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A Study to Assess the Efficacy and Safety of RO7790121 in Participants With Moderate to Severe Rheumatoid Arthritis Who Have Not Responded to or Who Cannot Tolerate Tumor Necrosis Factor (TNF) and/or Janus Kinase (JAK Inhibitors)

RecruitingPhase 2

A Phase II, Multicenter, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of RO7790121 in Participants With Moderate to Severe Rheumatoid Arthritis Who Have an Inadequate Response or Intolerance to TNF and/or JAK Inhibitors

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Has moderate to severe active RA defined by the presence of \>=6 swollen joints and \>=6 tender joints at screening and baseline (based on 66/68-joint count)
* Diagnosis of RA for \>=3 months and also fulfills the 2010 American College of Rheumatology (ACR)/European Alliance of Associations for Rheumatology (EULAR) classification criteria for RA
* Demonstrated an inadequate response or loss of response to or intolerance to \>=1 conventional synthetic disease-modifying antirheumatic drug (csDMARD)

Exclusion Criteria:

* Have failed more than two TNF inhibitors or JAK inhibitors
* Class IV RA according to ACR revised response criteria (Hochberg et al. 1992)
* Past or current use of other biologic disease-modifying antirheumatic drugs (bDMARDs) (excluding TNF inhibitors) or rituximab
* Treatment with investigational therapy within 4 weeks or within 5 half-lives of the investigational therapy, whichever is longer, prior to initiation of study treatment.
* History of any arthritis with onset prior to age 17 years or current diagnosis of inflammatory joint disease other than RA
* Has been treated with intra-articular, intramuscular, intravenous, trigger point or tender point, intra-bursa, or intra-tendon sheath corticosteroids in the preceding 8 weeks prior to the first dose of study drug
* History of a severe allergic reaction or anaphylactic reaction or known hypersensitivity to any component of the study drug (or its excipients) and/or other products in the same class
* Any major surgery within 6 weeks prior to screening or a major surgery planned during the study
* Any serious, chronic and/or unstable pre-existing medical, psychiatric, or other- condition
* History of malignancy, with the exception non-metastatic basal cell or cutaneous squamous cell cancer adequately treated with electrodesiccation and curettage or resection or in situ cervical cancer adequately treated and cured
* Participants with severe chronic or recurrent viral, bacterial, parasitic, or fungal infections
* History of active hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection
* History of organ transplant
* Any identified confirmed congenital or acquired immunodeficiency
* Abnormal laboratory values and liver function test

About the study

This study will assess the efficacy and safety of Afimkibart (also known as RO7790121) compared with placebo in participants with moderate to severe rheumatoid arthritis (RA) who have an inadequate response or intolerance to TNF and/or JAK inhibitors.

What is being tested

Sponsor: Hoffmann-La Roche · Participants: 160 · Started: Dec 5, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07137598

Locations in the U.S.

ArizonaSunValley Arthritis Center Ltd., Peoria
CaliforniaUniversity of California Medical Center, La Jolla
Cedars Sinai Medical Center, Los Angeles
Inland Rheumatology Clinical Trials Incorporated, Upland
FloridaWest Broward Rheumatology Associates, Inc., Tamarac
IllinoisWillow Rheumatology and Wellness PLLC, Willowbrook
LouisianaAccurate Clinical Research Inc., Lake Charles
MichiganHenry Ford Medical Center- New Center One, Detroit
New YorkEquity Medical, The Bronx
Equity Medical, The Bronx
OhioOhio State University Wexner Medical Center, Columbus
PennsylvaniaAltoona Center For Clinical Research, Duncansville
TexasPrecision Comprehensive Clinical Research Solutions, Colleyville
Accurate Clinical Management, Houston
DM Clinical Research, Tomball
VirginiaTidewater Clinical Research, Chesapeake
WisconsinRheumatic Disease Center, Glendale

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.