A Comparison of Two Assessment Tools in Predicting Treatment Success of Cimzia in Rheumatoid Arthritis Subjects

NCT ID: NCT01255761

Last Updated: 2018-07-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

736 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2012-12-31

Brief Summary

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Phase 4 study to evaluate a routine patient completed assessment (RAPID3) compared to a physician completed assessment (CDAI) to predict treatment success with subjects with moderate to severe rheumatoid arthritis

Detailed Description

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RA0064 is a Phase 4, multicenter, randomized, 52-week study. All eligible subjects will receive open label Cimzia 400 mg at Weeks 0, 2 and 4, followed by Cimzia 200 mg every 2 weeks at Weeks 6 to 50 for the treatment of moderate to severe rheumatoid arthritis. All subjects will be assessed using the 2 assessment tools: the subject-based Routine Assessment of Patient Index (RAPID3) and the investigator-based Clinical Disease Activity Index (CDAI)

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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RAPID3 to assess response to Cimzia

RAPID3 is a subject-based assessment tool used to assess subject's response to Cimzia.

Subjects will be randomized to a patient measure tool, a tool based on patient-report outcomes (RAPID3); using a total score of 30 points

Group Type OTHER

Certolizumab Pegol (CZP)

Intervention Type BIOLOGICAL

400 mg subcutaneous injection at Weeks 0, 2 and 4

200 mg subcutaneous injection every two weeks, Week 6 through Week 52

CDAI to assess response to Cimzia

CDAI is an investigator-based assessment tool used to assess subject's response to Cimzia.

Subjects will be randomized to a clinical measures tool, a tool based on Investigator measures without the need for a lab value (CDAI)

Group Type OTHER

Certolizumab Pegol (CZP)

Intervention Type BIOLOGICAL

400 mg subcutaneous injection at Weeks 0, 2 and 4

200 mg subcutaneous injection every two weeks, Week 6 through Week 52

Interventions

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Certolizumab Pegol (CZP)

400 mg subcutaneous injection at Weeks 0, 2 and 4

200 mg subcutaneous injection every two weeks, Week 6 through Week 52

Intervention Type BIOLOGICAL

Other Intervention Names

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Cimzia

Eligibility Criteria

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Inclusion Criteria

* Subjects 18 years of age or older
* Subjects with a diagnosis of Adult-onset Rheumatoid Arthritis of at least 3 months as defined by the 1987 American College of Rheumatology (ACR) classification criteria
* Subjects with active Rheumatoid Arthritis as defined by:

* 4 tender joints (28 joint count) at Screening and Baseline Visits; and
* 4 swollen joints (28 joint count) at Screening and Baseline Visits
* Subjects who have had an unsatisfactory response or intolerance to at least 1 traditional Disease-modifying Antirheumatic Drugs (DMARD)

Exclusion Criteria

* Subjects must not have a diagnosis of any other inflammatory Arthritis
* Subjects must not have greater than 3 Arthroplasties due to Rheumatoid Arthritis and/or Steinbrocker IV Functional Capacity
* Subjects must not have a secondary non-inflammatory type of Arthritis that would interfere with study evaluation
* Subjects must not be diagnosed with Fibromyalgia with sufficient symptoms requiring treatment
* Subjects must not have a history of Infected Joint Prosthesis
* Subjects must not have discontinued biological therapy for their Rheumatoid Arthritis due to Severe Hypersensitivity Reaction or Anaphylactic Reaction
* Subjects must not have received more than 2 anti- Tumor Necrosis Factor (TNF) agents prior to enrollment
* Subjects must not have received treatment with Abatacept and/or Rituximab or have received any experimental or approved B cell therapeutic agent
* Subjects must not have a history of chronic alcohol or drug abuse
* Subjects must not have known hypersensitivity to any components of the investigational medicinal product
* Subjects must not have a history of chronic infections, recent serious or life-threatening infection within 6 months or any current sign or symptom that may indicate an infection
* Subjects must not have a history of a Blood Dyscrasias
* Subjects with known Tuberculosis (TB) Disease, high risk of acquiring TB or latent TB infection
* Subjects must not be at high risk of infection
* Subjects must not have a history of Lymphoproliferative Disorder including Lymphoma signs and symptoms suggestive of Lymphoproliferative Disease
* Subjects must not have concurrent acute or chronic Viral Hepatitis B or C
* Subjects must not have known Human Immunodeficiency Virus (HIV) infection
* Subject must not have concurrent Malignancy or history of Malignancy
* Subjects must not have a current or recent history of severe, progressive, and/or uncontrolled Renal, Hepatic, Hematological, Gastrointestinal, Endocrine, Pulmonary, Cardiac, Neurological or Cerebral Disease
* Subjects must not have Class III or IV Congestive Heart Failure
* Subjects must not have history of, or suspected Demyelinating Disease of the Central Nervous System
* Subjects must not have a history of adverse reaction to Polyethylene Glycol (PEG)
* Subjects must not have significant laboratory abnormalities which in the investigators judgment would make the subject unsuitable for inclusion
* Subjects must not have a known history or clinically active infection with Histoplasma, Coccidiodes, Paracoccidioides, Pneumocystis, Nontuberculous Mycobacteria, Blastomyces or Aspergillus
* Subject must not have a known history of or be currently diagnosed with Systemic Lupus Erythematosus
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 (UCB)

Locations

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137

Birmingham, Alabama, United States

Site Status

166

Huntsville, Alabama, United States

Site Status

165

Peoria, Arizona, United States

Site Status

216

Tucson, Arizona, United States

Site Status

168

Hot Springs, Arkansas, United States

Site Status

241

Jonesboro, Arkansas, United States

Site Status

153

Little Rock, Arkansas, United States

Site Status

111

Covina, California, United States

Site Status

208

Escondido, California, United States

Site Status

103

Fullerton, California, United States

Site Status

155

Huntington Beach, California, United States

Site Status

202

La Mesa, California, United States

Site Status

203

Loma Linda, California, United States

Site Status

233

Los Angeles, California, United States

Site Status

105

Palm Desert, California, United States

Site Status

229

Roseville, California, United States

Site Status

113

Sacramento, California, United States

Site Status

127

San Diego, California, United States

Site Status

106

Santa Maria, California, United States

Site Status

172

Santa Monica, California, United States

Site Status

212

Upland, California, United States

Site Status

231

Van Nuys, California, United States

Site Status

158

Whittier, California, United States

Site Status

121

Bridgeport, Connecticut, United States

Site Status

200

Bridgeport, Connecticut, United States

Site Status

107

Danbury, Connecticut, United States

Site Status

195

Danbury, Connecticut, United States

Site Status

138

Hamden, Connecticut, United States

Site Status

218

Lewes, Delaware, United States

Site Status

108

Aventura, Florida, United States

Site Status

120

Dunedin, Florida, United States

Site Status

101

Ocala, Florida, United States

Site Status

225

Orange Park, Florida, United States

Site Status

227

Ormond Beach, Florida, United States

Site Status

184

Palm Harbor, Florida, United States

Site Status

145

Sarasota, Florida, United States

Site Status

191

Tampa, Florida, United States

Site Status

236

Vero Beach, Florida, United States

Site Status

144

Atlanta, Georgia, United States

Site Status

232

Atlanta, Georgia, United States

Site Status

157

Lawrenceville, Georgia, United States

Site Status

217

Coeur d'Alene, Idaho, United States

Site Status

206

Idaho Falls, Idaho, United States

Site Status

193

Rock Island, Illinois, United States

Site Status

207

Springfield, Illinois, United States

Site Status

186

Elizabethtown, Kentucky, United States

Site Status

204

Lexington, Kentucky, United States

Site Status

230

Louisville, Kentucky, United States

Site Status

149

Cumberland, Maryland, United States

Site Status

237

Hagerstown, Maryland, United States

Site Status

197

Wheaton, Maryland, United States

Site Status

118

Mansfield, Massachusetts, United States

Site Status

132

Worcester, Massachusetts, United States

Site Status

140

Lansing, Michigan, United States

Site Status

226

Petoskey, Michigan, United States

Site Status

114

Saint Clair Shores, Michigan, United States

Site Status

188

Bridgeton, Missouri, United States

Site Status

109

St Louis, Missouri, United States

Site Status

133

St Louis, Missouri, United States

Site Status

124

Lincoln, Nebraska, United States

Site Status

205

Reno, Nevada, United States

Site Status

159

Lebanon, New Hampshire, United States

Site Status

189

Nashua, New Hampshire, United States

Site Status

143

Clifton, New Jersey, United States

Site Status

125

Albuquerque, New Mexico, United States

Site Status

175

Albany, New York, United States

Site Status

139

Binghamton, New York, United States

Site Status

116

Brooklyn, New York, United States

Site Status

167

Brooklyn, New York, United States

Site Status

196

Johnson City, New York, United States

Site Status

174

New York, New York, United States

Site Status

104

Orchard Park, New York, United States

Site Status

135

Plainview, New York, United States

Site Status

215

Rochester, New York, United States

Site Status

178

Charlotte, North Carolina, United States

Site Status

210

Durham, North Carolina, United States

Site Status

234

Hickory, North Carolina, United States

Site Status

102

Monroe, North Carolina, United States

Site Status

152

Bethlehem, Pennsylvania, United States

Site Status

112

Duncansville, Pennsylvania, United States

Site Status

219

Erie, Pennsylvania, United States

Site Status

128

Philadelphia, Pennsylvania, United States

Site Status

147

Sellersville, Pennsylvania, United States

Site Status

213

Willow Grove, Pennsylvania, United States

Site Status

235

Wyomissing, Pennsylvania, United States

Site Status

198

Charleston, South Carolina, United States

Site Status

228

Columbia, South Carolina, United States

Site Status

130

Hendersonville, Tennessee, United States

Site Status

129

Jackson, Tennessee, United States

Site Status

162

Amarillo, Texas, United States

Site Status

110

Austin, Texas, United States

Site Status

156

Austin, Texas, United States

Site Status

192

Dallas, Texas, United States

Site Status

185

El Paso, Texas, United States

Site Status

122

Houston, Texas, United States

Site Status

170

Houston, Texas, United States

Site Status

123

Mesquite, Texas, United States

Site Status

115

Nassau Bay, Texas, United States

Site Status

117

San Antonio, Texas, United States

Site Status

119

San Antonio, Texas, United States

Site Status

161

San Antonio, Texas, United States

Site Status

190

Victoria, Texas, United States

Site Status

142

Waco, Texas, United States

Site Status

136

Burlington, Vermont, United States

Site Status

146

Arlington, Virginia, United States

Site Status

150

Chesapeake, Virginia, United States

Site Status

223

Kennewick, Washington, United States

Site Status

134

Spokane, Washington, United States

Site Status

221

Clarksburg, West Virginia, United States

Site Status

194

Glendale, Wisconsin, United States

Site Status

Countries

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United States

References

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Curtis JR, Herrem C, Ndlovu 'N, O'Brien C, Yazici Y. A somatization comorbidity phenotype impacts response to therapy in rheumatoid arthritis: post-hoc results from the certolizumab pegol phase 4 PREDICT trial. Arthritis Res Ther. 2017 Sep 29;19(1):215. doi: 10.1186/s13075-017-1412-z.

Reference Type RESULT
PMID: 28962590 (View on PubMed)

Curtis JR, Churchill M, Kivitz A, Samad A, Gauer L, Gervitz L, Koetse W, Melin J, Yazici Y. A Randomized Trial Comparing Disease Activity Measures for the Assessment and Prediction of Response in Rheumatoid Arthritis Patients Initiating Certolizumab Pegol. Arthritis Rheumatol. 2015 Dec;67(12):3104-12. doi: 10.1002/art.39322.

Reference Type DERIVED
PMID: 26316013 (View on PubMed)

Other Identifiers

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RA0064

Identifier Type: -

Identifier Source: org_study_id

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