Evaluation of Efficacy and Safety of Fostamatinib Monotherapy Compared With Adalimumab Monotherapy in Patients With Rheumatoid Arthritis (RA)

NCT ID: NCT01264770

Last Updated: 2014-05-06

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

644 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2013-08-31

Brief Summary

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The purpose of the study is to evaluate the improvements in signs and symptoms of rheumatoid arthritis (RA) for fostamatinib compared to placebo or adalimumab in patients who are Disease-Modifying anti-rheumatic drug (DMARD) naïve, DMARD intolerant or have had an inadequate response to DMARDs. The study will last for approximately six months

Detailed Description

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Sub-study:

Full title: Optional Genetic Research

Date: 10 September 2010

Version: 1

Objectives: To collect and store, with appropriate consent , DNA samples for future exploratory research into genes/genetic variation that may influence response (ie, absorption, distribution, metabolism and excretion, safety, tolerability and efficacy) to fostamatinib disodium and/or adalimumab; and/or susceptibility to, progression of and prognosis of RA

The main study recruitment is complete, and sub study recruitment will continue until the target is reached, estimated to be June 2013

Sub-study:

Full title: (Sub-study to OSKIRA-4): A Phase IIB, Multi-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and Safety of Fostamatinib Disodium Monotherapy Compared with Placebo or Adalimumab Monotherapy in Patients with Active Rheumatoid Arthritis: Magnetic Resonance Imaging Sub-Study

Date: 21 March 2011

Version: 1

Primary objective: Assess the efficacy of fostamatinib in reducing joint synovial disease activity as measured by:

* Change from baseline to Week 6 (versus placebo) in OMERACT RAMRIS synovitis score.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dosing Group A

Oral treatment and subcutaneous injection

Group Type EXPERIMENTAL

Fostamatinib and placebo injections

Intervention Type DRUG

Fostamatinib 100mg twice daily and placebo injection once every two weeks

Dosing Group B

Oral treatment and subcutaneous injection

Group Type EXPERIMENTAL

Fostamatinib and placebo injections

Intervention Type DRUG

Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks

Dosing Group C

Oral treatment and subcutaneous injection

Group Type EXPERIMENTAL

Fostamatinib and placebo injections

Intervention Type DRUG

Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.

Dosing Group D

Oral treatment and subcutaneous injection

Group Type ACTIVE_COMPARATOR

Adalimumab and placebo of fostamatinib

Intervention Type DRUG

Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.

Dosing Group E

Oral treatment and subcutaneous injection

Group Type PLACEBO_COMPARATOR

Placebo of fostamatinib, fostamatinib, and placebo injections

Intervention Type DRUG

Placebo injection once every two weeks. Placebo to fostamatinib for six weeks, followed by fostamatinib 100mg twice daily (Group F) / fostamatinib 100mg twice daily then 150mg once daily (Group G).

Interventions

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Fostamatinib and placebo injections

Fostamatinib 100mg twice daily and placebo injection once every two weeks

Intervention Type DRUG

Fostamatinib and placebo injections

Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks

Intervention Type DRUG

Fostamatinib and placebo injections

Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.

Intervention Type DRUG

Adalimumab and placebo of fostamatinib

Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.

Intervention Type DRUG

Placebo of fostamatinib, fostamatinib, and placebo injections

Placebo injection once every two weeks. Placebo to fostamatinib for six weeks, followed by fostamatinib 100mg twice daily (Group F) / fostamatinib 100mg twice daily then 150mg once daily (Group G).

Intervention Type DRUG

Other Intervention Names

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Humira®

Eligibility Criteria

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Inclusion Criteria

* Male or female aged 18 and over
* Active rheumatoid arthritis (RA) diagnosed after the age of 16 and diagnosis within 5 years prior to study visit 1 and inadequate response to treatment with a maximum 2 Disease-Modifying anti-rheumatic drug (DMARD) therapies, or diagnosis within 5 years prior to study visit 1 and intolerance to DMARD therapy, or diagnosis within 2 years prior to study visit 1 and no previous use of DMARDs
* 4 or more swollen joints and 4 or more tender/painful joints (from 28 joint count) and either Erythrocyte Sedimentation Rate (ESR) blood result of 28mm/h or more, or C-Reactive Protein (CRP) blood result of 10mg/L or more
* At least 2 of the following: documented history or current presence of positive rheumatoid factor (blood test), radiographic erosion within 12 months prior to study enrolment, presence of serum anti-cyclic citrullinated peptide antibodies (blood test)

Exclusion Criteria

* Females who are pregnant or breast feeding
* Poorly controlled hypertension
* Liver disease or significant liver function test abnormalities
* Certain inflammatory conditions (other than rheumatoid arthritis), connective tissue diseases or chronic pain disorders
* Recent or significant cardiovascular disease
* Significant active or recent infection including tuberculosis
* Previously received treatment with a TNF alpha antagonist (including etanercept, certolizumab, adalimumab, infliximab, golimumab) or anakinra or previous treatment with other biological agent including rituximab, abatacept and tocilizumab
* Use of any DMARDs within 6 weeks before first study visit
* Severe renal impairment
* Neutropenia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neil MacKillop, MD PhD

Role: STUDY_DIRECTOR

AstraZeneca

Locations

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Birmingham, Alabama, United States

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Glendale, Arizona, United States

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Mesa, Arizona, United States

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Phoenix, Arizona, United States

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Scottsdale, Arizona, United States

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Huntington Beach, California, United States

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Long Beach, California, United States

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Colorado Springs, Colorado, United States

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Bridgeport, Connecticut, United States

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Daytona Beach, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Palm Harbor, Florida, United States

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Pinellas Park, Florida, United States

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Venice, Florida, United States

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Chicago, Illinois, United States

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South Bend, Indiana, United States

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Bowling Green, Kentucky, United States

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Elizabethtown, Kentucky, United States

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Oxon Hill, Maryland, United States

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Kalamazoo, Michigan, United States

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Richmond Heights, Missouri, United States

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Kalispell, Montana, United States

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Nashua, New Hampshire, United States

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Albuquerque, New Mexico, United States

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Las Cruces, New Mexico, United States

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Brooklyn, New York, United States

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Charlotte, North Carolina, United States

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Perrysburg, Ohio, United States

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Duncansville, Pennsylvania, United States

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Greenville, South Carolina, United States

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Jackson, Tennessee, United States

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Knoxville, Tennessee, United States

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Memphis, Tennessee, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Mesquite, Texas, United States

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Plano, Texas, United States

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San Antonio, Texas, United States

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Pleven, , Bulgaria

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Sevlievo, , Bulgaria

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Sofia, , Bulgaria

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Veliko Tarnovo, , Bulgaria

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Mississauga, Ontario, Canada

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Brno, , Czechia

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Bruntál, , Czechia

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Hlučín, , Czechia

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Liberec, , Czechia

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Ostrava, , Czechia

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Ostrava - Poruba, , Czechia

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Ostrava - Trebovice, , Czechia

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Prague, , Czechia

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Zlín, , Czechia

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Dresden, , Germany

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Hamburg, , Germany

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München, , Germany

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Balatonfüred, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Zalaegerszeg, , Hungary

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Amsterdam, , Netherlands

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Bytom, , Poland

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Chełm Śląski, , Poland

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Grodzisk Mazowiecki, , Poland

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Lodz, , Poland

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Środa Wielkopolska, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Żyrardów, , Poland

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Moscow, , Russia

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Nizhny Novgorod, , Russia

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Petrozavodsk, , Russia

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Ryazan, , Russia

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Saint Petersburg, , Russia

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Voronezh, , Russia

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Yaroslavl, , Russia

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Trebišov, , Slovakia

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Trnava, , Slovakia

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Pretoria, Gauteng, South Africa

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Durban, KwaZulu-Natal, South Africa

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Cape Town, Western Cape, South Africa

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Cape Town, , South Africa

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Durban, , South Africa

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Pretoria, , South Africa

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Stellenbosch, , South Africa

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Donetsk, , Ukraine

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Ivano-Frankivsk, , Ukraine

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Kharkiv, , Ukraine

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Kyiv, , Ukraine

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Lutsk, , Ukraine

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Lviv, , Ukraine

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Odesa, , Ukraine

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Simferopol, , Ukraine

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Zaporyzhzhya, , Ukraine

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Reading, Berkshire, United Kingdom

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London, Greater London, United Kingdom

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Eastbourne, Sussex, United Kingdom

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Basingstoke, , United Kingdom

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Eastbourne, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Wolverhampton, , United Kingdom

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Countries

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United States Bulgaria Canada Czechia Germany Hungary Netherlands Poland Russia Slovakia South Africa Ukraine United Kingdom

References

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Taylor PC, Genovese MC, Greenwood M, Ho M, Nasonov E, Oemar B, Stoilov R, Vencovsky J, Weinblatt M. OSKIRA-4: a phase IIb randomised, placebo-controlled study of the efficacy and safety of fostamatinib monotherapy. Ann Rheum Dis. 2015 Dec;74(12):2123-9. doi: 10.1136/annrheumdis-2014-205361. Epub 2014 Jul 29.

Reference Type DERIVED
PMID: 25074688 (View on PubMed)

Other Identifiers

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2010-023692-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D4300C00004

Identifier Type: -

Identifier Source: org_study_id

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