---
title: An Observational Study of RoActemra/Actemra (Tocilizumab) As Monotherapy in Rheumatoid Arthritis Patients in Routine Clinical Practice
nct_id: NCT01474291
overall_status: COMPLETED
sponsor: Hoffmann-La Roche
study_type: OBSERVATIONAL
primary_condition: Rheumatoid Arthritis
countries: France
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT01474291.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT01474291"
ct_last_update_post_date: 2016-10-28
last_seen_at: "2026-05-12T06:05:05.285Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# An Observational Study of RoActemra/Actemra (Tocilizumab) As Monotherapy in Rheumatoid Arthritis Patients in Routine Clinical Practice

**Official Title:** Evaluation of Factors Influencing Use of RoActemra® as Monotherapy in Rheumatoid Arthritis Patients in a Real Life Setting - ACT SOLO

**NCT ID:** [NCT01474291](https://clinicaltrials.gov/study/NCT01474291)

## Key Facts

- **Status:** COMPLETED
- **Study Type:** OBSERVATIONAL
- **Target Enrollment:** 608
- **Lead Sponsor:** Hoffmann-La Roche
- **Conditions:** Rheumatoid Arthritis
- **Start Date:** 2012-01
- **Completion Date:** 2014-09
- **CT.gov Last Update:** 2016-10-28

## Brief Summary

This prospective, multi-center, observational study will evaluate factors influencing the use of tocilizumab (RoActemra/Actemra) as monotherapy in rheumatoid arthritis patients in real life setting. Data will be collected from participants for 12 months following initiation of tocilizumab treatment.

## Eligibility

- **Minimum age:** 18 Years
- **Sex:** ALL
- **Healthy Volunteers:** No

```
Inclusion Criteria:

* Adult participants, \>/= 18 years of age
* Patients with rheumatoid arthritis for whom the rheumatologist decides to start tocilizumab in combination with DMARD or as monotherapy

Exclusion Criteria:

* Current participation in a clinical trial in rheumatoid arthritis
```

## Arms

- **Tocilizumab** — Tocilizumab administered as monotherapy or in combination with other standard of care therapy according to prescribing information and normal clinical practice.

## Interventions

- **Tocilizumab** (BIOLOGICAL) — Tocilizumab administered according to prescribing information and normal clinical practice.

## Primary Outcomes

- **Number of Participants Assigned Tocilizumab Monotherapy Versus Tocilizumab as Part of Combination Therapy at Study Inclusion** _(time frame: Day 1)_ — The number of participants assigned to tocilizumab monotherapy versus tocilizumab combination therapy is reported. A multivariate analysis was performed to search for predictive factors for the initiation of tocilizumab in monotherapy.

## Secondary Outcomes

- **Percentage of Participants Receiving Tocilizumab Monotherapy Who Discontinued Methotrexate (MTX)** _(time frame: Day 1 (assessment of discontinuations within prior 2 years))_
- **Percentage of Participants Receiving Tocilizumab Monotherapy Who Discontinued Leflunomide** _(time frame: Day 1 (assessment of discontinuations within prior 2 years))_
- **Percentage of Participants Receiving Tocilizumab Monotherapy Who Discontinued Sulfasalazine** _(time frame: Day 1 (assessment of discontinuations within prior 2 years))_
- **Percentage of Participants Receiving Tocilizumab Monotherapy Who Discontinued Hydroxychloroquine** _(time frame: Day 1 (assessment of discontinuations within prior 2 years))_
- **Percentage of Participants Receiving Tocilizumab Monotherapy Who Discontinued Unspecified Conventional Synthetic Disease-modifying Antirheumatic Drugs (csDMARDs)** _(time frame: Day 1 (assessment of discontinuations within prior 2 years))_
- **Mean Number of Tocilizumab Infusions Over the Study Period** _(time frame: Up to 30 months)_
- **Percentage of Participants Who Received Tocilizumab Infusions Over the Study Period** _(time frame: Up to 13.4 months)_
- **Percentage of Participants With No Modification of Tocilizumab Treatment Over the Study Period** _(time frame: Up to 30 months)_
- **Percentage of Participants With at Least One csDMARD Intensification During the Study** _(time frame: Up to 30 months)_
- **Percentage of Participants in Disease Activity Score Based on 28-joint Count and Erythrocyte Sedimentation Rate (DAS28-ESR) Low Disease Activity (LDA) at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With DAS28-ESR Remission at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With Clinical Disease Activity Index (CDAI) LDA at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With CDAI Remission at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With Simplified Disease Activity Index (SDAI) LDA at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With SDAI Remission at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With American College or Rheumatology (ACR)20, ACR50, and ACR70 at Month 12** _(time frame: Month 12)_
- **Percentage of Participants With Good or Moderate European League Against Rheumatism (EULAR) Response at Month 12** _(time frame: Month 12)_
- **Mean Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score** _(time frame: Baseline; Month 6; Month 12)_
- **Mean Change From Baseline in Rheumatoid Arthritis Impact of Disease (RAID) Score** _(time frame: Baseline; Month 6, Month 12)_
- **Percentage of Participants With Acceptable Health State Assessed by the Patient Acceptable Symptom State (PASS) Questionnaire.** _(time frame: Baseline; Month 6; Month 12)_
- **Percentage of Participants With Adverse Events** _(time frame: Up to 30 months)_

## Locations (119)

- Aix-les-Bains, France
- Amiens, France
- Amiens, France
- Angers, France
- Auch, France
- Aulnay-sous-Bois, France
- Avignon, France
- Bastia, France
- Bayonne, France
- Beauvais, France
- Belfort, France
- Belley, France
- Berck, France
- Besançon, France
- Bobigny, France
- Bois-Guillaume, France
- Bondy, France
- Bonneville, France
- Bordeaux, France
- Bordeaux, France
- Boulogne-Billancourt, France
- Bressuire, France
- Brest, France
- Bry-sur-Marne, France
- Caen, France
- Cahors, France
- Cannes, France
- Carcassonne, France
- Chambray-lès-Tours, France
- Chambray-lès-Tours, France
- Châteauroux, France
- Clermont-Ferrand, France
- Colmar, France
- Compiègne, France
- Corbeil-essones, France
- Corbeil-Essonnes, France
- Créteil, France
- Denain, France
- Digne-les-Bains, France
- Dijon, France
- Dole, France
- Draguignan, France
- Druex, France
- Échirolles, France
- Épernay, France
- Évian-les-Bains, France
- Évreux, France
- Évry, France
- Freyming-Merlebach, France
- Fréjus, France
- Gap, France
- Gleizé, France
- Haguenau, France
- Ivry-sur-Seine, France
- Laon, France
- Lavaur, France
- Le Bouscat, France
- Le Coudray, France
- Le Kremlin-Bicêtre, France
- Libourne, France
- Liévin, France
- Lille, France
- Limoges, France
- Limoges, France
- Lomme, France
- Lyon, France
- Lyon, France
- Maisons-Laffitte, France
- Marseille, France
- Marseille, France
- Marseille, France
- Metz-Tessy, France
- Montauban, France
- Montpellier, France
- Moulins, France
- Mulhouse, France
- Nanterre, France
- Nantes, France
- Narbonne, France
- Nevers, France
- Nice, France
- Nîmes, France
- Orange, France
- Paris, France
- Paris, France
- Paris, France
- Paris, France
- Paris, France
- Paris, France
- Perpignan, France
- Périgueux, France
- Pierre-Bénite, France
- Poissy, France
- Pontoise, France
- Reims, France
- Rennes, France
- Rodez, France
- Roubaix, France
- Saint-Brieuc, France
- Saint-Chamond, France
- Saint-Mandé, France
- Saint-Priest-en-Jarez, France
- Salon-de-Provence, France
- Ste Maxime, France
- Strasbourg, France
- Suresnes, France
- Thionville, France
- Toulon, France
- Toulouse, France
- Toulouse, France
- Toulouse, France
- Tourcoing, France
- Valenciennes, France
- Valenciennes, France
- Vandœuvre-lès-Nancy, France
- Vannes, France
- Villeneuve-Saint-Georges, France
- Villeurbanne, France
- Vlleneuve Sur Lot, France

## Recent Field Changes (last 30 days)

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- `locations.|angers||france` — added _(2026-05-12)_
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- `locations.|chambray-lès-tours||france` — added _(2026-05-12)_
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---

*Canonical: https://parkinsonspathways.com/agent/trials/NCT01474291.md*  
*Source data (authoritative): https://clinicaltrials.gov/study/NCT01474291*  
*This page is a raw mirror with no AI summary, no editorial enrichment, and no Parkinson's-specific filtering.*
