- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01212757
PALACE 2: Efficacy and Safety Study of Apremilast to Treat Active Psoriatic Arthritis (PALACE2)
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Efficacy and Safety Study of Two Doses of Apremilast (CC-10004) in Subjects With Active Psoriatic Arthritis
The purpose of this study is to determine whether apremilast is safe and effective in the treatment of patients with psoriatic arthritis.
Apremilast is proposed to improve signs and symptoms of psoriatic arthritis (tender and swollen joints, pain, physical function) in treated patients.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Bruxelles, Belgium, 1020
- CHU Brugmann
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Ghent, Belgium, 9000
- UZ Gent
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Leuven, Belgium, 3000
- UZ Leuven
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Liège, Belgium, 4000
- University Hospital of Liege CHU Liege
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Sofia, Bulgaria, 1407
- University Multiprofile Hospital for Active Treatment ACIBADEM City Clinic Sofia
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Sofia, Bulgaria, 1505
- 17 Diagnostic and Consulting Centre Sofia EOOD
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Sofia, Bulgaria, 1709
- Diagnostic-Consultative Center Sveta Anna
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Sofia, Bulgaria, 1233
- Diagnostic and Consulting Centre 7
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Sofia, Bulgaria, 1612
- Multiprofile Hospital for Active Treatment Sv. Ivan Rilski
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Varna, Bulgaria, 9010
- Diagnostic and Consulting Centre 4
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Alberta
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Edmonton, Alberta, Canada, T5M 0H4
- Rheumatology Research Associates
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British Columbia
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Victoria, British Columbia, Canada, V8P5P6
- PerCuro Clinical Research
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Ontario
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Burlington, Ontario, Canada, L7L0B7
- Anna Jaroszynska Private Practice
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Hamilton, Ontario, Canada, L8N1Y2
- William Bensen's Private Practice
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North Bay, Ontario, Canada, P1B 3Z7
- North Bay Dermatology Center
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Ottawa, Ontario, Canada, K1H 1A2
- Rheumatology Research Associates
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Thornhill, Ontario, Canada, L4J1W3
- Wilderman Medical Clinic
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Windsor, Ontario, Canada, N8W 1E6
- Darryl Toth's Private Practice
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Brno, Czechia, 638 00
- Revmatologie s.r.o.
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Ceske Budejovice, Czechia, 370 01
- MEDIPONT PLUS s.r.o..
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Hlucin, Czechia, 748 01
- L.K.N. Arthrocentrum s.r.o.
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Hostivice, Czechia, 253 01
- ARTMEDI UPD s.r.o.
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Praha 11, Czechia, 148 00
- Affidea Praha s.r.o
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Praha 2, Czechia, 128 50
- Revmatologicky Ustav
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Praha 4, Czechia, 140 00
- Revmatologicka ambulance
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Sokolov, Czechia, 356 01
- Revmatologicka ambulance
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Zlin, Czechia, 760 01
- PV - MEDICAL, s.r.o.
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Pärnu, Estonia, EE-80010
- Parnu Hospital
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Tallinn, Estonia, EE-11412
- East Tallinn Central Hospital
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Tallinn, Estonia, EE-13419
- North Estonia Regional Hospital
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Tartu, Estonia, EE-51014
- Tartu University Hospital
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Tartu, Estonia, 50106
- Clinical Research Centre Ltd
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Limoges, France, 87042
- Hôpital Universitaire Dupuytren
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Paris, France, 75010
- Hopital Lariboisiere
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Paris, France, 75651
- Groupe Hospitalier Pitié- Salpétrière
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Paris, France, 75014
- Fondation Hôpital Saint-Joseph
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Pierre Benite, France, 69495
- Centre Hospitalier Lyon Sud
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Berlin, Germany, 10117
- Charité - Universitätsmedizin Berlin
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Frankfurt, Germany, 60590
- Klinikum der Johann-Wolfgang Goethe-Universitat
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Goslar, Germany, 38642
- Praxis Karin Rockwitz
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Leipzig, Germany, 4103
- Synexus Clinical Research GmbH
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Debrecen, Hungary, 4032
- Debreceni Egyetem Orvos- es Egeszsegtudomanyi Centrum
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Kistarcsa, Hungary, 2143
- Pest Megyei Flor Ferenc Korhaz
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Makó, Hungary, 6900
- Principal SMO Kft.
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Genova, Italy, 16132
- Azienda Ospedaliera Universitaria San Martino
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Milano, Italy, 20157
- Ospedale Luigi Sacco
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Napoli, Italy, 80130
- Seconda Università degli Studi di Napoli
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Pavia, Italy, 27100
- Irccs Policlinico San Matteo
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Pisa, Italy, 56126
- Università di Pisa
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Verona, Italy, 37126
- Ospedale Civile Maggiore Borgo Trento
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Bialystok, Poland, 15-351
- NZOZ Osteo-Medic sc A. Racewicz J. Supronik
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Lublin, Poland, 20-582
- Niepubliczny Zaklad Opieki Zdrowotnej REUMED
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Warsaw, Poland, 02-637
- Instytut Reumatologii im. prof. dr hab. med. Eleonory Reicher
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Warszawa, Poland, 00-909
- Wojskowy Instytut Medyczny
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Wroclaw, Poland, 50-088
- Synexus SCM Sp. z o.o.
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Moscow, Russian Federation, 119049
- City Clinical Hospital #1 n.a. N.I.Pirogov
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Nizhniy Novgorod, Russian Federation, 603005
- City Clinical Hospital #5
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St. Petersburg, Russian Federation, 195067
- St.Petersburg State Medical Academy n. a. I.I.Mechnikov
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Yaroslavl, Russian Federation, 150062
- Yaroslavl Regional Clinical Hospital
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Durban, South Africa, 4091
- Nelson Mandela School Of Medicine
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Port Elizabeth, South Africa, 6057
- Greenacres Hospital
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Pretoria, South Africa, 2
- Jacaranda Hospital
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La Laguna, Spain, 38320
- Hospital Universitario de Canarias
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Málaga, Spain, 29009
- Hospital General Carlos Haya
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Torrelavega, Spain, 39300
- Hospital Sierrallana
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Taichung, Taiwan, 40705
- Taichung Veterans General Hospital
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Taichung, Taiwan, 402
- Chung Shan Medical University Hospital
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Taipei, Taiwan, 112
- Taipei Veterans General Hospital
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Taipei, Taiwan, 106
- Cathay General Hospital
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Tapei, Taiwan, 10002
- National Taiwan University Hospital
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Basingstoke, United Kingdom, RG24 9NA
- Basingstoke and North Hampshire Hospital
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Cannock, United Kingdom, WS11 5XY
- Cannock Chase Hospital
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Leeds, United Kingdom, LS7 4SA
- Chapel Allerton Hospital
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Poole, United Kingdom, BH 1 5JB
- Poole Hospital
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Swindon, United Kingdom, SN3 6BB
- Great Western Hospital
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Alabama
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Tuscaloosa, Alabama, United States, 35406
- Clinical and Translational Research Center of Alabama, PC
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Colorado
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Denver, Colorado, United States, 80230
- Denver Arthritis Clinic
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Connecticut
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Trumbull, Connecticut, United States, 6611
- New England Research Associates, LLC
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Florida
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Fort Lauderdale, Florida, United States, 33334
- Centre For Rheumatology, Immun. And Arthritis
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Saint Petersburg, Florida, United States, 33710
- DMI Research
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Tampa, Florida, United States, 33612
- University of South Florida
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Georgia
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Atlanta, Georgia, United States, 30342
- Arthritis and Rheumatology of Georgia
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Illinois
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Arlington Hts, Illinois, United States, 60005
- Michael Bukhalo MD SC
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Michigan
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Battle Creek, Michigan, United States, 49015
- Associated Internal Medical Specialist, PC
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Lansing, Michigan, United States, 48910
- Advanced Rheumatology
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Montana
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Kalispell, Montana, United States, 59901
- Research West Incorporated
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New York
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Rochester, New York, United States, 14623
- University of Rochester Medical Center
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North Carolina
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Greensboro, North Carolina, United States, 27408
- Vital Research
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Hickory, North Carolina, United States, 28602
- Unifour Medical Research Associatets LLC
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Pennsylvania
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Willow Grove, Pennsylvania, United States, 19090
- Rheumatic Disease Associates
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Texas
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Dallas, Texas, United States, 75231
- Metroplex Clinical Research Center
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Dallas, Texas, United States, 75246-1613
- Baylor Research Institute
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Dallas, Texas, United States, 75321
- Arthritis Care and Diagnostic Center
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San Antonio, Texas, United States, 78232
- Luckster Enterprises
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Washington
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Seattle, Washington, United States, 98104
- Seattle Rheumatology Associates
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Tacoma, Washington, United States, 98405
- Tacoma Center for Arthritis Research, PS
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Wisconsin
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Franklin, Wisconsin, United States, 53132
- Rheumatology and Immunotherapy Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males or females, aged ≥ 18 years at time of consent.
- Have a diagnosis of Psoriatic Arthritis (PsA, by any criteria) of ≥ 6 months duration.
- Meet the Classification Criteria for Psoriatic Arthritis (CASPAR) PsA at time of screening.
- Must have been inadequately treated by disease-modifying antirheumatic drugs (DMARDs)
- May not have axial involvement alone
- Concurrent Treatment allowed with methotrexate, leflunomide, or sulfasalazine
- Have ≥ 3 swollen AND ≥ 3 tender joints.
- Males & Females must use contraception
- Stable dose of nonsteroidal anti-inflammatory drugs (NSAIDs), narcotics and low dose oral corticosteroids allowed.
Exclusion Criteria:
- Pregnant or breast feeding.
- History of allergy to any component of the investigational product.
- Hepatitis B surface antigen and/or Hepatitis C antibody positive at screening.
- Therapeutic failure on > 3 agents for PsA or > 1 biologic tumor necrosis factor (TNF) blocker
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Apremilast 20mg
20 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 20 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase
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Apremilast 20 mg twice daily, orally
Other Names:
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EXPERIMENTAL: Apremilast 30mg
30 mg Apremilast tablets administered twice a day for 24 weeks during the placebo-controlled phase followed by 30 mg Apremilast tablets administered twice a day for up to 4.5 years in the active treatment / long-term safety phase orally twice daily
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Apremilast 30 mg twice daily, orally
Other Names:
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PLACEBO_COMPARATOR: Placebo + 20 mg Apremilast
Placebo + 20 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 20 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase.
Subjects who do not have at least 20% improvement in their swollen and tender joint counts at Week 16 will escape to 20 mg Apremilast twice daily at Week 16
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Placebo + 20 mg Apremilast
Other Names:
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PLACEBO_COMPARATOR: Placebo + 30 mg Apremilast
Placebo + 30 mg Apremilast tablets administered twice daily for 24 weeks during the placebo-controlled phase followed by 30 mg Apremilast tablets administered twice daily for up to 4.5 years in the active treatment / long-term safety phase.
Subjects who do not have at least 20% improvement in their swollen and tender joint counts at Week 16 will escape to 30 mg Apremilast twice daily at Week 16.
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Placebo + 30 mg Apremilast
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 16
Time Frame: Baseline and Week 16
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Percentage of participants with an ACR20 response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
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Baseline and Week 16
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline in Patient's Assessment of Pain at Week 16
Time Frame: Baseline and Week 16
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The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined."
The distance from the mark to the left-hand boundary was recorded in millimeters.
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Baseline and Week 16
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Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 16
Time Frame: Baseline and Week 16
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The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue.
Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much."
The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue.
A positive change from baseline score indicates an improvement.
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Baseline and Week 16
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Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 24
Time Frame: Baseline and Week 24
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The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest.
The CDAI score ranges from 0-76 where lower scores indicate less disease activity.
The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8; Low Disease Activity: > 2.8 and ≤ 10; Moderate Disease Activity: > 10 and ≤ 22; High Disease Activity: > 22.
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Baseline and Week 24
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Change From Baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) Score at Week 24
Time Frame: Baseline and Week 24
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The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue.
Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much."
The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue.
A positive change from baseline score indicates an improvement.
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Baseline and Week 24
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Change From Baseline in the DAS28 at Week 52
Time Frame: Baseline and Week 52
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The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity.
DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP.
A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
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Baseline and Week 52
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Change From Baseline in the FACIT-Fatigue Scale Score at Week 52
Time Frame: Baseline and Week 52
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The FACIT-Fatigue scale is a 13-item self-administered questionnaire that assesses both the physical and functional consequences of fatigue.
Each question is answered on a 5-point scale, where 0 means "not at all," and 4 means "very much."
The FACIT-Fatigue scale score ranges from 0 to 52, with higher scores denoting lower levels of fatigue.
A positive change from baseline score indicates an improvement.
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Baseline and Week 52
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Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 16
Time Frame: Baseline and Week 16
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The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities.
Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3).
Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.
Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
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Baseline and Week 16
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Percentage of Participants With an ACR 20 Response at Week 24
Time Frame: Baseline and Week 24
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Percentage of participants with an American College of Rheumatology 20% (ACR20) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
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Baseline and Week 24
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Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) at Week 24
Time Frame: Baseline and Week 24
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The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities.
Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3).
Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.
Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
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Baseline and Week 24
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Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 16
Time Frame: Baseline and Week 16
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The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).
Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10.
Higher scores indicate a higher level of functioning.
The physical functioning domain assesses limitations in physical activities because of health problems.
A positive change from Baseline score indicates an improvement.
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Baseline and Week 16
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Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 16
Time Frame: Baseline and Week 16
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Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: - 78 tender joint count, - 76 swollen joint count, - Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; - Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest.
Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
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Baseline and Week 16
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Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 16
Time Frame: Baseline and Week 16
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The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
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Baseline and Week 16
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Change From Baseline in Dactylitis Severity Score at Week 16
Time Frame: Baseline and Week 16
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Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
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Baseline and Week 16
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Change From Baseline in Clinical Disease Activity Index (CDAI) at Week 16
Time Frame: Baseline and Week 16
|
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: - 28 tender joint count (TJC), - 28 swollen joint count (SJC), - Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; - Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest.
The CDAI score ranges from 0-76 where lower scores indicate less disease activity.
The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
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Baseline and Week 16
|
Change From Baseline in the Disease Activity Score (DAS28) at Week 16
Time Frame: Baseline and Week 16
|
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: - 28 tender joint count - 28 swollen joint count, which do not include the distal interphalangeal (DIP) joints, the hip joint, or the joints below the knee; - C-reactive protein (CRP) - Patient's global assessment of disease activity.
DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP.
A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
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Baseline and Week 16
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Change From Baseline in 36-item Short Form Health Survey (SF-36) Physical Functioning Domain at Week 24
Time Frame: Baseline and Week 24
|
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).
Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10.
Higher scores indicate a higher level of functioning.
The physical functioning domain assesses limitations in physical activities because of health problems.
A positive change from Baseline score indicates an improvement.
|
Baseline and Week 24
|
Percentage of Participants With a Modified Psoriatic Arthritis Response Criteria (PsARC) Response at Week 24
Time Frame: Baseline and Week 24
|
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest.
Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
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Baseline and Week 24
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Change From Baseline in Patient's Assessment of Pain at Week 24
Time Frame: Baseline and Week 24
|
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined."
The distance from the mark to the left-hand boundary was recorded in millimeters.
|
Baseline and Week 24
|
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 24
Time Frame: Baseline and Week 24
|
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
|
Baseline and Week 24
|
Change From Baseline in Dactylitis Severity Score at Week 24
Time Frame: Baseline and Week 24
|
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Baseline and Week 24
|
Change From Baseline in the Disease Activity Score (DAS28) at Week 24
Time Frame: Baseline and Week 24
|
The DAS28 measures the severity of disease at a specific time and is derived from the following variables: • 28 tender joint count • 28 swollen joint count, which do not include the DIP joints, the hip joint, or the joints below the knee; • C-reactive protein (CRP) • Patient's global assessment of disease activity.
DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP.
A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.
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Baseline and Week 24
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Percentage of Participants With MASES Improvement ≥ 20% at Week 16
Time Frame: Baseline and Week 16
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Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 16 weeks of treatment.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
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Baseline and Week 16
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Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 16
Time Frame: Baseline and Week 16
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 16 weeks of treatment.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Baseline and Week 16
|
Percentage of Participants With Good or Moderate European League Against Rheumatism (EULAR) Response at Week 16
Time Frame: Baseline and Week 16
|
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score.
A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2.
A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
|
Baseline and Week 16
|
Percentage of Participants With MASES Improvement ≥ 20% at Week 24
Time Frame: Baseline and Week 24
|
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 24 weeks of treatment.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
|
Baseline and Week 24
|
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 24
Time Frame: Baseline and Week 24
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 24 weeks of treatment.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Baseline and Week 24
|
Percentage of Participants With Good or Moderate EULAR Response at Week 24
Time Frame: Baseline and Week 24
|
EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score.
A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2.
A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
|
Baseline and Week 24
|
Percentage of Participants With a ACR 50 Response at Week 16
Time Frame: Baseline and Week 16
|
Percentage of participants with an American College of Rheumatology 50% (ACR50) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
|
Baseline and Week 16
|
Percentage of Participants With an ACR 70 Response at Week 16
Time Frame: Baseline and Week 16
|
Percentage of participants with an American College of Rheumatology 70% (ACR70) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
|
Baseline and Week 16
|
Percentage of Participants With an ACR 50 Response at Week 24
Time Frame: Baseline and Week 24
|
Percentage of participants with an American College of Rheumatology 50% (ACR50) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); o Patient's global assessment of disease activity (measured on a 100 mm VAS); o Physician's global assessment of disease activity (measured on a 100 mm VAS); o Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); o C-Reactive Protein.
|
Baseline and Week 24
|
Percentage of Participants With a ACR 70 Response at Week 24
Time Frame: Baseline and Week 24
|
Percentage of participants with an American College of Rheumatology 70% (ACR70) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
|
Baseline and Week 24
|
Percentage of Participants Achieving a MASES Score of Zero at Week 16
Time Frame: Week 16
|
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 16 weeks of treatment.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
|
Week 16
|
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 16
Time Frame: Week 16
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 16 weeks of treatment.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Week 16
|
Percentage of Participants Achieving a MASES Score of Zero at Week 24
Time Frame: Week 24
|
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks of treatment.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
|
Week 24
|
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 24
Time Frame: Week 24
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 24 weeks of treatment.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Week 24
|
Percentage of Participants With a ACR 20 Response at Week 52
Time Frame: Baseline and Week 52
|
Percentage of participants with an American College of Rheumatology 20% (ACR20) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in 78 tender joint count; • ≥ 20% improvement in 76 swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: ◦Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Change From Baseline in Health Assessment Questionnaire - Disability Index (HAQ-DI) at Week 52
Time Frame: Baseline and Week 52
|
The Health Assessment Questionnaire - Disability Index is a patient-reported questionnaire consisting of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and usual activities.
Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3).
Scores on each task are summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.
Negative mean changes from Baseline in the overall score indicate improvement in functional ability.
|
Baseline and Week 52
|
Change From Baseline in the SF-36 Physical Functioning Scale Score at Week 52
Time Frame: Baseline and Week 52
|
The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains (physical function, pain, general and mental health, vitality, social function, physical and emotional health).
Norm-based scores were used in analyses, calibrated so that 50 is the average score and the standard deviation equals 10.
Higher scores indicate a higher level of functioning.
The physical functioning domain assesses limitations in physical activities because of health problems.
A positive change from Baseline score indicates an improvement.
|
Baseline and Week 52
|
Percentage of Participants With a Modified PsARC Response at Week 52
Time Frame: Baseline and Week 52
|
Modified PsARC response is defined as improvement in at least 2 of the 4 measures, at least one of which must be tender joint count or swollen joint count, and no worsening in any of the 4 measures: • 78 tender joint count, • 76 swollen joint count, • Patient global assessment of disease activity, measured on a 100 mm visual Analog scale (VAS), where 0 mm = lowest disease activity and 100 mm = highest; • Physician global assessment of disease activity, measured on a 100 mm VAS, where 0 mm = lowest disease activity and 100 mm = highest.
Improvement or worsening in joint counts is defined as decrease or increase, respectively, from baseline by ≥ 30%, and improvement or worsening in global assessments is defined as decrease or increase, respectively, from baseline by ≥ 20 mm VAS.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Change From Baseline in the Patient Assessment of Pain at Week 52
Time Frame: Baseline and Week 52
|
The participant was asked to place a vertical line on a 100-mm visual analog scale on which the left-hand boundary (score = 0 mm) represents "no pain," and the right-hand boundary (score = 100 mm) represents "pain as severe as can be imagined."
The distance from the mark to the left-hand boundary was recorded in millimeters.
|
Baseline and Week 52
|
Change From Baseline in Maastricht Ankylosing Spondylitis Entheses Score (MASES) at Week 52
Time Frame: Baseline and Week 52
|
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
|
Baseline and Week 52
|
Change From Baseline in the Dactylitis Severity Score at Week 52
Time Frame: Baseline and Week 52
|
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet will be rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
|
Baseline and Week 52
|
Change From Baseline in the CDAI Score at Week 52
Time Frame: Baseline and Week 52
|
The Clinical Disease Activity Index (CDAI) is a composite index that is calculated as the sum of the: • 28 tender joint count (TJC), • 28 swollen joint count (SJC), • Patient's Global Assessment of Disease Activity measured on a 10 cm visual analog scale (VAS), where 0 cm = lowest disease activity and 10 cm = highest; • Physician's Global Assessment of Disease Activity -measured on a 10 cm VAS, where 0 cm = lowest disease activity and 10 cm = highest.
The CDAI score ranges from 0-76 where lower scores indicate less disease activity.
The following thresholds of disease activity have been defined for the CDAI: Remission: ≤ 2.8 Low Disease Activity: > 2.8 and ≤ 10 Moderate Disease Activity: > 10 and ≤ 22 High Disease Activity: > 22.
|
Baseline and Week 52
|
Percentage of Participants With MASES Improvement ≥ 20% at Week 52
Time Frame: Baseline and Week 52
|
Percentage of participants with pre-existing enthesopathy whose MASES improved by ≥ 20% from Baseline after 52 weeks.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Percentage of Participants With Dactylitis Improvement ≥ 1 Point at Week 52
Time Frame: Baseline and Week 52
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improved by ≥ 1 after 52 weeks.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Percentage of Participants Achieving Good or Moderate EULAR Response at Week 52
Time Frame: Baseline and Week 52
|
A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS-28 score.
A Good Response is defined as an improvement (decrease) in the DAS28 of more than 1.2 compared with Baseline and attainment of a DAS28 score less than or equal to 3.2.
A Moderate Response is defined as either: • an improvement (decrease) in the DAS28 of greater than 0.6 and less than or equal to 1.2 and attainment of a DAS28 score of less than or equal to 5.1 or, • an improvement (decrease) in the DAS28 of more than 1.2 and attainment of a DAS28 score of greater than 3.2.
|
Baseline and Week 52
|
Percentage of Participants With an ACR 50 Response at Week 52
Time Frame: Baseline and Week 52
|
Percentage of participants with an American College of Rheumatology 50% (ACR50) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in 78 tender joint count; • ≥ 50% improvement in 76 swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦C-Reactive Protein.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Percentage of Participants With an ACR 70 Response at Week 52
Time Frame: Baseline and Week 52
|
Percentage of participants with an American College of Rheumatology 70% (ACR70) response.
A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in 78 tender joint count; • ≥ 70% improvement in 76 swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: ◦ Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]); ◦ Patient's global assessment of disease activity (measured on a 100 mm VAS); ◦ Physician's global assessment of disease activity (measured on a 100 mm VAS); ◦ Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index (HAQ-DI)); ◦ C-Reactive Protein.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Baseline and Week 52
|
Percentage of Participants Achieving a MASES Score of Zero at Week 52
Time Frame: Week 52
|
Percentage of participants with pre-existing enthesopathy whose MASES improves to 0 after 24 weeks.
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
The MASES, ranging from 0 to 13, is the number of painful entheses out of 13 entheses.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Week 52
|
Percentage of Participants Achieving a Dactylitis Score of Zero at Week 52
Time Frame: Week 52
|
Percentage of participants with pre-existing dactylitis whose dactylitis severity score improves to zero after 52 weeks.
Dactylitis is characterized by swelling of the entire finger or toe.
Each digit on the hands and feet was rated as zero for no dactylitis or 1 for dactylitis present.
The dactylitis score is the sum of the individual scores for each digit.
The dactylitis severity score, ranging from 0 to 20, is the number of digits on the hands and feet with dactylitis present.
Two-sided 95% confidence interval is based on the Clopper-Pearson method.
|
Week 52
|
Number of Participants With Treatment Emergent Adverse Events During the Placebo-Controlled Phase
Time Frame: Week 0 to Week 16 for placebo participants who entered EE at Week 16 and up to Week 24 for all other participants (placebo participants who remained on placebo through week 24 and participants randomized to the APR 20 mg BID or APR 30 mg BID)
|
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
|
Week 0 to Week 16 for placebo participants who entered EE at Week 16 and up to Week 24 for all other participants (placebo participants who remained on placebo through week 24 and participants randomized to the APR 20 mg BID or APR 30 mg BID)
|
Number of Participants With TEAEs During the Apremilast-Exposure Period
Time Frame: Week 0 to week 260; overall median duration of exposure to apremilast 20 mg and 30 mg BID was 198 weeks
|
A treatment emergent adverse event (TEAE) is an AE with a start date on or after the date of the first dose of Investigational Product (IP). The severity of each adverse event (AE) and serious AE (SAE) was assessed by the investigator and graded based on a scale from Mild - mild symptoms to Severe AEs (non-serious or serious). A serious adverse event (SAE) is any AE which:
|
Week 0 to week 260; overall median duration of exposure to apremilast 20 mg and 30 mg BID was 198 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Cutolo M, Myerson GE, Fleischmann RM, Liote F, Diaz-Gonzalez F, Van den Bosch F, Marzo-Ortega H, Feist E, Shah K, Hu C, Stevens RM, Poder A. A Phase III, Randomized, Controlled Trial of Apremilast in Patients with Psoriatic Arthritis: Results of the PALACE 2 Trial. J Rheumatol. 2016 Sep;43(9):1724-34. doi: 10.3899/jrheum.151376. Epub 2016 Jul 15.
- Mease PJ, Gladman DD, Kavanaugh A, McGonagle D, Nash P, Guerette B, Nakasato P, Brunori M, Teng L, McInnes IB. Articular and Extra-Articular Benefits in ACR20 Non-responders at Week 104 Treated With Apremilast: Pooled Analysis of Three Randomized Controlled Trials. Rheumatol Ther. 2021 Dec;8(4):1677-1691. doi: 10.1007/s40744-021-00369-x. Epub 2021 Sep 18.
- Mease PJ, Gladman DD, Ogdie A, Coates LC, Behrens F, Kavanaugh A, McInnes I, Queiro R, Guerette B, Brunori M, Teng L, Smolen JS. Treatment-to-Target With Apremilast in Psoriatic Arthritis: The Probability of Achieving Targets and Comprehensive Control of Disease Manifestations. Arthritis Care Res (Hoboken). 2020 Jun;72(6):814-821. doi: 10.1002/acr.24134. Epub 2020 May 8.
- Kavanaugh A, Gladman DD, Edwards CJ, Schett G, Guerette B, Delev N, Teng L, Paris M, Mease PJ. Long-term experience with apremilast in patients with psoriatic arthritis: 5-year results from a PALACE 1-3 pooled analysis. Arthritis Res Ther. 2019 May 10;21(1):118. doi: 10.1186/s13075-019-1901-3.
- Gladman DD, Kavanaugh A, Gomez-Reino JJ, Wollenhaupt J, Cutolo M, Schett G, Lespessailles E, Guerette B, Delev N, Teng L, Edwards CJ, Birbara CA, Mease PJ. Therapeutic benefit of apremilast on enthesitis and dactylitis in patients with psoriatic arthritis: a pooled analysis of the PALACE 1-3 studies. RMD Open. 2018 Jun 27;4(1):e000669. doi: 10.1136/rmdopen-2018-000669. eCollection 2018.
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Skin Diseases, Papulosquamous
- Spinal Diseases
- Bone Diseases
- Spondylarthropathies
- Spondylarthritis
- Spondylitis
- Psoriasis
- Arthritis
- Arthritis, Psoriatic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Anti-Bacterial Agents
- Leprostatic Agents
- Phosphodiesterase Inhibitors
- Phosphodiesterase 4 Inhibitors
- Thalidomide
- Apremilast
Other Study ID Numbers
- CC-10004-PSA-003
- 2010-018386-32 (EUDRACT_NUMBER)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
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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