Real Life Evaluation of Rheumatoid Arthritis in Canadians Taking HUMIRA (REACH)
27 de enero de 2016 actualizado por: AbbVie (prior sponsor, Abbott)
Real Life Evaluation of Rheumatoid Arthritis in Canadians Taking HUMIRA (REACH)
The purpose of this study is to evaluate the clinical effectiveness and safety of adalimumab as used in routine clinical practice in adult participants with moderate to severe rheumatoid arthritis (RA) in Canada.
Descripción general del estudio
Estado
Terminado
Condiciones
Descripción detallada
REACH is an observational survey of participants with moderate to severe rheumatoid arthritis taking adalimumab.
Participants who volunteer will be asked to provide information about their medical history and experiences with adalimumab.
No drug will be provided as a result of participation in the registry.
All treatment decisions are independent of participation in the registry.
Tipo de estudio
De observación
Inscripción (Actual)
1013
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Método de muestreo
Muestra de probabilidad
Población de estudio
Participants with moderate-to-severe rheumatoid arthritis
Descripción
Inclusion Criteria:
- Participant is eligible to take part in the registry as per the product monograph.
- Participants that are naïve to adalimumab therapy / or participants that have been receiving adalimumab therapy for less than 4 months.
- Participant has moderately to severely active RA.
- Participant who has had an inadequate response to one or more Disease Modifying Anti-Rheumatic Drugs (DMARDs).
- Participant received provincial or private (insurance companies) approval for adalimumab.
- Participant is able to give written informed consent and to understand the survey requirements.
Exclusion Criteria:
- Participant to whom a traditional DMARD had never been tried.
- Participant with a known hypersensitivity to adalimumab, or any of its components.
- Participant is receiving free adalimumab as part of a compassionate program or an early access drug distribution program.
- Participant with clinically significant concurrent medical or psychiatric disorders that may influence survey outcomes.
- Participant with any condition that would prevent participation in the survey and completion of the survey procedures including language limitation or possibility that the participant will not be available for a period of time (> 12 months) while being enrolled in the survey.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
|---|
|
Moderate-to-severe rheumatoid arthritis
Participants with moderate-to-severe rheumatoid arthritis treated with adalimumab in routine clinical practice
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Percentage of Participants That Achieved a Disease Activity Score 28 (DAS28) < 2.6
Periodo de tiempo: Month 0, 6, 12, 18 and 24
|
The DAS28 is a validated index of rheumatoid arthritis disease activity.
Twenty-eight tender joint counts, 28 swollen joint counts, erythrocyte sedimentation rate (ESR), and the Subject's Global Assessment of Disease Activity (subject rates disease activity using a likert scale from 0 [low activity] to 10 [high activity]) are included in the DAS28 score.
Scores on the DAS28 range from 0 to 10.
A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.
|
Month 0, 6, 12, 18 and 24
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Mean Change From Baseline (Month 0) in Health Assessment Questionnaire (HAQ)
Periodo de tiempo: Month 0, 6, 12, 18 and 24
|
Physical function was evaluated using the Health Assessment Questionnaire - Disability Index (HAQ-DI), a participant-reported questionnaire specific for rheumatoid arthritis.
It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities.
Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3).
Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability.
Negative mean changes from baseline in the disability index of the HAQ-DI indicated improvement.
|
Month 0, 6, 12, 18 and 24
|
|
Mean Change From Baseline (Month 0) in Rheumatoid Arthritis Disease Activity Index (RADAI)
Periodo de tiempo: Month 0, 6, 12, 18 and 24
|
The RADAI is a questionnaire for participants used for measuring disease activity.
The index consists of 6 questions.
The items ask the participants about (1) global disease activity in the last 6 months, (2) disease activity in terms of current swollen and tender joints, (3) arthritis pain, (4) the current status of health, (5) duration of morning stiffness and (6) tender joints to be rated in a joint list.
The joint list asks about pain in the left and right shoulders, elbows, wrists, fingers, hips, knees, ankles and toes.
The first 3 items are all rated on a numeric rating scale from 0 to 10, where higher scores indicate more disease activity.
The RADAI total score is the sum of individual items divided by 5 (range 0-10), with a higher score signifying more disease activity.
|
Month 0, 6, 12, 18 and 24
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Investigadores
- Director de estudio: Linda Assouline, PhD, AbbVie Corporation
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Enlaces Útiles
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de julio de 2005
Finalización primaria (Actual)
1 de diciembre de 2014
Finalización del estudio (Actual)
1 de diciembre de 2014
Fechas de registro del estudio
Enviado por primera vez
4 de mayo de 2010
Primero enviado que cumplió con los criterios de control de calidad
4 de mayo de 2010
Publicado por primera vez (Estimar)
5 de mayo de 2010
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
24 de febrero de 2016
Última actualización enviada que cumplió con los criterios de control de calidad
27 de enero de 2016
Última verificación
1 de enero de 2016
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- PMOS-CANA-04-01
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .