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Studie ixekizumabu u účastníků s aktivní ankylozující spondylitidou (AS) (SPIRIT A1)

15. září 2014 aktualizováno: Eli Lilly and Company

Multicentrická, randomizovaná, dvojitě zaslepená, aktivní a placebem kontrolovaná 16týdenní studie, po níž následovalo dlouhodobé hodnocení účinnosti a bezpečnosti ixekizumabu (LY2439821) u pacientů s aktivní ankylozující spondylitidou

Tato studie bude hodnotit bezpečnost a účinnost ixekizumabu (LY2439821) ve srovnání s placebem u účastníků s aktivní AS.

Přehled studie

Typ studie

Intervenční

Fáze

  • Fáze 3

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

      • Buenos Aires, Argentina, C1428DQG
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      • Caba, Argentina, 1181
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      • Córdoba, Argentina, X5004BAL
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      • San Miguel De Tucuman, Argentina, T4000AXL
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      • Genk, Belgie, 3600
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      • Gent, Belgie, 9000
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      • Liège, Belgie, 4000
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      • Mons, Belgie, 7000
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      • Amiens, Francie, 80054
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      • Bordeaux, Francie, 33076
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      • Montpellier, Francie, 34295
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      • Nantes, Francie, 44093
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      • Orleans, Francie, 45032
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      • Paris, Francie, 75679
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      • Rennes, Francie, 35202
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      • Strasbourg, Francie, 67098
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      • Amsterdam, Holandsko, 1105 AZ
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      • Breda, Holandsko, 4818 CK
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      • Leiden, Holandsko, 2333 ZA
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      • Maastricht, Holandsko, 6229 HX
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      • Nijmegen, Holandsko, 6522 JV
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      • Rotterdam, Holandsko, 3079 DZ
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      • Sneek, Holandsko, 8601 ZK
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    • Alberta
      • Edmonton, Alberta, Kanada, T6G 2R7
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    • Manitoba
      • Winnipeg, Manitoba, Kanada, R3N 0K6
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    • Ontario
      • Toronto, Ontario, Kanada, M5T 2S8
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    • Quebec
      • Quebec City, Quebec, Kanada, G1W 4R4
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      • Rimouski, Quebec, Kanada, G5L 8W1
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      • Sainte-Foy, Quebec, Kanada, G1V 3M7
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      • Balatonfüred, Maďarsko, 8230
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      • Budapest, Maďarsko, 1036
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      • Debrecen, Maďarsko, 4032
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      • Kalocsa, Maďarsko, H-6300
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      • Nyiregyhaza, Maďarsko, 4400
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      • Veszprem, Maďarsko, 8200
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      • Guadalajara, Mexiko, 45040
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      • Mexico City, Mexiko, 06700
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      • Monterrey, Mexiko, 64000
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      • Morelia, Mexiko, 58249
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      • San Luis, Mexiko, 78200
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      • Bad Doberan, Německo, 18209
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      • Berlin, Německo, 12203
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      • Halle, Německo, 06108
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      • Heidelberg, Německo, 69121
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      • Ratingen, Německo, 40882
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      • Katowice, Polsko, 40-635
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      • Krakow, Polsko, 31-501
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      • Lublin, Polsko, 20582
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      • Poznan, Polsko, 60-539
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      • Warsaw, Polsko, 02-118
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      • Wroclaw, Polsko, 51-124
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      • Barnaul, Ruská Federace, 656024
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      • Ekaterinburg, Ruská Federace, 620102
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      • Kazan, Ruská Federace, 420097
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      • Krasnoyarsk, Ruská Federace, 660022
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      • Moscow, Ruská Federace
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      • Novosibirsk, Ruská Federace, 630099
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      • Petrozavodsk, Ruská Federace, 185019
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      • Ryazan, Ruská Federace, 390026
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      • Saint Petersburg, Ruská Federace, 194291
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    • Greater London
      • London, Greater London, Spojené království, E11 1NR
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    • Hants
      • Southampton, Hants, Spojené království, SO16 6YD
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    • Norfolk
      • Norwich, Norfolk, Spojené království, NR4 7UY
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    • West Midlands
      • Coventry, West Midlands, Spojené království, CV2 2DX
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      • Wolverhampton, West Midlands, Spojené království, WV10 0QP
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    • West Yorkshire
      • Bradford, West Yorkshire, Spojené království, BD5 0NA
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      • Leeds, West Yorkshire, Spojené království, LS7 4SA
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    • Alabama
      • Birmingham, Alabama, Spojené státy, 35205
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    • Arkansas
      • Little Rock, Arkansas, Spojené státy, 72205
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    • California
      • Upland, California, Spojené státy, 91786
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    • Colorado
      • Denver, Colorado, Spojené státy, 80230
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    • Connecticut
      • Trumbull, Connecticut, Spojené státy, 06611
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    • Florida
      • Tampa, Florida, Spojené státy, 33609
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    • Georgia
      • Atlanta, Georgia, Spojené státy, 30342
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      • Decatur, Georgia, Spojené státy, 30033
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      • Marietta, Georgia, Spojené státy, 30060
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    • Idaho
      • Boise, Idaho, Spojené státy, 83704
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      • Idaho Falls, Idaho, Spojené státy, 83404
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    • Iowa
      • Cedar Rapids, Iowa, Spojené státy, 52401
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    • Kansas
      • Wichita, Kansas, Spojené státy, 67207
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    • Maryland
      • Cumberland, Maryland, Spojené státy, 21502
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      • Hagerstown, Maryland, Spojené státy, 21740
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    • Massachusetts
      • Worcester, Massachusetts, Spojené státy, 01605
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Michigan
      • Ann Arbor, Michigan, Spojené státy, 48109
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    • New York
      • Albany, New York, Spojené státy, 12206
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      • Brooklyn, New York, Spojené státy, 11201
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      • Mineola, New York, Spojené státy, 11501
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    • North Carolina
      • Asheville, North Carolina, Spojené státy, 28803
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Charlotte, North Carolina, Spojené státy, 28210
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Ohio
      • Toledo, Ohio, Spojené státy, 43606
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Oregon
      • Lake Oswego, Oregon, Spojené státy, 97035
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Portland, Oregon, Spojené státy, 97239
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • South Carolina
      • Charleston, South Carolina, Spojené státy, 29407
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Columbia, South Carolina, Spojené státy, 29204
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • North Charleston, South Carolina, Spojené státy, 29406
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Tennessee
      • Hixon, Tennessee, Spojené státy, 37343
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Jackson, Tennessee, Spojené státy, 38305
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Texas
      • Dallas, Texas, Spojené státy, 75231
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Houston, Texas, Spojené státy, 77036
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
    • Washington
      • Kennewick, Washington, Spojené státy, 99336
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Seattle, Washington, Spojené státy, 98104
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Dnipropetrovsk, Ukrajina, 49044
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Donetsk, Ukrajina, 83045
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Ivano-Frankivsk, Ukrajina, 76018
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Kharkiv, Ukrajina, 61039
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Kyiv, Ukrajina, 1601
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Lutsk, Ukrajina, 43024
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Odesa, Ukrajina, 65026
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Vinnytsia, Ukrajina, 21018
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Vinnytsya, Ukrajina, 21018
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Zaporizhzhia, Ukrajina, 69600
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Brno, Česká republika, 638 00
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Bruntal, Česká republika, 79201
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Kladno, Česká republika, 272 01
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Ostrava - Trebovice, Česká republika, 722 00
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Prague, Česká republika, 140 00
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Zlin, Česká republika, 760 01
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Barcelona, Španělsko, 08034
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Bilbao, Španělsko, 48013
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Cordoba, Španělsko, 14004
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • La Coruña, Španělsko, 15006
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Madrid, Španělsko, 28007
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Málaga, Španělsko, 29009
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Oviedo, Španělsko, 33012
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Santander, Španělsko, 39008
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
      • Sevilla, Španělsko, 41009
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

18 let a starší (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Popis

Kritéria pro zařazení:

  • Diagnóza středně těžké až těžké AS s předchozím dokumentovaným radiologickým důkazem (rentgen) splňující Modified New York kritéria pro AS (1984)
  • Mít aktivní AS definované jako Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) ≥4 a skóre bolesti páteře (bolesti zad) ≥4 na numerické hodnotící stupnici (NRS)
  • Účastníci by měli užívat nesteroidní protizánětlivé léky (NSAID) s nedostatečnou odpovědí
  • Účastníci, kteří pravidelně užívají NSAID nebo inhibitory cyklooxygenázy-2 (COX-2) jako součást léčby AS, musí mít stabilní dávku
  • Účastníci, kteří užívali inhibitor tumor nekrotizujícího faktoru alfa (TNF) (ne více než jeden), museli zaznamenat nepřiměřenou odpověď
  • Celková doba předchozí terapie (NSAID a/nebo adekvátní fyzikální terapie) by měla být alespoň 12 týdnů
  • Muži musí souhlasit s používáním spolehlivé metody antikoncepce nebo během studie zůstat abstinenti
  • Ženy musí souhlasit s používáním spolehlivé antikoncepce nebo zůstat abstinující během studie a alespoň 12 týdnů po ukončení léčby

Kritéria vyloučení:

  • Účastníci s totální ankylózou páteře
  • Předchozí nebo současná léčba adalimumabem
  • Účastníci, kteří byli dříve léčeni jakýmikoli biologickými nebo jinými imunomodulačními činidly kromě těch, které cílí na TNF
  • Důkaz aktivních zánětlivých artritických syndromů nebo spondyloartropatií jiných než ankylozující spondylitida
  • Účastnil se jakékoli studie s antagonisty interleukinu 17 (IL-17), včetně ixekizumabu
  • Závažná porucha nebo onemocnění jiné než ankylozující spondylitida
  • Závažná infekce během posledních 3 měsíců
  • Kojící nebo kojící (kojící) ženy

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Čtyřnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Dávkovací režim ixekizumabu 1
Podává se 80 miligramovou (mg) subkutánní (SC) injekcí
Spravováno SC
Ostatní jména:
  • LY2439821
Experimentální: Režim dávkování ixekizumabu 2
Podává se 80 mg SC injekcí
Spravováno SC
Ostatní jména:
  • LY2439821
Komparátor placeba: Placebo
Placebo pro ixekizumab a placebo pro adalimumab podávané SC injekcí
Spravováno SC
Aktivní komparátor: Adalimumab
Podává se 40 mg SC injekcí
Spravováno SC

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Časové okno
Účinnost ixekizumabu u účastníků s ankylozující spondylitidou (AS). Opatření: Hodnocení kritérií mezinárodní společnosti pro spondyloartritidu (ASAS20)
Časové okno: 16 týdnů
16 týdnů

Sekundární výstupní opatření

Měření výsledku
Časové okno
Účinnost ixekizumabu u účastníků s AS. Míra: ASAS
Časové okno: 16 týdnů
16 týdnů
Kvalita života a hodnocení výsledků. Opatření: Pacientem hlášené výsledky (PRO)
Časové okno: Výchozí stav do 16 týdnů
Výchozí stav do 16 týdnů
Účinnost ixekizumabu u účastníků s AS. Opatření: Hodnocení neartritických onemocnění
Časové okno: Výchozí stav do 16 týdnů
Výchozí stav do 16 týdnů
Účinnost ixekizumabu u účastníků s AS. Měření: Počty periferních kloubů
Časové okno: 16 týdnů
16 týdnů
Účinnost ixekizumabu u účastníků s AS. Míra: Spinální pohyblivost
Časové okno: Výchozí stav do 16 týdnů
Výchozí stav do 16 týdnů
Účinnost ixekizumabu u účastníků s AS. Měření: upravené skóre stokeovy ankylozující spondylitidy (mSASSS)
Časové okno: Výchozí stav po 108 týdnech
Výchozí stav po 108 týdnech

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia

1. července 2014

Primární dokončení (Očekávaný)

1. dubna 2016

Dokončení studie (Očekávaný)

1. dubna 2018

Termíny zápisu do studia

První předloženo

3. června 2013

První předloženo, které splnilo kritéria kontroly kvality

3. června 2013

První zveřejněno (Odhad)

6. června 2013

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Odhad)

16. září 2014

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

15. září 2014

Naposledy ověřeno

1. září 2014

Více informací

Termíny související s touto studií

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

Klinické studie na Ixekizumab

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