Open-Label Extension Treatment With Etanercept (TNFR:Fc) for Participating Patients in Etanercept (TNFR:Fc) Clinical Trial 016.0012
2013년 5월 10일 업데이트: Amgen
This is an open label, multicenter study for extended treatment of patients who have participated in the Immunex clinical study 016.0012.
The primary objective of this study is to evaluate the long term safety of etanercept (TNFR:Fc) in patients with early stage rheumatoid arthritis.
연구 개요
연구 유형
중재적
등록 (실제)
468
단계
- 3단계
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria: - Previous enrollment in Immunex protocol 016.0012.
- No clinically significant adverse events thought to be due to etanercept (TNFR:Fc) during previous treatment.
- Negative serum pregnancy test not more than 14 days before the first dose of study drug in females of childbearing potential.
- No more than one NSAID at a dose not greater than the maximum recommended dose and stable for at least two weeks prior to administration of etanercept (TNFR:Fc). Exclusion Criteria:
- Previous receipt of etanercept (TNFR:Fc) (p55), antibody to TNF, anti-CD4 antibody, or diphtheria IL-2 fusion protein.
- Receipt of investigational drugs or biologics (other than etanercept (TNFR:Fc)) within interval between study drug in 016.0012 and this study.
- Receipt of DMARDs (e.g., hydroxychloroquine, oral or injectable gold, azathioprine, cyclosporin, D-penicillamine, sulfasalazine, minocycline, or leflunomide) other than MTX within two weeks prior to the first dose of etanercept (TNFR:Fc) in this study.
- Receipt of cyclophosphamide within 1 month prior to the first dose of etanercept (TNFR:Fc) in this study.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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다른: 1
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Etanercept (TNFR:Fc) will be administered 50 mg per week as two 25 mg subcutaneous injections at separate sites, given either on the same day or 3 or 4 days apart.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Total Exposure to Etanercept With Gaps
기간: Up to 8 years
|
Total participant exposure to etanercept (Enbrel) with gaps, calculated as the sum of the times on treatment for all participants.
Gaps of up to 14 days from the last treatment in a previous Etanercept study were ignored in calculating time on treatment.
|
Up to 8 years
|
|
Total Exposure-Adjusted Rate of Malignancies
기간: Up to 8 years
|
Exposure-adjusted rate of malignancies, excluding nonmelanoma skin cancers, occurring on study within 30 days of the last dose of etanercept
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Up to 8 years
|
|
Total Exposure-Adjusted Rate of Deaths
기간: Up to 8 years
|
Rate of deaths within 30 days of the last dose of etanercept, adjusted for total exposure to etanercept
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Up to 8 years
|
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Total Exposure Adjusted Rate of Serious Infectious Events
기간: Up to 8 years
|
Exposure-adjusted rate of serious infectious events (associated with hospitalization or IV antibiotics) occurring on study within 30 days of the last dose of etanercept
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Up to 8 years
|
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Total Exposure Adjusted Rate of Lymphomas
기간: Up to 8 years
|
Rate of lymphomas occurring on study within 30 days of the last dose of etanercept, adjusted for total exposure to etanercept
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Up to 8 years
|
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Malignancy
기간: Up to 8 years
|
Occurrence of one or more malignancies within the participant on study within 30 days of the last dose of etanercept
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Up to 8 years
|
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Lymphoma
기간: Up to 8 years
|
Occurrence of one or more lymphomas on study within 30 days of the last dose of etanercept
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Up to 8 years
|
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Serious Infectious Event
기간: Up to 8 years
|
Occurrence of one or more serious infectious events within the participant on study within 30 days of the last dose of study medication
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Up to 8 years
|
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Total Exposure Adjusted Rate of Serious Adverse Events
기간: Up to 8 years
|
Rate of serious adverse events adjusted to total exposure to etanercept (events / exposure * 100)
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Up to 8 years
|
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Death
기간: Up to 8 years
|
Death of the participant on study up to 30 days after the last dose of etanercept
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Up to 8 years
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
ACR20 Response at Month 3
기간: Baseline and month 3
|
American College of Rheumatology (ACR) 20, defined as a 20% improvement in both tender and swollen joints (78 joints) and a 20% improvement in 3 of 5 items (physician and patient global assessments, patient pain assessment, patient self-assessed disability, and acute-phase C-reactive protein or erythrocyte sedimentation rate)
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Baseline and month 3
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Dosing Period
기간: Up to 8 years
|
Duration of etanercept dosing
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Up to 8 years
|
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ACR20 Response at Month 12
기간: Baseline and month 12
|
American College of Rheumatology (ACR) 20, defined as a 20% improvement in both tender and swollen joints (78 joints) and a 20% improvement in 3 of 5 items (including physician and patient global assessments), in adults
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Baseline and month 12
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ACR50 Response at Month 12
기간: Baseline and month 12
|
American College of Rheumatology (ACR) 50, defined as a 50% improvement in both tender and swollen joints (78 joints) and a 50% improvement in 3 of 5 items (including physician and patient global assessments), in adults
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Baseline and month 12
|
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ACR70 Response at Month 12
기간: Baseline and month 12
|
American College of Rheumatology (ACR) 70, defined as a 70% improvement in both tender and swollen joints (78 joints) and a 70% improvement in 3 of 5 items (including physician and patient global assessments), in adults
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Baseline and month 12
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Standardized Incidence Rate for All SEER Cancers
기간: Up to 8 years
|
Standardized incidence rate for all cancers tracked by the National Cancer Institute's Surveillance Epidemiology and End Results (SEER) system, calculated as the ratio of the observed to expected age- and sex-adjusted incidence rates (per person-year) of cancer.
Expected rates were based on 1998-2002 SEER data.
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Up to 8 years
|
|
Percent Improvement in Physician Global Assessment of Disease Status From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in the Physician Global Assessment of disease status from baseline to month 12, assessed using a 0 - 10 Likert scale, where 0 = asymptomatic and 10 = severe symptoms
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Baseline and month 12
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Percent Improvement in Participant Global Assessment of Disease Status From Baseline to Month 12
기간: Baseline and Month 12
|
Percent improvement in the Participant Global Assessment of disease status from baseline to month 12, assessed using a 0 - 10 Likert scale, where 0 = asymptomatic and 10 = severe symptoms
|
Baseline and Month 12
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Percent Improvement in Participant Pain Visual Analog Scale From Baseline to Month 12
기간: Baseline and month 12
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Percent improvement in the Participant Pain Visual Analog Scale (VAS) from baseline to month 12, using a 10 cm scale ranging from "no pain" (0 cm) to "severe pain" (10 cm).
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Baseline and month 12
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Percent Improvement in Tender Joint Count From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in tender joint count (based on up to 71 joints) from baseline to month 12. Tender joints were assessed clinically, and the number of such joints was counted at each time point.
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Baseline and month 12
|
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Percent Improvement in Swollen Joint Count From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in swollen joint count (based on up to 68 joints) from baseline to month 12.
|
Baseline and month 12
|
|
Percent Improvement in HAQ DI From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in the Health Assessment Questionnaire Disability Index (HAQ DI) from baseline to month 12.
|
Baseline and month 12
|
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Percent Improvement in the Physical Component Summary Score for SF-36 From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in the Physical Component Summary Score for the Short Form 36 Health Survey (SF-36) from baseline to month 12.
This score has a range of 0 to 100, with higher scores indicating better health.
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Baseline and month 12
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Percent Improvement in Mental Component Summary Score of SF-36 From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in the Mental Component Summary Score of the Short Form 36 Health Survey (SF-36) from baseline to month 12.
This score has a range of 0 to 100, with higher scores indicating better health.
|
Baseline and month 12
|
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Percent Improvement in C-Reactive Protein From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in C-reactive protein from baseline to month 12
|
Baseline and month 12
|
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Percent Improvement in Duration of Morning Stiffness From Baseline to Month 12
기간: Baseline and month 12
|
Percent improvement in the duration of morning stiffness from baseline to month 12
|
Baseline and month 12
|
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Change From Baseline to Year 2 in Total Sharp Score
기간: Baseline, Year 2
|
Change from baseline to year 2 in Total Sharp Score.
This score has a range of 0 to 398, where 0 = no change and higher scores represent a worsening of joint erosions and joint space narrowing.
|
Baseline, Year 2
|
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Change From Baseline to Year 2 in Sharp Score Erosion Subscale
기간: Baseline, Year 2
|
Change from baseline to year 2 in the joint erosion subscale of the Total Sharp Score.
This subscale has a range of 0 to 230, where 0 = no change and higher values represent a worsening in joint erosions.
|
Baseline, Year 2
|
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Change From Baseline to Year 2 in Sharp Score Joint Space Narrowing Subscale
기간: Baseline, Year 2
|
Change from baseline to year 2 in the joint space narrowing subscale of the Total Sharp Score.
This subscale has a range of 0 to 168, where 0 = no change and higher values represent a worsening of joint space narrowing.
|
Baseline, Year 2
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
스폰서
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Weinblatt ME, Bathon JM, Kremer JM, Fleischmann RM, Schiff MH, Martin RW, Baumgartner SW, Park GS, Mancini EL, Genovese MC. Safety and efficacy of etanercept beyond 10 years of therapy in North American patients with early and longstanding rheumatoid arthritis. Arthritis Care Res (Hoboken). 2011 Mar;63(3):373-82. doi: 10.1002/acr.20372. Epub 2010 Oct 18.
- Genovese MC, Bathon JM, Fleischmann RM, Moreland LW, Martin RW, Whitmore JB, Tsuji WH, Leff JA. Longterm safety, efficacy, and radiographic outcome with etanercept treatment in patients with early rheumatoid arthritis. J Rheumatol. 2005 Jul;32(7):1232-42.
- Genovese MC, Bathon JM, Martin RW, Fleischmann RM, Tesser JR, Schiff MH, Keystone EC, Wasko MC, Moreland LW, Weaver AL, Markenson J, Cannon GW, Spencer-Green G, Finck BK. Etanercept versus methotrexate in patients with early rheumatoid arthritis: two-year radiographic and clinical outcomes. Arthritis Rheum. 2002 Jun;46(6):1443-50. doi: 10.1002/art.10308.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
1998년 12월 1일
기본 완료 (실제)
2008년 12월 1일
연구 완료 (실제)
2009년 4월 1일
연구 등록 날짜
최초 제출
2006년 7월 24일
QC 기준을 충족하는 최초 제출
2006년 7월 24일
처음 게시됨 (추정)
2006년 7월 26일
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
2013년 5월 14일
QC 기준을 충족하는 마지막 업데이트 제출
2013년 5월 10일
마지막으로 확인됨
2013년 5월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .