MedPath

Study Evaluating Predictors of Response in Patients With Ankylosing Spondylitis

Completed
Conditions
Ankylosing Spondylitis
Interventions
Other: Treatment switching
Registration Number
NCT00900796
Lead Sponsor
Pfizer
Brief Summary

The objective of this observational study is to determine the incidence of response in patients with predictive factors of major clinical response in active ankylosing spondylitis (AS) in patients who start anti-tumor necrosis factor (anti-TNF) therapy and correlate these findings in patients who switch from one to another anti-TNF due to inefficacy under usual clinical practice conditions in Spain.

Detailed Description

A sample size of 240 patients, 120 of them exposed and 120 not exposed to factors of response. Sample will be obtain from all the consecutive patients attending the rheumatology settings included in the study who fulfill the inclusion criteria

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
132
Inclusion Criteria
  • Patients diagnosed of active AS who will start anti-TNF therapy following standard clinical practice as per summary of product characteristics doses.
  • >18 years, both genders, any disease duration
  • Signature of informed consent
Exclusion Criteria
  • Previous treatment with biological therapies
  • Active tuberculosis infection (local guidelines for appropriate screening and treatment of tuberculosis in the setting of anti-TNF therapy must be followed)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
1Treatment switchingPatients diagnosed with active AS who start anti-TNF therapy according to standard clinical practice.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With a Clinical ResponseWeek 16

Assessment of clinical response was as per investigator's discretion. Investigators were provided with the final consensus document of the Spanish Society for Rheumatology (SER) for the biological treatment of spondyloarthropathies as a guide for defining active AS, the indication of treatment with biological therapy and the assessment of response to it.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With High Probability of Response and no Response Who Received Second Anti-TNF TreatmentWeek 32

High probability of response=participants who met at least 3 of 5 criteria at start of treatment:C-reactive Protein (CRP) \>15 mg/Liter (mg/L);time from onset of disease \<10 years;total spinal pain \>30 millimeter (mm), mean score on 100 mm visual numeric scale (VNS) for nocturnal, total spinal pain;Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) \>4 centimeter (cm), mean score on 10 cm VNS for discomfort, pain, fatigue;Bath Ankylosing Spondylitis Functional index (BASFI) \<4.5 cm, mean score on 10 cm VNS evaluating functional capacity. Assessment of response was per investigator.

Percentage of Participants With Low Probability of Response and no Response Who Received Second Anti-TNF TreatmentWeek 32

Low probability of response = participants who met no more than 2 of 5 criteria at time of treatment start: CRP \> 15 mg/L; time from onset of disease less than \< 10 years; total spinal pain \> 30 mm, measured as mean score on 100 mm VNS (higher score=more severe pain) for nocturnal and total spinal pain; BASDAI \> 4 cm, measured as mean score on 10 cm VNS (higher score=more severe state) for discomfort, pain and fatigue; BASFI \< 4.5 cm; measured as mean score on 10 cm VNS (higher score=less functionality) evaluating functional capacity. Assessment of response was as per investigator's criteria.

Percentage of Participants With Low Probability of Response and a Clinical Response at Week 16Week 16

Low probability of response = participants who met no more than 2 of 5 criteria at time of treatment start: CRP \> 15 mg/L; time from onset of disease less than \< 10 years; total spinal pain \> 30 mm, measured as mean score on 100 mm VNS (higher score=more severe pain) for nocturnal and total spinal pain; BASDAI \> 4 cm, measured as mean score on 10 cm VNS (higher score=more severe state) for discomfort, pain and fatigue; BASFI \< 4.5 cm; measured as mean score on 10 cm VNS (higher score=less functionality) evaluating functional capacity. Assessment of response was as per investigator's criteria.

Percentage of Participants With Assessment in Ankylosing Spondylitis (ASAS) 40 Response at Week 16Week 16

ASAS measures symptomatic improvement in ankylosing spondylitis (AS) participants ASAS = 4 domains: participant global assessment of disease activity, pain, function, inflammation. ASAS 40 = 40 percent (%) improvement from baseline and an absolute change of greater than or equal to (\>=) 2 units on a 0-10 scale (0=no disease activity, 10=high disease activity) for \>= 3 domains, and no worsening in remaining domain.

Percentage of Participants Who Switched to Another Anti-TNF Treatment Due to Lack of EfficacyWeek 16
Percentage of Participants With ASAS 40 Response Who Started Second Anti-TNF Treatment and Were Treated for at Least 16 WeeksWeek 32

ASAS measures symptomatic improvement in ankylosing spondylitis (AS) participants ASAS = 4 domains: participant global assessment of disease activity, pain, function, inflammation. ASAS 40 = 40% improvement from baseline and an absolute change of greater than or equal to (\>=) 2 units on a 0-10 scale (0=no disease activity, 10=high disease activity) for \>= 3 domains, and no worsening in remaining domain.

Trial Locations

Locations (1)

Pfizer Investigational Site

🇪🇸

Madrid, Spain

© Copyright 2025. All Rights Reserved by MedPath