- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01465438
HUmira in Psoriatic Arthritis (HUPSA)
Can New Imaging- and Biomarkers Improve the Assessment of Disease Activity and Progression and Predict Therapeutic Outcome in Psoriatic Arthritis Patients Receiving Adalimumab?
Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis, which has a estimated prevalence of 0.3 - 1 %. The clinical course varies, but PsA is often a progressive, erosive arthritis causing severe disability and increased mortality.
The biologic treatment infliximab and etanercept have recently been introduced for treatment of PsA and psoriasis, and current data indicate a higher efficacy than with previously available therapies. No clinical trials on adalimumab in PsA are yet published (2005), but preliminary data are encouraging. The improved treatment options have increased the need for sensitive methods for diagnosis, monitoring and prognostication of PsA, so that the efficient therapies can be initiated at the optimal time point and monitored optimally. Ultrasonography (US) and magnetic resonance imaging (MRI) and a number of biomarkers are promising, but not yet sufficiently studied, methods for this.
The hypothesis is that adalimumab will be an effective treatment option for PsA. Novel imaging- and biomarkers can provide additional information, compared to clinical measures and radiography, concerning activity, destructive progression and prediction of therapeutic response in PsA patients receiving adalimumab. The perspective is a potential improvement in diagnosis, monitoring and prognostication of patients with PsA.
Study Overview
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Copenhagen
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Glostrup, Copenhagen, Denmark, 2600
- Copenhagen University Hospital, Glostrup
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Subject Population: patients with active PsA, fulfilling the following major criteria:
- Diagnosis of PsA according to Moll and Wright criteria (Moll and Wright,
- Clinical active disease, defined as >2 (of 76) swollen joints and > 2 (of 78) tender joints
- Involvement of the hands (Clinical swelling of 1 or more finger joint and/or 1 or more 1 sausage finger)
- Clinical indication for anti-TNF alpha therapy, according to treating physician
- Among other issues: Age >18 years; adequate birth control; no contraindications for anti-TNF alpha-therapy, no previous anti-TNF alpha-therapy, no other significant dermatological disorders than psoriasis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Adalimumab
Responders at week 24 continue treatment with adalimumab.
Non-responders at week 24 stops treatment with adalimumab.
|
Adalimumab 40 mg every other week
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Modified Psoriatic Arthritis Response criteria (PsARC)
Time Frame: 24 weeks
|
24 weeks
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Charlotte Wiell, MD, PhD, University Hospital, Gentofte, Copenhagen
- Principal Investigator: Inge Juul Sørensen, MD, PhD, Copenhagen University Hospital, Hvidovre
- Principal Investigator: Michael Sejer Hansen, MD, PhD, Copenhagen University Hospital at Herlev
- Principal Investigator: Ole Rintek Madsen, MD, PhD, University Hospital, Gentofte, Copenhagen
- Principal Investigator: Ole Slot, MD, Glostrup University Hospital, Copenhagen
- Principal Investigator: Susanne J Pedersen, MD, Gentofte University Hospital
Publications and helpful links
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
Other Study ID Numbers
- HUPSA HUM 05-040
- 2006-000004-16 (EUDRACT_NUMBER)
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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