- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03636984
Efficacy and Safety Study of Anbainuo in Chinese Patients With RA/AS in the Real World
August 15, 2018 updated by: Zhejiang Hisun Pharmaceutical Co. Ltd.
Efficacy and Safety Study of Anbainuo in Chinese Patients With Rheumatoid Arthritis/ Ankylosing Spondylitis in the Real World: a Prospective, Open-label, Multi-center Observational Study
TNF- α receptor inhibitors have been used widely in practice and are well developed in China.
Anbainuo is a bio-similar recombinant TNF-α receptor: IgG Fc fusion protein, approved in 2015.
Up to now, Anbainuo is well applied in patients with rheumatoid arthritis (RA) or ankylosing spondylitis (AS).
Although the phase II and III clinical trials both indicated that Anbainuo can effectively control the disease activity with good tolerance and safety in RA and AS patients, there is no sufficient clinical evidence in the real world.
Thus, the objective of this study is to evaluate, under the actual conditions of use, dosing patterns of Anbainuo.
Investigators plan to recruit 1000 adult patients with RA or AS and to follow them for 48 weeks.
It is hypothesized that this study would reflect real clinical conditions (efficacy and safety assessment) of using Anbainuo in RA and AS patients.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Anticipated)
1000
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
Sampling Method
Probability Sample
Study Population
RA and AS patients from 30 centers (hospital) in China.
Description
Inclusion Criteria:
- meet the diagnostic criteria of the American College of Rheumatology (ACR) (1987);
- or meet the diagnostic criteria of ankylosing spondylitis (New York, modified in 1984);
- older than 18;
- Prepare to or already start to use Anbainuo.
Exclusion Criteria:
- any acute or chronic infection or the history of active tuberculosis
- pregnant women or breast feeding women;
- malignant tumor;
- moderate to severe congestive heart failure (New York Heart Association, 3-4 grade);
- allergic to Anbainuo.
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
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
rheumatoid arthritis patients
subjects with rheumatoid arthritis would be administered with recombinant TNF-α receptor: IgG Fc fusion protein (Anbainuo)50 mg peer week for 3 to 6 months until reaching clinical remission or low disease activity.
Then the application of Anbainuo would be continued for 6 months.
If the subjects did not reach clinical remission or low disease activity in 6 months, the treatment should be considered as invalid.
|
50mg weekly
Other Names:
|
ankylosing spondylitis patients
subjects with ankylosing spondylitis would be administered with recombinant TNF-α receptor: IgG Fc fusion protein (Anbainuo)50 mg peer week for 3 to 6 months until reaching clinical remission or low disease activity.
Then the application of Anbainuo would be continued for 6 months.
If the subjects did not reach clinical remission or low disease activity in 6 months, the treatment should be considered as invalid.
|
50mg weekly
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent of participants achieving clinical remission defined as a DAS28 ≥1.2
Time Frame: Up to week 48
|
The DAS28 is a combined index for measuring disease activity in rheumatoid arthritis (RA).
The index includes swollen joint counts (SJC) and tender joint counts (TJC), both scored 0-28 (higher scores indicate higher disease activity), as well as acute phase response (APR) determined as erythrocyte sedimentation rate (ESR), and general health (GH), both scored 1-100 (higher scores indicate higher disease activity).
DAS28 was calculated according to the following formula: DAS28 equals (=) [0.56 multiplied by (*) the square root (√) of TJC] plus (+) [0.28 * √ of SJC] + (0.70 * the natural logarithm (ln) ESR in millimeters per hour (mm/h)] + [0.014 * GH in mm visual analogue assessment (VAS)].
A negative change from randomization indicated improvement.
|
Up to week 48
|
Percent of participants achieving bath ankylosing spondylitis disease activity index (BASDAI) 50 response.
Time Frame: Up to week 48
|
BASDAI subject assessment of discomfort, pain and fatigue was measured using a 100 millimeter Visual Analog Scale (VAS); range: 0=none to 100=very severe.
BASDAI 50 response defined as at least a 50 percent (%) improvement (decrease) from baseline to observation (last observation carried forward) in the BASDAI.
Baseline score minus score at observation divided by Baseline score * 100 = >=50%.
|
Up to week 48
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From baseline in the modified total Sharp score to week 48
Time Frame: baseline and week 48
|
he modified total sharp score is the sum of the erosion score (ES) and the joint space narrowing (JSN) score and has a range of 0 to 398.
The ES is the sum of joint scores collected for 46 joints and has a range of 0 to 230.
The JSN is the sum of joint scores collected for 42 joints and has a range of 0 to 168.
A score of 0 would indicate no change and higher scores represent a worsening of joint erosions and joint space narrowing.
|
baseline and week 48
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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 (ANTICIPATED)
August 24, 2018
Primary Completion (ANTICIPATED)
July 24, 2020
Study Completion (ANTICIPATED)
December 24, 2020
Study Registration Dates
First Submitted
August 13, 2018
First Submitted That Met QC Criteria
August 15, 2018
First Posted (ACTUAL)
August 17, 2018
Study Record Updates
Last Update Posted (ACTUAL)
August 17, 2018
Last Update Submitted That Met QC Criteria
August 15, 2018
Last Verified
August 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Infections
- Immune System Diseases
- Autoimmune Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Spinal Diseases
- Bone Diseases
- Spondylarthropathies
- Bone Diseases, Infectious
- Ankylosis
- Arthritis
- Arthritis, Rheumatoid
- Spondylitis
- Spondylarthritis
- Spondylitis, Ankylosing
Other Study ID Numbers
- Bioinno-ABN-2018001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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