A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of Golimumab in the Treatment of Chinese Subjects With Active Rheumatoid Arthritis Despite Methotrexate Therapy
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 264
- 主要终点
- American College of Rheumatology (ACR) 20 Response, Using CRP (C-reactive Protein), at Week 14
研究概览
简要总结
The purpose of this study is to evaluate the safety and efficacy of golimumab in Chinese patients with rheumatoid arthritis.
详细描述
Golimumab is a type of tumor necrosis factor (TNF)-inhibitor. TNF is a naturally occurring substance in the body, and this substance may cause long-term inflammation. Golimumab may help fight disease by blocking the activity of TNF in the body and reducing inflammation and pain. Each patient who is allowed to join the study will be put into a group randomly, like flipping a coin. Patients may get either golimumab or placebo (which looks like the drug being studied but has no active ingredients, for example a sugar pill). The chance that the patient will get golimumab is 1 to 1, a 50% chance to receive golimumab and a 50% chance to receive placebo. If the patient does not have an improvement in their joints at the Week 16 visit compared to when they entered the study, and are in Group 1 (placebo group), the patient will receive golimumab 50 mg every 4 weeks starting at Week 16. If the patient is in Group 2 (golimumab 50 mg), the patient will continue to receive golimumab every 4 weeks starting at Week 16. If the patient is in Group 1 and is still receiving placebo injections, because there was improvement in their joints at Week 16, the patient will receive golimumab 50 mg every 4 weeks starting from Week 24. If the patient is in Group 2 (golimumab 50 mg) or is already receiving golimumab injections at week 24, the patient will continue to receive golimumab every 4 weeks. Safety will be monitored throughout the study, including drawing blood and looking at laboratory tests, vital signs (e.g., blood pressure), and the frequency and type of adverse events (side effects). The patient will be in the study approximately 56 weeks. Patients will receive placebo or active compound (golimumab 50 mg subcutaneous injections) every four weeks from randomization (Week 0) until Week 48.
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
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of rheumatoid arthritis for at least 6 months
- •Be on a stable dose of methotrexate for 4 weeks
- •Have at least 4 swollen and 4 tender joints
排除标准
- •Prior exposure to biologic anti-TNFalpha agents
- •Inflammatory diseases other than rheumatoid arthritis
- •Treatment with Disease Modifying Anti-rheumatic drug (DMARDs)/systemic immunosuppressives other than methotrexate during the 4 weeks prior to the first administration of study agent
- •History of, or ongoing, chronic or recurrent infectious disease
研究组 & 干预措施
Golimumab + methotrexate (MTX)
Participants will receive golimumab 50 mg as subcutaneous (SC) (under the skin) injections administered every 4 weeks for up to 48 weeks. In addition, participants will receive a stable dose of MTX.
干预措施: Golimumab (Drug)
Golimumab + methotrexate (MTX)
Participants will receive golimumab 50 mg as subcutaneous (SC) (under the skin) injections administered every 4 weeks for up to 48 weeks. In addition, participants will receive a stable dose of MTX.
干预措施: Methotrexate (MTX) (Drug)
Placebo + methotrexate (MTX)
Participants will be administered Placebo SC injections at Weeks 0, 4, 8, 12, 16, and Week 20 followed by golimumab 50 mg SC injections at Week 24 and every 4 weeks thereafter through Week 48. In addition, participants will receive a stable dose of MTX.
干预措施: Placebo (Drug)
Placebo + methotrexate (MTX)
Participants will be administered Placebo SC injections at Weeks 0, 4, 8, 12, 16, and Week 20 followed by golimumab 50 mg SC injections at Week 24 and every 4 weeks thereafter through Week 48. In addition, participants will receive a stable dose of MTX.
干预措施: Methotrexate (MTX) (Drug)
结局指标
主要结局
American College of Rheumatology (ACR) 20 Response, Using CRP (C-reactive Protein), at Week 14
时间窗: Week 14
ACR 20 response is defined as \>= 20% improvement in rheumatoid arthritis (RA) symptoms and disease activity.
次要结局
- Disease Activity Index Score (DAS 28) Response, Using CRP (C-reactive Protein)(Week 14)
- American College of Rheumatology 20 Response, Using CRP, at Week 24(Week 24)
- HAQ (Disability Index of the Health Assessment Questionnaire) Score Change From Baseline(Baseline to Week 24)
