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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View full resultsBasic Information
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TERMINATED
PHASE2
644 participants
INTERVENTIONAL
2011-01-31
2013-08-31
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Dosing Group A
Oral treatment and subcutaneous injection
Fostamatinib and placebo injections
Fostamatinib 100mg twice daily and placebo injection once every two weeks
Dosing Group B
Oral treatment and subcutaneous injection
Fostamatinib and placebo injections
Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks
Dosing Group C
Oral treatment and subcutaneous injection
Fostamatinib and placebo injections
Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.
Dosing Group D
Oral treatment and subcutaneous injection
Adalimumab and placebo of fostamatinib
Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.
Dosing Group E
Oral treatment and subcutaneous injection
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).
Interventions
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Fostamatinib and placebo injections
Fostamatinib 100mg twice daily and placebo injection once every two weeks
Fostamatinib and placebo injections
Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks
Fostamatinib and placebo injections
Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.
Adalimumab and placebo of fostamatinib
Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.
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).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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
18 Years
ALL
No
Sponsors
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AstraZeneca
INDUSTRY
Responsible Party
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Principal Investigators
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Neil MacKillop, MD PhD
Role: STUDY_DIRECTOR
AstraZeneca
Locations
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Research Site
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
Countries
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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.
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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