- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00235872
Adalimumab in Adult Japanese Subjects With Rheumatoid Arthritis
April 7, 2011 updated by: Abbott
Open-Label Continuous Administration Study With Adalimumab (D2E7) in Subjects With Rheumatoid Arthritis
The purpose of the study is to assess the long-term safety and tolerability of repeated administration of adalimumab in Japanese subjects with rheumatoid arthritis.
Study Overview
Study Type
Interventional
Enrollment (Actual)
309
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Metropolis
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Tokyo, Metropolis, Japan
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Prefecture
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Aichi, Prefecture, Japan
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Chiba, Prefecture, Japan
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Ehime, Prefecture, Japan
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Fukui, Prefecture, Japan
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Fukuoka, Prefecture, Japan
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Gunma, Prefecture, Japan
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Hokkaido, Prefecture, Japan
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Hyogo, Prefecture, Japan
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Ibaraki, Prefecture, Japan
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Ishikawa, Prefecture, Japan
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Kagoshima, Prefecture, Japan
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Kanagawa, Prefecture, Japan
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Kyoto, Prefecture, Japan
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Miyagi, Prefecture, Japan
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Nagano, Prefecture, Japan
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Nagasaki, Prefecture, Japan
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Niigata, Prefecture, Japan
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Okayama, Prefecture, Japan
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Osaka, Prefecture, Japan
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Saitama, Prefecture, Japan
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Shizuoka, Prefecture, Japan
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Tochigi, Prefecture, Japan
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Tokushima, Prefecture, Japan
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Toyama, Prefecture, Japan
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Participation and completion until Week 24 of the prior adalimumab dose-ranging study.
- Females must be postmenopausal for at least 1 year, surgically sterile, or practicing birth control throughout the study and for 90 days after study completion.
- Female subjects tested negative in pregnancy test (serum test) at Week 24 in prior adalimumab study, if capable of pregnancy.
Exclusion Criteria:
A subject who experienced any of the following during prior study:
- Advanced or poorly controlled diabetes
- Joint surgery (joint evaluated in this study)
- A subject who has been prescribed excluded medications during prior study.
History of following during prior study:
- Clinically significant drug or alcohol abuse
- Intravenous (iv) drug abuse
- Active infection with listeria or tuberculosis (TB)
- Lymphoma, leukemia
- And, any malignancy with the exception of successfully treated non-metastatic basal cell carcinoma of the skin.
- A subject who has been administered a live vaccine during prior study, or subject scheduled to complete the administration of a live vaccine during the study period
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Adalimumab 40 mg every other week (eow)
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40 mg eow, sc
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Subjects With American College of Rheumatology (ACR) Criteria Improvement Consisting of 20%, 50%, and 70% (ACR20/50/70 Responders, Respectively)
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Number of responders with ACR criteria improvement consisting of 20%, 50%, and 70% (ACR20/50/70, respectively) reduction in tender or swollen joint counts (TJC or SJC, respectively) and 20%, 50%, and 70% improvement, respectively, in 3 of the following 5 criteria: 1) physician's global assessment of disease activity (PGA), 2) subject's assessment of disease activity, 3) subject's assessment of pain, 4) subject's assessment of functional disability via a health assessment questionnaire (DI-HAQ), and 5) C-reactive protein (CRP) at each visit.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean Change From Baseline in Tender Joint Count (TJC, Max=68), a Component of the American College of Rheumatology (ACR) by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change from Baseline in TJC (max=68) at each visit, a component of ACR.
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean Change From Baseline in Swollen Joint Count (SJC, Max=66), a Component of the American College of Rheumatology (ACR) by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change from Baseline in SJC (max=66) at each visit, a component of ACR.
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing)] of the M02-575 study; for the M02-575 rescue arm, the baseline was defined as the Week 0 (before dosing) of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean Change From Baseline in Physician Global Assessment of Disease Activity (PGA), a Component of the ACR Criteria by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Change from Baseline in PGA (a visual analog scale from 0-100 mm, with 0 being the absence of disease activity and 100 mm being very strong disease activity, a component of the ACR criteria by visit).
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Mean Change From Baseline in Subject's Global Assessment of Disease Activity Using a Visual Analog Scale, a Component of the ACR Criteria by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Change from Baseline in Subject's Global Assessment of Disease Activity (a visual analog scale from 0-100 mm (0 being absence of disease activity and 100 being very strong disease activity), a component of the ACR criteria by visit).
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Mean Change From Baseline in Subject's Assessment of Pain Using a Visual Analog Scale, a Component of the ACR Criteria by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Change from Baseline in subject's assessment of pain (a visual analog scale from 0-100 mm [0 being no pain and 100 being unbearable pain], a component of the ACR criteria by visit).
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 (before dosing) of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 (before dosing) of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value).
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Mean Change From Baseline in the Disability Index of the Health Assessment Questionaire (DI-HAQ, a Component of the American College of Rheumatology (ACR) Criteria by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change from Baseline in DI-HAQ overall score (includes 20 questions assessing physical function in 8 domains - dressing, rising, eating, walking, hygiene, reach, grip, and usual activities).
Each question is on a scale of 0-3 mm to measure the ability to perform certain activities (0 = without any difficulty, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do so), a component of the ACR criteria by visit.
DI-HAQ is derived based on the mean of individual responses not the total of individual questions
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean Change From Baseline in C-reactive Protein (CRP), a Component of the American College of Rheumatology (ACR) Criteria by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change from Baseline in CRP (mg/dL), a component of the ACR criteria by visit.
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Presence of Morning Stiffness
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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The number of subjects with morning stiffness at each visit.
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean Change From Baseline in the Duration (Minutes) of Morning Stiffness by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change (minutes) from Baseline in morning stiffness (duration).
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Presence of Rheumatoid Factor (RF)
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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The number of subjects who were positive for rheumatoid factor (RF) at each visit.
RF considered negative if <=20 IU/mL and positive if >20 IU/mL.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean Change From Baseline in Rheumatoid Factor (IU/ML) by Visit
Time Frame: Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Mean change from Baseline in RF (IU/mL).
For M02-575 completers, the Baseline for all efficacy analyses was defined as the Week 0 [before dosing] of the M02-575 study; for the M02-575 rescue arm, the Baseline was defined as the Week 0 [before dosing] of the M03-651 study.
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Every 4 weeks up to Week 24 and every 12 weeks thereafter until Study completion or discontinuation (final value)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Shigeki Hashimoto, Ph.D., Abbott
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2004
Primary Completion (Actual)
July 1, 2006
Study Registration Dates
First Submitted
October 7, 2005
First Submitted That Met QC Criteria
October 11, 2005
First Posted (Estimate)
October 12, 2005
Study Record Updates
Last Update Posted (Estimate)
April 11, 2011
Last Update Submitted That Met QC Criteria
April 7, 2011
Last Verified
April 1, 2011
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- M03-651
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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