week 24 [ Time Frame: Week 24 ]  Proportion of participants achieving ACR/EULAR remission at Week 24 will be summarized. 
Proportion of participants achieving ACR/EULAR remission at Week 52 [ Time Frame: Week 52 ]  Proportion of participants achieving ACR/EULAR remission at Week 52 will be summarized. 
Proportion of participants achieving no radiographic progression at Week 12 [ Time Frame: Week 12 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. No radiographic progression defined as a change from baseline in van der Heijde modified total sharp score (mTSS) score of more than or equal to 0.5. Proportion of participants achieving no radiographic progression at Week 12 will be summarized. 
Proportion of participants achieving no radiographic progression at Week 24 [ Time Frame: Week 24 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. No radiographic progression defined as a change from baseline in van der Heijde modified total sharp score (mTSS) score of more than or equal to 0.5. Proportion of participants achieving no radiographic progression at Week 24 will be summarized. 
Proportion of participants achieving no radiographic progression at Week 52 [ Time Frame: Week 52 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. No radiographic progression defined as a change from baseline in van der Heijde modified total sharp score (mTSS) score of more than or equal to 0.5. Proportion of participants achieving no radiographic progression at Week 52 will be summarized. 
Change from Baseline in CDAI total score at Week 12 [ Time Frame: Week 12 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. 
Change from Baseline in CDAI total score at Week 24 [ Time Frame: Week 24 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. 
Change from Baseline in CDAI total score at Week 52 [ Time Frame: Week 52 ]  CDAI: a composite score to determine disease severity using only clinical data: Tender joint count (28), Swollen joint count (28), Patients global assessment of arthritis and Physicians global assessment of arthritis. 
Change from Baseline in DAS28-CRP/DAS28-ESR at Week 12 [ Time Frame: Week 12 ]  DAS28-CRP and DAS28-ESR are measure of RA disease activity calculated using tender joint count and swollen joint count (28-joint count), hsCRP (mg/L) / ESR (mm/hour) and patients global assessment of disease activity (PtGA) transformed to a 0-10 scale. Total score approximate range 0-9.4, higher score indicating more disease activity 
Change from Baseline in DAS28-CRP/DAS28-ESR at Week 24 [ Time Frame: Week 24 ]  DAS28-CRP and DAS28-ESR are measure of RA disease activity calculated using tender joint count and swollen joint count (28-joint count), hsCRP (mg/L) / ESR (mm/hour) and patients global assessment of disease activity (PtGA) transformed to a 0-10 scale. Total score approximate range 0-9.4, higher score indicating more disease activity 
Change from Baseline in DAS28-CRP/DAS28-ESR at Week 52 [ Time Frame: Week 52 ]  DAS28-CRP and DAS28-ESR are measure of RA disease activity calculated using tender joint count and swollen joint count (28-joint count), hsCRP (mg/L) / ESR (mm/hour) and patients global assessment of disease activity (PtGA) transformed to a 0-10 scale. Total score approximate range 0-9.4, higher score indicating more disease activity. 
Change from Baseline in Van der Heijde mTSS at Week 12 [ Time Frame: Week 12 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes, in each hand, 16 areas of erosions, and 15 areas for joint space narrowing, and in each foot, 6 areas for erosions and 6 areas joint space narrowing. 
Change from Baseline in Van der Heijde mTSS at Week 24 [ Time Frame: Week 24 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes, in each hand, 16 areas of erosions, and 15 areas for joint space narrowing, and in each foot, 6 areas for erosions and 6 areas joint space narrowing. 
Change from Baseline in Van der Heijde mTSS at Week 52 [ Time Frame: Week 52 ]  Van der Heijde mTSS is a scoring method which utilized for scoring radiographs of hands and feet in rheumatoid arthritis. This method includes, in each hand, 16 areas of erosions, and 15 areas for joint space narrowing, and in each foot, 6 areas for erosions and 6 areas joint space narrowing. 
Change from Baseline in HAQ-DI at Week 24 [ Time Frame: Week 24 ]  HAQ-DI: 20-questions which assesses the degree of difficulty a participant has in accomplishing tasks in eight functional areas: dressing/grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. 
Change from Baseline in HAQ-DI at Week 52 [ Time Frame: Week 52 ]  HAQ-DI: 20-questions which assesses the degree of difficulty a participant has in accomplishing tasks in eight functional areas: dressing/grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. 
Change from Baseline in Arthritis pain Visual analogue scale (VAS) at Week 12 [ Time Frame: Week 12 ]  Participants assessment of the severity of their arthritis pain over the past week, using a 100 unit VAS, with anchors "0" (no pain) and "100" (most severe pain). 
Change from Baseline in Arthritis pain VAS at Week 24 [ Time Frame: Week 24 ]  Participants assessment of the severity of their arthritis pain over the past week, using a 100 unit VAS, with anchors "0" (no pain) and "100" (most severe pain). 
Change from Baseline in Arthritis pain VAS at Week 52 [ Time Frame: Week 52 ]  Participants assessment of the severity of their arthritis pain over the past week, using a 100 unit VAS, with anchors "0" (no pain) and "100" (most severe pain). 
Change from Baseline in Short form (36) (SF-36) physical component scores at Week 12 [ Time Frame: Week 12 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 mental component scores at Week 12 [ Time Frame: Week 12 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 domain scores at Week 12 [ Time Frame: Week 12 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 physical component scores at Week 24 [ Time Frame: Week 24 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 mental component scores at Week 24 [ Time Frame: Week 24 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 domain scores at Week 24 [ Time Frame: Week 24 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 physical component scores at Week 52 [ Time Frame: Week 52 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 mental component scores at Week 52 [ Time Frame: Week 52 ]
 
SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in SF-36 domain scores at Week 52 [ Time Frame: Week 52 ]  SF-36 is a generic health survey that contains 36 questions covering eight domains of health: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue and general health perceptions. SF-36 scores each item on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. 
Change from Baseline in Functional assessment of chronic illness therapy (FACIT)-Fatigue at Week 12 [ Time Frame: Week 12 ]  FACIT-fatigue is a validated patient-reported measure developed originally to assess fatigue in individuals with cancer and has subsequently been used and validated in numerous chronic conditions, including RA. 
Change from Baseline in FACIT-Fatigue at Week 24 [ Time Frame: Week 24 ]  FACIT-fatigue is a validated patient-reported measure developed originally to assess fatigue in individuals with cancer and has subsequently been used and validated in numerous chronic conditions, including RA. 
Change from Baseline in FACIT-Fatigue at Week 52 [ Time Frame: Week 52 ]  FACIT-fatigue is a validated patient-reported measure developed originally to assess fatigue in individuals with cancer and has subsequently been used and validated in numerous chronic conditions, including RA. 
Incidence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESI) [ Time Frame: Up to Week 59 ]  AE: any untoward medical occurrence in clinical study participant, temporally associated with use of study intervention, whether or not considered related to study intervention. SAEs are any untoward medical occurrence that, at any dose: results in death, cause life threatening events requiring inpatient hospitalization or prolongation of existing hospitalization, resulting persistent disability or incapacity and birth defect or congenital anomaly. Protocol defined AESIs will be included.

 
Change from Baseline in white blood cell count [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of white blood cell count. 
Change from Baseline in hematology parameter of platelet count, neutrophils, lymphocytes [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of hematology parameters. 
Change from Baseline in hematology parameter of haemoglobin [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of hematology parameters. 
Change from Baseline in clinical chemistry parameter of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (AP), γ-Glutamyl transpeptidase (GGT) [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of clinical chemistry parameters. 
Change from Baseline in clinical chemistry parameter of total bilirubin [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of clinical chemistry parameters. 
Change from Baseline in clinical chemistry parameter of albumin [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of clinical chemistry parameters. 
Change from Baseline in fasting lipid profile parameter of total cholesterol [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of fasting lipid profile parameters. 
Change from Baseline in fasting lipid profile parameter of low-density lipoprotein (LDL) cholesterol, high-density lipoprotein-cholesterol [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of fasting lipid profile parameters. 
Change from Baseline in fasting lipid profile parameter of triglycerides [ Time Frame: Baseline and up to Week 59 ]  Blood samples will be collected for the assessment of fasting lipid profile parameters. 
Proportion of participants with National Cancer Institute (NCI) CTCAE more than or equal to Grade 3 hematological/clinical chemistry abnormalities [ Time Frame: Up to Week 59 ]  Proportion of participants with NCI-CTCAE more than or equal to Grade 3 hematological/clinical chemistry abnormalities will be summarized.

 
Concentrations of Granulocyte-macrophage colony stimulating factor (GM-CSF) autoantibody [ Time Frame: Up to Week 59 ]  Concentrations of GM-CSF autoantibodies will be determined. 
Number of participants with anti-GSK3196165 antibodies [ Time Frame: Up to Week 59 ]  Presence of anti-GSK3196165 antibodies will be determined. 
 
Target Sample Size   Total Sample Size="1500"
Sample Size from India="156" 
Final Enrollment numbers achieved (Total)= "103"
Final Enrollment numbers achieved (India)="103" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   23/12/2019 
Date of Study Completion (India) 23/06/2022 
Date of First Enrollment (Global)  19/06/2019 
Date of Study Completion (Global) 16/08/2022 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This is a phase 3, randomized, multicenter, double blind study to assess the safety and efficacy of GSK3196165, in combination with methotrexate (MTX), for the treatment of adult participants with moderate to severe active rheumatoid arthritis (RA) who have had an inadequate response to MTX. The study will consist of a screening phase of up to 6 weeks followed by a 52-week treatment phase in which participants will be randomized in a ratio of 6:6:3:1:1:1 to receive GSK3196165 150 milligrams (mg) subcutaneous (SC) weekly, GSK3196165 90 mg SC weekly, tofacitinib capsules (cap) 5 mg twice a day or placebo (three arms, each placebo arm will have 12 weeks placebo followed by 40 weeks active treatment) respectively, all in combination with MTX. Following the treatment phase, there will be an 8-week safety follow up period for those participants who do not continue into the long term-extension study 
Close