Effect of the Combination of Methotrexate and Adalimumab on Reduction of Immunization in Ankylosing Spondylitis (COMARIS)

NCT ID: NCT01895764

Last Updated: 2025-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-20

Study Completion Date

2015-04-27

Brief Summary

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The purpose of this study is to determine if association of methotrexate with adalimumab leads to decrease immunogenicity beside adalimumab alone in Ankylosing Spondylitis.

Detailed Description

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Conditions

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Ankylosing Spondylitis

Keywords

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ankylosing spondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adalimumab

adalimumab 40mg every 2 weeks

Group Type ACTIVE_COMPARATOR

Adalimumab

Intervention Type DRUG

adalimumab, subcutaneous injection, 40mg every 2 weeks, week 0 until week 26

Adalimumab + Methotrexate

adalimumab 40mg every 2 weeks and methotrexate 10mg per week

Group Type EXPERIMENTAL

Adalimumab

Intervention Type DRUG

adalimumab, subcutaneous injection, 40mg every 2 weeks, week 0 until week 26

Methotrexate

Intervention Type DRUG

methotrexate, subcutaneous injection, 10mg per week, week -2 until week 26

Interventions

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Adalimumab

adalimumab, subcutaneous injection, 40mg every 2 weeks, week 0 until week 26

Intervention Type DRUG

Methotrexate

methotrexate, subcutaneous injection, 10mg per week, week -2 until week 26

Intervention Type DRUG

Other Intervention Names

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Humira Metoject

Eligibility Criteria

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Inclusion Criteria

* Subject 18 years of age or older
* Able and willing to give written informed consent and to comply with the requirements of the study protocol
* Subject met the definition of Ankylosing Spondylitis (AS) based on ASAS Criteria
* Subject with active AS, has had an inadequate response, an intolerance or an to one or more nonsteroidal anti-inflammatory drugs

Exclusion Criteria

* Previous adalimumab treatment or previous treatment with more than one anti TNF alpha therapy.
* Previous methotrexate treatment, not stopped 3 month before inclusion
* Surgery scheduled during study
* Female subject without method of contraception
* Contraindication to adalimumab or methotrexate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emilie DUCOURAU, MD

Role: PRINCIPAL_INVESTIGATOR

CHRU de TOURS

Locations

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Rhumatologie, CH de BLOIS

Blois, , France

Site Status

Rhumatologie, CHRU de BREST

Brest, , France

Site Status

Rhumatologie, CHD LA ROCHE SUR YON

La Roche-sur-Yon, , France

Site Status

Rhumatologie, CHR du MANS

Le Mans, , France

Site Status

Rhumatologie, CHRU de NANTES

Nantes, , France

Site Status

Rhumatologie / IPROS, CHR d'ORLEANS

Orléans, , France

Site Status

Rhumatologie, CHRU de POITIERS

Poitiers, , France

Site Status

Rhumatologie, CHRU de RENNES

Rennes, , France

Site Status

Rhumatologie, CH de SAINT BRIEUC

Saint-Brieuc, , France

Site Status

Médecine polyvalente, CH de SAINT NAZAIRE

Saint-Nazaire, , France

Site Status

Rhumatologie, CHRU de TOURS

Tours, , France

Site Status

Countries

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France

References

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Ducourau E, Rispens T, Samain M, Dernis E, Le Guilchard F, Andras L, Perdriger A, Lespessailles E, Martin A, Cormier G, Armingeat T, Devauchelle-Pensec V, Gervais E, Le Goff B, de Vries A, Piver E, Paintaud G, Desvignes C, Ternant D, Watier H, Goupille P, Mulleman D. Methotrexate effect on immunogenicity and long-term maintenance of adalimumab in axial spondyloarthritis: a multicentric randomised trial. RMD Open. 2020 Jan;6(1):e001047. doi: 10.1136/rmdopen-2019-001047. Epub 2020 Jan 9.

Reference Type RESULT
PMID: 31958280 (View on PubMed)

Other Identifiers

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2012-004939-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A130042-32

Identifier Type: OTHER

Identifier Source: secondary_id

2012-R41

Identifier Type: OTHER

Identifier Source: secondary_id

PHRI12-ED-COMARIS

Identifier Type: -

Identifier Source: org_study_id