The NOR-SWITCH Study

NCT ID: NCT02148640

Last Updated: 2017-09-25

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

482 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2017-01-31

Brief Summary

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The purpose of this study is to assess the safety and efficacy of switching from Remicade to the biosimilar treatment Remsima in patients with rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, ulcerative colitis, Crohn's disease and chronic plaque psoriasis

Detailed Description

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Conditions

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Rheumatoid Arthritis Spondyloarthritis Psoriatic Arthritis Ulcerative Colitis Crohn's Disease Psoriasis Chronic

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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CT-P13

Infusions of biosimilar infliximab (Remsima) with same dose and frequency as pre-inclusion treatment with innovator infliximab (Remicade)

Group Type EXPERIMENTAL

Biosimilar infliximab

Intervention Type DRUG

INX

Continued infusions of innovator infliximab (Remicade) with same dose and frequency as prior to inclusion

Group Type ACTIVE_COMPARATOR

Innovator infliximab

Intervention Type DRUG

Interventions

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Innovator infliximab

Intervention Type DRUG

Biosimilar infliximab

Intervention Type DRUG

Other Intervention Names

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Remicade Remsima

Eligibility Criteria

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Inclusion Criteria

1. A clinical diagnosis of either rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, ulcerative colitis, Crohn's disease or chronic plaque psoriasis
2. Male or non-pregnant, non-nursing female
3. \>18 years of age at screening
4. Stable treatment with innovator infliximab (Remicade) during the last 6 months
5. Subject capable of understanding and signing an informed consent form
6. Provision of written informed consent

Exclusion Criteria

1. Major co-morbidities, such as severe malignancies, severe diabetic mellitus, severe infections, uncontrollable hypertension, severe cardiovascular disease (NYHA class 3 or 4) and/or severe respiratory diseases
2. Change of major co-medication during the last 2 months prior to randomization:

RA, SpA and PsA: Initiation of systemic corticosteroids or synthetic DMARDs or other medication which according to the investigator would interfere with the stability of the disease.

UC and CD: Initiation of systemic corticosteroids or an immunosuppressant or other medication which according to the investigator would interfere with the stability of the disease Psoriasis: Initiation of synthetic DMARDs or other medication which according to the investigator would interfere with the stability of the disease
3. Inadequate birth control, pregnancy, and/or breastfeeding
4. Psychiatric or mental disorders, alcohol abuse or other substance abuse, language barriers or other factors which makes adherence to the study protocol impossible
5. Change in treatment with innovator infliximab (Remicade) during the last 6 months due to disease related factors, not including dose/frequency adjustments due to drug concentration measurements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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South-Eastern Norway Regional Health Authority

OTHER

Sponsor Role collaborator

Diakonhjemmet Hospital

OTHER

Sponsor Role lead

Responsible Party

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Tore K Kvien

Prof. Dr. Med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tore K. Kvien, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Diakonhjemmet Hospital

Locations

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Sørlandet Sykehus HF

Arendal, , Norway

Site Status

Ålesund Sjukehus, Helse Møre og Romsdal HF

Ålesund, , Norway

Site Status

Haukeland Universitetssjukehus Hf

Bergen, , Norway

Site Status

Haukeland Universitetssykehus

Bergen, , Norway

Site Status

Nordlandssykehuset

Bodø, , Norway

Site Status

Sykehuset Innlandet

Elverum, , Norway

Site Status

Sykehuset Østfold HF

Fredrikstad, , Norway

Site Status

Helse Førde Hf

Førde, , Norway

Site Status

Bærum Sykehus

Gjettum, , Norway

Site Status

Sykehuset Innlandet

Gjøvik, , Norway

Site Status

Sykehuset Innlandet

Hamar, , Norway

Site Status

Haugesund Sanitetsforenings Revmatismesykehus

Haugesund, , Norway

Site Status

Helse Fonna HF

Haugesund, , Norway

Site Status

Sørlandet Sykehus HF

Kristiansand, , Norway

Site Status

Helse Nord-Trøndelag

Levanger, , Norway

Site Status

Revmatismesykehuset Lillehammer

Lillehammer, , Norway

Site Status

Sykehuset Innlandet

Lillehammer, , Norway

Site Status

Akershus Universitetssykehus

Lørenskog, , Norway

Site Status

Helgelandssykehuset

Mo i Rana, , Norway

Site Status

Department of Rheumatology, Diakonhjemmet Hospital

Oslo, , Norway

Site Status

Diakonhjemmet Hospital

Oslo, , Norway

Site Status

Oslo Universitetssykehus, Rikshospitalet

Oslo, , Norway

Site Status

Oslo Universitetssykehus, Ullevål

Oslo, , Norway

Site Status

Martina Hansens Hospital

Sandvika, , Norway

Site Status

Betanien Hospital

Skien, , Norway

Site Status

Sykehuset Telemark HF

Skien, , Norway

Site Status

Universitetssykehuset i Nord-Norge

Tromsø, , Norway

Site Status

St. Olavs Hospital HF

Trondheim, , Norway

Site Status

St. Olavs Hospital

Trondheim, , Norway

Site Status

Sykehuset Vestfold

Tønsberg, , Norway

Site Status

Countries

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Norway

References

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Jorgensen KK, Goll GL, Sexton J, Bolstad N, Olsen IC, Asak O, Berset IP, Blomgren IM, Dvergsnes K, Florholmen J, Frigstad SO, Henriksen M, Hagfors J, Huppertz-Hauss G, Haavardsholm EA, Klaasen RA, Moum B, Noraberg G, Prestegard U, Rydning JH, Sagatun L, Seeberg KA, Torp R, Vold C, Warren DJ, Ystrom CM, Lundin KEA, Kvien T, Jahnsen J. Efficacy and Safety of CT-P13 in Inflammatory Bowel Disease after Switching from Originator Infliximab: Exploratory Analyses from the NOR-SWITCH Main and Extension Trials. BioDrugs. 2020 Oct;34(5):681-694. doi: 10.1007/s40259-020-00438-7.

Reference Type DERIVED
PMID: 32965617 (View on PubMed)

Goll GL, Jorgensen KK, Sexton J, Olsen IC, Bolstad N, Haavardsholm EA, Lundin KEA, Tveit KS, Lorentzen M, Berset IP, Fevang BTS, Kalstad S, Ryggen K, Warren DJ, Klaasen RA, Asak O, Baigh S, Blomgren IM, Brenna O, Bruun TJ, Dvergsnes K, Frigstad SO, Hansen IM, Hatten ISH, Huppertz-Hauss G, Henriksen M, Hoie SS, Krogh J, Midtgard IP, Mielnik P, Moum B, Noraberg G, Poyan A, Prestegard U, Rashid HU, Strand EK, Skjetne K, Seeberg KA, Torp R, Ystrom CM, Vold C, Zettel CC, Waksvik K, Gulbrandsen B, Hagfors J, Mork C, Jahnsen J, Kvien TK. Long-term efficacy and safety of biosimilar infliximab (CT-P13) after switching from originator infliximab: open-label extension of the NOR-SWITCH trial. J Intern Med. 2019 Jun;285(6):653-669. doi: 10.1111/joim.12880. Epub 2019 Apr 12.

Reference Type DERIVED
PMID: 30762274 (View on PubMed)

Jorgensen KK, Olsen IC, Goll GL, Lorentzen M, Bolstad N, Haavardsholm EA, Lundin KEA, Mork C, Jahnsen J, Kvien TK; NOR-SWITCH study group. Switching from originator infliximab to biosimilar CT-P13 compared with maintained treatment with originator infliximab (NOR-SWITCH): a 52-week, randomised, double-blind, non-inferiority trial. Lancet. 2017 Jun 10;389(10086):2304-2316. doi: 10.1016/S0140-6736(17)30068-5. Epub 2017 May 11.

Reference Type DERIVED
PMID: 28502609 (View on PubMed)

Other Identifiers

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2014-002056-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

DIA2014-01

Identifier Type: -

Identifier Source: org_study_id