A Placebo Controlled Study to Assess Efficacy and Safety of Certolizumab Pegol in the Treatment of Rheumatoid Arthritis

NCT ID: NCT00152386

Last Updated: 2020-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

950 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-02-28

Study Completion Date

2006-10-31

Brief Summary

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Patients will be assigned to one of three treatment groups. Study medication is administered over a 52 week study duration.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Keywords

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Rheumatoid Arthritis, CDP870 Certolizumab pegol, Cimzia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Certolizumab pegol (CDP870)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female, aged at least 18 years old at the Screening visit.
* A clear chest X-ray within 3 months prior to Baseline visit.
* A diagnosis of adult-onset RA (of at least six months duration but not longer than 15 years prior to Screening) as defined by the 1987 American College of Rheumatology classification criteria.
* Active RA disease at Screening and Baseline as defined by:

* ≥9 tender joints.
* ≥9 swollen joints. and fulfilling 1 of the following 2 criteria:
* ≥30 mm/hour ESR (Westergren), or
* CRP \>15 mg/L.
* Must have received a stable dose of MTX with or without folic acid for at least 3 months prior to Baseline visit. The minimum dose is 10 mg MTX weekly.
* Patient must be willing to attend for a Week 52 X-ray of the hands and feet even if they are no longer receiving study treatment but have not withdrawn their informed consent.

Exclusion Criteria

* A diagnosis of any other inflammatory arthritis e.g., psoriatic arthritis or ankylosing spondylitis.
* A secondary, non-inflammatory type of arthritis (e.g. OA or fibromyalgia) that in the Investigator's opinion is symptomatic enough to interfere with evaluation of the effect of CDP870 on the patient's primary diagnosis of RA.
* A history of an infected joint prosthesis at any time with prosthesis still in situ.
* Does not meet exclusionary concomitant medication criteria.
* A history of a lymphoproliferative disorder including lymphoma or signs and symptoms suggestive of lymphoproliferative disease at any time.
* Patients at a high risk of infection in the Investigator's opinion (e.g. leg ulcers, indwelling urinary catheter and persistent or recurrent chest infections).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role lead

Principal Investigators

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UCB Clinical Trial Call Center

Role: STUDY_DIRECTOR

UCB Pharma

Locations

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Huntsville, Alabama, United States

Site Status

Paradise Valley, Arizona, United States

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La Jolla, California, United States

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San Diego, California, United States

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Denver, Colorado, United States

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Danbury, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Aventura, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Sarasota, Florida, United States

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Tampa, Florida, United States

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Coeur d'Alene, Idaho, United States

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Springfield, Illinois, United States

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Wichita, Kansas, United States

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Wheaton, Maryland, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Charlotte, North Carolina, United States

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Cleveland, Ohio, United States

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Dayton, Ohio, United States

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Duncansville, Pennsylvania, United States

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Charleston, South Carolina, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Capital Federal, , Argentina

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Córdoba, , Argentina

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Camperdown, , Australia

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Coffs Harbour, , Australia

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Cotton Tree, , Australia

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Malvern, , Australia

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Shenton Park, , Australia

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Victoria Park, , Australia

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Westmead, , Australia

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Wooloongabba, , Australia

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Antwerp, , Belgium

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Brussels, , Belgium

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Liège, , Belgium

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Merksem, , Belgium

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Sijsele, , Belgium

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Pleven, , Bulgaria

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Sofia, , Bulgaria

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Stara Zagora, , Bulgaria

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Varna, , Bulgaria

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Courtice, , Canada

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Hamilton, , Canada

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Kitchener, , Canada

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London, , Canada

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Mississauga, , Canada

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Montreal, , Canada

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Newmarket, , Canada

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Point Claire, , Canada

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Sainte-Foy, , Canada

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Toronto, , Canada

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Winnipeg, , Canada

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Valdivia, Las Condes, Chile

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Santiago, Santiago Centro, Chile

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Santiago, , Chile

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Temuco, , Chile

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Rijeka, , Croatia

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Brno, , Czechia

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Brno Bohunice, , Czechia

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Ostrava Trebovice, , Czechia

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Pilsen, , Czechia

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Prague, , Czechia

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Uherské Hradiště, , Czechia

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Zlín, , Czechia

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Afula, , Israel

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Haifa, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Riga, , Latvia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Ivano-Frankivsk, , Ukraine

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Countries

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United States Argentina Australia Belgium Bulgaria Canada Chile Croatia Czechia Israel Latvia Russia Ukraine

References

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Keystone E, Heijde Dv, Mason D Jr, Landewe R, Vollenhoven RV, Combe B, Emery P, Strand V, Mease P, Desai C, Pavelka K. Certolizumab pegol plus methotrexate is significantly more effective than placebo plus methotrexate in active rheumatoid arthritis: findings of a fifty-two-week, phase III, multicenter, randomized, double-blind, placebo-controlled, parallel-group study. Arthritis Rheum. 2008 Nov;58(11):3319-29. doi: 10.1002/art.23964.

Reference Type RESULT
PMID: 18975346 (View on PubMed)

van Vollenhoven RF, Felson D, Strand V, Weinblatt ME, Luijtens K, Keystone EC. American College of Rheumatology hybrid analysis of certolizumab pegol plus methotrexate in patients with active rheumatoid arthritis: data from a 52-week phase III trial. Arthritis Care Res (Hoboken). 2011 Jan;63(1):128-34. doi: 10.1002/acr.20331.

Reference Type RESULT
PMID: 20799264 (View on PubMed)

Hazes JM, Taylor P, Strand V, Purcaru O, Coteur G, Mease P. Physical function improvements and relief from fatigue and pain are associated with increased productivity at work and at home in rheumatoid arthritis patients treated with certolizumab pegol. Rheumatology (Oxford). 2010 Oct;49(10):1900-10. doi: 10.1093/rheumatology/keq109. Epub 2010 Jun 14.

Reference Type RESULT
PMID: 20547658 (View on PubMed)

Pincus T, Furer V, Keystone E, Yazici Y, Bergman MJ, Luijtens K. RAPID3 (Routine Assessment of Patient Index Data 3) severity categories and response criteria: Similar results to DAS28 (Disease Activity Score) and CDAI (Clinical Disease Activity Index) in the RAPID 1 (Rheumatoid Arthritis Prevention of Structural Damage) clinical trial of certolizumab pegol. Arthritis Care Res (Hoboken). 2011 Aug;63(8):1142-9. doi: 10.1002/acr.20481.

Reference Type RESULT
PMID: 21485024 (View on PubMed)

Curtis JR, Chen L, Luijtens K, Navarro-Millan I, Goel N, Gervitz L, Weinblatt M. Dose escalation of certolizumab pegol from 200 mg to 400 mg every other week provides no additional efficacy in rheumatoid arthritis: an analysis of individual patient-level data. Arthritis Rheum. 2011 Aug;63(8):2203-8. doi: 10.1002/art.30387.

Reference Type RESULT
PMID: 21484766 (View on PubMed)

Keystone EC, Curtis JR, Fleischmann RM, Furst DE, Khanna D, Smolen JS, Mease PJ, Schiff MH, Coteur G, Davies O, Combe B. Rapid improvement in the signs and symptoms of rheumatoid arthritis following certolizumab pegol treatment predicts better longterm outcomes: post-hoc analysis of a randomized controlled trial. J Rheumatol. 2011 Jun;38(6):990-6. doi: 10.3899/jrheum.100935. Epub 2011 Mar 1.

Reference Type RESULT
PMID: 21362764 (View on PubMed)

Curtis JR, Luijtens K, Kavanaugh A. Predicting future response to certolizumab pegol in rheumatoid arthritis patients: features at 12 weeks associated with low disease activity at 1 year. Arthritis Care Res (Hoboken). 2012 May;64(5):658-67. doi: 10.1002/acr.21600.

Reference Type RESULT
PMID: 22231904 (View on PubMed)

Paul S, Marotte H, Kavanaugh A, Goupille P, Kvien TK, de Longueville M, Mulleman D, Sandborn WJ, Vande Casteele N. Exposure-Response Relationship of Certolizumab Pegol and Achievement of Low Disease Activity and Remission in Patients With Rheumatoid Arthritis. Clin Transl Sci. 2020 Jul;13(4):743-751. doi: 10.1111/cts.12760. Epub 2020 Apr 1.

Reference Type RESULT
PMID: 32100960 (View on PubMed)

Curtis JR, Winthrop K, O'Brien C, Ndlovu MN, de Longueville M, Haraoui B. Use of a baseline risk score to identify the risk of serious infectious events in patients with rheumatoid arthritis during certolizumab pegol treatment. Arthritis Res Ther. 2017 Dec 15;19(1):276. doi: 10.1186/s13075-017-1466-y.

Reference Type DERIVED
PMID: 29246162 (View on PubMed)

Combe B, Furst DE, Keystone EC, van der Heijde D, Luijtens K, Ionescu L, Goel N, Emery P. Certolizumab Pegol Efficacy Across Methotrexate Regimens: A Pre-Specified Analysis of Two Phase III Trials. Arthritis Care Res (Hoboken). 2016 Mar;68(3):299-307. doi: 10.1002/acr.22676.

Reference Type DERIVED
PMID: 26238672 (View on PubMed)

van der Heijde D, Keystone EC, Curtis JR, Landewe RB, Schiff MH, Khanna D, Kvien TK, Ionescu L, Gervitz LM, Davies OR, Luijtens K, Furst DE. Timing and magnitude of initial change in disease activity score 28 predicts the likelihood of achieving low disease activity at 1 year in rheumatoid arthritis patients treated with certolizumab pegol: a post-hoc analysis of the RAPID 1 trial. J Rheumatol. 2012 Jul;39(7):1326-33. doi: 10.3899/jrheum.111171. Epub 2012 May 15.

Reference Type DERIVED
PMID: 22589265 (View on PubMed)

Strand V, Mease P, Burmester GR, Nikai E, Coteur G, van Vollenhoven R, Combe B, Keystone EC, Kavanaugh A. Rapid and sustained improvements in health-related quality of life, fatigue, and other patient-reported outcomes in rheumatoid arthritis patients treated with certolizumab pegol plus methotrexate over 1 year: results from the RAPID 1 randomized controlled trial. Arthritis Res Ther. 2009;11(6):R170. doi: 10.1186/ar2859. Epub 2009 Nov 12.

Reference Type DERIVED
PMID: 19909548 (View on PubMed)

Kavanaugh A, Smolen JS, Emery P, Purcaru O, Keystone E, Richard L, Strand V, van Vollenhoven RF. Effect of certolizumab pegol with methotrexate on home and work place productivity and social activities in patients with active rheumatoid arthritis. Arthritis Rheum. 2009 Nov 15;61(11):1592-600. doi: 10.1002/art.24828.

Reference Type DERIVED
PMID: 19877104 (View on PubMed)

Other Identifiers

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2004-002993-49

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C87027

Identifier Type: -

Identifier Source: org_study_id