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临床试验/NCT00445770
NCT00445770已完成3 期

A Randomized, Double-Blind, Multicenter, Comparative Study Evaluating the Efficacy and Safety of Etanercept and Methotrexate in Japanese Subjects With Active Rheumatoid Arthritis

Pfizer1 个研究点 分布在 1 个国家目标入组 550 人开始时间: 2006年7月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
Pfizer
入组人数
550
试验地点
1
主要终点
Change From Baseline in Modified Total Sharp Score (mTSS) at Week 52

研究概览

简要总结

The purpose of this study is to examine the effects of etanercept (10 mg and 25 mg) compared with methotrexate (up to 8 mg per week) on the slowing of joint destruction.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
20 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Must be Japanese and live in Japan
  • Must be age 20 to 75 years
  • Diagnosed less than or equal to 10 years from time of first visit

排除标准

  • Anyone who has received etanercept or TNF-inhibitors such as infliximab or adalimumab in the past
  • Patient with other rheumatic diseases or conditions that could predispose the patient to infection
  • Pregnant or lactating women

研究组 & 干预措施

1

Experimental

干预措施: Etanercept (Drug)

2

Experimental

干预措施: Etanercept (Drug)

3

Active Comparator

干预措施: Methotrexate (Drug)

结局指标

主要结局

Change From Baseline in Modified Total Sharp Score (mTSS) at Week 52

时间窗: Week 52

mTSS = sum of erosion and JSN scores for 44 joints (16 per hand and 6 per foot). mTSS scores ranged from 0 (normal) to 448 (worst possible total score). Change = scores at observation minus score at Baseline. An increase in mTSS from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represents improvement.

次要结局

  • Change From Baseline in Joint Space Narrowing (JSN) Score at Weeks 24 and 52(Baseline, Week 24, and Week 52)
  • Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Percentage of Participants With no Progression of Joint Destruction at Week 52(Baseline and Week 52)
  • Percentage of Participants With an ACR70 Response(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Modified Total Sharp Score (mTSS) at Week 24(Week 24)
  • Change From Baseline in Patient's Global Assessment at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Mean Duration of Morning Stiffness at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Erosion Score at Weeks 24 and 52(Baseline, Week 24, and Week 52)
  • Change From Baseline in Physician's Global Assessment of Symptoms at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in VAS for Participant General Health at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Disease Activity Score in 28 Joints (DAS28) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in C-reactive Protein (CRP) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Swollen Joint Count at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Number of Painful Joints on Pressure or on Motion at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Percentage of Participants With an ACR50 Response(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)
  • Change From Baseline in Disease Activity Score (DAS) at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52(Baseline and Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, and 52)

研究者

发起方
Pfizer
申办方类型
Industry

研究点 (1)

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