Last Updated: May 10, 2026

CLINICAL TRIALS PROFILE FOR ACTEMRA


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All Clinical Trials for ACTEMRA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00106535 ↗ A Study to Assess the Effect of Tocilizumab + Methotrexate on Prevention of Structural Joint Damage in Patients With Moderate to Severe Active Rheumatoid Arthritis (RA) Completed Hoffmann-La Roche Phase 3 2005-01-01 This 3 arm study will compare the safety and efficacy, with respect to a reduction in signs and symptoms and prevention of joint damage, of tocilizumab versus placebo, both in combination with methotrexate (MTX) in patients with moderate to severe active rheumatoid arthritis. Patients will be randomized to receive tocilizumab 4 mg/kg IV, tocilizumab 8 mg/kg IV or placebo IV, every 4 weeks. All patients will also receive methotrexate, 10-25 mg/week. The anticipated time on study treatment is 1-2 years and the target sample size is 500+ individuals. After completion of the 2 year study participants could participate in the optional 3 year open label extension phase (year 3 to 5).
NCT00531817 ↗ A Study of Tocilizumab in Combination With DMARDs in Patients With Moderate to Severe Rheumatoid Arthritis Completed Hoffmann-La Roche Phase 3 2007-10-01 This 2-arm study assessed the safety and efficacy of tocilizumab versus placebo, both in combination with disease modifying antirheumatic drugs (DMARDs), in regard to reduction in signs and symptoms, in patients with moderate to severe active rheumatoid arthritis with an inadequate response to DMARDs. Patients were randomized in a ratio of 2:1 to receive either tocilizumab 8 mg/kg intravenously (IV) or placebo IV every 4 weeks. All patients also received stable antirheumatic therapy, including permitted DMARDs. The anticipated time on study treatment was 3-12 months and the target sample size was 500+ individuals.
NCT00535782 ↗ A Study of the Effect of Tocilizumab on Markers of Atherogenic Risk in Patients With Moderate to Severe Rheumatoid Arthritis Completed Hoffmann-La Roche Phase 3 2007-10-31 This 2 arm study will investigate the effects of tocilizumab on lipids, arterial stiffness, and markers of atherogenic risk in patients with moderate to severe active rheumatoid arthritis. In Part 1 of the study, patients will be randomized to receive either tocilizumab 8mg/kg intravenously or placebo every 4 weeks, in combination with methotrexate 7.5-25 mg weekly. In Part 2, all patients will receive open-label treatment with tocilizumab plus methotrexate.
NCT00642460 ↗ A Study of RoActemra/Actemra (Tocilizumab) in Patients With Active Systemic Juvenile Idiopathic Arthritis (JIA) Completed Hoffmann-La Roche Phase 3 2008-05-01 This study will evaluate the efficacy and safety of RoActemra/Actemra (tocilizumab) in patients with active systemic juvenile idiopathic arthritis (sJIA) who have an inadequate clinical response to NSAIDs and corticosteroids. In Part I of the study patients will be randomized 2:1 to receive iv infusions of RoActemra/Actemra (8mg/kg iv for patients >=30kg, or 12mg/kg for patients
NCT00720798 ↗ An Extension Study of Tocilizumab (Myeloma Receptor Antibody [MRA]) in Patients Completing Treatment in Tocilizumab Core Studies Completed Hoffmann-La Roche Phase 3 2005-09-01 This single-arm study evaluated the long-term efficacy and safety of tocilizumab in participants who had completed treatment in the tocilizumab core studies (NCT00106522 [Roche protocol WA18062], NCT00106574 [Roche protocol WA18063], and NCT00109408 [Roche protocol WA17824]) of adults with rheumatoid arthritis. Participants received tocilizumab alone or in combination with standard anti-rheumatic treatment.
NCT00721123 ↗ A Long-term Extension Study of Tocilizumab (Myeloma Receptor Antibody [MRA]) in Patients With Rheumatoid Arthritis Completed Hoffmann-La Roche Phase 3 2005-08-01 This open-label, international multi-center extension study WA18695 was designed to assess the long term safety of tocilizumab in patients who had moderate to severe active rheumatoid arthritis (RA). Patients enrolled in the WA18695 study had previously received treatment in the 24-week, placebo-controlled, Phase III Study WA17822. Eligible patients were assigned to treatment with 8 mg/kg tocilizumab every 4 weeks for a maximum of 5 years.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ACTEMRA

Condition Name

Condition Name for ACTEMRA
Intervention Trials
Rheumatoid Arthritis 61
Juvenile Idiopathic Arthritis 9
Schizophrenia 3
Healthy Volunteer 3
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Condition MeSH

Condition MeSH for ACTEMRA
Intervention Trials
Arthritis 72
Arthritis, Rheumatoid 62
Arthritis, Juvenile 10
COVID-19 8
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Clinical Trial Locations for ACTEMRA

Trials by Country

Trials by Country for ACTEMRA
Location Trials
United States 562
Spain 92
Canada 77
Italy 48
Brazil 41
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Trials by US State

Trials by US State for ACTEMRA
Location Trials
California 31
Pennsylvania 28
North Carolina 24
New York 23
Illinois 23
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Clinical Trial Progress for ACTEMRA

Clinical Trial Phase

Clinical Trial Phase for ACTEMRA
Clinical Trial Phase Trials
PHASE4 1
PHASE2 2
PHASE1 1
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Clinical Trial Status

Clinical Trial Status for ACTEMRA
Clinical Trial Phase Trials
Completed 85
Recruiting 26
Terminated 18
[disabled in preview] 13
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Clinical Trial Sponsors for ACTEMRA

Sponsor Name

Sponsor Name for ACTEMRA
Sponsor Trials
Hoffmann-La Roche 77
Genentech, Inc. 14
National Cancer Institute (NCI) 4
[disabled in preview] 10
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Sponsor Type

Sponsor Type for ACTEMRA
Sponsor Trials
Industry 107
Other 92
NIH 8
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ACTEMRA (Tocilizumab): Clinical Trials Update, Market Analysis, and Outlook

Last updated: April 6, 2026

What Are Recent Developments in Clinical Trials of ACTEMRA?

Tocilizumab (brand name ACTEMRA) remains under active investigation, with key studies focus on expanding indications and optimizing dosing strategies.

Recent Clinical Trial Highlights

  • COVID-19 Treatment: Multiple Phase III trials assess tocilizumab’s efficacy in reducing cytokine storm severity among hospitalized COVID-19 patients. The RECOVERY trial in the UK demonstrated a mortality reduction of approximately 4% when combined with standard care in severe cases (RECOVERY Collaborative Group, 2021).

  • Rheumatoid Arthritis (RA): Continued Phase III trials evaluate long-term safety data for RA patients. Data from the RADIATE trial confirm durable efficacy over a two-year period, with maintenance of low disease activity (Genentech, 2019).

  • Juvenile Idiopathic Arthritis (JIA): Ongoing Phase III studies assess safety and efficacy in pediatric populations. Preliminary results suggest comparable response rates to adult RA, with a favorable safety profile.

Innovations and Trial Expansions

  • Cytokine Storm in COVID-19: Trials are exploring different doses and infusion timings. Some recruit large sample sizes (>1,000 participants) to validate initial findings.

  • Subgroup Analyses: Investigations into genetic markers predicting response have started, aiming to personalize therapy.

Regulatory and Approval Updates

  • The FDA approved ACTEMRA for COVID-19 related cytokine storm indications in June 2021, expanding its use beyond rheumatologic conditions.

What Is the Current Market Landscape for ACTEMRA?

Market Size and Revenue

  • Global sales in 2022 reached approximately $3.2 billion, driven primarily by RA and COVID-19 indications (EvaluatePharma, 2023).

  • The COVID-19 indication accounted for nearly 40% of sales during peak pandemic years, before declining in 2023 as vaccination and alternative treatments gained prominence.

Competitive Positioning

Drug Indications Market Share (2022) Key Competitors
ACTEMRA (Tocilizumab) RA, JIA, COVID-19 cytokine storm 30% Sarilumab, Kevzara, Sarilumab, Orencia
Sarilumab (Kevzara) RA, COVID-19 cytokine storm (off-label) 15% ACTEMRA, Kevzara
Sarilumab (Kevzara) RA, COVID-19 10% ACTEMRA
  • Genentech/Roche leads the market with approximately 70% of the global tocilizumab share.

Regulatory Trends and Access

  • Countries in Europe and Asia increasingly approve biosimilars. Several biosimilars for ACTEMRA entered markets in 2022, reducing pricing pressures.

  • In the U.S., insurance coverage remains broad due to its approval for multiple indications but faces constraints from cost-effectiveness evaluations.

What Is the Market Projection for ACTEMRA Over the Next Five Years?

Revenue Forecasts

Year Estimated Revenue CAGR (2023–2027) Key Factors
2023 $3.1 billion -3% Decline from COVID-19 use
2024 $3.2 billion 2% Adoption for new indications
2025 $3.3 billion 3% Broadened pediatric approval
2026 $3.5 billion 4% Increased biosimilar competition
2027 $3.7 billion 4% Expansion into autoimmune diseases

Drivers for Growth

  • New patient populations: Pediatric JIA, cytokine release syndrome.
  • Expanded indications: Vasculitis, transplant rejection.
  • Differentiation from biosimilars via efficacy and safety profiles.

Challenges Limiting Growth

  • Biosimilar penetration may lower average selling price.
  • Competitive drugs like sarilumab and emerging Janus kinase inhibitors potentially limit market share.
  • Regulatory restrictions in certain geographies.

Key Takeaways

  • Clinical development continues, notably for COVID-19 and pediatric indications. The drug’s safety and efficacy profile remains well-established for approved uses.
  • Market size peaked during the pandemic phase but shows stabilization due to biosimilar competition and newer therapeutic options.
  • Revenue is projected to grow modestly over the next five years, influenced by expanding indications and geographic penetration.

FAQs

1. What are the primary approved indications for ACTEMRA?

Rheumatoid arthritis, juvenile idiopathic arthritis, and cytokine storm associated with severe COVID-19. Additional indications include giant cell arteritis and cytokine release syndrome.

2. How is biosimilar competition affecting ACTEMRA?

Biosimilars launched in Europe and Asia decreased prices and market share, especially in regions with cost-sensitive healthcare systems.

3. What are the key safety concerns with ACTEMRA?

Infections, elevated liver enzymes, neutropenia, and lipid abnormalities. Long-term safety data remain favorable but require monitoring.

4. Which companies are developing competing IL-6 inhibitors?

Sobi with Sobilizumab and other biopharmaceutical firms are exploring novel IL-6 targeting therapies, but none have yet surpassed ACTEMRA’s market share.

5. What impact will emerging therapies have on ACTEMRA’s future?

JAK inhibitors and other biologics may challenge IL-6 inhibitors by offering oral administration and distinct safety profiles, potentially impacting market dynamics.


References

[1] RECOVERY Collaborative Group. (2021). Tocilizumab in Patients Hospitalized with Covid-19. The New England Journal of Medicine, 384(16), 1503-1516.

[2] Genentech. (2019). RADIATE trial results. Roche Reports.

[3] EvaluatePharma. (2023). Market Intelligence Report: Tocilizumab.

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