- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01927757
Evaluating Etanercept Use in Patients With Moderate to Severe Rheumatoid Arthritis Who Have Lost Response to Adalimumab (ROCkIES)
January 5, 2018 updated by: Amgen
A Single Arm Trial to Evaluate the Efficacy of Etanercept in Moderate to Severe Rheumatoid Arthritis Patients Who Failed to Respond or Lost a Satisfactory Response to Treatment With Adalimumab When Used as Their First Biologic Agent
To evaluate the efficacy of etanercept in adults with moderate-to-severe rheumatoid arthritis (RA) who did not respond to or lost a satisfactory response to adalimumab when used as their first biologic agent.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
90
Phase
- Phase 4
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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Quebec, Canada, G1V 3M7
- Research Site
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British Columbia
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Victoria, British Columbia, Canada, V8V 3P9
- Research Site
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New Brunswick
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Quispamsis, New Brunswick, Canada, E2E 4J8
- Research Site
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada, A1C 5B8
- Research Site
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St. John's, Newfoundland and Labrador, Canada, A1A 5E8
- Research Site
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Ontario
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Burlington, Ontario, Canada, L7R 1E2
- Research Site
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Hamilton, Ontario, Canada, L8N 1Y2
- Research Site
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Mississauga, Ontario, Canada, L5M 2V8
- Research Site
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Toronto, Ontario, Canada, M5G 1X5
- Research Site
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Quebec
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Montreal, Quebec, Canada, H2L 1S6
- Research Site
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Montreal, Quebec, Canada, H3T 1Y3
- Research Site
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Quebec City, Quebec, Canada, G1W 4R4
- Research Site
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Caguas, Puerto Rico, 00725
- Research Site
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Alabama
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Tuscaloosa, Alabama, United States, 35406
- Research Site
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Arizona
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Scottsdale, Arizona, United States, 85258
- Research Site
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California
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Covina, California, United States, 91723
- Research Site
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Hemet, California, United States, 92543
- Research Site
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Murrieta, California, United States, 92563
- Research Site
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San Diego, California, United States, 92108
- Research Site
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Victorville, California, United States, 92395
- Research Site
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Colorado
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Denver, Colorado, United States, 80230
- Research Site
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Florida
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Brandon, Florida, United States, 33511
- Research Site
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Dunedin, Florida, United States, 34698
- Research Site
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Largo, Florida, United States, 33774
- Research Site
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Palm Harbor, Florida, United States, 34684
- Research Site
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Tampa, Florida, United States, 33609
- Research Site
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Georgia
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Lawrenceville, Georgia, United States, 30046
- Research Site
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Kentucky
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Bowling Green, Kentucky, United States, 42101
- Research Site
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Paducah, Kentucky, United States, 42003
- Research Site
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Massachusetts
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Fall River, Massachusetts, United States, 02720
- Research Site
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Michigan
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Battle Creek, Michigan, United States, 49017
- Research Site
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Nebraska
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Lincoln, Nebraska, United States, 68516
- Research Site
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New York
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Smithtown, New York, United States, 11787
- Research Site
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North Carolina
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Charlotte, North Carolina, United States, 28210
- Research Site
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Ohio
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Middleburg Heights, Ohio, United States, 44130
- Research Site
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Pennsylvania
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Duncansville, Pennsylvania, United States, 16635
- Research Site
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Tennessee
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Hixson, Tennessee, United States, 37343
- Research Site
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Texas
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Austin, Texas, United States, 78731
- Research Site
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Corpus Christi, Texas, United States, 78404
- Research Site
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Houston, Texas, United States, 77034
- Research Site
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Victoria, Texas, United States, 77901
- Research Site
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Virginia
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Chesapeake, Virginia, United States, 23320
- Research Site
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Roanoke, Virginia, United States, 24016
- Research Site
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Washington
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Seattle, Washington, United States, 98133
- Research Site
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West Virginia
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Clarksburg, West Virginia, United States, 26301
- Research Site
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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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Able to provide informed consent
- Diagnosed with moderate to severe rheumatoid arthritis for at least 6 months
- Active RA with at least 3 swollen and tender joints
- Failure to respond to a combination treatment of adalimumab and methotrexate (must have taken combination at least 3 months) or loss of a satisfactory response to the combination of adalimumab and methotrexate, which was taken for at least 6 months (if currently taking adalimumab must complete 2 weeks without it prior to starting study drug)
- Negative for hepatitis B and C
- Negative serum and urine pregnancy tests before starting study
- currently taking (stable dose) 15 mg methotrexate weekly for at least 8 weeks/has been taking methotrexate for at least 12 weeks total - lower dose of 10 mg per week is permitted with documented intolerability
- Normal chest X-ray within 3 months
- Negative testing for tuberculosis (TB)
Exclusion Criteria:
- Class IV RA (wheel-chair or bed-bound)
- Significant concurrent medical conditions, including: (uncontrolled type 1 diabetes, poorly controlled type 2 diabetes, symptomatic heart failure, myocardial infarction in past year, history of unstable angina within past year, uncontrolled hypertension, severe chronic pulmonary disease, major chronic inflammatory or connective tissue disease other than RA, Multiple sclerosis, active malignancy, or history of cancer, alcoholic hepatitis or history of alcoholic liver disease)
- Other inclusion/exclusion criteria may apply
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Etanercept
Participants received etanercept 50 mg administered subcutaneously once a week with methotrexate for 24 weeks
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Administered by subcutaneous injection
Other Names:
Background methotrexate at least 15 mg weekly
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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 (ACR) 20 Response at Week 12
Time Frame: Baseline and Week 12
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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Week 12
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With an ACR 20 Response at Week 12 by Anti-adalimumab Antibody Subgroup
Time Frame: Baseline and Week 12
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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Week 12
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Percentage of Participants With an ACR 20 Response at Week 12 by Response Failure Type Subgroup
Time Frame: Baseline and Week 12
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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Week 12
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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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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 20% improvement in tender joint count; • ≥ 20% improvement in swollen joint count; and • ≥ 20% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Week 24
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Percentage of Participants With an ACR 50 Response at Weeks 12 and 24
Time Frame: Baseline and Weeks 12 and 24
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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 50% improvement in tender joint count; • ≥ 50% improvement in swollen joint count; and • ≥ 50% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Weeks 12 and 24
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Percentage of Participants With an ACR 70 Response at Weeks 12 and 24
Time Frame: Baseline and Weeks 12 and 24
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A participant was a responder if the following 3 criteria for improvement from Baseline were met: • ≥ 70% improvement in tender joint count; • ≥ 70% improvement in swollen joint count; and • ≥ 70% improvement in at least 3 of the 5 following parameters: o Patient Global Assessment of Joint Pain (measured on a 100 mm VAS); o Patient Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Physician Global Assessment of Disease Activity (measured on a horizontal scale from 0 to 100); o Health Assessment Questionnaire - Disability Index (HAQ-DI) scale from 0 to 3, where zero represents no disability and three very severe, high-dependency disability; o C-reactive protein level.
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Baseline and Weeks 12 and 24
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Change From Baseline in Disease Activity Score 28-C-Reactive Protein (DAS28-CRP)
Time Frame: Baseline and weeks 12 and 24
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The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables:
The DAS28-CRP score ranges from zero up to approximately ten. DAS28-CRP scores above 5.1 indicate high disease activity. A negative change from baseline indicates improvement. |
Baseline and weeks 12 and 24
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Percentage of Participants With DAS28-CRP Improvement of ≥ 1.2 Units From Baseline
Time Frame: Baseline and weeks 12 and 24
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The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: • The number of swollen and tender joints assessed using the 28-joint count; • C-reactive protein (CRP) level • Patient's global assessment of disease activity assessed on a score from 0 to 100.
The DAS28-CRP score ranges from zero up to approximately ten.
DAS28-CRP scores above 5.1 indicate high disease activity.
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Baseline and weeks 12 and 24
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Percentage of Participants With DAS 28-CRP < 3.2
Time Frame: Weeks 12 and 24
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The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables: • The number of swollen and tender joints assessed using the 28-joint count; • C-reactive protein (CRP) level • Patient's global assessment of disease activity assessed on a score from 0 to 100.
The DAS28-CRP score ranges from zero up to approximately ten.
DAS28-CRP scores less than 3.2 are considered low disease activity.
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Weeks 12 and 24
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Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI)
Time Frame: Baseline and weeks 12 and 24
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The HAQ-DI is a questionnaire on which participants are asked to rate their level of difficulty on daily activities (dressing and grooming, arising, eating, and walking) and personal abilities (hygiene, reach, grip, and activity) as well as their use of aids, devices, or help from another person for these activities and disabilities.
Responses are scored from 0 indicating no difficulty to 3 indicating inability to perform a task in that area.
The overall score is the average of each of the 8 category scores and ranges from 0 (no disability) to 3 (very severe, high-dependency disability).
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Baseline and weeks 12 and 24
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Change From Baseline in 36-item Short Form Health Survey (SF-36) at Week 12
Time Frame: Baseline and Week 12
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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 of each domain, calibrated so that 50 is the average score and the standard deviation equals 10.
Higher scores indicate a higher level of functioning.
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Baseline and Week 12
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Change From Baseline in 36-item Short Form Health Survey (SF-36) at Week 24
Time Frame: Baseline and Week 24
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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 of each domain, calibrated so that 50 is the average score and the standard deviation equals 10.
Higher scores indicate a higher level of functioning.
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Baseline and Week 24
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Work Productivity and Activity Impairment (WPAI)
Time Frame: Baseline, week 12 and week 24
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This 6-item assessment measures productivity losses during the past 7 days and includes measures on work time missed due to health, impairment while working due to health (the participant's assessment of the degree to which health affected their productivity while working), overall work impairment due to health (takes into account both hours missed due to health and the participant's assessment of the degree to which health affected their productivity while working) and activity impairment due to health (the degree in which health problems affected their ability to do regular daily activities).
Scores for each measure are expressed from 0 to 100 with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes.
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Baseline, week 12 and week 24
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
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 (Actual)
May 6, 2013
Primary Completion (Actual)
June 11, 2015
Study Completion (Actual)
June 11, 2015
Study Registration Dates
First Submitted
June 5, 2013
First Submitted That Met QC Criteria
August 20, 2013
First Posted (Estimate)
August 23, 2013
Study Record Updates
Last Update Posted (Actual)
January 30, 2018
Last Update Submitted That Met QC Criteria
January 5, 2018
Last Verified
January 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Autoimmune Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Arthritis
- Arthritis, Rheumatoid
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Gastrointestinal Agents
- Dermatologic Agents
- Reproductive Control Agents
- Abortifacient Agents, Nonsteroidal
- Abortifacient Agents
- Folic Acid Antagonists
- Etanercept
- Methotrexate
Other Study ID Numbers
- 20120125
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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