Moderate Rheumatoid Arthritis (RA) With Etanercept (Enbrel)

NCT ID: NCT01313208

Last Updated: 2017-02-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2013-05-31

Brief Summary

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This study is designed to evaluate the effectiveness of adding etanercept to disease modifying anti-rheumatic drug (DMARD) therapy in patients with moderately active Rheumatoid Arthritis (RA).

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

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo subcutaneous injections once a week for 12 weeks and then open-label etanercept 50 mg subcutaneous injection once weekly for the next 12 weeks.

All participants continued their disease modifying anti-rheumatic drug (DMARD) treatment throughout the 24-week study period.

Group Type PLACEBO_COMPARATOR

etanercept

Intervention Type DRUG

Administered by subcutaneous injection once weekly.

Placebo

Intervention Type DRUG

Placebo subcutaneous injection

DMARD Therapy

Intervention Type DRUG

Standard-of-care DMARD therapy, including methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Etanercept

Participants received etanercept 50 mg subcutaneous injection once weekly for 12 weeks and then open-label etanercept 50 mg subcutaneous injection for the next 12 weeks.

All participants continued their DMARD treatment throughout the 24-week study period.

Group Type EXPERIMENTAL

etanercept

Intervention Type DRUG

Administered by subcutaneous injection once weekly.

DMARD Therapy

Intervention Type DRUG

Standard-of-care DMARD therapy, including methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Interventions

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etanercept

Administered by subcutaneous injection once weekly.

Intervention Type DRUG

Placebo

Placebo subcutaneous injection

Intervention Type DRUG

DMARD Therapy

Standard-of-care DMARD therapy, including methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Intervention Type DRUG

Other Intervention Names

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Enbrel

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥18 and ≤80 years of age at time of screening
* Diagnosed with rheumatoid arthritis as determined by meeting 1987 American College of Rheumatology (ACR) classification criteria and has had rheumatoid arthritis for at least 6 months
* Moderate rheumatoid arthritis during screening, as defined by a disease activity score (28 joint) calculated using the C-reactive protein formula (DAS28-CRP) \> 3.2 and ≤ 5.1
* Active rheumatoid arthritis defined as ≥ 3 swollen joints (out of 28 joints examined) and ≥ 3 tender/painful joints (out of 28 joints examined) at screening and baseline. (A full 66/68 count joint count will be performed at baseline, but only joints in the 28-count joint count will be considered for eligibility. The 28-joint count consists of the finger joints excluding the distal interphalangeal joints, the wrists, elbows, shoulders, and knees)
* Must be currently taking a DMARD such as methotrexate, sulfasalazine, leflunomide, minocycline, and/or hydroxychloroquine

Exclusion Criteria

* Prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening
* Class IV rheumatoid arthritis according to ACR revised response criteria
* Any active infection (including chronic or localized infections) for which anti-infectives were indicated within 28 days prior to first investigational product dose
* Previously used more than one experimental biologic DMARD. Patient with prior use of no more than one experimental biologic is permitted if the subject received no more than 8 weeks of treatment. The use of the experimental biologic must not have occurred within 2 months of the first dose of investigational product
* Previously used more than one commercially available biologic DMARD. Subject with prior use of no more than one commercially available biologic is permitted if the patient received no more than 8 weeks of treatment and did not discontinue because of lack of effect. The use of the biologic must not have occurred within 2 months of the first dose of investigational product. Acceptable prior use of biologics include the following examples:
* No more than 4 injections of adalimumab
* No more than 8 (50 mg) injections of etanercept
* No more than 2 infusions of infliximab
* No more than 2 infusions of abatacept
* Additional inclusion (exclusion) criteria may apply
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

Birmingham, Alabama, United States

Site Status

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Tuscaloosa, Alabama, United States

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Peoria, Arizona, United States

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Scottsdale, Arizona, United States

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Encino, California, United States

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Hemet, California, United States

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Inglewood, California, United States

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La Jolla, California, United States

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Murrieta, California, United States

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Santa Maria, California, United States

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Tustin, California, United States

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Upland, California, United States

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Victorville, California, United States

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Denver, Colorado, United States

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Jacksonville, Florida, United States

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Ocala, Florida, United States

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Sarasota, Florida, United States

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Sebring, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Meridian, Idaho, United States

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Springfield, Illinois, United States

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Lexington, Kentucky, United States

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Frederick, Maryland, United States

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Lansing, Michigan, United States

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Saint Clair Shores, Michigan, United States

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Bismarck, North Dakota, United States

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Akron, Ohio, United States

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Mayfield Village, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Erie, Pennsylvania, United States

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Greer, 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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Chesapeake, Virginia, United States

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Seattle, Washington, United States

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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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Laval, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Saint-Eustache, Quebec, Canada

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Countries

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United States Canada

References

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Hobbs K, Deodhar A, Wang B, Bitman B, Nussbaum J, Chung J, Collier DH. Randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of etanercept in patients with moderately active rheumatoid arthritis despite DMARD therapy. Springerplus. 2015 Mar 5;4:113. doi: 10.1186/s40064-015-0895-9. eCollection 2015.

Reference Type BACKGROUND
PMID: 25793152 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20070561

Identifier Type: -

Identifier Source: org_study_id

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