- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT01264770
Evaluation of Efficacy and Safety of Fostamatinib Monotherapy Compared With Adalimumab Monotherapy in Patients With Rheumatoid Arthritis (RA) (OSKIRA -4)
(OSKIRA-4): A Phase IIB, Multi-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and Safety of Fostamatinib Disodium Monotherapy Compared With Adalimumab Monotherapy in Patients With Active Rheumatoid Arthritis
Tutkimuksen yleiskatsaus
Tila
Ehdot
Yksityiskohtainen kuvaus
Sub-study:
Full title: Optional Genetic Research
Date: 10 September 2010
Version: 1
Objectives: To collect and store, with appropriate consent , DNA samples for future exploratory research into genes/genetic variation that may influence response (ie, absorption, distribution, metabolism and excretion, safety, tolerability and efficacy) to fostamatinib disodium and/or adalimumab; and/or susceptibility to, progression of and prognosis of RA
The main study recruitment is complete, and sub study recruitment will continue until the target is reached, estimated to be June 2013
Sub-study:
Full title: (Sub-study to OSKIRA-4): A Phase IIB, Multi-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and Safety of Fostamatinib Disodium Monotherapy Compared with Placebo or Adalimumab Monotherapy in Patients with Active Rheumatoid Arthritis: Magnetic Resonance Imaging Sub-Study
Date: 21 March 2011
Version: 1
Primary objective: Assess the efficacy of fostamatinib in reducing joint synovial disease activity as measured by:
- Change from baseline to Week 6 (versus placebo) in OMERACT RAMRIS synovitis score.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 2
Yhteystiedot ja paikat
Opiskelupaikat
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Amsterdam, Alankomaat
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Pleven, Bulgaria
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Plovdiv, Bulgaria
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Ruse, Bulgaria
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Sevlievo, Bulgaria
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Sofia, Bulgaria
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Veliko Tarnovo, Bulgaria
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Cape Town, Etelä-Afrikka
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Durban, Etelä-Afrikka
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Pretoria, Etelä-Afrikka
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Stellenbosch, Etelä-Afrikka
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Gauteng
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Pretoria, Gauteng, Etelä-Afrikka
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Kwazulu Natal
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Durban, Kwazulu Natal, Etelä-Afrikka
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Western Cape
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Cape Town, Western Cape, Etelä-Afrikka
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Ontario
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Mississauga, Ontario, Kanada
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Bytom, Puola
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Chelm Slaski, Puola
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Grodzisk Mazowiecki, Puola
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Sroda Wielkopolska, Puola
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Warszawa, Puola
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Wroclaw, Puola
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Zyrardow, Puola
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Łódź, Puola
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Dresden, Saksa
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Hamburg, Saksa
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Muenchen, Saksa
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Trebisov, Slovakia
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Trnava, Slovakia
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Brno, Tšekin tasavalta
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Bruntal, Tšekin tasavalta
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Hlucin, Tšekin tasavalta
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Liberec, Tšekin tasavalta
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Ostrava, Tšekin tasavalta
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Ostrava - Poruba, Tšekin tasavalta
- Research Site
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Ostrava - Trebovice, Tšekin tasavalta
- Research Site
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Praha, Tšekin tasavalta
- Research Site
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Praha 11, Tšekin tasavalta
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Praha 2, Tšekin tasavalta
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Praha 4, Tšekin tasavalta
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Zlin, Tšekin tasavalta
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Donetsk, Ukraina
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Ivano-frankivsk, Ukraina
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Kharkiv, Ukraina
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Kyiv, Ukraina
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Lutsk, Ukraina
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Lviv, Ukraina
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Odessa, Ukraina
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Simferopol, Ukraina
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Zaporyzhzhya, Ukraina
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Balatonfured, Unkari
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Balatonfüred, Unkari
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Budapest, Unkari
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Debrecen, Unkari
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Zalaegerszeg, Unkari
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Moscow, Venäjän federaatio
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Nizhny Novgorod, Venäjän federaatio
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Petrozavodsk, Venäjän federaatio
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Ryazan, Venäjän federaatio
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St. Petersburg, Venäjän federaatio
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Voronezh, Venäjän federaatio
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Yaroslavl, Venäjän federaatio
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Basingstoke, Yhdistynyt kuningaskunta
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Eastbourne, Yhdistynyt kuningaskunta
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London, Yhdistynyt kuningaskunta
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Manchester, Yhdistynyt kuningaskunta
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Wolverhampton, Yhdistynyt kuningaskunta
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Berkshire
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Reading, Berkshire, Yhdistynyt kuningaskunta
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Greater London
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London, Greater London, Yhdistynyt kuningaskunta
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Sussex
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Eastbourne, Sussex, Yhdistynyt kuningaskunta
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Alabama
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Birmingham, Alabama, Yhdysvallat
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Arizona
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Glendale, Arizona, Yhdysvallat
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Mesa, Arizona, Yhdysvallat
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Phoenix, Arizona, Yhdysvallat
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Scottsdale, Arizona, Yhdysvallat
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California
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Huntington Beach, California, Yhdysvallat
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Long Beach, California, Yhdysvallat
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Colorado
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Colorado Springs, Colorado, Yhdysvallat
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Connecticut
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Bridgeport, Connecticut, Yhdysvallat
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Florida
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Daytona Beach, Florida, Yhdysvallat
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Jacksonville, Florida, Yhdysvallat
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Miami, Florida, Yhdysvallat
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Ocala, Florida, Yhdysvallat
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Palm Harbor, Florida, Yhdysvallat
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Pinellas Park, Florida, Yhdysvallat
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Venice, Florida, Yhdysvallat
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Illinois
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Chicago, Illinois, Yhdysvallat
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Indiana
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South Bend, Indiana, Yhdysvallat
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Kentucky
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Bowling Green, Kentucky, Yhdysvallat
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Elizabethtown, Kentucky, Yhdysvallat
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Maryland
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Oxon Hill, Maryland, Yhdysvallat
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Michigan
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Kalamazoo, Michigan, Yhdysvallat
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Missouri
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Richmond Heights, Missouri, Yhdysvallat
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Montana
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Kalispell, Montana, Yhdysvallat
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New Hampshire
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Nashua, New Hampshire, Yhdysvallat
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New Mexico
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Albuquerque, New Mexico, Yhdysvallat
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Las Cruces, New Mexico, Yhdysvallat
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New York
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Brooklyn, New York, Yhdysvallat
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North Carolina
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Charlotte, North Carolina, Yhdysvallat
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Ohio
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Perrysburg, Ohio, Yhdysvallat
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Pennsylvania
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Duncansville, Pennsylvania, Yhdysvallat
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South Carolina
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Greenville, South Carolina, Yhdysvallat
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Tennessee
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Jackson, Tennessee, Yhdysvallat
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Knoxville, Tennessee, Yhdysvallat
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Memphis, Tennessee, Yhdysvallat
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Texas
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Austin, Texas, Yhdysvallat
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Houston, Texas, Yhdysvallat
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Mesquite, Texas, Yhdysvallat
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Plano, Texas, Yhdysvallat
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San Antonio, Texas, Yhdysvallat
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Male or female aged 18 and over
- Active rheumatoid arthritis (RA) diagnosed after the age of 16 and diagnosis within 5 years prior to study visit 1 and inadequate response to treatment with a maximum 2 Disease-Modifying anti-rheumatic drug (DMARD) therapies, or diagnosis within 5 years prior to study visit 1 and intolerance to DMARD therapy, or diagnosis within 2 years prior to study visit 1 and no previous use of DMARDs
- 4 or more swollen joints and 4 or more tender/painful joints (from 28 joint count) and either Erythrocyte Sedimentation Rate (ESR) blood result of 28mm/h or more, or C-Reactive Protein (CRP) blood result of 10mg/L or more
- At least 2 of the following: documented history or current presence of positive rheumatoid factor (blood test), radiographic erosion within 12 months prior to study enrolment, presence of serum anti-cyclic citrullinated peptide antibodies (blood test)
Exclusion Criteria:
- Females who are pregnant or breast feeding
- Poorly controlled hypertension
- Liver disease or significant liver function test abnormalities
- Certain inflammatory conditions (other than rheumatoid arthritis), connective tissue diseases or chronic pain disorders
- Recent or significant cardiovascular disease
- Significant active or recent infection including tuberculosis
- Previously received treatment with a TNF alpha antagonist (including etanercept, certolizumab, adalimumab, infliximab, golimumab) or anakinra or previous treatment with other biological agent including rituximab, abatacept and tocilizumab
- Use of any DMARDs within 6 weeks before first study visit
- Severe renal impairment
- Neutropenia
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: Dosing Group A
Oral treatment and subcutaneous injection
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Fostamatinib 100mg twice daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.
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Kokeellinen: Dosing Group B
Oral treatment and subcutaneous injection
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Fostamatinib 100mg twice daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.
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Kokeellinen: Dosing Group C
Oral treatment and subcutaneous injection
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Fostamatinib 100mg twice daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 150mg once daily and placebo injection once every two weeks
Fostamatinib 100mg twice daily / fostamatinib 100mg once daily and placebo injection once every two weeks.
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Active Comparator: Dosing Group D
Oral treatment and subcutaneous injection
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Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.
Muut nimet:
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Placebo Comparator: Dosing Group E
Oral treatment and subcutaneous injection
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Placebo injection once every two weeks.
Placebo to fostamatinib for six weeks, followed by fostamatinib 100mg twice daily (Group F) / fostamatinib 100mg twice daily then 150mg once daily (Group G).
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
---|---|---|
DAS28-CRP Score - Change From Baseline to Week 6 Compared to Placebo
Aikaikkuna: Baseline and 6 weeks
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DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment.
Scores can take any positive value with a lower value indicating a better clinical condition.
Mean changes from baseline in DAS28-CRP score are shown at each visit and are presented as decreases from baseline (defined as baseline minus post-baseline) with larger changes indicative of a better clinical condition.
ANCOVA = analysis of covariance, BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, QD = once a day, SC = subcutaneous.
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Baseline and 6 weeks
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DAS28-CRP Score - Change From Baseline to Week 24 Compared to Adalimumab
Aikaikkuna: Baseline and 24 weeks
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DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment.
Scores can take any positive value with a lower value indicating a better clinical condition.
Mean changes from baseline in DAS28-CRP score are shown at each visit and are presented as decreases from baseline (defined as baseline minus post-baseline) with larger changes indicative of a better clinical condition.
Non-responder imputation has been applied by carrying the baseline observation forward.
ANCOVA = analysis of covariance, BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, QD = once a day, SC = subcutaneous.
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Baseline and 24 weeks
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
---|---|---|
DAS28 EULAR Response at Week 6
Aikaikkuna: 6 weeks
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Change in DAS28 was derived for each post baseline scheduled assessment and categorised using the European League Against Rheumatism (EULAR) response criteria.
Non-responder imputation has been applied by carrying the baseline observation forward.
bid = twice daily, DAS28 = Disease Activity Score based on a 28-joint count, DMARD = disease-modifying anti-rheumatic drug, OR = odds ratio, PO = orally, qd = once a day, SC = subcutaneous.
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6 weeks
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DAS28 EULAR Response at Week 24
Aikaikkuna: 24 weeks
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Change in DAS28 was derived for each post baseline scheduled assessment and categorised using the European League Against Rheumatism (EULAR) response criteria.
Non-responder imputation has been applied by carrying the baseline observation forward.
bid = twice daily, DAS28 = Disease Activity Score based on a 28-joint count, DMARD = disease-modifying anti-rheumatic drug, OR = odds ratio, PO = orally, qd = once a day, SC = subcutaneous.
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24 weeks
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Proportion of Patients Achieving ACR20 up to Week 24
Aikaikkuna: 6 and 24 weeks
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ACR20: American College of Rheumatology 20% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function.
Non-responder imputation has been applied by carrying the baseline observation forward.
BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
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6 and 24 weeks
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Proportion of Patients Achieving ACR50 up to Week 24
Aikaikkuna: 6 and 24 weeks
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ACR50: American College of Rheumatology 50% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function.
Non-responder imputation has been applied by carrying the baseline observation forward.
BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
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6 and 24 weeks
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Proportion of Patients Achieving ACR70 up to Week 24
Aikaikkuna: 6 and 24 weeks
|
ACR70: American College of Rheumatology 70% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function.
Non-responder imputation has been applied by carrying the baseline observation forward.
BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
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6 and 24 weeks
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ACRn - Comparison Between Fostamatinib and Placebo at Week 6
Aikaikkuna: Baseline and 6 weeks
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ACRn: American College of Rheumatology Index of RA improvement, based on smallest percentage improvement in the count of swollen joints (out of 28 joints), count of tender joints (out of 28 joints) or in blood test measures of inflammation (such as CRP) or the physician and patient's own asessment of disease activity, pain and physical function.
Scores are reported as a percentage improvement on a scale of -100 to +100, with larger values representing a better clinical outcome.
Non-responder imputation has been applied by carrying the baseline observation forward.
BID = twice daily, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
Mean refers to change at Week 6. Treatment difference: difference between fostamatinib and placebo groups.
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Baseline and 6 weeks
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ACRn - Comparison Between Fostamatinib and Adalimumab at Week 24
Aikaikkuna: Baseline and 24 weeks
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ACRn: American College of Rheumatology Index of RA improvement, based on smallest percentage improvement in the count of swollen joints (out of 28 joints), count of tender joints (out of 28 joints) or in blood test measures of inflammation (such as CRP) or the physician and patient's own asessment of disease activity, pain and physical function.
Scores are reported as a percentage improvement on a scale of -100 to +100, with larger values representing a better clinical outcome.
Non-responder imputation has been applied by carrying the baseline observation forward.
BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
Mean refers to change at Week 24.
Treatment difference: difference between fostamatinib and adalimumab groups.
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Baseline and 24 weeks
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HAQ-DI - Comparison of the Change From Baseline Between Fostamatinib and Placebo at Week 6
Aikaikkuna: Baseline and 6 weeks
|
HAQ-DI: Health Assessment Questionnaire - Disability Index, a measure of physical function.
The HAQ-DI score is calculated by summing the category scores from 8 sub-categories (ie, scores for patient ability in dressing and grooming, rising, eating, walking, hygiene, reach, grip and common daily activities) and dividing by the number of categories completed.
The HAQ-DI score takes values between 0 and 3, with a higher score indicating greater disability.
Non-responder imputation has been applied by carrying the baseline observation forward.
ANCOVA = analysis of covariance, BID = twice daily, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
|
Baseline and 6 weeks
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HAQ-DI - Comparison of the Change From Baseline Between Fostamatinib and Adalimumab at Week 24
Aikaikkuna: Baseline and 24 weeks
|
HAQ-DI: Health Assessment Questionnaire - Disability Index, a measure of physical function.
The HAQ-DI score is calculated by summing the category scores from 8 sub-categories (ie, scores for patient ability in dressing and grooming, rising, eating, walking, hygiene, reach, grip and common daily activities) and dividing by the number of categories completed.
The HAQ-DI score takes values between 0 and 3, with a higher score indicating greater disability.
Non-responder imputation has been applied by carrying the baseline observation forward.
ANCOVA = analysis of covariance, BID = twice daily, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, qd = once a day, SC = subcutaneous.
|
Baseline and 24 weeks
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SF-36 - Comparison of the Change in PCS From Baseline Between Fostamatinib and Adalimumab at Week 24
Aikaikkuna: Baseline and 24 weeks
|
SF-36: 36-item Short Form Health Survey, a measure of health-related QoL.
Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional & Mental Health) are derived & normalised to a scale of 0-100.
Physical & Mental Component Scores (PCS & MCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10.
Higher scores represent a better QoL.
Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition.
Non-responder imputation applied by carrying the baseline observation forward.
ANCOVA = analysis of covariance, BID = twice daily, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, PO = orally, QD = once a day, QoL = quality of life, SC = subcutaneous.
|
Baseline and 24 weeks
|
SF-36 - Comparison of the Change in MCS From Baseline Between Fostamatinib and Adalimumab at Week 24
Aikaikkuna: Baseline and 24 weeks
|
SF-36: 36-item Short Form Health Survey, a measure of health-related QoL.
Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional & Mental Health) are derived & normalised to a scale of 0-100.
Physical & Mental Component Scores (PCS & MCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10.
Higher scores represent a better QoL.
Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition.
Non-responder imputation applied by carrying the baseline observation forward.
ANCOVA = analysis of covariance, BID = twice daily, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, PO = orally, QD = once a day, QoL = quality of life, SC = subcutaneous.
|
Baseline and 24 weeks
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Neil MacKillop, MD PhD, AstraZeneca
Julkaisuja ja hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Arvio)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- D4300C00004
- 2010-023692-26 (EudraCT-numero)
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Kliiniset tutkimukset Nivelreuma
-
RemeGen Co., Ltd.ValmisKeskivaikea ja vaikea RheumatoId-niveltulehdusKiina
Kliiniset tutkimukset Fostamatinib and placebo injections
-
Universidade Federal do Rio Grande do NorteTuntematon
-
Rush University Medical CenterNational Center for Complementary and Integrative Health (NCCIH)Valmis