- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT01644396
An Open-Label, Prospective Study to Assess the Safety and Effectiveness of Adalimumab in Patients With Moderate to Severe Plaque Psoriasis in the Russian Federation
An Open-Label, Prospective Study to Assess the Safety and Effectiveness of Adalimumab (Humira®) in Patients With Moderate to Severe Plaque Psoriasis in the Russian Federation
연구 개요
상세 설명
연구 유형
등록 (실제)
단계
- 4단계
연락처 및 위치
연구 장소
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Ekaterinburg, 러시아 연방, 620076
- Site Reference ID/Investigator# 67547
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Kazan, 러시아 연방, 420012
- Site Reference ID/Investigator# 78433
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Moscow, 러시아 연방, 107076
- Site Reference ID/Investigator# 67542
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Saratov, 러시아 연방, 410028
- Site Reference ID/Investigator# 67546
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Smolensk, 러시아 연방, 214018
- Site Reference ID/Investigator# 78417
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St. Petersburg, 러시아 연방, 190013
- Site Reference ID/Investigator# 78413
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St. Petersburg, 러시아 연방, 194044
- Site Reference ID/Investigator# 67545
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
A patient will be eligible for study participation if he/she meets the following criteria:
- Male and female patients ≥ 18 years of age.
- Clinical diagnosis of psoriasis for at least 6 months as determined by patient interview of his/her medical history and confirmation of diagnosis through physical examination by the investigator.
- Stable plaque psoriasis for at least 2 months before Screening and Baseline visits as determined by patient interview of his/her medical history.
- Moderate to severe plaque psoriasis defined by ≥ 10% Body Surface Area (BSA) involvement at the Baseline visit.
- PASI (Psoriasis Area and Severity Index) score ≥ 10 at the Baseline visit.
Exclusion Criteria:
- Diagnosis of erythrodermic psoriasis, pustular psoriasis, medication induced or medication-exacerbated psoriasis or new onset of guttate psoriasis.
- Diagnosis of other active skin diseases or skin infections (bacterial, fungal, or viral) that may interfere with evaluation of psoriasis.
Patient who cannot discontinue topical therapies for the treatment of psoriasis such as corticosteroids, vitamin D analogs, or retinoids at least 14 days prior to the Baseline (Week 0) visit and during the study. Participants are allowed to use:
- Shampoos that contain no corticosteroid;
- Bland (without beta or alpha hydroxy acids or containing no psoriasis treatment) emollients;
- Low potency topical corticosteroids on the palms, soles, face, inframammary area, and groin only.
- Patient who cannot avoid UVB (Ultraviolet-B) phototherapy for at least 14 days prior to the Baseline (Week 0) visit and during the study.
- Patient who cannot avoid PUVA (psoralen + ultraviolet A) phototherapy for at least 28 days prior to the Baseline (Week 0) visit and during the study.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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다른: Adalimumab
Participants received an initial adalimumab 80 mg subcutaneous dose, followed by adalimumab 40 mg subcutaneous every other week starting one week after the initial dose for up to 24 weeks.
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다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Percentage of Participants Achieving a Psoriasis Area and Severity Index 75 (PASI 75) Response at Week 24
기간: Baseline and Week 24
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The percentage of participants with a ≥ 75% reduction (improvement) in Psoriasis Area and Severity Index (PASI) score from Baseline.
PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs.
The total PASI score ranges from 0 to 72.
The higher the total score, the more severe the disease.
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Baseline and Week 24
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Percentage of Participants Achieving a Physician's Global Assessment of Clear
기간: Weeks 2, 4, 8, 12, 16 and 24
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The Physician's Global Assessment (PGA) is a 6-point scale used to measure the severity of disease at the time of the qualified investigator's evaluation of the participant. The degree of overall lesion severity was evaluated using the following categories:
The percentage of participants achieving a PGA score of clear (0) is reported. |
Weeks 2, 4, 8, 12, 16 and 24
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Percentage of Participants Achieving a Physician's Global Assessment of Clear or Minimal
기간: Weeks 2, 4, 8, 12, 16 and 24
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The Physician's Global Assessment (PGA) is a 6-point scale used to measure the severity of disease at the time of the qualified investigator's evaluation of the participant. The degree of overall lesion severity was evaluated using the following categories:
The percentage of participants achieving a PGA score of clear (0) or minimal (1) is reported. |
Weeks 2, 4, 8, 12, 16 and 24
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Percentage of Participants Achieving a One Grade Improvement in Physician's Global Assessment (PGA)
기간: Baseline and Weeks 2, 4, 8, 12, 16 and 24
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The PGA is a 6-point scale used to measure the severity of disease at the time of the qualified investigator's evaluation of the participant. The degree of overall lesion severity was evaluated using the following categories:
The percentage of participants achieving a shift from Baseline to a less severe category is reported. |
Baseline and Weeks 2, 4, 8, 12, 16 and 24
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Percentage of Participants Achieving a PASI 50 Response
기간: Baseline and Weeks 2, 4, 8, 12, 16, and 24
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The percentage of participants with a ≥ 50% reduction (improvement) in Psoriasis Area and Severity Index (PASI) score from Baseline.
PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs.
The total PASI score ranges from 0 to 72.
The higher the total score, the more severe the disease.
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Baseline and Weeks 2, 4, 8, 12, 16, and 24
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Percentage of Participants Achieving a PASI 75 Response
기간: Baseline and Weeks 2, 4, 8, 12, and 16
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The percentage of participants with a ≥ 75% reduction (improvement) in Psoriasis Area and Severity Index (PASI) score from Baseline.
PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs.
The total PASI score ranges from 0 to 72.
The higher the total score, the more severe the disease.
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Baseline and Weeks 2, 4, 8, 12, and 16
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Percentage of Participants Achieving a PASI 90 Response
기간: Baseline and Weeks 2, 4, 8, 12, 16, and 24
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The percentage of participants with a ≥ 90% reduction (improvement) in Psoriasis Area and Severity Index (PASI) score from Baseline.
PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs.
The total PASI score ranges from 0 to 72.
The higher the total score, the more severe the disease.
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Baseline and Weeks 2, 4, 8, 12, 16, and 24
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Percentage of Participants Achieving a PASI 100 Response
기간: Baseline and Weeks 2, 4, 8, 12, 16, and 24
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The percentage of participants with a 100% reduction (improvement) in Psoriasis Area and Severity Index (PASI) score from Baseline.
PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs.
The total PASI score ranges from 0 to 72.
The higher the total score, the more severe the disease.
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Baseline and Weeks 2, 4, 8, 12, 16, and 24
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Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score
기간: Baseline and Weeks 2, 4, 8, 12, 16, and 24
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PASI is a combination of the intensity of psoriasis, assessed by the erythema (reddening), induration (plaque thickness) and desquamation (scaling) on a scale from no symptoms (0), slight (1), moderate (2), marked (3) or very marked (4), together with the percentage of the area affected, rated on a scale from 0 to 6. PASI scoring is performed at four body areas, the head, arms, trunk, and legs. The total PASI score ranges from 0 to 72. The higher the total score, the more severe the disease. Change from Baseline is presented as a percentage of the Baseline value: Post-baseline value - Baseline value / Baseline value * 100. A negative change from Baseline indicates improvement. |
Baseline and Weeks 2, 4, 8, 12, 16, and 24
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Percent Change From Baseline in Dermatology Life Quality Index (DLQI)
기간: Baseline and Weeks 8, 12, and 24
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The DLQI questionnaire asks participants to evaluate the degree that psoriasis has affected their quality of life in the last week, and includes the following parameters: symptoms and feelings, daily activities, leisure activities, work or school activities, personal relationships and treatment related feelings.
Participants answer 10 questions on a scale from 0 (not at all) to 3 (very much); the range of the total score is 0 to 30.
A score of 21 to 30 means an extremely large effect on the participant's life whereas 0-1 means that the disease has no effect at all.
Change from Baseline is presented as a percentage of the Baseline value: Post-baseline value - Baseline value / Baseline value * 100.
A negative change from Baseline indicates improvement.
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Baseline and Weeks 8, 12, and 24
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Percent Change From Baseline in Nail Psoriasis Severity Index (NAPSI)
기간: Baseline and Week 24
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NAPSI grades nails for both nail matrix psoriasis and nail bed psoriasis. The most affected fingernail was determined at Baseline and used for the analysis. Nail matrix psoriasis consists of any of the following: pitting, leukonychia, red spots in the lunula, or nail plate crumbling. Nail bed psoriasis is the presence or absence of onycholysis, splinter hemorrhages, oil drop (salman patch) discoloration or nail bed hyperkeratosis. Scoring for each is based on the following scale:
The sum of these two scores is the total score for the nail, and ranges from 0 (no nail psoriasis) to 8 (psoriasis in 4/4 nail quadrants). Change from Baseline is presented as a percentage of the Baseline value, calculated as: Week 24 value - Baseline value / Baseline value * 100. A negative change from Baseline indicates improvement. |
Baseline and Week 24
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기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change From Baseline in Hemoglobin
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Hematocrit
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
The hematocrit measures the volume of red blood cells compared to the total blood volume (red blood cells and plasma).
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Red Blood Cell Count
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Blood Cell Counts
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Erythrocyte Sedimentation Rate
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Alanine Aminotransferase
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Aspartate Aminotransferase
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Alkaline Phosphatase
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Total Bilirubin
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Creatinine
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Blood Urea Nitrogen (BUN)
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Uric Acid
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Inorganic Phosphate
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Calcium, Sodium and Potassium
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Glucose
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Albumin
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Total Protein
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Cholesterol
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Triglycerides
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in High Sensitivity C-reactive Protein (hsCRP)
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Urine pH
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Urine Specific Gravity
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
Specific gravity is a measure of the amount of material dissolved in the urine.
Specific gravity is the ratio of the density (mass of a unit volume) of a substance to the density (mass of the same unit volume) of a reference substance.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Blood Pressure
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Pulse
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Respiratory Rate
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Weight
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Change From Baseline in Body Temperature
기간: Baseline and Week 24 (or Early Termination Visit)
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Safety variables included laboratory data, vital signs and adverse events.
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Baseline and Week 24 (or Early Termination Visit)
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Number of Participants With Adverse Events (AEs)
기간: From the first dose of study drug until 70 days after the last dose (up to 33 weeks).
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An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. The investigator rated the severity of each AE as either: Mild: The AE is transient and easily tolerated; Moderate: The AE causes the participant discomfort and interrupts usual activities. Severe: The AE causes considerable interference with usual activities and may be incapacitating or life-threatening. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. Drug-related AEs are those assessed by the investigator as either probably or possibly related. Other malignancy excludes lymphoma, hepatosplenic T-cell lymphoma (HSTCL), leukemia, non-melanoma skin cancer (NMSC), and melanoma. |
From the first dose of study drug until 70 days after the last dose (up to 33 weeks).
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공동 작업자 및 조사자
수사관
- 연구 책임자: Martin Okun, MD, AbbVie
간행물 및 유용한 링크
유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
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. .
아달리무맙에 대한 임상 시험
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AbbVie (prior sponsor, Abbott)완전한
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Amgen완전한관절염, 류마티스미국, 스페인, 캐나다, 불가리아, 러시아 연방, 독일, 헝가리, 폴란드, 체코 공화국, 루마니아, 영국
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AbbVie (prior sponsor, Abbott)완전한
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University of Western Ontario, CanadaPrometheus Laboratories종료됨
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Medical University of Vienna알려지지 않은