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SMART Study: A Study of Re-treatment With MabThera (Rituximab) in Patients With Rheumatoid Arthritis Who Have Failed on Anti-TNF Alfa Therapy

10. september 2014 opdateret af: Hoffmann-La Roche

A Comparative Study to Assess the Effect of Retreatment With 2 Doses of MabThera on Disease Activity Score in Patients With Active Rheumatoid Arthritis Who Have Had an Inadequate Response or Intolerance to antiTNF-alfa Therapy.(SMART)

This study will compare the efficacy and safety of re-treatment with 2 doses of MabThera (rituximab) in patients with active rheumatoid arthritis (RA) who have previously experienced an inadequate response or intolerance to anti-tumor necrosis factor (anti-TNF) therapies etanercept, infliximab or adalimumab therapy. All patients will receive infusions of 1000 mg intravenous (IV) MabThera on Days 1 and 15; at Week 24 patients who have demonstrated a moderate or good response will be randomized to receive re-treatment with either 1 or 2 additional infusions of 1000 mg IV MabThera. The anticipated time on study treatment is 2+ years, and the target sample size is 100-500 individuals.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

224

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Abbeville, Frankrig, 80142
      • Agen, Frankrig, 47923
      • Aix En Provence, Frankrig, 13616
      • Aix Les Bains, Frankrig, 73106
      • Amiens, Frankrig, 80054
      • Belfort, Frankrig, 90016
      • Berck, Frankrig, 62600
      • Bobigny, Frankrig, 93009
      • Bois-guillaume, Frankrig, 76233
      • Boulogne-billancourt, Frankrig, 92104
      • Brest, Frankrig, 29609
      • Caen, Frankrig, 14033
      • Cahors, Frankrig, 46005
      • Clermont-ferrand, Frankrig, 63003
      • Corbeil-essonnes, Frankrig, 91106
      • Echirolles, Frankrig, 38434
      • La Roche Sur Yon, Frankrig, 85925
      • Le Kremlin Bicetre, Frankrig, 94275
      • Libourne, Frankrig, 33505
      • Lievin, Frankrig, 62800
      • Lille, Frankrig, 59037
      • Limoges, Frankrig, 87042
      • Lomme, Frankrig, 59462
      • Lyon, Frankrig, 69365
      • Marseille, Frankrig, 13013
      • Montivilliers, Frankrig, 76290
      • Montpellier, Frankrig, 34295
      • Nantes, Frankrig, 44035
      • Narbonne, Frankrig, 11108
      • Nice, Frankrig, 06202
      • PAU, Frankrig, 64046
      • Paris, Frankrig, 75651
      • Paris, Frankrig, 75475
      • Paris, Frankrig, 75674
      • Paris, Frankrig, 75571
      • Paris, Frankrig, 75679
      • Paris, Frankrig, 75877
      • Paris, Frankrig, 75019
      • Perpignan, Frankrig, 66046
      • Pessac, Frankrig, 33600
      • Pierre Benite, Frankrig, 69495
      • Poitiers, Frankrig, 86021
      • Reims, Frankrig, 51100
      • Rennes, Frankrig, 35203
      • Saint-etienne, Frankrig, 4200
      • Strasbourg, Frankrig, 67098
      • Toulon, Frankrig, 83100
      • Toulouse, Frankrig, 31059
      • Toulouse, Frankrig, 31054
      • Valence, Frankrig, 26000
      • Valenciennes, Frankrig, 59322
      • Vandoeuvre-les-nancy, Frankrig, 54511
      • Vannes, Frankrig, 56017

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Adult patients >18 years of age
  • RA for >=6 months
  • Receiving outpatient treatment
  • Ongoing treatment with methotrexate for >=3 months, stable for >=1 month
  • Inadequate response or intolerance to etanercept, infliximab or adalimumab

Exclusion Criteria:

  • Previous treatment with MabThera
  • Concurrent treatment with any anti TNF-alfa therapy or biologic therapy
  • Previous treatment with any investigational cell-depleting therapies

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: A
1000 mg IV rituximab
Medicin: rituximab
Arm A: 1000 mg IV (one infusion) every 2 months \nArm B: 2 x 1000 mg IV (2 infusions) every 2 months
Andre navne:
  • MabThera/Rituxan
Eksperimentel: B
2 x 1000 mg IV rituximab
Medicin: rituximab
Arm A: 1000 mg IV (one infusion) every 2 months \nArm B: 2 x 1000 mg IV (2 infusions) every 2 months
Andre navne:
  • MabThera/Rituxan

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Disease Activity Score Based on 28-Joints Count and C-Reactive Protein (DAS28-CRP) Area Under the Curve (AUC) at Week 104
Tidsramme: Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and serum CRP levels (measured in milligrams per liter [mg/L]) at each visit. Joint counts included swollen joint count (SJC) and tender joint count (TJC). Total score range was 0 to 9.4; a higher score indicated more disease activity. DAS28-CRP less than or equal to (≤)3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity, and less than (<)2.6 equals (=) remission. The AUC of all DAS28-CRP values between Day 1 and Week 104 (15 values of protocol visits) was calculated using the trapeze method (AUC between t1 and t2=(t2-t1)*((DAS28-CRP at t1 + DAS28-CRP at t2)/2). The true visit dates were used to calculate the time between 2 DAS28-CRP evaluations. All the AUC were censored at Week 104 (linear extrapolation using the 2 last DAS28-CRP values (Weeks 96 and 104) to obtain the "true" DAS28-CRP value at the "true" Week 104).
Week 104

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
DAS28-CRP During the Initial Treatment
Tidsramme: Days 1 and 15, and Weeks 6, 12, and 24
Mean DAS28-CRP at Week 24 of the Initial Treatment study. DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity. DAS28-CRP ≤3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity, and <2.6=remission.
Days 1 and 15, and Weeks 6, 12, and 24
DAS28-CRP and Changes From Baseline to Week 24 in DAS28-CRP by Retreatment Course
Tidsramme: Day 1, 24 weeks following each infusion up to 72 Weeks
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity, and <2.6=remission.
Day 1, 24 weeks following each infusion up to 72 Weeks
Percentage of Participants Achieving Clinical Remission (DAS28-CRP <2.6) or Low Disease Activity (DAS28-CRP ≤3.2)
Tidsramme: Week 24 of the Initial Treatment, 24 weeks after first retreatment, and 24 weeks after second retreatment
Percentage of participants with clinical remission and low disease activity as measured by DAS28-CRP for Arm A and Arm B at Week 24 of the Initial Treatment, at 24 weeks after first re-treatment, and at 24 weeks after second retreatment. DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity and <2.6 = remission.
Week 24 of the Initial Treatment, 24 weeks after first retreatment, and 24 weeks after second retreatment
DAS28-CRP AUC Weighted Time
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity, >3.2 to 5.1 implied moderate to high disease activity, and <2.6=remission.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Time to Achieve DAS28-CRP Remission After the First Course
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP <2.6=remission.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Time to Achieve DAS28-CRP Remission After Retreatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP <2.6=remission.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Time to Achieve DAS28-CRP ≤3.2 After the First Course of Treatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Time to Achieve DAS28-CRP ≤3.2 After Retreatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Duration of DAS28-CRP Remission After the First Course of Treatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP <2.6=remission.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Duration of DAS28-CRP Remission After Retreatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP <2.6=remission.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Duration of DAS28-CRP ≤3.2 After the First Course of Treatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Duration of DAS28-CRP ≤3.2 After Retreatment
Tidsramme: Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
DAS28-CRP was based on joint counts, overall participant assessment, and the serum CRP level at each visit. Joint counts included SJC and TJC using the 28 joints count and CRP (mg/L). Total score range=0 to 9.4; a higher score indicated more disease activity. A DAS28-CRP score of ≤3.2 implied low disease activity.
Days 1 and 15, Weeks 6, 12, and 24 and every 8 weeks thereafter through Week 104
Percentage of Participants Achieving American College of Rheumatology 20%, 50%, and 70% Improvement (ACR20/ACR50/ACR70)
Tidsramme: Week 24 of the initial treatment, 24 weeks after first retreatment, and 24 weeks after second retreatment
ACR20/50/70 response defined as ≥20%, 50%, or 70% improvement, respectively, in TJC and SJC, and ≥20%, 50%, or 70% improvement, respectively, in at least 3 of 5 remaining ACR core measures: Patient Global Assessment of Pain, Patient's Global Assessment of Disease Activity, Physician's Global Assessment of Disease Activity (on a visual analog scale [VAS]); Health Assessment Questionnaire-Disability Index (HAQ-DI); and CRP.
Week 24 of the initial treatment, 24 weeks after first retreatment, and 24 weeks after second retreatment
Percentage of Participants Achieving a Response During Initial Treatment by European League Against Rheumatism (EULAR) Category
Tidsramme: Day 15, Weeks 6, 12, and 24
DAS28-based EULAR response criteria were used to measure individual response as no response, good, and moderate, depending on the extent of change from baseline and the level of disease activity reached. Good responders = change from baseline >1.2 with a DAS28 score of ≤3.2; moderate responders = change from baseline >1.2 with a DAS28 score of >3.2 to ≤ 5.1 or change from baseline >0.6 to ≤1.2 with a DAS28 score of ≤5.1; non-responders = change from baseline ≤0.6 or change from baseline >0.6 and ≤ 1.2 with a DAS28 score of >5.1.
Day 15, Weeks 6, 12, and 24
Percentage of Participants Achieving a Response During Retreatment by EULAR Category
Tidsramme: Week 24, 24 weeks after 1st retreatment, 24 weeks after 2nd retreatment
DAS28-based EULAR response criteria were used to measure individual response as no response, good, and moderate, depending on the extent of change from baseline and the level of disease activity reached. Good responders = change from baseline >1.2 with a DAS28 score of ≤3.2; moderate responders = change from baseline >1.2 with a DAS28 score of >3.2 to ≤ 5.1 or change from baseline >0.6 to ≤1.2 with a DAS28 score of ≤5.1; non-responders = change from baseline ≤0.6 or change from baseline >0.6 and ≤ 1.2 with a DAS28 score of >5.1.
Week 24, 24 weeks after 1st retreatment, 24 weeks after 2nd retreatment
Percentage of Participants With Rheumatoid Factor (RF) at 24 Weeks After Treatment
Tidsramme: Week 24 of the initial treatment, 24 weeks after first re-treatment, and 24 weeks after second retreatment
RF is the auto antibody directed against immunoglobulin G (IgG) and its concentration is observed in human serum or plasma. RF value higher than 20 international units per milliliter (IU/mL) is considered positive.
Week 24 of the initial treatment, 24 weeks after first re-treatment, and 24 weeks after second retreatment
Percentage of Participants With Anti-cyclic Citrullinated Protein (Anti-CCP) Antibodies at 24 Weeks After Treatment
Tidsramme: Week 24 of the initial treatment, 24 weeks after first re-treatment, and 24 weeks after second retreatment
Anti-CCP antibodies are auto antibodies (antibodies directed against 1 or more of an individual's own proteins) that are frequently detected in the blood of rheumatoid arthritis participants. Anti-CCP antibodies value higher than 10 U/mL is considered positive.
Week 24 of the initial treatment, 24 weeks after first re-treatment, and 24 weeks after second retreatment
Physician's Global Assessment of Disease Activity
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
The Physician's Global Assessment of disease activity is assessed on a 0 to 100 millimeter (mm) horizontal VAS by the physician. The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm as "maximum disease activity" (maximum arthritis disease activity). Physicians were asked to mark the line and the distance from the left edge was measured. Higher values correspond to worst state of participant (high disease activity).
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Patient Global Assessment of Disease Activity
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
The Patient's Global Assessment of Disease Activity is assessed on a 0 to 100 mm horizontal VAS by the participant. The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm as "maximum disease activity" (maximum arthritis disease activity). Higher values correspond to worst state of participant (high disease activity).
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Patient's Global Assessment of Pain
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
The participants assessed their pain over the past 24 hours on a 0 to 100 mm horizontal VAS. The left-hand extreme of the line equals 0 mm, and is described as "no pain" and the right-hand extreme equals 100 mm as "unbearable pain". Participants were asked to mark the line and the distance from the left edge was measured. Higher values correspond to worst state of participant (high pain levels).
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Participant Assessment of Fatigue
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Participants were asked to rate their level of fatigue over the last 7 days on a 100-mm VAS. The left-hand extreme of the line equals 0 mm, and is described as "no fatigue" and the right-hand extreme equals 100 mm as "extreme fatigue". Participants were asked to mark the line and the distance from the left edge was measured. Higher values correspond to worst state of participant (high levels of fatigue).
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Cortisone Intake AUC (Time- and Weight-Weighted)
Tidsramme: Day 1 (each infusion), Week 24, Week 104
All cortisone intakes (in mg) were taken into account (oral, IV [including the cortisone administration before the rituximab infusion], intramuscular, and intra-articular).
Day 1 (each infusion), Week 24, Week 104
Total Mean Dose of Cortisone Between Week 24 and Week 104
Tidsramme: Week 24 to Week 104
All cortisone intakes were taken into account, including oral, IV (including the cortisone administration before the rituximab infusion), intramuscular and intra-articular.
Week 24 to Week 104
HAQ-DI Scores
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
HAQ-DI: participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0=least difficulty and 3 extreme difficulty.
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Short Form 12 (SF-12) Physical Health Composite Score
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Physical and Mental Health Composite Scores of SF-12 were computed using the scores of 12 questions and range from 0 to 100, where a 0 score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
SF-12 Mental Health Composite Score
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Mental Health Composite Scores of SF-12 were computed using the scores of 12 questions and range from 0 to 100, where a 0 score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Medical Outcomes Study Sleep Scale (MOS-Sleep) Composite Sleep Problems 6 (SLP6) Index
Tidsramme: Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
The MOS Sleep Scale measures most constructs of sleep. The scale has a battery of questions to measure specific aspects of sleep in participants with co-morbidities. The SLP6 index is comprised of 6 items: provides a summary of sleep problems and contains questions from the sleep disturbance, sleep adequacy, respiratory impairment, and somnolence domains. The SLP6 index score ranges between 0 and 100, with higher values corresponding to more sleep problems.
Day 1 and Week 24 of initial treatment, before 1st retreatment, at 1st retreatment, and at 12 and 24 weeks after 1st retreatment
Percentage of Participants Reporting Acceptable Disease Activity Symptom State Assessed Using Patient Acceptable and Unacceptable Symptom State (PASS)
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Percentage of participants reporting acceptable symptom state: acceptance to remain for the rest of their lives with the level of disease activity they had during the last 48 hours; and unacceptable symptom state: not able to remain for the rest of their lives with the level of disease activity they had during the last 48 hours. In the case of missing data, participants who withdrew from the study because of inefficacy or toxicity were considered "unacceptable".
Week 24, 12 and 24 weeks after 1st retreatment
Patient Global Assessment of Disease Activity in Participants Reporting Acceptable Symptoms Using PASS
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
The Patient's Global Assessment of Disease Activity assessed in participants reporting acceptable symptom state using PASS (acceptance to remain for the rest of their lives with the level of disease activity they had during the last 48 hours) on a 0 to 100 mm horizontal VAS by the participant. The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm as "maximum disease activity" (maximum arthritis disease activity). Higher values correspond to worst state of participant (high disease activity).
Week 24, 12 and 24 weeks after 1st retreatment
Percentage of Participants With Minimum Clinically Important Improvement (MCII) in Disease Activity
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Participants were asked how their disease activity had been during the last 48 hours compared to baseline. Those participants that reported improvement assessed how important this improvement was to them; range: very important, moderately important, slightly important, or not at all important. Binary response options: 1=improved very important, or improved moderately important; 2=slightly important, not at all important, no change, or worse-more disease activity.
Week 24, 12 and 24 weeks after 1st retreatment
Change From Baseline in Patient Global Assessment of Disease Activity in Participants With MCII
Tidsramme: Baseline, Week 24, 12 and 24 weeks after 1st retreatment
The Patient's Global Assessment of Disease Activity was assessed in participants reporting MCII on a 0 to 100 mm horizontal VAS by the participant. The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm as "maximum disease activity" (maximum arthritis disease activity). Higher values correspond to worst state of participant (high disease activity).
Baseline, Week 24, 12 and 24 weeks after 1st retreatment
Percentage of Participants Reporting Acceptable Symptom State in Functioning Assessed Using PASS
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Percentage of participants reporting acceptable symptom state: acceptance to remain for the rest of their lives with the level of function they had during the last 48 hours; and unacceptable symptom state: not able to remain for the rest of their lives with the level of function they had during the last 48 hours. In the case of missing data, participants who withdrew from the study because of inefficacy or toxicity were considered "unacceptable".
Week 24, 12 and 24 weeks after 1st retreatment
HAQ-DI Scores in Participants Reporting Acceptable Function Using PASS
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
HAQ-DI was assessed in participants reporting acceptable symptom state using PASS (acceptance to remain for the rest of their lives with the level of disease activity they had during the last 48 hours). HAQ-DI is a participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0=least difficulty and 3 extreme difficulty.
Week 24, 12 and 24 weeks after 1st retreatment
Percentage of Participants With MCII in Functioning
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Participants were asked how their functioning had been during the last 48 hours compared to baseline. Those participants that reported improvement assessed how important this improvement was to them; range: very important, moderately important, slightly important, or not at all important. Binary response options: 1=improved very important, or improved moderately important; 2=slightly important, not at all important, no change, or worse.
Week 24, 12 and 24 weeks after 1st retreatment
Change From Baseline in HAQ-DI in Participants With MCII
Tidsramme: Baseline, Week 24, 12 and 24 weeks after 1st retreatment
HAQ-DI was assessed in participants with MCII. HAQ-DI is a participant-reported assessment of ability to perform tasks in 8 categories of daily living activities: dress/groom; arise; eat; walk; reach; grip; hygiene; and common activities over past week. Each item scored on 4-point scale from 0 to 3: 0=no difficulty; 1=some difficulty; 2=much difficulty; 3=unable to do. Overall score was computed as the sum of domain scores and divided by the number of domains answered. Total possible score range 0-3 where 0=least difficulty and 3 extreme difficulty.
Baseline, Week 24, 12 and 24 weeks after 1st retreatment
Percentage of Participants With Acceptable Symptom State in Pain Assessed Using PASS
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Percentage of participants reporting acceptable symptom state: acceptance to remain for the rest of their lives with the level of pain they had during the last 48 hours; and unacceptable symptom state: not able to remain for the rest of their lives with the level of pain they had during the last 48 hours. In the case of missing data, participants who withdrew from the study because of inefficacy or toxicity were considered "unacceptable".
Week 24, 12 and 24 weeks after 1st retreatment
Patient Global Assessment of Pain in Participants Reporting Acceptable Symptoms Using PASS
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Patient Global Assessment of Pain assessed in participants reporting acceptable symptom state using PASS (acceptance to remain for the rest of their lives with the level of pain they had during the last 48 hours) on a 0 to 100 mm horizontal VAS by the participant. The left-hand extreme of the line equals 0 mm, and is described as "no pain" and the right-hand extreme equals 100 mm as "unbearable pain". Higher values correspond to worst state of participant (high pain levels).
Week 24, 12 and 24 weeks after 1st retreatment
Percentage of Participants With MCII in Pain
Tidsramme: Week 24, 12 and 24 weeks after 1st retreatment
Participants were asked how their pain had been during the last 48 hours compared to baseline. Those participants that reported improvement assessed how important this improvement was to them; range: very important, moderately important, slightly important, or not at all important. Binary response options: 1=improved very important, or improved moderately important; 2=slightly important, not at all important, no change, or worse pain.
Week 24, 12 and 24 weeks after 1st retreatment
Change From Baseline in Patient Global Assessment of Pain in Participants With MCII
Tidsramme: Baseline, Week 24, 12 and 24 weeks after 1st retreatment
The participants assessed their pain over the past 24 hours on a 0 to 100 mm horizontal VAS. The left-hand extreme of the line equals 0 mm, and is described as "no pain" and the right-hand extreme equals 100 mm as "unbearable pain". Participants were asked to mark the line and the distance from the left edge was measured. Higher values correspond to worst state of participant (high pain levels).
Baseline, Week 24, 12 and 24 weeks after 1st retreatment

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Sponsor

Hoffmann-La Roche

Publikationer og nyttige links

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Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. september 2006

Primær færdiggørelse (Faktiske)

1. november 2011

Studieafslutning (Faktiske)

1. november 2011

Datoer for studieregistrering

Først indsendt

18. maj 2010

Først indsendt, der opfyldte QC-kriterier

18. maj 2010

Først opslået (Skøn)

19. maj 2010

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

15. september 2014

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. september 2014

Sidst verificeret

1. september 2014

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • ML19895

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