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临床试验/EUCTR2009-012520-84-LV
EUCTR2009-012520-84-LV进行中(未招募)不适用

A 2-Part Open-label Study to Assess the Clinical Benefit and Long-term Safety of Etanercept in Children and Adolescents With Extended Oligoarticular Juvenile Idiopathic Arthritis, Enthesitis-Related Arthritis, or Psoriatic Arthritis - CLIPPER

Wyeth Pharmaceuticals Inc, (a Pfizer Company) 500 Arcola Road, Collegeville, PA 19426 USA0 个研究点目标入组 100 人开始时间: 2009年10月16日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
100

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. Male and female subjects must have met ILAR criteria for diagnosis of 1 of the
  • following JIA subtypes (see Attachment 1 for ILAR criteria) before the screening
  • visit and must be within the specified age range at the time of the screening visit:
  • - extended oligoarticular JIA between the ages of 2 and 17 years.
  • - ERA between the ages of 12 and 17 years.
  • - PsA between the ages of 12 and 17 years.
  • 2. At both the screening and baseline visits, the following criteria must be met for
  • the relevant JIA subtype:
  • - Extended oligoarticular JIA:
  • - >= 2 active peripheral joints (swollen or, in the absence of swelling, limited
  • range of motion accompanied by either pain or tenderness)
  • - A history of intolerance or an unsatisfactory response to at least a 3 month
  • course of at least 1 DMARD at an adequate dose.
  • - >= 2 active peripheral joints (swollen or, in the absence of swelling, limited
  • range of motion accompanied by either pain or tenderness)
  • - A history of intolerance or an unsatisfactory response to at least a 3 month
  • course of at least 1 DMARD at an adequate dose.
  • - >= 2 active peripheral joints (swollen or, in the absence of swelling, limited
  • range of motion accompanied by either pain or tenderness)
  • - A history of intolerance or an unsatisfactory response to at least 1 of the following:
  • - at least a 1 month course of at least 1 NSAID at an adequate dose
  • - at least a 3 month course of at least 1 DMARD at an adequate dose.
  • 3. Subjects taking hydroxychloroquine, chloroquine, sulphasalazine, or MTX must
  • have been receiving these for at least 3 months before the baseline visit. Only 1
  • of these DMARDs is to be taken throughout the study and the dose must be held
  • stable for at least 8 weeks before the baseline visit.
  • 4. All male and female subjects who, in the opinion of the investigator, are
  • bologically capable of having children and are sexually active, must agree and
  • commit to the use of a reliable method of birth control for the duration of the
  • study and for 30 days after the last dose of investigational product.
  • - Female subjects who, in the opinion of the investigator, are biologically capable
  • of having children must have a negative urine pregnancy test at screening and
  • baseline (day 1) before administration of investigational product.
  • 5. Either the subject or an available adult must be capable (according to the
  • investigator’s judgment) of reconstituting and administering injections of SC
  • etanercept.
  • 6. The parent or legally authorized representative/guardian of the subject must be
  • able to read and complete the protocol-specified efficacy assessments.
  • 7. The subject and the parent or legally authorized representative/guardian of the
  • subject must be willing and able to participate in all applicable aspects of the
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 2
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Subjects with systemic JIA, persistent oligoarticular JIA, polyarticular JIA, or
  • undifferentiated arthritis per ILAR criteria.
  • 2. Arthritis in an HLA-B27 positive male beginning after the 6th birthday (for PsA
  • and extended oligoarticular JIA subtypes only as defined per ILAR criteria).
  • 3. The presence of immunoglobulin M (IgM) rheumatoid factor (RF) on at least 2
  • occasions at least 3 months apart.
  • 4. Subjects with active uveitis within 6 months of the baseline visit.
  • 5. Subjects with other rheumatic diseases including but not limited to Lyme disease,
  • systemic lupus erythematosus, systemic vasculitis, polymyositis, infectious or
  • reactive arthritis, overlap syndrome (eg, Sharp’s syndrome), or Reiter’s syndrome.
  • 6. Subjects with pustular, or erythrodermic psoriasis.
  • 7. Prior treatment with any biologic drugs, including TNF inhibitors, abatacept,
  • rituximab, and tocilizumab.
  • 8. Receipt within 6 months before the baseline visit:
  • - Immunosuppressive drugs (excluding corticosteroids) (eg, cyclophosphamide,
  • cyclosporine, azathioprine).
  • - Leflunomide.
  • 9. Receipt within 3 months before the baseline visit:
  • - Any investigational nonbiologic drugs or devices.
  • 10. Receipt within 2 month before the baseline visit:
  • - Any live (attenuated) vaccines
  • 11. Receipt within 4 weeks before the baseline visit:
  • - A combination of nonbiologic DMARDs (eg, hydroxychloroquine, chloroquine,
  • sulphasalazine, MTX).
  • - Nonbiologic DMARDs other than that which will be continued during the study
  • (ie, hydroxychloroquine, chloroquine, sulphasalazine, or MTX), or those not
  • listed under other exclusion criteria.
  • - Ultraviolet A (UVA), ultraviolet B (UVB), or psoralen + UVA (PUVA) therapy for
  • psoriatic lesions.
  • 12. Receipt within 2 weeks before the baseline visit:
  • - More than 1 NSAID, or a change in the dose or type of the NSAID, or an NSAID
  • dose greater than the maximum recommended dose.
  • - More than 0.2 mg/kg/day or > 10 mg/day, whichever is less, of oral prednisone
  • or equivalent, or a change in the dose of prednisone or its equivalent. Receipt
  • of intra-articular or soft tissue corticosteroid injection or bolus intramuscular
  • (IM) or corticosteroids.
  • - Topical steroids, oral retinoids, topical vitamin A or D analog preparations or
  • anthralin for psoriatic lesions (exception – topical therapies are permitted on
  • the scalp, axillae, and groin at low to moderate strength; the dose and type
  • must be held stable for at least 2 weeks before the baseline visit).
  • 13. Any major illness/condition or evidence of unstable clinical condition (eg,
  • cardiovascular [including congestive heart failure], cerebrovascular, neurologic,
  • metabolic, immunologic, infectious, hepatic, renal condition, uncontrolled
  • diabetes mellitus or hypertension), or any serious disorder (eg, current or history
  • of alcohol or drug abuse, current or history of psychiatric disease) that, in the
  • investigator’s judgment, will substantially increase the risk associated with the
  • subject’s participation in and completion of the study, or could preclude
  • the evaluation of the subject’s response, or interfere with the subject’s ability to
  • give informed consent.
  • 14. Pregnant or breastfeeding female subjects.

研究者

发起方
Wyeth Pharmaceuticals Inc, (a Pfizer Company) 500 Arcola Road, Collegeville, PA 19426 USA

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