Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Trial
Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Hong Kong, Hong Kong
- Tuen Mun Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects greater than 18 years of age
- Fulfilling the latest classification criteria for axial spondyloarthropathy
- Active spondylitis as defined by a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of more than 4 despite treatment with non-steroid anti-inflammatory drugs for more than 3 months
Exclusion Criteria:
- Major surgery (including joint surgery) within 8 weeks prior to study entry
- History of treatment with anti-tumor necrosis factor agents or any investigational therapies within 12 months of study entry
- Immunization with a live/attenuated vaccine within 4 weeks prior to study entry
- Active current bacterial, viral, fungal, mycobacterial or other infections at study entry
- Chronic hepatitis B or hepatitis C carriers
- History of malignancies, including solid tumors and hemic malignancies
- History of congestive heart failure
- History of demyelinating disorders
- History of peripheral neuropathy
- Pregnant women or lactating mothers
- Baseline liver parenchymal enzymes elevated to more than 2 times normal
- Absolute lymphocyte count less than 500/mm3
- Serum creatinine level of more than 200umol/L
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: golimumab
golimumab 50mg subcutaneous every 4 weeks
|
golimumab
Other Names:
|
|
ACTIVE_COMPARATOR: pamidronate
Pamidronate (60mg) intravenously every 4 weeks
|
pamidronate
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response response
Time Frame: week 48
|
Proportion of patients who achieve the Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response
|
week 48
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in MRI spinal inflammation scores
Time Frame: week 24 and 48
|
Changes in MRI spinal inflammation scores
|
week 24 and 48
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study 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
- Infections
- Joint Diseases
- Musculoskeletal Diseases
- Arthritis
- Spinal Diseases
- Bone Diseases
- Bone Diseases, Infectious
- Spondylitis
- Spondylarthritis
- Spondylarthropathies
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Immunosuppressive Agents
- Immunologic Factors
- Bone Density Conservation Agents
- Tumor Necrosis Factor Inhibitors
- Golimumab
- Pamidronate
Other Study ID Numbers
Other Study ID Numbers
- CREC/769/09
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