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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00628095
Other study ID # A6341009
Secondary ID 2008-000327-25
Status Completed
Phase Phase 2
First received
Last updated
Start date April 7, 2008
Est. completion date February 4, 2009

Study information

Verified date March 2022
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

CE-224,535 is known to block a chemical that acts as a gateway to some of your immune cells. Blocking this gateway prevents the cells from pushing out 2 chemicals called IL-1 and IL-18 that are known to cause some of the inflammation seen in rheumatoid arthritis. It is hoped that taking this drug will reduce the symptoms of rheumatoid arthritis


Recruitment information / eligibility

Status Completed
Enrollment 100
Est. completion date February 4, 2009
Est. primary completion date February 4, 2009
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - Active rheumatoid arthritis - Incomplete response to methotrexate Exclusion Criteria: - Must not be on biologic therapies - No recent infections

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
CE-224,535
500 mg po BID
Placebo
no active ingredient

Locations

Country Name City State
Chile Clínica Santa María, Sección Reumatología Providencia Santiago, RM
Czechia Revmatologicka ambulance Ceska Lipa
Czechia Revmatologicky ustav Praha 2
Czechia Revmatologicka ambulance Praha 4
Korea, Republic of Inha University Hospital, Medicine/Rheumatology Incheon
Korea, Republic of Pusan National University Hospital, Rheumatology, Internal Medicine Pusan
Mexico Investigadores Clinicos Asociados Mexico D.f.
Poland Krakowskie Centrum Medyczne NZOZ Krakow
Poland Oddzial Reumatologiczno-Rehabilitacyjny IIR Ortopedyczno-Rehabilitacyjny Poznan
Poland Zaklad Reumatologii i Immunologii Klinicznej Poznan
Spain Complexo Hospitalario Universitario A Coruña A Coruña
Spain Hospital General Universitario Gregorio Marañon Madrid
Spain Hospital Nuestra Señora de La Esperanza Santiago de Compostela A Coruña
United States American Health Network Avon Indiana
United States New Horizons Clinical Research Cincinnati Ohio
United States University of Missouri-Columbia Columbia Missouri
United States University Physicians Columbia Missouri
United States Omega Research Consultants LLC DeBary Florida
United States The Arthritis and Osteoporosis Center of Maryland Frederick Maryland
United States Florida Arthritis Center Lake Mary Florida
United States Arizona Arthritis & Rheumatology Associates, P.C. Mesa Arizona
United States Best Clinical Trials, LLC (Administrative Only) New Orleans Louisiana
United States George Stanley Walker, MD New Orleans Louisiana
United States Majid Abdul Jawad, MD New Orleans Louisiana
United States Arthritis Center of Reno Reno Nevada
United States Arthritis Northwest Spokane Washington
United States Tampa Medical Group, PA Tampa Florida

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Chile,  Czechia,  Korea, Republic of,  Mexico,  Poland,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Other CE-224,535 Plasma Concentrations Nominal times were used for summarizing the pharmacokinetic results (0 hours at randomization [Day 1] and Week 4 [pre-dose]; 1 hour at Week 2 [post-dose]; 2 hours at randomization [post-dose on Day 1]; and 3 hours at Week 2 [post-dose] and Week 4 [post-dose]). 0 hour (pre-dose), 2 hours post-dose at Day 1; 1, 3 hours post-dose at Week 2; 0 hour (pre-dose), 3 hours post-dose at Week 4
Primary Percentage of Participants With American College of Rheumatology 20% (ACR20) Response at Week 12 ACR20 response: compared to baseline, greater than or equal to (>=) 20 percent (%) improvement in tender joint count; >= 20% improvement in swollen joint count; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). Week 12
Secondary Percentage of Participants With American College of Rheumatology 20% (ACR20) Response at Week 2, 4 and 8 ACR20 response: compared to baseline, >=20% improvement in tender joint count; >= 20% improvement in swollen joint count; and >= 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). Week 2, 4, 8
Secondary Percentage of Participants With American College of Rheumatology 50% (ACR50) Response ACR50 response: compared to baseline, >=50% improvement in tender joint count; >= 50% improvement in swollen joint count; and >= 50% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). Week 2, 4, 8, 12
Secondary Percentage of Participants With American College of Rheumatology 70% (ACR70) Response ACR70 response: compared to baseline, >=70% improvement in tender joint count; >= 70% improvement in swollen joint count; and >= 70% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and C-Reactive Protein (CRP). Week 2, 4, 8, 12
Secondary Number of Tender/Painful and Swollen Joints Number of tender/painful joints was determined by examining 28 joints and identified the joints that were painful under pressure or to passive motion. The number of tender joints was recorded on the joint assessment form at each visit, no tenderness = 0, tenderness = 1. Number of swollen joints was determined by examination of 28 joints and identifying when swelling was present. The number of swollen joints was recorded on the joint assessment form at each visit, no swelling = 0, swelling =1. Baseline, Week 2, 4, 8, 12
Secondary Physician Global Assessment (PGA) of Arthritis Physician global assessment of arthritis was measured on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS), with 0 mm= very good and 100 mm= very poor. This was an evaluation based on the participant's disease signs, functional capacity and physical examination. Baseline, Week 2, 4, 8, 12
Secondary Patient's Global Assessment of Arthritis Participants answered: "Considering all the ways your arthritis affects you, how are you feeling today?" Participants responded by using a 0 to 100 mm VAS, with 0 mm= very well and 100 mm= very poorly. Baseline, Week 2, 4, 8, 12
Secondary Patient's Global Assessment of Arthritic Pain Participants measured their pain at the time of assessment on a 0 to 100 mm VAS, with 0 mm= no pain and 100 mm= most severe pain. Baseline, Week 2, 4, 8, 12
Secondary Health Assessment Questionnaire-Disability Index (HAQ-DI) Score Health Assessment Questionnaire-Disability Index (HAQ-DI): participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0= no difficulty; 1= some difficulty; 2= much difficulty; 3= unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0= least difficulty and 3= extreme difficulty. Baseline, Week 2, 4, 8, 12
Secondary Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (3 Variables) (DAS28-3 [CRP]) DAS28-3 (CRP) was calculated from the swollen joint count and tender joint count using the 28 joints count and CRP (milligram per liter [mg/L]). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-3 (CRP) less than or equal to (<=) 3.2 implied low disease activity and >3.2 to 5.1 implied moderate to high disease activity, and DAS28-3 (CRP) <2.6 = remission. Baseline, Week 2, 4, 8, 12
Secondary C-Reactive Protein (CRP) The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement. Baseline, Week 2, 4, 8, 12
Secondary Incidence of Withdrawal Due to Lack of Efficacy Number of participants who withrew due to lack of efficacy were reported. Week 2, 4, 8, 12, 14
Secondary Time to Withdrawal Due to Lack of Efficacy Baseline up to Week 14
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