Efficacy and Safety of Etanercept in Active RA Despite Methotrexate Therapy in Japan

NCT ID: NCT00688103

Last Updated: 2015-10-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Study Completion Date

2010-10-31

Brief Summary

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Multi-center, parallel-group, randomized, open control study. All patients will be selected to two treatment groups.

1. Etanercept alone treatment group (25mg, twice/week, s.c.)
2. Etanercept combined with MTX group (25mg, twice/week, s.c.+MTX 6-8mg/week)

Detailed Description

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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

NONE

Study Groups

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ETN Alone

etanercept (25mg, twice/week, s.c.)

Group Type ACTIVE_COMPARATOR

ETN Alone

Intervention Type DRUG

etanercept (25 mg, twice/week, s.c.)

ETN+MTX

etanercept (25mg, twice/week, s.c.) combined with methotrexate (6-8mg/week)

Group Type ACTIVE_COMPARATOR

ETN+MTX

Intervention Type DRUG

etanercept (25 mg, twice/week, s.c.) combined with methotrexate (6-8 mg/week)

Interventions

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ETN Alone

etanercept (25 mg, twice/week, s.c.)

Intervention Type DRUG

ETN+MTX

etanercept (25 mg, twice/week, s.c.) combined with methotrexate (6-8 mg/week)

Intervention Type DRUG

Other Intervention Names

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etanercept etanercept and methotrexate

Eligibility Criteria

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Inclusion Criteria

* Patients had to be at least 18 years of age
* fulfilled the 1987 revised classification criteria for RA by in American College of Rheumatology (ACR)
* met the guidelines for the proper use of ETN in Japan (having at least 6 tender joints and 6 swollen joints
* either serum C-reactive protein more than 2 mg/dl or ESR no less than 28 mm at 1 hour, with adequate safety profiles)
* be ACR functional class I-III
* have been receiving MTX 6 mg/week for a minimum of 3 months at a stable dose for at least 4 weeks at the time of study enrollment

Exclusion Criteria

* Patients who required concurrent use of prednisone (PSL) \>10 mg/day, or its equivalent, were excluded from study entry
* the start of dose increment of PSL equivalents within 3 months of the study enrollment
* experience of antirheumatic therapy except for MTX and PSL equivalents
* previous treatment with ETN or any other biological treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Japan Biological Agent Study Integrated Consortium

NETWORK

Sponsor Role lead

Responsible Party

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Hideto Kameda

Professor, Toho University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tsutomu Takeuchi, MD, PhD

Role: STUDY_CHAIR

JBASIC

Locations

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Keio University

Tokyo, Tokyo, Japan

Site Status

Countries

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Japan

References

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Kameda H, Ueki Y, Saito K, Nagaoka S, Hidaka T, Atsumi T, Tsukano M, Kasama T, Shiozawa S, Tanaka Y, Takeuchi T; Japan Biological Agent Study Integrated Consortium. Etanercept (ETN) with methotrexate (MTX) is better than ETN monotherapy in patients with active rheumatoid arthritis despite MTX therapy: a randomized trial. Mod Rheumatol. 2010 Dec;20(6):531-8. doi: 10.1007/s10165-010-0324-4. Epub 2010 Jun 24.

Reference Type RESULT
PMID: 20574649 (View on PubMed)

Kameda H, Kanbe K, Sato E, Ueki Y, Saito K, Nagaoka S, Hidaka T, Atsumi T, Tsukano M, Kasama T, Shiozawa S, Tanaka Y, Yamanaka H, Takeuchi T. Continuation of methotrexate resulted in better clinical and radiographic outcomes than discontinuation upon starting etanercept in patients with rheumatoid arthritis: 52-week results from the JESMR study. J Rheumatol. 2011 Aug;38(8):1585-92. doi: 10.3899/jrheum.110014. Epub 2011 May 15.

Reference Type RESULT
PMID: 21572151 (View on PubMed)

Kameda H, Kanbe K, Sato E, Ueki Y, Saito K, Nagaoka S, Hidaka T, Atsumi T, Tsukano M, Kasama T, Shiozawa S, Tanaka Y, Yamanaka H, Takeuchi T; Japan Biological Agent Integrated Consortium (JBASIC). A merged presentation of clinical and radiographic data using probability plots in a clinical trial, the JESMR study. Ann Rheum Dis. 2013 Feb;72(2):310-2. doi: 10.1136/annrheumdis-2012-201804. Epub 2012 Sep 12. No abstract available.

Reference Type RESULT
PMID: 22975754 (View on PubMed)

Other Identifiers

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Etanercept-01

Identifier Type: -

Identifier Source: org_study_id

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