MedPath

A Study to Assess the Effectiveness of Certolizumab Pegol in Patients With Axial Spondyloarthritis in Daily Life

Completed
Conditions
Axial Spondyloarthritis
Registration Number
NCT02354105
Lead Sponsor
UCB Biopharma S.P.R.L.
Brief Summary

The primary purpose is to assess the effectiveness of certolizumab pegol in patients with axial spondyloarthritis under routine clinical practice.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
680
Inclusion Criteria
  • The patient personally signed and dated a Patient Data Consent Form (PDCF) prior to Visit 2. No data can be entered into the electronic Documentation form (eDF) prior to signature of the PDCF.
  • The patient must have a clinical diagnosis of active axial spondyloarthritis (axSpA), [ankylosing spondylitis (AS) or nonradiographic axial spondyloarthritis (nr-axSpA)] according to the diagnostic criteria used by the physician in routine clinical practice.
  • The decision to prescribe Certolizumab Pegol (CZP) is made by the physician independent of the patient's participation in the NIS.
  • The patient must be newly prescribed CZP according to local regulations or guidelines (eg, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) >=4).
  • Treatment is according to instructions in the Summary of Product Characteristics (SmPC) for patients considered by the treating physician to be reliable and capable of adhering to the observational plan (eg, able to understand and complete questionnaires).
  • If a patient is participating in an ongoing investigational study, then he/she will not be able to take part in this study.
Exclusion Criteria

N/A

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change from Baseline to Week 52 in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in the overall axial spondyloarthritis (axSpA) population, and the ankylosing spondylitis (AS) and nonradiographic axSpA (nr-axSpA) subpopulationsFrom Baseline to Week 52

The BASDAI is a validated self-reported instrument, which consists of six 10 unit horizontal Numeric Rating Scales to measure the disease activity of ankylosing spondylitis (AS) from the subject's perspective. It measures the severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration) over the last week. The final BASDAI scores ranges from 0 to 10, with lower scores indicating lower disease activity.

Secondary Outcome Measures
NameTimeMethod
Assessment of SpondyloArthritis International Society 20 % (ASAS20) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 24At Week 24

The ASAS20 response is the improvement of at least 20 % and absolute improvement of at least 1 unit on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and absence of deterioration in the potential remaining domain.

Change from Baseline to Week 12 in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 12

The BASDAI is a validated self-reported instrument, which consists of six 10 unit horizontal Numeric Rating Scales to measure the disease activity of ankylosing spondylitis (AS) from the subject's perspective. It measures the severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration) over the last week. The final BASDAI scores ranges from 0 to 10, with lower scores indicating lower disease activity.

Change from Baseline to Week 24 in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 24

The BASDAI is a validated self-reported instrument, which consists of six 10 unit horizontal Numeric Rating Scales to measure the disease activity of ankylosing spondylitis (AS) from the subject's perspective. It measures the severity of fatigue, spinal and peripheral joint pain and swelling, enthesitis, and morning stiffness (both severity and duration) over the last week. The final BASDAI scores ranges from 0 to 10, with lower scores indicating lower disease activity.

Assessment of SpondyloArthritis International Society 20 % (ASAS20) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 12At Week 12

The ASAS20 response is the improvement of at least 20 % and absolute improvement of at least 1 unit on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and absence of deterioration in the potential remaining domain.

Assessment of SpondyloArthritis International Society 40 % (ASAS40) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 12At Week 12

The ASAS40 response is the relative improvement of at least 40 % and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and no worsening at all in the remaining domain.

Assessment of SpondyloArthritis International Society 20 % (ASAS20) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 52At Week 52

The ASAS20 response is the improvement of at least 20 % and absolute improvement of at least 1 unit on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and absence of deterioration in the potential remaining domain.

Assessment of SpondyloArthritis International Society 40 % (ASAS40) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 52At Week 52

The ASAS40 response is the relative improvement of at least 40 % and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and no worsening at all in the remaining domain.

Change from Baseline to Week 12 in Patient's Global Assessment of Disease Activity (PtGADA) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 12

Subjects will score their global assessment of their disease activity in response to the question 'how active was your spondylitis on average during the last week?' using a Numeric Rating Scale (NRS) where 0 is 'not active' and 10 is 'very active'.

Assessment of SpondyloArthritis International Society 40 % (ASAS40) response criteria in the overall axSpA population, and the AS and nr-axSpA subpopulations at Week 24At Week 24

The ASAS40 response is the relative improvement of at least 40 % and absolute improvement of at least 2 units on a 0 to 10 Numeric Rating Scale (NRS) in at least 3 of the 4 domains: Patient's Global Assessment of Disease Activity (PtGADA), Pain assessment (total spinal pain NRS scores), Function (Bath Ankylosing Spondylitis Functional Index (BASFI)), Inflammation (mean of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) questions 5 and 6 concerning morning stiffness intensity and duration) and no worsening at all in the remaining domain.

Change from Baseline to Week 12 in Bath Ankylosing Spondylitis Functional Index (BASFI) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 12

The BASFI is a validated disease-specific instrument for assessing physical function. The BASFI comprises 10 items relating to the past week. The BASFI is the mean of the 10 scores such that the total score ranges from 0 to 10, with lower scores indicating better physical function.

Change from Baseline to Week 52 in Bath Ankylosing Spondylitis Functional Index (BASFI) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 52

The BASFI is a validated disease-specific instrument for assessing physical function. The BASFI comprises 10 items relating to the past week. The BASFI is the mean of the 10 scores such that the total score ranges from 0 to 10, with lower scores indicating better physical function.

Change from Baseline to Week 24 in Bath Ankylosing Spondylitis Functional Index (BASFI) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 24

The BASFI is a validated disease-specific instrument for assessing physical function. The BASFI comprises 10 items relating to the past week. The BASFI is the mean of the 10 scores such that the total score ranges from 0 to 10, with lower scores indicating better physical function.

Change from Baseline to Week 24 in Patient's Global Assessment of Disease Activity (PtGADA) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 24

Subjects will score their global assessment of their disease activity in response to the question 'how active was your spondylitis on average during the last week?' using a Numeric Rating Scale (NRS) where 0 is 'not active' and 10 is 'very active'.

Change from Baseline to Week 52 in Patient's Global Assessment of Disease Activity (PtGADA) in the overall axSpA population, and the AS and nr-axSpA subpopulationsFrom Baseline to Week 52

Subjects will score their global assessment of their disease activity in response to the question 'how active was your spondylitis on average during the last week?' using a Numeric Rating Scale (NRS) where 0 is 'not active' and 10 is 'very active'.

Trial Locations

Locations (100)

405

🇬🇧

Basingstoke, United Kingdom

415

🇬🇧

Leicester, United Kingdom

23

🇩🇪

Hamburg, Germany

401

🇬🇧

Bath, United Kingdom

601

🇧🇪

Genk, Belgium

423

🇬🇧

Bolton, United Kingdom

53

🇩🇪

Altenburg, Germany

18

🇩🇪

Bayreuth, Germany

6

🇩🇪

Bayreuth, Germany

13

🇩🇪

Berlin, Germany

14

🇩🇪

Berlin, Germany

16

🇩🇪

Berlin, Germany

30

🇩🇪

Berlin, Germany

7

🇩🇪

Berlin, Germany

4

🇩🇪

Burghausen, Germany

11

🇩🇪

Dresden, Germany

36

🇩🇪

Elmshorn, Germany

25

🇩🇪

Chemnitz, Germany

8

🇩🇪

Düsseldorf, Germany

35

🇩🇪

Erfurt, Germany

50

🇩🇪

Cottbus, Germany

26

🇩🇪

Greifswald, Germany

41

🇩🇪

Goslar, Germany

32

🇩🇪

Halle, Germany

19

🇩🇪

Freiburg, Germany

47

🇩🇪

Hamburg, Germany

1

🇩🇪

Hannover, Germany

44

🇩🇪

Hannover, Germany

42

🇩🇪

Heidelberg, Germany

10

🇩🇪

Herne, Germany

40

🇩🇪

Hofheim am Taunus, Germany

34

🇩🇪

Hoyerswerda, Germany

27

🇩🇪

Karlsruhe, Germany

48

🇩🇪

Karlstadt, Germany

49

🇩🇪

Karlstadt, Germany

21

🇩🇪

Leipzig, Germany

38

🇩🇪

Leipzig, Germany

2

🇩🇪

Naunhof, Germany

29

🇩🇪

Marktredwitz, Germany

9

🇩🇪

Magdeburg, Germany

31

🇩🇪

München, Germany

43

🇩🇪

München, Germany

20

🇩🇪

Planegg, Germany

24

🇩🇪

Potsdam, Germany

15

🇩🇪

Püttlingen, Germany

28

🇩🇪

Saarbrücken, Germany

51

🇩🇪

Wuppertal, Germany

39

🇩🇪

Zwickau, Germany

210

🇬🇷

Athens, Greece

211

🇬🇷

Athens, Greece

207

🇬🇷

Lárisa, Greece

502

🇮🇹

Potenza, Italy

504

🇮🇹

Firenze, Italy

501

🇮🇹

Palermo, Italy

500

🇮🇹

Siena, Italy

503

🇮🇹

Verona, Italy

505

🇮🇹

Roma, Italy

116

🇪🇸

Barcelona, Spain

114

🇪🇸

Bilbao, Spain

122

🇪🇸

Cartagena, Spain

108

🇪🇸

Córdoba, Spain

120

🇪🇸

Granada, Spain

123

🇪🇸

Lorca, Spain

107

🇪🇸

León, Spain

119

🇪🇸

Murcia, Spain

101

🇪🇸

Mérida, Spain

117

🇪🇸

Salamanca, Spain

118

🇪🇸

San Sebastian, Spain

121

🇪🇸

Sant Joan Despi, Spain

112

🇪🇸

Tarragona, Spain

115

🇪🇸

Terrassa, Spain

416

🇬🇧

Barnsley, United Kingdom

421

🇬🇧

Christchurch, United Kingdom

403

🇬🇧

Hull, United Kingdom

420

🇬🇧

Leeds, United Kingdom

422

🇬🇧

LLandudno, United Kingdom

409

🇬🇧

Liverpool, United Kingdom

411

🇬🇧

Luton, United Kingdom

414

🇬🇧

Manchester, United Kingdom

406

🇬🇧

Middlesborough, United Kingdom

424

🇬🇧

North Shields, United Kingdom

413

🇬🇧

Norwich, United Kingdom

412

🇬🇧

Southampton, United Kingdom

419

🇬🇧

Stevenage, United Kingdom

418

🇬🇧

Sunderland, United Kingdom

408

🇬🇧

Torquay, United Kingdom

425

🇬🇧

Wigan, United Kingdom

407

🇬🇧

Truro, United Kingdom

602

🇧🇪

Bruxelles, Belgium

604

🇧🇪

Edegem, Belgium

603

🇧🇪

Heusy, Belgium

202

🇬🇷

Athens, Greece

201

🇬🇷

Patra, Greece

203

🇬🇷

Thessaloniki, Greece

212

🇬🇷

Athens, Greece

208

🇬🇷

Maroúsi, Greece

204

🇬🇷

Thessaloniki, Greece

205

🇬🇷

Thessaloniki, Greece

206

🇬🇷

Thessaloníki, Greece

410

🇬🇧

Preston, United Kingdom

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