Efficacy and Safety of Olokizumab in Subjects With Moderately to Severely Active Rheumatoid Arthritis

Inclusion Criteria: Subjects may be enrolled in the study only if they meet all of the following criteria:

1. Subject must be willing and able to sign informed consent
2. Subject must have completed the 24-week double-blind Treatment Period in 1 of the 3core studies (CL04041022, CL04041023, or CL04041025).
3. Subject must have maintained their stable dose (and route) of MTX 15 to 25 mg/week (or ≥ 10 mg/week if there is documented intolerance to higher doses) during the core studyand plan to maintain the same dose and route of administration for ≥ 12 additionalweeks
4. Subjects must be willing to take folic acid or equivalent throughout the study.

Exclusion Criteria:

1. Subject with any medically important condition in the core study (e.g., clinicallysignificant laboratory values, frequent Adverse events (AEs) or serious adverse events (SAEs), infection SAEs, and/or other concurrent severe and/or uncontrolled medicalcondition) which would make this subject unsuitable for inclusion in the open-labelextension (OLE) study in the Investigator's judgement.
2. Subject has evidence of active tuberculosis (TB)
3. Subject with a positive or repeated indeterminate interferon-gamma release assay (IGRA) result at Week 22 of the core study

• Subjects may be enrolled in the OLE study if they fulfill all 3 of the followingcriteria prior to the first dose of study treatment:

1. Active TB is ruled out by a certified TB specialist or pulmonologist who isfamiliar with diagnosing and treating TB (as acceptable per local practice);
2. The subject starts prophylaxis for latent TB infection (LTBI) according tocountry-specific/Centers for Disease Control and Prevention (CDC) guidelines (treatment with isoniazid for 6 months is not an appropriate prophylactic regimefor this study and it should not be used); and
3. The subject is willing to complete the entire course of recommended LTBI therapy.
4. Subject has planned surgery during the first 12 weeks of the OLE study
5. Female subjects who are pregnant or who are planning to become pregnant during thestudy or within 6 months of the last dose of study drug
6. Female subjects of childbearing potential (unless permanent cessation of menstrualperiods, determined retrospectively after a woman has experienced 12 months of naturalamenorrhea as defined by the amenorrhea with underlying status [e.g., correlative age]or 6 months of natural amenorrhea with documented serum follicle-stimulating hormonelevels >40 mIU/mL and estradiol <20 pg/mL) who are not willing to use a highlyeffective method of contraception during the study and for at least 6 months after thelast administration of study treatment OR Male subjects with partners of childbearingpotential not willing to use a highly effective method of contraception during thestudy and for at least 3 months after the last administration of study treatment. Highly effective contraception is defined as:

• Female sterilization surgery: hysterectomy, surgical bilateral oophorectomy (withor without hysterectomy) or tubal ligation at least 6 weeks prior to the firstdose of study treatment in the core study
• In the case of oophorectomy alone, only when the reproductive status of thewoman has been confirmed by documented follow-up hormone level assessment
• Total abstinence if it is the preferred and constant lifestyle of the subject.Thus, periodic abstinence such as ovulation, symptothermal, postovulation,calendar methods, and withdrawal are not acceptable methods of contraception.
• Male sterilization surgery: at least 6 months prior to the first dose of studytreatment in the core study (with the appropriate postvasectomy documentation ofthe absence of sperm in the ejaculate). For female subjects, the vasectomizedmale should be the only partner.
• Placement of established intrauterine device (IUD): IUD copper or IUD withprogesterone
• Barrier method (condom and intravaginal spermicide, cervical caps withspermicide, or diaphragm with spermicide) in combination with the following:established oral, injected, or implanted hormone methods of contraception orcontraceptive patch.

7. Subject is unwilling or unable to follow the procedures outlined in the protocol.
8. Other medical or psychiatric conditions, or laboratory abnormalities that may increasethe potential risk associated with study participation and administration of the studytreatment, or that may affect study results interpretation and, as per Investigator'sjudgement, make the subject ineligible.