An Observational Study to Evaluate Safety and Efficacy of Remsima™ in Patients With Ankylosing Spondylitis

NCT ID: NCT02557308

Last Updated: 2024-12-09

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

329 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-05-26

Study Completion Date

2021-02-28

Brief Summary

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An Observational, Prospective Cohort Study to Evaluate Safety and Efficacy of RemsimaTM in Patients with Ankylosing Spondylitis

Detailed Description

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This is a longitudinal, observational, prospective cohort study to assess the safety and efficacy of RemsimaTM in patients with AS in comparison with patients receiving other TNF blockers. For the RemsimaTM cohort data will be collected for patients who commence treatment with RemsimaTM in accordance with the product label at the time of enrolment. Patients who have been treated with Remicade® prior to enrolment, their dosing schedule will be continued appropriately. This observational study allows drug switching between anti-TNF drugs. If switched to RemsimaTM, data will be collected until the end of study for each patient. If switched to other anti-TNF drugs (infliximab (Remicade®), etanercept, adalimumab and etc.), data will be collected until 1 year from the day of switch or until the end of study for each patient, whichever reaches earlier. For switched patients, their assessment schedule will be re-started from the day of switch. Patients will undergo safety and efficacy assessments in accordance with routine medical practice. The decision to treat with RemsimaTM will be independent of the decision to enroll the patient in this registry.

Conditions

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Ankylosing Spondylitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Remsima™

Patients who have received only Remsima were included in this analysis group

No interventions assigned to this group

Switch to Remsima I

Patients who switched from Remicade to Remsima were included in this analysis group.

No interventions assigned to this group

Switch to Remsima II

Patients who switched to Remsima from biologic treatment other than Remicade were included in this analysis group

No interventions assigned to this group

Remicade

Patients who switched from Remsima to Remicade were included in this analysis group.

No interventions assigned to this group

Switch to Remicade I

Patients who switched from Remsima to Remicade were included in this analysis group.

No interventions assigned to this group

Switch to Remicade II

Patients who switched to Remicade from biologic treatment other than Remsima were included in this analysis group.

No interventions assigned to this group

Other anti-TNF drugs

Following patients were included in other anti-TNF group.

* Patients who have received only anti-TNF other than Remsima or Remicade
* Patients who switched from biologic treatment other than anti-TNF before study enrollment to anti-TNF other than Remsima or Remicade

No interventions assigned to this group

Switch to Other Anti-TNF

Patients who switched from Remsima or Remicade to other anti-TNF other than Remicade were included in this analysis group

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Adult patients
* Patients with active AS
* Patients who meet the following conditions can be enrolled:

i) The RemsimaTM cohort will include all patients who will start RemsimaTM at the time of enrolment in accordance to the approved product label ii) Patients who have started to be treated with an established anti -TNF such as Infliximab (Remicade®), Etanercept, Adalimumab and etc. within 6 months
* Female patients of childbearing potential who agree to use of adequate contraception to prevent pregnancy and continuation of contraceptive use for at least 6 months after their final dose of RemsimaTM.
* Patients (or legal guardian, if applicable) who are willing to give informed consent for long term follow-up including access to all medical records

Exclusion Criteria

* Patients with a history of hypersensitivity to infliximab
* Patients with a current or past history of chronic infection
* Current diagnosis of TB or severe or chronic infections (e.g. sepsis, abscess or opportunistic infections or invasive fungal infections), or a past diagnosis of TB or severe or chronic infection, without sufficient documentation of complete resolution following treatment.
* Recent exposure to persons with active TB, or a positive test result for latent TB (defined as a positive interferon-γ release assay \[IGRA\] with a negative examination of chest X-ray) at Screening.
* Patients with moderate or severe heart failure (NYHA class III/IV).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celltrion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Klara Sirova

Role: PRINCIPAL_INVESTIGATOR

Revmatologie MUDr. Klara Sirova s.r.o. Chelčického 616/12 , 702 00, Czech Republic

Countries

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South Korea

References

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Cheon JH, Nah S, Kang HW, Lim YJ, Lee SH, Lee SJ, Kim SH, Jung NH, Park JE, Lee YJ, Jeon DB, Lee YM, Kim JM, Park SH. Infliximab Biosimilar CT-P13 Observational Studies for Rheumatoid Arthritis, Inflammatory Bowel Diseases, and Ankylosing Spondylitis: Pooled Analysis of Long-Term Safety and Effectiveness. Adv Ther. 2021 Aug;38(8):4366-4387. doi: 10.1007/s12325-021-01834-3. Epub 2021 Jul 12.

Reference Type DERIVED
PMID: 34250583 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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CT-P13 4.4

Identifier Type: -

Identifier Source: org_study_id