Trial Outcomes & Findings for Re³ (Re-Cube: Retain Remicade® Response)(Study P04249AM3) (NCT NCT00394589)

NCT ID: NCT00394589

Last Updated: 2017-04-11

Results Overview

Descriptive summary of DAS28 (Disease Activity Score Based on 28 Joint Count)change from Baseline to the end of study (Week 24) in the population with available data at both Baseline and Week 24 (increased dose group, n=5; increased frequency group, n=7; and control group, n=5). DAS28 is a unit scale from 2.0 (best value) to 10.0 (worst value).

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

43 participants

Primary outcome timeframe

Between Screening (Week <=1) and Week 24

Results posted on

2017-04-11

Participant Flow

Participant milestones

Participant milestones
Measure
Increased Dose
3 mg/kg infliximab + 1 extra vial (100 mg) infliximab every 8 weeks
Increased Frequency
Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks
Control
Continuation of infliximab 3 mg/kg every 8 weeks
Overall Study
STARTED
14
11
18
Overall Study
COMPLETED
6
8
11
Overall Study
NOT COMPLETED
8
3
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Increased Dose
3 mg/kg infliximab + 1 extra vial (100 mg) infliximab every 8 weeks
Increased Frequency
Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks
Control
Continuation of infliximab 3 mg/kg every 8 weeks
Overall Study
Adverse Event
2
1
2
Overall Study
Lack of Efficacy
2
2
3
Overall Study
Protocol Violation
4
0
2

Baseline Characteristics

Re³ (Re-Cube: Retain Remicade® Response)(Study P04249AM3)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Increased Dose
n=14 Participants
3 mg/kg infliximab + 1 extra vial (100 mg) infliximab every 8 weeks
Increased Frequency
n=11 Participants
Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks
Control
n=18 Participants
Continuation of infliximab 3 mg/kg every 8 weeks
Total
n=43 Participants
Total of all reporting groups
Age, Continuous
58.7 years
STANDARD_DEVIATION 13.0 • n=5 Participants
58.6 years
STANDARD_DEVIATION 16.1 • n=7 Participants
57.7 years
STANDARD_DEVIATION 12.3 • n=5 Participants
58.3 years
STANDARD_DEVIATION 13.3 • n=4 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
9 Participants
n=7 Participants
14 Participants
n=5 Participants
34 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
9 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Between Screening (Week <=1) and Week 24

Population: Intent-to-treat population; subjects with available data at both Baseline and Week 24

Descriptive summary of DAS28 (Disease Activity Score Based on 28 Joint Count)change from Baseline to the end of study (Week 24) in the population with available data at both Baseline and Week 24 (increased dose group, n=5; increased frequency group, n=7; and control group, n=5). DAS28 is a unit scale from 2.0 (best value) to 10.0 (worst value).

Outcome measures

Outcome measures
Measure
Increased Dose
n=5 Participants
3 mg/kg infliximab + 1 extra vial (100 mg) infliximab every 8 weeks
Increased Frequency
n=7 Participants
Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks
Control
n=5 Participants
Continuation of infliximab 3 mg/kg every 8 weeks
Change in Disease Activity Score Based on 28 Joint Count (DAS28) Score.
-0.4 Score on a Scale
Standard Deviation 1.27
-1.6 Score on a Scale
Standard Deviation 1.23
-1.0 Score on a Scale
Standard Deviation 1.90

Adverse Events

Infliximab*3mg/kg+1*Vial Q8W

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Infliximab*3mg/kg Q6W

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Control*Infliximab*3mg/kg Q8W

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Infliximab*3mg/kg+1*Vial Q8W
n=14 participants at risk
Infliximab*3mg/kg Q6W
n=11 participants at risk
Control*Infliximab*3mg/kg Q8W
n=18 participants at risk
Ear and labyrinth disorders
VERTIGO
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
General disorders
ASTHENIA
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
General disorders
INFUSION RELATED REACTION
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
General disorders
PYREXIA
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Immune system disorders
ANAPHYLACTIC REACTION
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Nervous system disorders
BRAIN STEM SYNDROME
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Nervous system disorders
DIZZINESS
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Nervous system disorders
LOSS OF CONSCIOUSNESS
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Nervous system disorders
SOMNOLENCE
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Vascular disorders
DEEP VEIN THROMBOSIS
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1

Other adverse events

Other adverse events
Measure
Infliximab*3mg/kg+1*Vial Q8W
n=14 participants at risk
Infliximab*3mg/kg Q6W
n=11 participants at risk
Control*Infliximab*3mg/kg Q8W
n=18 participants at risk
Blood and lymphatic system disorders
ANAEMIA
14.3%
2/14 • Number of events 2
0.00%
0/11
0.00%
0/18
Blood and lymphatic system disorders
LEUKOPENIA
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Cardiac disorders
CARDIOVASCULAR DISORDER
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Ear and labyrinth disorders
TINNITUS
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
APHTHOUS STOMATITIS
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
GASTROOESOPHAGEAL REFLUX DISEASE
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
General disorders
OEDEMA PERIPHERAL
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Infections and infestations
LARYNGITIS
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
Infections and infestations
NASOPHARYNGITIS
7.1%
1/14 • Number of events 1
0.00%
0/11
5.6%
1/18 • Number of events 1
Infections and infestations
PURULENT DISCHARGE
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Infections and infestations
SINUSITIS
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Infections and infestations
TINEA MANUUM
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
Infections and infestations
TOOTH INFECTION
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
7.1%
1/14 • Number of events 1
9.1%
1/11 • Number of events 1
0.00%
0/18
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Investigations
HEPATIC ENZYME INCREASED
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Musculoskeletal and connective tissue disorders
ARTHRALGIA
7.1%
1/14 • Number of events 1
0.00%
0/11
5.6%
1/18 • Number of events 1
Musculoskeletal and connective tissue disorders
BURSITIS
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Musculoskeletal and connective tissue disorders
PAIN IN JAW
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Nervous system disorders
HEADACHE
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Nervous system disorders
SYNCOPE
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
Reproductive system and breast disorders
VAGINAL HAEMORRHAGE
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
0.00%
0/14
0.00%
0/11
5.6%
1/18 • Number of events 1
Respiratory, thoracic and mediastinal disorders
SUFFOCATION FEELING
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
Skin and subcutaneous tissue disorders
DERMATITIS
0.00%
0/14
9.1%
1/11 • Number of events 1
0.00%
0/18
Skin and subcutaneous tissue disorders
PRURITUS
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18
Skin and subcutaneous tissue disorders
RASH
0.00%
0/14
9.1%
1/11 • Number of events 1
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
URTICARIA
0.00%
0/14
9.1%
1/11 • Number of events 3
0.00%
0/18
Vascular disorders
ANGIODYSPLASIA
7.1%
1/14 • Number of events 1
0.00%
0/11
0.00%
0/18

Additional Information

Senior Vice President, Global Clinical Development

Merck, Sharp & Dohme Corp.

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place