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临床试验/EUCTR2006-002748-27-FR
EUCTR2006-002748-27-FR进行中(未招募)1 期

A Multicentre, Double-Blind, Placebo-Controlled, Randomized Study of Etanercept in the Treatment of Adults Patients with Active, Severe and Advanced Axial Ankylosing Spondylitis

Wyeth Pharmaceuticals France0 个研究点目标入组 80 人开始时间: 2006年12月19日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Diagnosis of Ankylosing Spondylitis (AS), as defined by the Modified New York criteria.
  • 2. Axial, defined by a score = 30 for the overall level of AS neck, back or hip pain (on a 100 mm VAS) (question 2 of the BASDAI).
  • 3. Refractory to standard anti-rheumatic treatment (at least 2 NSAIDs at maximum tolerated
  • dose with duration > 3 months and according to the opinion of the investigator).
  • 4. Active, defined by BASDAI = 40 despite optimal NSAID treatment.
  • 5. Advanced and severe, defined by the presence of 1 of the 3 following criteria :
  • - 2 intervertebral adjacent bridges and/or fusion of the lumbar spine,
  • - 3 intervertebral adjacent bridges and/or fusion of the dorsal spine,
  • - 2 intervertebral adjacent bridges and/or fusion of the cervical spine.
  • 6. Between 18 and 70 years of age.
  • 7. Negative serum pregnancy test taken at screening in all women except those surgically sterile or at least 1 year post-menopausal. Sexually active women of childbearing potential participating in the study must use a medically acceptable form of contraception (which includes oral contraception, injectable or implantable methods, intrauterine devices, or properly used barrier contraception). A woman of childbearing potential is one who is biologically capable of becoming pregnant. This includes women who use contraceptives or whose sexual partners are either sterile or use contraceptives.
  • 8. Agreement by male subjects who are not surgically sterile and female subjects who are not surgically sterile or post-menopausal to use of a reliable method of birth control for the duration of the study.
  • 9. Ability to reconstitute and self-inject drug or have a designee who can do so.
  • 10. Capable of understanding and willing to provide signed and dated written voluntary informed consent before any protocol specific screening procedures are performed.
  • 11. Ability to store injectable test article at 2°C-8°C.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Previous receipt of etanercept or other TNFa inhibitors.
  • 2. Use of disease modifying drugs other than hydroxychloroquine, sulphasalazine and methotrexate within 4 weeks of baseline. Patients treated with hydroxychloroquine, sulphasalazine and methotrexate may continue these drugs during this study but doses must be held stable for 4 weeks before baseline examination and for the duration of the study.
  • 3. Receipt of multiple NSAIDs at baseline.
  • 4. Dose of NSAIDs changed within 2 weeks of baseline evaluation
  • 5. Dose of prednisone > 10mg/day (or equivalent) or changed within 2 weeks of baseline evaluation.
  • 6. Abnormality in chemistry or haematologic profiles : white blood cell count = 3.5 x 109/L; haemoglobin = 85 g/L or 5.3 mmol/L; haematocrit = 27%; platelet count = 125 x 109/L; serum creatinine = 175 µmol/L; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) = 2 times the laboratory’s upper limit of normal.
  • 7. Significant concurrent medical events :
  • Uncompensated congestive heart failure.
  • Diagnosis of multiple sclerosis or other central demyelinating diseases.
  • Presence or history of confirmed blood dyscrasias.
  • Cancer or history of cancer (other than resected cutaneous basal cell or squamous cell carcinoma).
  • Serious infection (infection association with hospitalization and/or intravenous antibiotics) within 1 month of test article administration or active infection at baseline.
  • Any condition that, in the physician’s judgment, might cause this study to be detrimental to the subject.
  • History of HIV+ or TB+ test (follow the local country guidelines for appropriate screening and treatment of tuberculosis in the setting of anti-TNF alfa therapy).
  • 8. Known contraindication or hypersensitivity to etanercept or its excipients.
  • 9. Pregnant or breast-feeding women.
  • 10. History of poor compliance.
  • 11. History of/or current psychiatric illness that would interfere with ability to comply with protocol requirements or give informed consent.
  • 12. History of alcohol or drug abuse that would interfere with ability to comply with protocol requirements or give informed consent.
  • 13. Receipt of any investigational drug or biological agent within 3 months of screening visit.
  • 14. Employment by the investigator or reporting directly or indirectly to the investigator.

研究者

发起方
Wyeth Pharmaceuticals France

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