Meloxicam [Mobic] in Juvenile Rheumatoid Arthritis (JRA)
A 12 Week Double-blind Randomized Trial, With a 12 Week Open-label Extension, to Investigate the Efficacy and Safety of Meloxicam Oral Suspension Administered Once Daily and Naproxen Oral Suspension Administered Twice Daily in Children With Juvenile Rheumatoid Arthritis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Cerqueira César, Brazil
- 107.235.61
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Santa Cecília, Brazil
- 107.235.62
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Sao Paulo, Brazil
- 107.235.60
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México, D.F., Mexico
- 107.235.40
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Kharkov, Ukraine
- 107.235.71 Institute of Children and Adolescents Health
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Kiev, Ukraine
- 107.235.70 Children Clinical Hospital No. 1
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Kiev, Ukraine
- 107.235.72 Institute of Pediatrics
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Kiev, Ukraine
- 107.235.73 2nd Children Specialized Clinical Hospital "OHMADIT"
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Arkansas
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Little Rock, Arkansas, United States
- 107.235.23 Arkansas Children's Hospital
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California
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Madera, California, United States
- 107.235.17 Valley Children's Hospital
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San Diego, California, United States
- 107.235.37
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Colorado
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Denver, Colorado, United States
- 107.235.4 Boehringer Ingelheim Investigational Site
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Connecticut
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Hartford, Connecticut, United States
- 107.235.12 Boehringer Ingelheim Investigational Site
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Delaware
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Wilmington, Delaware, United States
- 107.235.13 Alfred I. DuPont Hospital for Children
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Florida
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Del Ray Beach, Florida, United States
- 107.235.36 Arthritis Associates Clinical Research of South Florida
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Miami, Florida, United States
- 107.235.21 Miami Children's Hospital
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St. Petersberg, Florida, United States
- 107.235.38 Clinical Research Dept #7006
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Illinois
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Chicago, Illinois, United States
- 107.235.8 Boehringer Ingelheim Investigational Site
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Kansas
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Kansas City, Kansas, United States
- 107.235.7 Boehringer Ingelheim Investigational Site
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Kentucky
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Louisville, Kentucky, United States
- 107.235.25 University of Louisville
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Louisiana
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New Orleans, Louisiana, United States
- 107.235.16 Children's Hospital - Department of Rheumatology
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Massachusetts
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Boston, Massachusetts, United States
- 107.235.26 Deparment of Rheumatology
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Minnesota
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Rochester, Minnesota, United States
- 107.235.2 E15 Mayo Clinic
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Missouri
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St. Louis, Missouri, United States
- 107.235.18 Washington University School of Medicine
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St. Louis, Missouri, United States
- 107.235.9 Boehringer Ingelheim Investigational Site
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Nebraska
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Omaha, Nebraska, United States
- 107.235.31 Department of Pediatrics
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New Jersey
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Livingston, New Jersey, United States
- 107.235.35 Arthritis and Rheumatic Disease Center
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New York
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Buffalo, New York, United States
- 107.235.24 The Children's Hospital of Buffalo
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New York, New York, United States
- 107.235.19 Columbia Presbyterian Medical Center
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Oklahoma
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Oklahoma City, Oklahoma, United States
- 107.235.22 Oklahoma Medical Research Foundation
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Tulsa, Oklahoma, United States
- 107.235.33 Healthcare Research Consultants
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Pennsylvania
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Duncansville, Pennsylvania, United States
- 107.235.32 Arthritis and Osteoporosis Center
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Rhode Island
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Providence, Rhode Island, United States
- 107.235.39 Division of Ambulatory Pediatrics
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Texas
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Dallas, Texas, United States
- 107.235.10 Texas Scottish Rite Hospital
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Utah
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Salt Lake CIty, Utah, United States
- 107.235.1 University of Utah School of Medicine
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Washington
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Seattle, Washington, United States
- 107.235.30 Children's Hospital
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Wisconsin
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Milwaukee, Wisconsin, United States
- 107.235.20 Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- diagnosis of juvenile idiopathic arthritis (JIA) by International League of Associations for Rheumatology (ILAR) criteria; pauciarthritic, extended pauciarthritic, or polyarthritic current course of disease;
- active arthritis of at least 2 joints
- at least 2 other abnormal variables of the 5 remaining core set parameters
- require nonsteroidal anti-inflammatory drugs (NSAIDs)
- children aged 2-17 years
Exclusion Criteria:
- systemic course of juvenile idiopathic arthritis
- all rheumatic conditions not included in inclusion criteria; any clinical finding or abnormal clinically relevant lab (not due to JIA) that could interfere with conduct of clinical trial
- weight of 9 kg or less
- pregnancy or breast feeding
- females of childbearing potential who are sexually active and not using adequate contraception for at least 3 mos prior to and for duration of study
- history of bleeding disorder, gastrointestinal bleeding, or cerebrovascular bleeding
- peptic ulcer past 6 months
- more than 1 disease modifying anti-rheumatic drug (DMARD) or change in DMARD during 3 months prior
- change corticosteroids during 1 month prior
- systemic corticosteroids greater than 10 mg/d, hydroxychloroquine greater than 10/mg/d, cyclosporine greater than 5 mg/kg/d., methotrexate greater than 15 mg/m2/wk, cytotoxic agents, gold, D-penicilamine, sulfasalazine, glucosamine, and investigational products
- etanercept during 1 month prior; infliximab during 2 months prior; intra-articular corticosteroids during 1 month prior
- patients requiring concomitant other NSAID including topical (excluding ophthalmic)
- requirement for use of other NSAIDs, anticoagulants, phenothiazine, lithium, or ACTH
- insufficient effect or intolerability to naproxen or meloxicam
- known or suspected hypersensitivity to trial meds or their excipients
- requirement of chronic H2 antagonist
- history of asthma, nasal polyps, angioneurotic edema, or urticaria with aspirin or NSAIDs
- planned surgical procedures during study
- investigational drug exposure during this trial or within 30 days (or 6 half lives, whichever greater) prior
- previous participation in this trial
- patients with known drug or alcohol abuse
- patient, parent or legal representative unable to understand and to comply with protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Interventional Model: Parallel Assignment
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Responder rate by core set of outcome criteria (Juvenile Rheumatoid Arthritis Pediatric 30): global assessment disease activity; functional disability, number joints arthritis, limited motion; erythrocyte sedimentation rate;
Time Frame: week 12
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week 12
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Individual core set outcome criteria; final global assessment of efficacy; tolerability; AE incidence and intensity; withdrawals; acetaminophen consumption; safety labs: physical examination; hospitalization for gastrointestinal (GI) SAE, GI AE
Time Frame: weeks 4, 8, 12, 18, and 24
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weeks 4, 8, 12, 18, and 24
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Immune System Diseases
- Autoimmune Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Arthritis
- Arthritis, Juvenile
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Cyclooxygenase 2 Inhibitors
- Gout Suppressants
- Naproxen
- Meloxicam
Other Study ID Numbers
Other Study ID Numbers
- 107.235
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