Dosing Flexibility Study in Patients With Rheumatoid Arthritis

NCT ID: NCT00580840

Last Updated: 2018-08-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

333 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2011-03-31

Brief Summary

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During the run-in period, CZP will be administered at 400 mg (2 injections) at Wks 0, 2, and 4 and 200 mg with placebo (1 injection placebo, 1 injection CZP) at Wks 6, 8, 10, 12, 14 and 16. At Wk 18 patients will be grouped as responders or non-responders based on results of the ACR20 at Week 16.

Detailed Description

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Subjects with a stable methotrexate (MTX) dose enter the run-in period in which certolizumab pegol (CZP) will be administered at a dose of 400 mg (2 injections) at Weeks 0, 2, and 4 and at a dose of 200 mg with placebo (1 injection placebo, 1 injection CZP) at Weeks 6, 8, 10, 12, 14 and 16. The dose of MTX should be stable for at least 2 months prior to the Baseline visit and will remain stable throughout the trial, unless there is a need to reduce the dose for reasons of toxicity.

At the Week 18 visit, subjects who were ACR20 (American College of Rheumatology 20% Improvement) responders at Week 16 will be randomized in a double-blinded way to receive either 400 mg CZP given every 4 weeks and placebo given every 4 weeks given as two injections (alternating CZP and placebo every two weeks) plus MTX, 200 mg CZP and placebo administered every 2 weeks (one injection of each) plus MTX, or Placebo administered as two injections every 2 weeks plus MTX. Non-responders will be withdrawn from the study.

Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Certolizumab pegol 400 mg and placebo

400 mg certolizumab pegol given every 4 weeks and placebo given every 4 weeks given as two injections (alternating injections every two weeks)

Group Type ACTIVE_COMPARATOR

Certolizumab pegol

Intervention Type DRUG

400 mg certolizumab pegol given every 4 weeks and placebo given every 4 weeks given as two injections (alternating injections every two weeks)

Placebo

Intervention Type OTHER

placebo (saline) administered as two injections every 2 weeks

Certolizumab pegol 200 mg and placebo

200 mg certolizumab pegol and placebo administered every 2 weeks (one injection of each)

Group Type EXPERIMENTAL

Certolizumab pegol

Intervention Type DRUG

200 mg certolizumab pegol and placebo administered every 2 weeks (one injection of each)

Placebo

Intervention Type OTHER

placebo (saline) administered as two injections every 2 weeks

Placebo

Placebo administered as two injections every 2 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

placebo (saline) administered as two injections every 2 weeks

Interventions

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Certolizumab pegol

400 mg certolizumab pegol given every 4 weeks and placebo given every 4 weeks given as two injections (alternating injections every two weeks)

Intervention Type DRUG

Certolizumab pegol

200 mg certolizumab pegol and placebo administered every 2 weeks (one injection of each)

Intervention Type DRUG

Placebo

placebo (saline) administered as two injections every 2 weeks

Intervention Type OTHER

Other Intervention Names

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CZP Cimzia CZP Cimzia

Eligibility Criteria

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Inclusion Criteria

* Patients with established adult rheumatoid arthritis currently on Methotrexate for at least 3 months

Exclusion Criteria

* All concomitant diseases or pathological conditions that could interfere and impact the assessment of the study treatment
* Previous clinical trials participation and previous biological therapy that could interfere with the results of the present clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Clinical Trial Call Center

Role: STUDY_DIRECTOR

+1 877 822 9493

Locations

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Huntsville, Alabama, United States

Site Status

Montgomery, Alabama, United States

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Gilbert, Arizona, United States

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Paradise Valley, Arizona, United States

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Tucson, Arizona, United States

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Little Rock, Arkansas, United States

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Huntington Beach, California, United States

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La Jolla, California, United States

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Los Angeles, California, United States

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Palm Desert, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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Colorado Springs, Colorado, United States

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Aventura, Florida, United States

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Clearwater, Florida, United States

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Gainesville, Florida, United States

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Jacksonville, Florida, United States

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Jupiter, Florida, United States

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Melbourne, Florida, United States

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Sarasota, Florida, United States

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Bogart, Georgia, United States

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Morton Grove, Illinois, United States

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Vernon Hills, Illinois, United States

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Lexington, Kentucky, United States

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Portland, Maine, United States

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Haverhill, Massachusetts, United States

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Pittsfield, Massachusetts, United States

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Worcester, Massachusetts, United States

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Rochester, Minnesota, United States

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Kansas City, Missouri, United States

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Lincoln, Nebraska, United States

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Las Vegas, Nevada, United States

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Reno, Nevada, United States

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Albany, New York, United States

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Mineola, New York, United States

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Syracuse, New York, United States

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Charlotte, North Carolina, United States

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Monroe, North Carolina, United States

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Wilmington, North Carolina, United States

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Cleveland, Ohio, United States

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Perrysburg, Ohio, United States

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Norman, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Duncansville, Pennsylvania, United States

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Simpsonville, South Carolina, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Sugar Land, Texas, United States

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Tyler, Texas, United States

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Vancouver, Washington, United States

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Victoria, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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St. John's, Newfoundland and Labrador, Canada

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Burlington, Ontario, Canada

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Saint Catherine's, Ontario, Canada

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Toronto, Ontario, Canada

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Saskatoon, Saskatchewan, Canada

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Bobigny, , France

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Le Havre, , France

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Lille, , France

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Limoges, , France

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Montivilliers, , France

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Nice, , France

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Paris, , France

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Perpigan, , France

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Saint-Etienne, , France

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Countries

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United States Canada France

References

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Furst DE, Shaikh SA, Greenwald M, Bennett B, Davies O, Luijtens K, Staelens F, Koetse W, Bertin P. Two dosing regimens of certolizumab pegol in patients with active rheumatoid arthritis. Arthritis Care Res (Hoboken). 2015 Feb;67(2):151-60. doi: 10.1002/acr.22496.

Reference Type DERIVED
PMID: 25302624 (View on PubMed)

Related Links

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Other Identifiers

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2007-005288-86

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C87077

Identifier Type: -

Identifier Source: org_study_id

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