A 3-Phase Study to Evaluate Sustained Remission and Productivity Outcomes in Subjects With Early Rheumatoid Arthritis Initiated on Treatment With Etanercept Plus Methotrexate
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 306
- 试验地点
- 1
- 主要终点
- Number of Participants That Met Sustained Remission at Week 76 and Week 91 Based on DAS28 Score
研究概览
简要总结
Study to evaluate whether there is sustained remission and productivity in subjects with early rheumatoid arthritis started on etanercept plus methotrexate treatment.
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 early rheumatoid arthritis.
- •Methotrexate (MTX) naive.
- •Active early rheumatoid arthritis at the time of enrollment.
排除标准
- •Previous or current treatment with etanercept, other tumor necrosis factor-alpha (TNF) inhibitors, or other biologic agents.
- •Concurrent treatment with any disease-modifying anti-rheumatoid drugs (DMARD), within 4 weeks before baseline.
- •Concurrent treatment with more than 1 non-steroidal anti-inflammatory drug (NSAID) at baseline.
研究组 & 干预措施
1
etanercept + methotrexate; etanercept + methotrexate
干预措施: etanercept (Drug)
结局指标
主要结局
Number of Participants That Met Sustained Remission at Week 76 and Week 91 Based on DAS28 Score
时间窗: 76 and 91 weeks
Sustained remission was defined as a DAS28 \<2.6 at the Week 76 and Week 91 visits without requiring a corticosteroid boost between the Week 52 and Week 64 visits, where the requirement for a corticosteroid boost was defined as a value of DAS28 \>3.2 at either the Week 56 or Week 64 visit. DAS28 calculated from the number of swollen joints (SJC) and painful joints (PJC) using the 28 joints count, the erythrocyte sedimentation rate (ESR) (millimeters per hour \[mm/hour\]) and patient's global assessment (PGA) of disease activity. The participants who met sustained remission in both Week 76 and 91 are presented here.
次要结局
- Number of Participants Achieving American College of Rhematology 90% (ACR 90) Response(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in Participant's Global Assessment of Disease Activity(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in Work Productivity and Activity Impairment (WPAI) Questionnaire: Percent Impairment While Working Due to Problem(13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants Achieving Complete Response (Using Disease Activity Score Based on 28-joint Count, Modified Total Sharp Score, Health Assessment Questionnaire)(End of Phase 1)
- Change From Baseline in Work Productivity and Activity Impairment (WPAI) Questionnaire: Percent Work Time Missed Due to Problem(13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants Achieving American College of Rhematology 70% (ACR 70) Response(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in Modified Total Sharp Score (mTSS) at Week 52 and Final on Therapy(52 week and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in Work Productivity and Activity Impairment (WPAI) Questionnaire: Percent Overall Work Impairment Due to Problem(13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants Achieving American College of Rhematology 50% (ACR 50) Response(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in Work Productivity and Activity Impairment (WPAI) Questionnaire: Percent Activity Impairment Due to Problem(13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants Achieving American College of Rhematology 20% (ACR 20) Response(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Change From Baseline in DAS44 Score at All Visits(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Proportion of Subjects Achieving a Patient Acceptable Symptom State (PASS) at Each Visit(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants Achieving American College of Rheumatology 90% (ACR90) Response(52, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Participant's Global Assessment of Pain (Visual Analogue Scale) (VAS)(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Number of Participants Achieving American College of Rheumatology 70% (ACR70) Response(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Number of Participants With Disease Activity Score Based on 44-joints Count (DAS44) Remission(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Participant's Global Assessment of Disease Activity(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Change From Baseline mTSS at Week 91 and Final on Therapy(91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Change From Baseline in Physician's Global Assessment of Disease Activity(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants With Disease Activity Score Based on 44-joints Count (DAS44)-Remission(2, 4, 8, 13, 26, 39, 52 weeks and Final on Therapy (includes all visits for a participant up to Week 52 or the visit they discontinued at))
- Number of Participants With Disease Activity Score Based on 44-joints Count (DAS44) - Low Disease Activity(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Number of Participants With an American College of Rheumatology 20% (ACR20) Response(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Number of Participants Achieving Complete Response (Using Disease Activity Score Based on a 28-joint Count, Modified Total Sharp Score, Health Assessment Questionnaire)(52 and 91 weeks)
- Number of Participants Achieving American College of Rheumatology 50% (ACR50) Response(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Physician's Global Assessment of Disease Activity(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Number of Participants Achieving Patient Acceptable Symptom State (PASS)(52, 56, 64, 76, 91 weeks and Final on Therapy (includes all visits for a participant up to Week 91 or the visit they discontinued at))
- Modified Total Sharp Score (mTSS) at Week 52(52 weeks)
- Change From Baseline in WPAI Questionnaire: Percent Work Time Missed in the Past 7 Days Due to Problem(64, 76, 91 weeks and Final on Therapy (includes all visits for a participant upto Week 91 or the visit they discontinued at))
- Change From Baseline in WPAI Questionnaire: Percent Impairment While Working in the Past 7 Days Due to Problem(64, 76, 91 weeks and Final on Therapy (includes all visits for a participant upto Week 91 or the visit they discontinued at))
- Work Productivity and Activity Impairment (WPAI) Questionnaire: Percent Work Time Missed in the Past 7 Days Due to Problem(52 weeks)
- WPAI Questionnaire: Percent Impairment While Working in the Past 7 Days Due to Problem(52 Weeks)
- WPAI Questionnaire: Percent Overall Work Impairment in the Past 7 Days Due to Problem(52 weeks)
- WPAI Questionnaire: Percent Activity Impairment in the Past 7 Days Due to Problem(52 weeks)
- Change From Baseline in WPAI Questionnaire: Percent Activity Impairment in the Past 7 Days Due to Problem(64, 76, 91 weeks and Final on Therapy (includes all visits for a participant upto Week 91 or the visit they discontinued at))
- Change From Baseline in WPAI Questionnaire: Percent Overall Work Impairment in the Past 7 Days Due to Problem(64, 76, 91 weeks and Final on Therapy (includes all visits for a participant upto Week 91 or the visit they discontinued at))
