Rheumatoid Arthritis Clinical Trial
Official title:
Open-Label Continuous Administration Study With Adalimumab (D2E7) in Subjects With Rheumatoid Arthritis
NCT number | NCT00235872 |
Other study ID # | M03-651 |
Secondary ID | |
Status | Completed |
Phase | Phase 3 |
First received | October 7, 2005 |
Last updated | April 7, 2011 |
Start date | August 2004 |
Verified date | April 2011 |
Source | Abbott |
Contact | n/a |
Is FDA regulated | No |
Health authority | Japan: Ministry of Health, Labor and Welfare |
Study type | Interventional |
The purpose of the study is to assess the long-term safety and tolerability of repeated administration of adalimumab in Japanese subjects with rheumatoid arthritis.
Status | Completed |
Enrollment | 309 |
Est. completion date | |
Est. primary completion date | July 2006 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 20 Years and older |
Eligibility |
Inclusion Criteria: - Participation and completion until Week 24 of the prior adalimumab dose-ranging study. - Females must be postmenopausal for at least 1 year, surgically sterile, or practicing birth control throughout the study and for 90 days after study completion. - Female subjects tested negative in pregnancy test (serum test) at Week 24 in prior adalimumab study, if capable of pregnancy. Exclusion Criteria: - A subject who experienced any of the following during prior study: - Advanced or poorly controlled diabetes - Joint surgery (joint evaluated in this study) - A subject who has been prescribed excluded medications during prior study. - History of following during prior study: - Clinically significant drug or alcohol abuse - Intravenous (iv) drug abuse - Active infection with listeria or tuberculosis (TB) - Lymphoma, leukemia - And, any malignancy with the exception of successfully treated non-metastatic basal cell carcinoma of the skin. - A subject who has been administered a live vaccine during prior study, or subject scheduled to complete the administration of a live vaccine during the study period |
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Abbott | Abbott Japan Co.,Ltd, Eisai Co., Ltd. |
Japan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively) | Number of responders with ACR criteria improvement consisting of 20%, 50%, and 70% (ACR20/50/70, respectively) reduction in tender or swollen joint counts (TJC or SJC, respectively) and 20%, 50%, and 70% improvement, respectively, in 3 of the following 5 criteria: 1) physician's global assessment of disease activity (PGA), 2) subject's assessment of disease activity, 3) subject's assessment of pain, 4) subject's assessment of functional disability via a health assessment questionnaire (DI-HAQ), and 5) C-reactive protein (CRP) at each visit. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by Visit | Mean change from Baseline in TJC (max=68) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by Visit | Mean change from Baseline in SJC (max=66) at each visit, a component of ACR. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing)] of the M02-575 study; for the M02-575 rescue arm, the baseline was defined as the Week 0 (before dosing) of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by Visit | Change from Baseline in PGA (a visual analog scale from 0-100 mm, with 0 being the absence of disease activity and 100 mm being very strong disease activity, a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value). | No |
Secondary | Mean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by Visit | Change from Baseline in Subject's Global Assessment of Disease Activity (a visual analog scale from 0-100 mm (0 being absence of disease activity and 100 being very strong disease activity), a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value). | No |
Secondary | Mean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by Visit | Change from Baseline in subject's assessment of pain (a visual analog scale from 0-100 mm [0 being no pain and 100 being unbearable pain], a component of the ACR criteria by visit). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value). | No |
Secondary | Mean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by Visit | Mean change from Baseline in DI-HAQ overall score (includes 20 questions assessing physical function in 8 domains - dressing, rising, eating, walking, hygiene, reach, grip, and usual activities). Each question is on a scale of 0-3 mm to measure the ability to perform certain activities (0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do so), a component of the ACR criteria by visit. DI-HAQ is derived based on the mean of individual responses not the total of individual questions | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by Visit | Mean change from Baseline in CRP (mg/dL), a component of the ACR criteria by visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Presence of Morning Stiffness | The number of subjects with morning stiffness at each visit. For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in the Duration (Minutes) of Morning Stiffness by Visit | Mean change (minutes) from Baseline in morning stiffness (duration). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Presence of Rheumatoid Factor (RF) | The number of subjects who were positive for rheumatoid factor (RF) at each visit. RF considered negative if <=20 IU/mL and positive if >20 IU/mL. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
Secondary | Mean Change From Baseline in Rheumatoid Factor (IU/ML) by Visit | Mean change from Baseline in RF (IU/mL). For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study. | Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value) | No |
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