Study to Assess Changes in the Immune Profile in Adults With Early Rheumatoid Arthritis

NCT ID: NCT02557100

Last Updated: 2020-09-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-19

Study Completion Date

2019-03-28

Brief Summary

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The purpose of this study is to examine changes in immune cells and proteins in response to treatment with two approved therapies for Rheumatoid arthritis (RA), abatacept versus adalimumab, both given in combination with methotrexate.

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

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Treatment A

Abatacept Single Blind Treatment Period

Group Type EXPERIMENTAL

Abatacept

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Treatment B

Adalimumab Single Blind Treatment Period

Group Type ACTIVE_COMPARATOR

Abatacept

Intervention Type DRUG

Adalimumab

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Treatment C

Abatacept Cumulative Treatment Period

Group Type ACTIVE_COMPARATOR

Abatacept

Intervention Type DRUG

Interventions

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Abatacept

Intervention Type DRUG

Adalimumab

Intervention Type DRUG

Methotrexate

Intervention Type DRUG

Other Intervention Names

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Orencia Humira

Eligibility Criteria

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Inclusion Criteria

* Symptoms of RA for no more than 12 months prior to enrollment
* Meet American College of Rheumatology/European League against Rheumatism (ACR/EULAR) 2010 criteria for classification of RA
* Treated with Methotrexate (MTX) for at least 12 weeks prior to randomization with a stable oral dose for at least 4 weeks, Subjects must randomize on the maximum tolerated dose of oral methotrexate (minimum of 15 mg and maximum of 25 mg per week), dose of MTX \< 15 mg/week but ≥ 7.5 mg/week is permitted if subjects are intolerant to higher doses
* At least 3 tender \& 3 swollen joints
* Anti-cyclic citrullinated peptide (CCP) \> 3X the upper limit of normal and positive rheumatoid factor

Exclusion Criteria

* History of other autoimmune diseases (eg, psoriasis, systemic lupus, erythematosus, etc)
* Prior use of non-biologic therapy other than methotrexate
* Prior use of biologic and targeted synthetic disease-modifying anti-rheumatic drugs (DMARD) therapy
* Subjects with chronic or recent acute serious infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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University Of Alabama At Birmingham

Birmingham, Alabama, United States

Site Status

Rheumatology Associates Of North Alabama, P.C.

Huntsville, Alabama, United States

Site Status

Clinical And Translational Research Center Of Alabama, Pc

Tuscaloosa, Alabama, United States

Site Status

Arizona Arthritis & Rheumatology Research PLLC

Glendale, Arizona, United States

Site Status

Arizona Arthritis & Rheumatology Research PLLC

Phoenix, Arizona, United States

Site Status

St. Joseph Heritage Medical Group

Fullerton, California, United States

Site Status

Desert Medical Advances

Palm Desert, California, United States

Site Status

University Of Colorado Health Sciences Center

Aurora, Colorado, United States

Site Status

Medical Faculty Associates,Inc.

Washington D.C., District of Columbia, United States

Site Status

Howard University Hospital

Washington D.C., District of Columbia, United States

Site Status

Integral Rheumatology & Immunology Specialists

Plantation, Florida, United States

Site Status

Marietta Rheumatology

Marietta, Georgia, United States

Site Status

The Center For Rheumatology And Bone Research

Wheaton, Maryland, United States

Site Status

Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

Site Status

Aa Mrc Llc

Grand Blanc, Michigan, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Oregon Health & Science University (Ohsu)

Portland, Oregon, United States

Site Status

Altoona Center For Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Carolina Health Specialists

Myrtle Beach, South Carolina, United States

Site Status

West Tennessee Research Institute

Jackson, Tennessee, United States

Site Status

Arthritis Clinic Of Northern Virginia, P.C.

Arlington, Virginia, United States

Site Status

Dr. Anil K Gupta Med Prof Corp

Toronto, Ontario, Canada

Site Status

Essex County Medical Society

Windsor, Ontario, Canada

Site Status

Institut De Rhumatologie De Montreal

Montreal, Quebec, Canada

Site Status

Centre De Recherche Musculo-Squelettique

Trois-Rivières, Quebec, Canada

Site Status

Clinica de Investigacion en Reumatologia y Obesidad S.C.

Guadalajara, Jalisco, Mexico

Site Status

CINTRE - Centro de investigacion y tratamiento reumatologico, S.C.

Mexico City, Mexico City, Mexico

Site Status

Clinica Integral en Osteoporosis y Artritis CLINOSAR Mexico S.A. de C.V.

Mexico City, , Mexico

Site Status

Countries

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United States Canada Mexico

References

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Rigby W, Buckner JH, Louis Bridges S Jr, Nys M, Gao S, Polinsky M, Ray N, Bykerk V. HLA-DRB1 risk alleles for RA are associated with differential clinical responsiveness to abatacept and adalimumab: data from a head-to-head, randomized, single-blind study in autoantibody-positive early RA. Arthritis Res Ther. 2021 Sep 18;23(1):245. doi: 10.1186/s13075-021-02607-7.

Reference Type DERIVED
PMID: 34537057 (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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IM101-567

Identifier Type: -

Identifier Source: org_study_id

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