Methotrexate Withdrawal Study of Tofacitinib Modified Release Formulation in Subjects With Rheumatoid Arthritis

NCT ID: NCT02831855

Last Updated: 2019-12-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

694 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-01

Study Completion Date

2018-12-17

Brief Summary

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This study is designed to evaluate the efficacy and safety of tofacitinib modified release formulation (11mg QD) versus tofacitinib modified release formulation plus continued methotrexate treatment in subjects with moderate to severe rheumatoid arthritis who are insufficiently responding to their stable dose of methotrexate treatment.

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

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CP-690,550 and methotrexate

Open-label tofacitinib tablet and blinded methotrexate capsule

Group Type EXPERIMENTAL

CP-690,550

Intervention Type DRUG

During the open-label run-in phase (Day 1 to Week 24), all subjects will receive one tablet open-label tofacitinib MR 11mg orally QD and open-label methotrexate capsule(s) orally every week at prior stabilized dose.

During the double-blind phase, subjects who are randomized to the treatment arm will receive the same dosage of tofacitinib and methotrexate as describe above.

Methotrexate

Intervention Type DRUG

During the open-label run-in phase (Day 1 to Week 24), all subjects will receive one tablet open-label tofacitinib MR 11mg orally QD and open-label methotrexate capsule(s) orally every week at prior stabilized dose.

During the double-blind phase, subjects who are randomized to the treatment arm will receive the same dosage of tofacitinib and methotrexate as describe above.

CP-690,550 and placebo

open-label tofacitinib tablet and blinded matching placebo for methotrexate capsule

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

During the double-blind phase, subjects who are randomized to the comparison arm will receive 11mg QD tofacitinib and the placebo capsules matching for methotrexate.

Interventions

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CP-690,550

During the open-label run-in phase (Day 1 to Week 24), all subjects will receive one tablet open-label tofacitinib MR 11mg orally QD and open-label methotrexate capsule(s) orally every week at prior stabilized dose.

During the double-blind phase, subjects who are randomized to the treatment arm will receive the same dosage of tofacitinib and methotrexate as describe above.

Intervention Type DRUG

Methotrexate

During the open-label run-in phase (Day 1 to Week 24), all subjects will receive one tablet open-label tofacitinib MR 11mg orally QD and open-label methotrexate capsule(s) orally every week at prior stabilized dose.

During the double-blind phase, subjects who are randomized to the treatment arm will receive the same dosage of tofacitinib and methotrexate as describe above.

Intervention Type DRUG

Placebo

During the double-blind phase, subjects who are randomized to the comparison arm will receive 11mg QD tofacitinib and the placebo capsules matching for methotrexate.

Intervention Type DRUG

Other Intervention Names

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tofacitinib

Eligibility Criteria

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Inclusion Criteria

\- Must be 18 years of age or older.

Have a score of 6 or greater on the 2010 American College of Rheumatology/European League Against Rheumatism Classification Criteria for Rheumatoid Arthritis at and/or prior to Screening Visit.

* Have ≥4 tender/painful joints on motion and ≥4 swollen joints (28 joint counts) at both Screening Visit and Baseline Visit (Visit 1).
* Have moderate to severe disease activity as defined by CDAI\>10 and DAS28-4(ESR) ≥3.2 at Baseline Visit.
* Have taken an oral MTX treatment regimen (15-25mg/week) continuously for at least 4 months prior to the screening visit and has taken a stable weekly dose of oral MTX with supplemental folic acid or folinic acid for at least 4 weeks prior to the baseline visit (conversion from parenteral MTX to oral MTX will require stabilization of the treatment regimen for at least 1 month).
* Subjects must screen negative for active tuberculosis or inadequately treated tuberculosis infection (active or latent).

Exclusion Criteria

* Pregnant female subjects; breastfeeding female subjects; male subjects with partners currently pregnant; male subjects able to father children and female subjects of childbearing potential who are unwilling or unable to use 2 highly effective methods of contraception as outlined in this protocol for the duration of the study and for at least 3 months after the last dose of investigational product.
* Subjects with infection or infection history; subjects with any current malignancy or a history of malignancy (except adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ); subjects with history of, or current evidence for, severe gastrointestinal narrowing (pathologic or iatrogenic); and subjects with history of documented diverticulitis.
* Subjects with a history of insufficient response to ≥2 biologics, regardless of the class.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Rheumatology Associates of North Alabama, PC

Huntsville, Alabama, United States

Site Status

Arthrocare, Arthritiscare & Research, PC

Gilbert, Arizona, United States

Site Status

SunValley Arthritis Center, Ltd.

Peoria, Arizona, United States

Site Status

CHI St. Vincent Medical Group Hot Springs

Hot Springs, Arkansas, United States

Site Status

Med Investigations, Inc

Fair Oaks, California, United States

Site Status

HCP Clinical Research, LLC

Huntington Beach, California, United States

Site Status

Sierra Rheumatology

Roseville, California, United States

Site Status

Pacific Arthritis Center Medical Group

Santa Maria, California, United States

Site Status

Robin K. Dore, MD, Inc.

Tustin, California, United States

Site Status

Inland Rheumatology and Osteoporosis Medical Group

Upland, California, United States

Site Status

Inland Rheumatology Clinical Trials, Inc.

Upland, California, United States

Site Status

Desert Valley Medical Group

Victorville, California, United States

Site Status

AARDS Research Inc

Aventura, Florida, United States

Site Status

RASF-Clinical Research Inc

Boca Raton, Florida, United States

Site Status

Omega Research Consultants

DeBary, Florida, United States

Site Status

University of Florida College of Medicine - Jacksonville - Rheumatology Research

Jacksonville, Florida, United States

Site Status

University of Florida, Rheumatology at ACC

Jacksonville, Florida, United States

Site Status

Center for Arthritis and Rheumatic Diseases

Miami, Florida, United States

Site Status

Jeffrey Alper, MD

Naples, Florida, United States

Site Status

Medallion Clinical Research Institute, LLC

Naples, Florida, United States

Site Status

Suncoast Clinical Research, Inc.

New Port Richey, Florida, United States

Site Status

Florida Arthritis & Osteoporosis Center

Port Richey, Florida, United States

Site Status

Gulf Coast Medical Center

Port Richey, Florida, United States

Site Status

West Broward Rheumatology Associates, Inc.

Tamarac, Florida, United States

Site Status

USF Health Morsani Center for Advanced Healthcare

Tampa, Florida, United States

Site Status

BayCare Medical Group, Inc

Tampa, Florida, United States

Site Status

Institute of Arthritis Research

Idaho Falls, Idaho, United States

Site Status

Quincy Medical Group

Quincy, Illinois, United States

Site Status

Beacon Medical Group Rheumatology Main Street

Granger, Indiana, United States

Site Status

Diagnostic Rheumatology and Research, PC

Indianapolis, Indiana, United States

Site Status

Ochsner Clinic Baton Rouge

Baton Rouge, Louisiana, United States

Site Status

Phase III Clinical Research

Fall River, Massachusetts, United States

Site Status

Clinical Pharmacology Study Group

Worcester, Massachusetts, United States

Site Status

Bronson Internal Medicine and Rheumatology

Battle Creek, Michigan, United States

Site Status

Western Michigan University Homer Stryker MD

Kalamazoo, Michigan, United States

Site Status

North Mississippi Medical Clinics, Inc. - Clinical Research

Tupelo, Mississippi, United States

Site Status

Arthritis & Osteoporosis Associates

Freehold, New Jersey, United States

Site Status

Radnet

Marlton, New Jersey, United States

Site Status

Arthritis, Rheumatic & Back Disease Associates, P.A.

Voorhees Township, New Jersey, United States

Site Status

Open MRI & Diagnostic Imaging of Wall

Wall, New Jersey, United States

Site Status

AAIR Research Center

Rochester, New York, United States

Site Status

Physicians East, PA

Greenville, North Carolina, United States

Site Status

PMG Research of Salisbury

Salisbury, North Carolina, United States

Site Status

Trinity Health Center-Medical Arts

Minot, North Dakota, United States

Site Status

Group Health Associates

Cincinnati, Ohio, United States

Site Status

Cincinnati Rheumatic Disease Study Group, Inc.

Cincinnati, Ohio, United States

Site Status

STAT Research, Inc.

Dayton, Ohio, United States

Site Status

Health Research of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma Medical Research Foundation (OMRF)

Oklahoma City, Oklahoma, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

East Penn Rheumatology Associates, P.C.

Bethlehem, Pennsylvania, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Piedmont Arthritis Clinic

Greenville, South Carolina, United States

Site Status

Articularis Healthcare Group dba ACME Research

Orangeburg, South Carolina, United States

Site Status

Articularis Healthcare Group d/b/a Low Country Rheumatology

Summerville, South Carolina, United States

Site Status

Pioneer Research Solutions, Inc.

Cypress, Texas, United States

Site Status

Metroplex Clinical Research Center

Dallas, Texas, United States

Site Status

Center for Arthritis and Rheumatic Diseases

Chesapeake, Virginia, United States

Site Status

Center for Arthritis and Rheumatic Diseases

Suffolk, Virginia, United States

Site Status

Genesis Research Services Pty Ltd

Broadmeadow, New South Wales, Australia

Site Status

Optimus Clinical Research Pty Ltd

Kogarah, New South Wales, Australia

Site Status

Rheumatology Research Unit

Maroochydore, Queensland, Australia

Site Status

Emeritus Research

Melbourne, Victoria, Australia

Site Status

ReumaClinic

Genk, , Belgium

Site Status

AZ Delta

Roeselare, , Belgium

Site Status

University Multiprofile Hospital for Active Treatment Dr. G. Stranski EAD

Pleven, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment - Plovdiv AD, Rheumatology Department

Plovdiv, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment Trimontium OOD

Plovdiv, , Bulgaria

Site Status

University Multiprofile Hospital for Active Treatment - Kaspela EOOD

Plovdiv, , Bulgaria

Site Status

National Multiprofile Transport Hospital Tsar Boris III

Sofia, , Bulgaria

Site Status

Medical Centre Synexus Sofia EOOD

Sofia, , Bulgaria

Site Status

CCBR Czech Brno, s.r.o.

Brno, Czech Republic, Czechia

Site Status

LEKARNA LANCIER s.r.o.

Brno, , Czechia

Site Status

Lekarna Na Lidicke

Brno, , Czechia

Site Status

Revmacentrum MUDr. Mostera, s.r.o., Revmatologie a interna

Brno, , Czechia

Site Status

CCBR Ostrava, s.r.o.

Ostrava, , Czechia

Site Status

Lekarna Rezidence Nova Karolina

Ostrava, , Czechia

Site Status

Revmatologicky ustav, Lekrna

Prague, , Czechia

Site Status

Revmatologicky ustav

Prague, , Czechia

Site Status

Lekarna Hradebni s.r.o.

Uherské Hradiště, , Czechia

Site Status

MEDICAL PLUS, s.r.o. Revmatologicka a osteologicka ambulance

Uherské Hradiště, , Czechia

Site Status

PV - MEDICAL s.r.o., Revmatologicka ambulance

Zlín, , Czechia

Site Status

Revmavita s.r.o, Lekarna

Zlín, , Czechia

Site Status

Hamburger Rheuma Forschungszentrum I

Hamburg, , Germany

Site Status

DRC Gyogyszervizsgalo Kozpont Kft.

Balatonfüred, , Hungary

Site Status

Revita Rendelo

Budapest, , Hungary

Site Status

Qualiclinic Kft.

Budapest, , Hungary

Site Status

CRU Hungary Kft.

Miskolc, , Hungary

Site Status

Morales Vargas Centro de Investigacion SC (Consultorio Anexo)

León, Guanajuato, Mexico

Site Status

Centro de Investigacion y Tratamiento Reumatologico SC Consultorio Medico de Reumatologia (CINTRE)

Mexico City, Mexico City, Mexico

Site Status

Mary Mediatrix Medical Center

Lipa City, Batangas, Philippines

Site Status

Far Eastern University - Nicanor Reyes Medical Foundation, Marian Medical Arts Bldg

Quezon City, National Capital Region, Philippines

Site Status

Zdrowie OSTEO-MEDIC s.c. L i A. Racewicz, A i J. Supronik

Bialystok, , Poland

Site Status

ClinicMed Daniluk, Nowak. Sp. j.

Bialystok, , Poland

Site Status

Nzoz Bif - Med

Bytom, , Poland

Site Status

Centrum Medyczne Pratia Krakow

Krakow, , Poland

Site Status

Malopolskie Centrum Medyczne S.C.

Krakow, , Poland

Site Status

NZOZ Lecznica MAK-MED. S.C.

Nadarzyn, , Poland

Site Status

MTZ Clinical Research Sp. z o.o.

Warsaw, , Poland

Site Status

Federal State Budgetary Scientific Institution "Research Institute of Rheumatology

Moscow, , Russia

Site Status

FSBEI HE "Orenburg State Medical University" of MoH RF

Orenburg, , Russia

Site Status

FSBEI HE "Orenburg State Medical University" of MoH RF

Orenburg, , Russia

Site Status

FSBIH "Clinical Hospital #122 n.a. L.G. Sokolov" of FMBA of Russia

Saint Petersburg, , Russia

Site Status

SPb SBIH "Consultative-Diagnostic Centre #85"

Saint Petersburg, , Russia

Site Status

SBIH "Samara Regional Clinical Hospital n.a. V.D. Seredavin"

Samara, , Russia

Site Status

NSHI "Departmental Hospital at Smolensk station OJSC "Russian Railways"

Smolensk, , Russia

Site Status

SAHI YR Clinical Hospital of Emergency Medical Care n.a. N.V. Soloviev

Yaroslavl, , Russia

Site Status

State Budgetary Institution of Healthcare of Yaroslavl Region "Regional Clinical Hospital"

Yaroslavl, , Russia

Site Status

AAGS s.r.o.

Dunajská Streda, , Slovakia

Site Status

MEDMAN s.r.o.

Martin, , Slovakia

Site Status

REUMACENTRUM s.r.o.

Partizánske, , Slovakia

Site Status

MUDr. Zuzana Cizmarikova, s.r.o.

Poprad, , Slovakia

Site Status

Reumex s.r.o

Rimavská Sobota, , Slovakia

Site Status

St. Augustine's Hospital

Durban, KwaZulu-Natal, South Africa

Site Status

Clinical Trial Pharmacy, KyungHee University Hospital

Seoul, , South Korea

Site Status

KyungHee University Hospital

Seoul, , South Korea

Site Status

CTC Pharmacy, Seoul National University Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Clinical Trial Pharmacy, The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status

The Catholic University of Korea Seoul, St. Mary's Hospital

Seoul, , South Korea

Site Status

Complejo Hospitalario Universitario de Santiago

Santiago de Compostela, A Coruna, Spain

Site Status

Hospital Universitario de Cruces

Barakaldo, Vizcaya, Spain

Site Status

Hospital Infanta Luisa

Seville, , Spain

Site Status

Countess of Chester Hospital NHS Foundation Trust

Chester, Cheshire, United Kingdom

Site Status

Pharmacy (dispensary)

Chester, Cheshire, United Kingdom

Site Status

Countess of Chester Hospital NHS Foundation Trust

Ellesmere Port, Cheshire, United Kingdom

Site Status

Hampshire Hospitals NHS Foundation Trust

Basingstoke, Hampshire, United Kingdom

Site Status

Pharmacy, Hampshire Hospitals NHS Foundation Trust

Basingstoke, Hampshire, United Kingdom

Site Status

Department of Rheumatology, Wirral University Teaching Hospital NHS Foundation Trust

Metropolitan Borough of Wirral, Merseyside, United Kingdom

Site Status

Pharmacy Department, Wirral University Teaching Hospital NHS Foundation Trust

Metropolitan Borough of Wirral, Merseyside, United Kingdom

Site Status

Wirral University Teaching Hospital NHS Foundation Trust

Metropolitan Borough of Wirral, Merseyside, United Kingdom

Site Status

Pharmacy Department

Dudley, WEST Midlands, United Kingdom

Site Status

The Dudley Group NHS Foundation Trust

Dudley, WEST Midlands, United Kingdom

Site Status

Pharmacy

Manchester, , United Kingdom

Site Status

University Hospital of South Manchester NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Australia Belgium Bulgaria Czechia Germany Hungary Mexico Philippines Poland Russia Slovakia South Africa South Korea Spain United Kingdom

References

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Provided Documents

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Document Type: Study Protocol

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Document Type: Statistical Analysis Plan

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Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=A3921192

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Other Identifiers

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2016-001825-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A3921192

Identifier Type: -

Identifier Source: org_study_id

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