Dose-Ranging Study Of Tofacitinib In Adults With Active Ankylosing Spondylitis

NCT ID: NCT01786668

Last Updated: 2016-06-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2015-03-31

Brief Summary

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This is the first study of oral tofacitinib in adults with active ankylosing spondylitis. It is designed to obtain information on the efficacy and safety of 3 different doses of tofacitinib.

Detailed Description

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Conditions

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Ankylosing Spondylitis

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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Tofacitinib 2 mg

Group Type EXPERIMENTAL

Tofacitinib 2 mg

Intervention Type DRUG

4 blinded tablets (two 1 mg tablets of tofacitinib along with two 5 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Tofacitinib 5 mg

Group Type EXPERIMENTAL

Tofacitinib 5 mg

Intervention Type DRUG

4 blinded tablets (one 5 mg tablet of tofacitinib, one 5 mg and two 1 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Tofacitinib 10 mg

Group Type EXPERIMENTAL

Tofacitinib 10 mg

Intervention Type DRUG

4 blinded tablets (two 5 mg tablets of tofacitinib and two 1 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

4 blinded tablets (two 1 mg and two 5 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Interventions

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Tofacitinib 2 mg

4 blinded tablets (two 1 mg tablets of tofacitinib along with two 5 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Intervention Type DRUG

Tofacitinib 5 mg

4 blinded tablets (one 5 mg tablet of tofacitinib, one 5 mg and two 1 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Intervention Type DRUG

Tofacitinib 10 mg

4 blinded tablets (two 5 mg tablets of tofacitinib and two 1 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Intervention Type DRUG

Placebo

4 blinded tablets (two 1 mg and two 5 mg matching placebo tablets) will be administered orally twice a day (in the AM and PM) for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of Ankylosing Spondylitis
* Has active disease despite concurrent nonsteroidal anti-inflammatory drugs (NSAIDs) treatment or is intolerant to NSAIDs

Exclusion Criteria

* Pregnant or lactating females
* Currently receiving or previous use of a Tumor Necrosis Factor (TNF) inhibitor or any biological agent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Desert Medical Imaging

Indian Wells, California, United States

Site Status

Desert Medical Advances

Palm Desert, California, United States

Site Status

Arthritis & Rheumatology Associates

Clearwater, Florida, United States

Site Status

Millennium Research

Ormond Beach, Florida, United States

Site Status

Southwest Florida Clinical Research Center

Tampa, Florida, United States

Site Status

Covance Central Laboratory Services,Inc

Indianapolis, Indiana, United States

Site Status

Klein & Associates, M.D., P.A.

Hagerstown, Maryland, United States

Site Status

Progressive Radiology

Hagerstown, Maryland, United States

Site Status

Advanced Medical Imaging (MRI center)

Lincoln, Nebraska, United States

Site Status

Arthritis Center of Nebraska (X-ray center)

Lincoln, Nebraska, United States

Site Status

Physician Research Collaboration, LLC

Lincoln, Nebraska, United States

Site Status

Charlotte Radiology/ Carolina Imaging Services

Ballantyne, North Carolina, United States

Site Status

Joint and Muscle Research Institute

Charlotte, North Carolina, United States

Site Status

Presbyterian Imaging

Charlotte, North Carolina, United States

Site Status

Paramount Medical Research & Consulting, LLC

Middleburg Heights, Ohio, United States

Site Status

Premier Physicians Centers

Westlake, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Clinical Research Center of Reading, LLC

Wyomissing, Pennsylvania, United States

Site Status

Investigational Drug Service

Seatle, Washington, United States

Site Status

Seattle Rheumatology Associates

Seattle, Washington, United States

Site Status

Arthritis Northwest, PLLC

Spokane, Washington, United States

Site Status

Institut de Rhumatologie de Montreal

Montreal, Quebec, Canada

Site Status

G.R.M.O. Inc

Québec, Quebec, Canada

Site Status

Artroscan s.r.o.

Ostrava, Czech Republic, Czechia

Site Status

Revmatologicky ustav

Prague, , Czechia

Site Status

Revmatologicka ambulance

Prague, , Czechia

Site Status

Mediscan Group s.r.o.

Praha 11- Chodov, , Czechia

Site Status

Medical Plus

Uherské Hradiště, , Czechia

Site Status

Charité Universitaetsmedizin Berlin

Berlin, , Germany

Site Status

Praxis fuer klinische Studien

Hamburg, , Germany

Site Status

Gemeinschaftspraxis Dres. von Hinueber / Demary

Hildesheim, , Germany

Site Status

Immunologisches Zentrum Vogelsang-Gommern GmbH

Vogelsang-Gommern, , Germany

Site Status

Dr. Rethy Pál Korhaz es Rendelointezet, Reumatologia

Békéscsaba, , Hungary

Site Status

Orszagos Reumatologiai es Fiziotherapias Intezet II. Reumatologiai Osztaly

Budapest, , Hungary

Site Status

Qualiclinic Kft

Budapest, , Hungary

Site Status

Synexus Magyarorszag Kft. - Synexus Hungary Clinical Research Centre

Budapest, , Hungary

Site Status

Debreceni Egyetem Orvos- és Egészségtudományi Centrum

Debrecen, , Hungary

Site Status

CRU Hungary Kft.

Szikszó, , Hungary

Site Status

Csolnoky Ferenc Korhaz Reumatologiai Osztaly

Veszprém, , Hungary

Site Status

NZOZ Lecznica MAK-MED s.c.

Nadarzyn, Masovian Voivodeship, Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej Centrum Osteoporozy i Chorob Kostno-Stawowych

Bialystok, , Poland

Site Status

Szpital Uniwersytecki nr 2 im. dr Jana Biziela w Bydgoszczy

Bydgoszcz, , Poland

Site Status

Centrum Kliniczno-Badawcze J. Brzezicki, B. Gornikiewicz-Brzezicka Lekarze Spolka Partnerska

Elblag, , Poland

Site Status

Medica Pro Familia Sp. z o.o. S.K.A. Oddzial Katowice

Katowice, , Poland

Site Status

Malopolskie Centrum Medyczne S.C.

Krakow, , Poland

Site Status

Zespol Poradni Specjalistycznych Reumed Filia Onyksowa

Lublin, , Poland

Site Status

Twoja Przychodnia - Centrum Medyczne Nowa Sol

Nowa Sól, , Poland

Site Status

NZOZ Nasz Lekarz Praktyka Grupowa Lekarzy Rodzinnych z Przychodnia Specjalistyczna w Toruniu

Torun, , Poland

Site Status

Federal State Budgetary Institution

Moscow, , Russia

Site Status

OOO AVA-PETER "Scandinavia clinic"

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Budgetary Healthcare Institution

Sestroretsk, , Russia

Site Status

SBEI HPE Ural State Medical University of MoH of RF based on Municipal Budgetary Institution

Yekaterinburg, , Russia

Site Status

Chonnam National University Hospital

Gwangju, , South Korea

Site Status

INHA University Hospital

Incheon, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Ajou University Hospital

Suwon, , South Korea

Site Status

Complexo Hospitalario Universitario A Coruna

A Coruña, A Coruna, Spain

Site Status

Hospital Clinico Universitario Santiago de Compostela

Santiago de Compostela, A Coruna, Spain

Site Status

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Universitario Marques de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitario Reina Sofia

Córdoba, Cordoba, Spain

Site Status

Hospital Universitario De La Paz

Madrid, , Spain

Site Status

Corporacio Sanitaria Parc Tauli

Sabadell, , Spain

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status

China medical university hospital

Taichung, , Taiwan

Site Status

Countries

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United States Canada Czechia Germany Hungary Poland Russia South Korea Spain Taiwan

References

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Deodhar A, Akar S, Curtis JR, El-Zorkany B, Magrey M, Wang C, Wu J, Makgoeng SB, Vranic I, Menon S, Fleishaker DL, Diehl AM, Fallon L, Yndestad A, Landewe RBM. Integrated safety analysis of tofacitinib from Phase 2 and 3 trials of patients with ankylosing spondylitis. Adv Rheumatol. 2024 Dec 18;64(1):87. doi: 10.1186/s42358-024-00402-x.

Reference Type DERIVED
PMID: 39695887 (View on PubMed)

Norton H, Sliwinska-Stanczyk P, Hala T, El-Zorkany B, Stockert L, Mundayat R, Wang L, Ritchlin CT. Tofacitinib Efficacy/Safety in Patients with Ankylosing Spondylitis by Baseline Body Mass Index: A Post Hoc Analysis of Phase 2/3 Trials. Rheumatol Ther. 2025 Feb;12(1):67-84. doi: 10.1007/s40744-024-00726-6. Epub 2024 Dec 5.

Reference Type DERIVED
PMID: 39636343 (View on PubMed)

Deodhar A, Baraliakos X, Magrey M, Gensler LS, Thorat AV, Pemmaraju SK, Cadatal MJ, Nash P. Efficacy and Safety of Tofacitinib in Ankylosing Spondylitis by Baseline C-Reactive Protein Level: Post Hoc Analysis of Phase II and Phase III Clinical Trials. J Rheumatol. 2024 Aug 1;51(8):772-780. doi: 10.3899/jrheum.2023-1198.

Reference Type DERIVED
PMID: 38825359 (View on PubMed)

Kristensen LE, Deodhar A, Leung YY, Vranic I, Mortezavi M, Fallon L, Yndestad A, Kinch CD, Gladman DD. Risk Stratification of Patients with Psoriatic Arthritis and Ankylosing Spondylitis for Treatment with Tofacitinib: A Review of Current Clinical Data. Rheumatol Ther. 2024 Jun;11(3):487-499. doi: 10.1007/s40744-024-00662-5. Epub 2024 May 2.

Reference Type DERIVED
PMID: 38696034 (View on PubMed)

Magrey M, Wei JC, Yndestad A, Bushmakin AG, Cappelleri JC, Dina O, Deodhar A. Relationships of Work Productivity and Activity Impairment With Patient-Reported Outcomes in Ankylosing Spondylitis: Results From Two Trials. Arthritis Care Res (Hoboken). 2024 Mar;76(3):359-365. doi: 10.1002/acr.25267. Epub 2024 Jan 5.

Reference Type DERIVED
PMID: 37909386 (View on PubMed)

Ostergaard M, Wu J, Fallon L, Sherlock SP, Wang C, Fleishaker D, Kanik KS, Maksymowych WP. Tofacitinib Reduces Spinal Inflammation in Vertebral Bodies and Posterolateral Elements in Ankylosing Spondylitis: Results from a Phase 2 Trial. Rheumatol Ther. 2023 Aug;10(4):1001-1020. doi: 10.1007/s40744-023-00564-y. Epub 2023 Jun 18.

Reference Type DERIVED
PMID: 37331992 (View on PubMed)

Cella D, Lenderking WR, Chongpinitchai P, Bushmakin AG, Dina O, Wang L, Cappelleri JC, Navarro-Compan V. Functional Assessment of Chronic Illness Therapy-Fatigue is a reliable and valid measure in patients with active ankylosing spondylitis. J Patient Rep Outcomes. 2022 Sep 23;6(1):100. doi: 10.1186/s41687-022-00508-0.

Reference Type DERIVED
PMID: 36138330 (View on PubMed)

van der Heijde D, Deodhar A, Wei JC, Drescher E, Fleishaker D, Hendrikx T, Li D, Menon S, Kanik KS. Tofacitinib in patients with ankylosing spondylitis: a phase II, 16-week, randomised, placebo-controlled, dose-ranging study. Ann Rheum Dis. 2017 Aug;76(8):1340-1347. doi: 10.1136/annrheumdis-2016-210322. Epub 2017 Jan 27.

Reference Type DERIVED
PMID: 28130206 (View on PubMed)

Related Links

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Other Identifiers

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2011-005689-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A3921119

Identifier Type: -

Identifier Source: org_study_id

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