- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00524381
Etanercept Treatment in the Early Course of Polymyalgia Rheumatica
The Effect of Etanercept on the Early Clinical Course of Polymyalgia Rheumatica (Pilot Study)
The purpose of this study is to evaluate the effect of the tumor necrosis factor alpha (TNF) antagonist, etanercept, on the early clinical course of polymyalgia rheumatica (PMR).
PMR is a common inflammatory disease with an unknown etiology that is characterized by aching, tender, and stiff proximal muscle. Some evidence suggests that TNF plays a central role in the pathophysiology of PMR.
The preferred treatment with glucocorticoids (GCs) is adequate for most patients, but a subset of patients have a more prolonged, relapsing disease course. These patients require treatment with GCs for 1 to 2 years. GC related adverse events are frequent during treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Copenhagen NV, Denmark, DK-2400
- Bispebjerg Hospital, Department of Rheumatology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Persons with active polymyalgia rheumatica (patients only).
- Signed informed consent and written authorization.
Exclusion Criteria:
- Other inflammatory conditions than polymyalgia rheumatica, including symptoms of giant cell arteritis, e.g. head aches, jaw claudication and visual disturbances.
- Current malignancy or history of malignancy.
- Neuromuscular conditions.
- Infections with systemic impact.
- Uncontrolled diabetes mellitus.
- Uncontrolled hypertension.
- Current tuberculosis or history of tuberculosis.
- Severe heart failure (NYHA class 3 and 4).
- Current use of glucocorticoids, biological drugs, and immunosuppressive drugs.
Exclusion Criteria (controls):
- Polymyalgia rheumatica.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Polymyalgia rheumatica activity score (PMR-AS)
Time Frame: 14 days
|
14 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Plasma concentrations of various cytokines, chemokines, and adipokines
Time Frame: 14 days
|
14 days
|
Quantitative use of analgesics
Time Frame: 14 days
|
14 days
|
Insulin sensitivity (HOMA)
Time Frame: 14 days
|
14 days
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Henrik Galbo, Professor, Bispebjerg Hospital, Department of Rheumatology
Publications and helpful links
General Publications
- Kreiner FF, Galbo H. Activity of the neuroendocrine axes in patients with polymyalgia rheumatica before and after TNF-alpha blocking etanercept treatment. Arthritis Res Ther. 2012 Aug 15;14(4):R186. doi: 10.1186/ar4017.
- Kreiner F, Galbo H. Effect of etanercept in polymyalgia rheumatica: a randomized controlled trial. Arthritis Res Ther. 2010;12(5):R176. doi: 10.1186/ar3140. Epub 2010 Sep 20.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Skin Diseases
- Immune System Diseases
- Autoimmune Diseases of the Nervous System
- Autoimmune Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Muscular Diseases
- Vasculitis
- Skin Diseases, Vascular
- Vasculitis, Central Nervous System
- Arteritis
- Polymyalgia Rheumatica
- Giant Cell Arteritis
- Physiological Effects of Drugs
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Gastrointestinal Agents
- Etanercept
Other Study ID Numbers
- PMR-ENBREL-1
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.
Clinical Trials on Polymyalgia Rheumatica
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University Hospital, Basel, SwitzerlandNovartis; Schweizerische Stiftung für die Erforschung der MuskelkrankheitenRecruitingPolymyalgia Rheumatica (PMR) | Giant Cell Arteritis (GCA)Switzerland
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Hospital for Special Surgery, New YorkGenentech, Inc.Completed
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Fondation Ophtalmologique Adolphe de RothschildNot yet recruiting
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University of PennsylvaniaRecruiting
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Rigshospitalet, DenmarkRecruiting
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