Tocilizumab
drugOn this page
Also known as ActemraActemra roactemraATLIZUMABBAT-1806Bat1806BIIB-800Biib800MRAMSB-11456MSB11456R-1569RG-1569RGB-19RGB19RHPM-1RO-4877533RoactemraTocilizumab biosimilar (bat-1806)Tocilizumab biosimilar (msb11456)
Summary
Tocilizumab (CHEMBL1237022) is an approved antibody (ATC L04AC07); indicated across 79 conditions including juvenile idiopathic arthritis and rheumatoid arthritis.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L04AC07
- Indications: 79 conditions
- Clinical trials: 395
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1237022 |
| Name | Tocilizumab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L04AC07 |
Also known as: Actemra, Actemra roactemra, ATLIZUMAB, BAT-1806, Bat1806, BAT1806, BIIB-800, Biib800, MRA, MSB-11456, MSB11456, R-1569
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| Interleukin-6 receptor | Binding | 8.6 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
79 indications (9 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| juvenile idiopathic arthritis | 4 | MONDO:0011429 | EFO:0002609 |
| rheumatoid arthritis | 4 | MONDO:0008383 | EFO:0000685 |
| systemic sclerosis | 4 | MONDO:0005100 | EFO:0000717 |
| immune system disorder | 4 | MONDO:0005046 | EFO:0000540 |
| temporal arteritis | 4 | MONDO:0008538 | EFO:1001209 |
| severe acute respiratory syndrome | 4 | MONDO:0005091 | EFO:0000694 |
| polyarticular juvenile idiopathic arthritis | 4 | MONDO:0018456 | EFO:0009730 |
| cytokine release syndrome | 4 | MONDO:0600008 | |
| ankylosing spondylitis | 3 | MONDO:0005306 | EFO:0003898 |
| non-Hodgkin lymphoma | 3 | MONDO:0018908 | EFO:0005952 |
| Takayasu arteritis | 3 | MONDO:0017991 | EFO:1001857 |
| diffuse large B-cell lymphoma | 3 | MONDO:0018905 | EFO:0000403 |
| polymyalgia rheumatica | 3 | MONDO:0019735 | EFO:0008518 |
| pneumonia | 3 | MONDO:0005249 | EFO:0003106 |
| lymphoma | 3 | MONDO:0005062 | EFO:0000574 |
| epilepsy | 3 | MONDO:0005027 | EFO:0000474 |
| influenza | 3 | MONDO:0005812 | EFO:0007328 |
| graft versus host disease | 2 | MONDO:0013730 | EFO:0004599 |
| pulmonary arterial hypertension | 2 | MONDO:0015924 | EFO:0001361 |
| uveitis | 2 | MONDO:0020283 | EFO:1001231 |
| dermatomyositis | 2 | MONDO:0016367 | EFO:0000398 |
| leukemia | 2 | MONDO:0005059 | EFO:0000565 |
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| Behcet disease | 2 | MONDO:0007191 | EFO:0003780 |
| neuromyelitis optica | 2 | MONDO:0019100 | EFO:0004256 |
| adult-onset Still disease | 2 | MONDO:0019355 | EFO:0007135 |
| Erdheim-Chester disease | 2 | MONDO:0018153 | EFO:1000926 |
| relapsing polychondritis | 2 | MONDO:0019125 | EFO:1001148 |
| neoplasm | 2 | MONDO:0005070 | EFO:0000616 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| prostate adenocarcinoma | 2 | MONDO:0005082 | EFO:0000673 |
| viral pneumonia | 2 | MONDO:0006012 | EFO:0007541 |
| macrophage activation syndrome | 2 | MONDO:0015545 | EFO:1001806 |
| major depressive disorder | 2 | MONDO:0002009 | MONDO:0002009 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| Castleman disease | 2 | MONDO:0015564 | MONDO:0015564 |
| hematopoietic and lymphoid system neoplasm | 2 | MONDO:0002334 | MONDO:0044881 |
| acute respiratory distress syndrome | 2 | MONDO:0006502 | EFO:1000637 |
| Schnitzler syndrome | 2 | MONDO:0018304 | EFO:1001165 |
| lung disorder | 2 | MONDO:0005275 | EFO:0003818 |
| myasthenia gravis | 2 | MONDO:0009688 | EFO:0004991 |
| fibrous dysplasia | 2 | MONDO:0000845 | MONDO:0000845 |
| amyotrophic lateral sclerosis | 2 | MONDO:0004976 | MONDO:0004976 |
| type 1 diabetes mellitus | 2 | MONDO:0005147 | MONDO:0005147 |
| familial Mediterranean fever | 2 | MONDO:0018088 | MONDO:0018088 |
| mantle cell lymphoma | 2 | MONDO:0018876 | EFO:1001469 |
| astrocytoma (excluding glioblastoma) | 2 | MONDO:0019781 | EFO:0000272 |
| viral infectious disease | 2 | MONDO:0005108 | EFO:0000763 |
| polymyositis | 2 | MONDO:0019127 | EFO:0003063 |
| motor neuron disorder | 2 | MONDO:0020128 | EFO:0003782 |
| chronic kidney disease | 1 | MONDO:0005300 | EFO:0003884 |
| HIV infectious disease | 1 | MONDO:0005109 | EFO:0000764 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| hepatocellular carcinoma | 1 | MONDO:0007256 | EFO:0000182 |
| intermediate uveitis | 1 | MONDO:0006806 | EFO:1000986 |
| posterior uveitis | 1 | MONDO:0006918 | EFO:1001119 |
| B-cell acute lymphoblastic leukemia | 1 | MONDO:0004947 | EFO:0000094 |
| neoplasm of mature B-cells | 1 | MONDO:0004949 | EFO:0000096 |
| non-small cell lung carcinoma | 1 | MONDO:0005233 | EFO:0003060 |
| urothelial carcinoma | 1 | MONDO:0040679 | EFO:0008528 |
| ovarian cancer | 1 | MONDO:0008170 | MONDO:0008170 |
| follicular lymphoma | 1 | MONDO:0018906 | MONDO:0018906 |
| acute lymphoblastic leukemia | 1 | MONDO:0004967 | EFO:0000220 |
| small cell lung carcinoma | 1 | MONDO:0008433 | EFO:0000702 |
| panuveitis | 1 | MONDO:0017255 | EFO:1001082 |
| B-cell non-Hodgkin lymphoma | 1 | MONDO:0015759 | EFO:1001938 |
| colorectal neoplasm | 1 | MONDO:0005335 | MONDO:0005575 |
10 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 395.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 91 |
| PHASE3 | 85 |
| Not specified | 70 |
| PHASE1 | 61 |
| PHASE4 | 42 |
| PHASE1/PHASE2 | 36 |
| PHASE2/PHASE3 | 8 |
| EARLY_PHASE1 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04300686 | PHASE4 | RECRUITING | A Pilot Study in Severe Patients With Takayasu Arteritis. |
| NCT06251076 | PHASE4 | RECRUITING | Plan Development for Giving Teclistamab in the Outpatient Setting |
| NCT06498089 | PHASE4 | RECRUITING | A Randomized, Controlled, Open-label, Multicenter Clinical Trial Comparing the Efficacy and Safety of a Precision Treatment Regimen Based on Clinical-molecular Phenotypes with a Conventional Treatment Regimen in the Treatment of Patients with Active Takayasu’s Arteritis |
| NCT06624436 | PHASE4 | RECRUITING | Immunomodulatory Effects of Dexamethasone, Tocilizumab and Anakinra During Experimental Human Endotoxemia |
| NCT07609940 | PHASE4 | NOT_YET_RECRUITING | Adult Outpatient Linvoseltamab With Tocilizumab Prophylaxis to Mitigate the Risk of Cytokine Release Syndrome (CRS) |
| NCT01119859 | PHASE4 | COMPLETED | A Study of Tocilizumab (RoActemra/Actemra) Versus Adalimumab in Patients With Rheumatoid Arthritis |
| NCT01120366 | PHASE4 | COMPLETED | Success of Tocilizumab in RA Patients With Remission Induction and Sustained Efficacy After Discontinuation |
| NCT01163747 | PHASE4 | COMPLETED | A Study of the Effects of RoActemra/Actemra on Vaccination in Patients With Rheumatoid Arthritis on Background Methotrexate (VISARA) |
| NCT01331837 | PHASE4 | COMPLETED | A Study of Tocilizumab in Comparison to Etanercept in Participants With Rheumatoid Arthritis and Cardiovascular Disease Risk Factors |
| NCT01491815 | PHASE4 | UNKNOWN | Active Conventional Therapy Compared to Three Different Biologic Treatments in Early Rheumatoid Arthritis With Subsequent Dose Reduction |
| NCT01557374 | PHASE4 | COMPLETED | TOward the Lowest Effective DOse of Abatacept or Tocilizumab |
| NCT01661140 | PHASE4 | TERMINATED | A Study of RoActemra/Actemra (Tocilizumab) in Combination With Methotrexate in Patients With Severe Active Rheumatoid Arthritis, Comparing Tapering Versus Maintaining the Methotrexate Dosage |
| NCT01715831 | PHASE4 | COMPLETED | A Long-term Safety Extension Study of Tocilizumab in Brazilian Participants With Rheumatoid Arthritis (RA) Who Completed the Studies ML21530 and MA21488 |
| NCT01717859 | PHASE4 | COMPLETED | Musculoskeletal Ultrasound in Predicting Early Dose Titration With Tocilizumab |
| NCT01734382 | PHASE4 | COMPLETED | A Study of Decreased Dose Frequency in Participants With Systemic Juvenile Arthritis Who Experience Laboratory Abnormalities During Treatment With RoActemra/Actemra (Tocilizumab) |
| NCT02034474 | PHASE4 | COMPLETED | Tocilizumab as Add-On Treatment For Residual Positive, Negative, and Cognitive Symptoms of Schizophrenia |
| NCT02087696 | PHASE4 | UNKNOWN | Uncontrolled Study to Evaluate Efficacy of Tocilizumab in Patients With Moderate or Severe Rheumatoid Arthritis |
| NCT02353780 | PHASE4 | TERMINATED | Mechanistic Studies of B- and T-Cell Function in RA Patients Treated With TNF Antagonists, Tocilizumab, or Abatacept |
| NCT02466581 | PHASE4 | UNKNOWN | Dose Reduction for Early Rheumatoid Arthritis Patients With Low Disease Activity |
| NCT02573012 | PHASE4 | COMPLETED | Study to Compare the Efficacy of Tocilizumab With or Without Glucocorticoid Discontinuation in Rheumatoid Arthritis Participants |
| NCT02659150 | PHASE4 | TERMINATED | Effect of Subcutaneous ACTEMRA on Inflamed Atherosclerotic Plaques in Patients With Rheumatoid Arthritis |
| NCT02682823 | PHASE4 | COMPLETED | Tocilizumab Real-Life Human Factors (RLHFs) Validation Study |
| NCT02765074 | PHASE4 | COMPLETED | Filling Bone Erosions: a Longitudinal Multicentric HR-pQCT Study of Subcutaneous Tocilizumab in Rheumatoid Arthritis |
| NCT02843789 | PHASE4 | COMPLETED | Evolution of Adipokines and Body Composition in Rheumatoid Arthritis Patients Receiving Tocilizumab Therapy |
| NCT03100253 | PHASE4 | TERMINATED | Rheumatoid Arthritis Treatment After First Anti-TNF INvestiGation |
| NCT03215407 | PHASE4 | UNKNOWN | The Comparative Study of Intra-articular Injection of Tocilizumab and Compound Betamethasone |
| NCT03244709 | PHASE4 | UNKNOWN | Tocilizumab Dose-tapering and Interruption in Patients With Giant Cell Arteritis Achieving the Clinical Remission. |
| NCT03301883 | PHASE4 | COMPLETED | A Study of Tocilizumab in Chinese Participants With Systemic Juvenile Idiopathic Arthritis (sJIA) |
| NCT03726749 | PHASE4 | COMPLETED | Tocilizumab Plus a Short Prednisone Taper for GCA |
| NCT03737708 | PHASE4 | COMPLETED | A Study Comparing Biologics + Methotrexate With Biologics + Tacrolimus in Patients With Rheumatoid Arthritis (RA) |
| NCT03781310 | PHASE4 | UNKNOWN | Therapeutic Drug Monitoring of Tocilizumab in Rheumatoid Arthritis |
| NCT03895879 | PHASE4 | UNKNOWN | Use of Tocilizumab Drug Levels to Optimize Treatment in RA |
| NCT04157010 | PHASE4 | COMPLETED | Tocilizumab REMission in Early RA |
| NCT04377750 | PHASE4 | UNKNOWN | The Use of Tocilizumab in the Management of Patients Who Have Severe COVID-19 With Suspected Pulmonary Hyperinflammation |
| NCT04730323 | PHASE4 | COMPLETED | TOCILIZUMAB - An Option for Patients With COVID-19 Associated Cytokine Release Syndrome; A Single Center Experience |
| NCT04762784 | PHASE4 | UNKNOWN | A Prospective Study of Tocilizumab in the Treatment of Idiopathic Retroperitoneal Fibrosis |
| NCT04779047 | PHASE4 | UNKNOWN | Comparative Therapeutic Efficacy and Safety of Different Antiviral and Anti Inflammatory Drugs in COVID-19 Patients. |
| NCT05133635 | PHASE4 | WITHDRAWN | High-Dose Corticosteroid or Tocilizumab for Clinical Worsening of COVID-19 |
| NCT05604859 | PHASE4 | UNKNOWN | Evaluate the Efficacy and Safety of Various Treatment Schemes for Severe Fever With Thrombocytopenia Syndrome(SFTS) |
| NCT05730777 | PHASE4 | UNKNOWN | Correlation Between Myocardial Injury and Intestinal Flora Changes Associated With Oncology Drug Therapy and the Preventive of Probiotics |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- Diseases: juvenile idiopathic arthritis, rheumatoid arthritis, systemic sclerosis, immune system disorder, temporal arteritis, severe acute respiratory syndrome, polyarticular juvenile idiopathic arthritis, cytokine release syndrome, ankylosing spondylitis, non-Hodgkin lymphoma, Takayasu arteritis, diffuse large B-cell lymphoma, polymyalgia rheumatica, pneumonia, lymphoma, epilepsy, influenza