Multicenter Study Evaluating Certolizumab Pegol Compared to Placebo in Subjects With axSpA Without X-ray Evidence of AS

NCT ID: NCT02552212

Last Updated: 2022-08-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

317 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2020-05-31

Brief Summary

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Patients with active Axial Spondyloarthritis without x-ray evidence of Ankylosing Spondylitis and with signs of inflammation will be randomly assigned to receive certolizumab pegol (CZP) 200 mg every two weeks or placebo. The primary objective is to demonstrate the efficacy of CZP in these patients.

Detailed Description

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Conditions

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Axial Spondyloarthritis Nonradiographic Axial Spondyloarthritis Nr-axSpA

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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Certolizumab Pegol 200 mg Q2W

Certolizumab Pegol (CZP) 400 mg subcutaneous (sc) on Weeks 0, 2 and 4, followed by 200 mg CZP sc every 2 weeks (Q2W) from Week 6 onwards.

Group Type EXPERIMENTAL

Certolizumab Pegol

Intervention Type BIOLOGICAL

* Active Substance: Certolizumab Pegol
* Pharmaceutical Form: Prefilled syringe
* Concentration: 200 mg / ml
* Route of Administration: Subcutaneous injection

Placebo

Matching placebo to Certolizumab Pegol (CZP) injections are administered every 2 weeks from Week 0 onwards.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

* Active Substance: Placebo
* Pharmaceutical Form: Prefilled syringe
* Concentration: 0.9 % saline
* Route of Administration: Subcutaneous injection

Interventions

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Certolizumab Pegol

* Active Substance: Certolizumab Pegol
* Pharmaceutical Form: Prefilled syringe
* Concentration: 200 mg / ml
* Route of Administration: Subcutaneous injection

Intervention Type BIOLOGICAL

Placebo

* Active Substance: Placebo
* Pharmaceutical Form: Prefilled syringe
* Concentration: 0.9 % saline
* Route of Administration: Subcutaneous injection

Intervention Type OTHER

Other Intervention Names

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Cimzia CDP870

Eligibility Criteria

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Inclusion Criteria

* At least 18 years old at the start of Screening Visit
* A documented diagnosis of adult-onset axial SpondyloArthritis (axSpA) and meet the Assessment of SpondyloArthritis International Society (ASAS) criteria for axSpA
* Subjects must have had back pain for at least 12 months before Screening
* No sacroiliitis defined by Modified New York (mNY) criteria on sacroiliac (SI) x-rays
* Active disease at Screening as defined by

* Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score \>= 4
* Spinal pain \>= 4 on a 0 to 10 Numerical Rating Scale (NRS)
* Inadequate response to, have a contraindication to, or have been intolerant to at least 2 Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Exclusion Criteria

* Diagnosis of AS or any other Inflammatory Arthritis
* Prior treatment with any experimental biological agents for treatment of Axial SpondyloArthritis (SpA)
* Exposure to more than 1 tumor necrosis factor (TNF)-antagonist or primary failure to TNF antagonist therapy
* History of or current chronic or recurrent infections
* Subjects with known Tuberculosis (TB) infection, at high risk of acquiring TB infection, or latent Tuberculosis (LTB)
* Recent live vaccination
* Concurrent malignancy or a history of malignancy
* Class III or IV congestive heart failure - New York Heart Association (NYHA)
* Demyelinating disease of the central nervous system
* Female subjects who are breastfeeding, pregnant or plan to become pregnant during the study or within 3 months following the last dose of the investigational product
* Subjects with any other condition which, in the investigator's judgment, would make the subject unsuitable for inclusion in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB BIOSCIENCES GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Cares

Role: STUDY_DIRECTOR

1-844-599-2273 (UCB)

Locations

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Birmingham, Alabama, United States

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Beverly Hills, California, United States

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Palm Desert, California, United States

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San Francisco, California, United States

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New Haven, Connecticut, United States

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Daytona Beach, Florida, United States

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DeBary, Florida, United States

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Fort Lauderdale, Florida, United States

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New Port Richey, Florida, United States

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Plantation, Florida, United States

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Tampa, Florida, United States

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Vero Beach, Florida, United States

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Atlanta, Georgia, United States

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Idaho Falls, Idaho, United States

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Cumberland, Maryland, United States

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Cumberland, Maryland, United States

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Wheaton, Maryland, United States

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Boston, Massachusetts, United States

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Worcester, Massachusetts, United States

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Eagan, Minnesota, United States

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Rochester, Minnesota, United States

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St Louis, Missouri, United States

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Brooklyn, New York, United States

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Charlotte, North Carolina, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Duncansville, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Wyomissing, Pennsylvania, United States

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Orangeburg, South Carolina, United States

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Salt Lake City, Utah, United States

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Seattle, Washington, United States

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Manitowoc, Wisconsin, United States

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Onalaska, Wisconsin, United States

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Camperdown, , Australia

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Coffs Harbour, , Australia

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Footscray, , Australia

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Malvern East, , Australia

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Maroochydore, , Australia

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South Hobart, , Australia

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Victoria Park, , Australia

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Plovdiv, , 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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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Edmonton, , Canada

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Victoria, , Canada

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Hlučín, , Czechia

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Hustopeče, , Czechia

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Olomouc, , Czechia

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Ostrava, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Příbor, , Czechia

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Rychnov nad Kněžnou, , Czechia

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Zlín, , Czechia

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Balatonfüred, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Székesfehérvár, , Hungary

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Bydgoszcz, , Poland

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Elblag, , Poland

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Krakow, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Poznan, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Wroclaw, , Poland

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Chelyabinsk, , Russia

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Ivanovo, , Russia

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Kazan', , Russia

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Kazan', , Russia

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Kemerovo, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Orenburg, , Russia

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Ryazan, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Samara, , Russia

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Saratov, , Russia

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Smolensk, , Russia

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Tolyatti, , Russia

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Yaroslavl, , Russia

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Hualien City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Countries

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United States Australia Bulgaria Canada Czechia Hungary Poland Russia Taiwan

References

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van der Heijde D, Gensler LS, Maksymowych WP, Landewe R, Rudwaleit M, Bauer L, Kumke T, Kim M, Auteri SE, Hoepken B, Deodhar A. Long-term safety and clinical outcomes of certolizumab pegol treatment in patients with active non-radiographic axial spondyloarthritis: 3-year results from the phase 3 C-axSpAnd study. RMD Open. 2022 Mar;8(1):e002138. doi: 10.1136/rmdopen-2021-002138.

Reference Type RESULT
PMID: 35296532 (View on PubMed)

Robinson PC, Maksymowych WP, Gensler LS, Hall S, Rudwaleit M, Hoepken B, Bauer L, Kumke T, Kim M, de Peyrecave N, Deodhar A. Certolizumab Pegol Efficacy in Patients With Non-Radiographic Axial Spondyloarthritis Stratified by Baseline MRI and C-Reactive Protein Status: An Analysis From the C-axSpAnd Study. ACR Open Rheumatol. 2022 Sep;4(9):794-801. doi: 10.1002/acr2.11469. Epub 2022 Jun 22.

Reference Type RESULT
PMID: 35733363 (View on PubMed)

Maksymowych WP, Kumke T, Auteri SE, Hoepken B, Bauer L, Rudwaleit M. Predictors of long-term clinical response in patients with non-radiographic axial spondyloarthritis receiving certolizumab pegol. Arthritis Res Ther. 2021 Oct 29;23(1):274. doi: 10.1186/s13075-021-02650-4.

Reference Type DERIVED
PMID: 34715908 (View on PubMed)

Deodhar A, Gensler LS, Kay J, Maksymowych WP, Haroon N, Landewe R, Rudwaleit M, Hall S, Bauer L, Hoepken B, de Peyrecave N, Kilgallen B, van der Heijde D. A Fifty-Two-Week, Randomized, Placebo-Controlled Trial of Certolizumab Pegol in Nonradiographic Axial Spondyloarthritis. Arthritis Rheumatol. 2019 Jul;71(7):1101-1111. doi: 10.1002/art.40866. Epub 2019 May 28.

Reference Type DERIVED
PMID: 30848558 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2015-001894-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AS0006

Identifier Type: -

Identifier Source: org_study_id

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