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Preference Between Two Autoinjectors in Patients With Rheumatoid Arthritis and Plaque Psoriasis Treated With Etanercept

1. august 2018 oppdatert av: Amgen

An Open-label, Randomized, Crossover Study to Assess the Preference for Autoinjector A Versus Autoinjector B in Rheumatoid Arthritis and Plaque Psoriasis Subjects Treated With Etanercept

The study will estimate the preference of rheumatoid arthritis (RA) and Plaque Psoriasis (PsO) patients who self inject etanercept for one of two experimental autoinjectors.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Candidates for treatment are those who in the determination of the investigator's standard of care and the caring physician's intent are to initiate treatment with etanercept. Participants must be naïve to etanercept and naïve to other autoinjector pens or prefilled syringes and be able to self-inject. The study will consist of a 30 day screening period, and 2 treatment periods of 4 weeks duration each (one treatment period using Autoinjector A and the other using Autoinjector B). At the end of the study, participants may continue treatment with commercially available etanercept at the physician's discretion.

Studietype

Intervensjonell

Registrering (Faktiske)

217

Fase

  • Fase 4

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Canada
    • British Columbia
      • Victoria, British Columbia, Canada, V8V 3P9
        • Research Site
    • Newfoundland and Labrador
      • St. John's, Newfoundland and Labrador, Canada, A1C 5B8
        • Research Site
    • Ontario
      • Barrie, Ontario, Canada, L4M 7G1
        • Research Site
      • Burlington, Ontario, Canada, L7R 1E2
        • Research Site
      • Courtice, Ontario, Canada, L1E 3C3
        • Research Site
      • Hamilton, Ontario, Canada, L8N 1Y2
        • Research Site
      • Mississauga, Ontario, Canada, L5M 2V8
        • Research Site
      • Oakville, Ontario, Canada, L6J 7W5
        • Research Site
      • Peterborough, Ontario, Canada, K9J 1Z2
        • Research Site
  • Forente stater
    • Alabama
      • Huntsville, Alabama, Forente stater, 35801
        • Research Site
      • Tuscaloosa, Alabama, Forente stater, 35406
        • Research Site
    • Arizona
      • Glendale, Arizona, Forente stater, 85304
        • Research Site
      • Scottsdale, Arizona, Forente stater, 85258
        • Research Site
    • Arkansas
      • Hot Springs, Arkansas, Forente stater, 71913
        • Research Site
    • California
      • San Diego, California, Forente stater, 92108
        • Research Site
      • San Ramon, California, Forente stater, 94583
        • Research Site
      • Santa Maria, California, Forente stater, 93454-6945
        • Research Site
      • Tustin, California, Forente stater, 92780
        • Research Site
    • Colorado
      • Denver, Colorado, Forente stater, 80230
        • Research Site
    • Florida
      • Dunedin, Florida, Forente stater, 34698
        • Research Site
      • Tampa, Florida, Forente stater, 33614
        • Research Site
    • Kansas
      • Overland Park, Kansas, Forente stater, 66215
        • Research Site
    • Kentucky
      • Louisville, Kentucky, Forente stater, 40217
        • Research Site
    • Maryland
      • Frederick, Maryland, Forente stater, 21702
        • Research Site
    • Michigan
      • Lansing, Michigan, Forente stater, 48910
        • Research Site
    • Nebraska
      • Lincoln, Nebraska, Forente stater, 68516
        • Research Site
    • New York
      • Orchard Park, New York, Forente stater, 14127
        • Research Site
    • North Dakota
      • Bismarck, North Dakota, Forente stater, 58502
        • Research Site
    • Ohio
      • Dayton, Ohio, Forente stater, 45417
        • Research Site
    • Oklahoma
      • Oklahoma City, Oklahoma, Forente stater, 73103
        • Research Site
    • Pennsylvania
      • Duncansville, Pennsylvania, Forente stater, 16635
        • Research Site
      • Wyomissing, Pennsylvania, Forente stater, 19610
        • Research Site
    • South Carolina
      • Charleston, South Carolina, Forente stater, 29414
        • Research Site
    • Tennessee
      • Hixson, Tennessee, Forente stater, 37343
        • Research Site
    • Texas
      • Austin, Texas, Forente stater, 78731
        • Research Site
      • Dallas, Texas, Forente stater, 75231
        • Research Site
    • West Virginia
      • Clarksburg, West Virginia, Forente stater, 26301
        • Research Site

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria: Diagnosis of moderate to severe Rheumatoid Arthritis (RA) or moderate to severe Plaque Psoriasis (PsO) and a candidate for treatment with etanercept in the opinion of the investigator in addition to the caring physician's intent to initiate treatment with etanercept. - Naive to etanercept. - Naive to other autoinjector pens or prefilled syringes for Tumor Necrosis Factor (TNF)-inhibitor therapy or other subcutaneous biologics for RA. - Willing to self-inject per investigator judgement at screening and capable of self-injection using the autoinjector A or B as documented at baseline by the investigator. - Able to read and write in English. -

Exclusion Criteria: Latex allergy. - Subject has an active infection (including chronic or localized infections) for which anti-infectives were indicated within 4 weeks prior to first dose of etanercept. - Subject had prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening.

  • Other criteria may apply.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Autoinjector A
Participants self-injected 50 mg etanercept once a week (RA) or twice a week (PsO) using Autoinjector A for 4 weeks.
Legemiddel: Etanercept via Autoinjector A
Autoinjector A is a hand-held, reusable, electromechanical device used with a single-use disposable cassette preassembled with an etanercept 50-mg prefilled syringe.
Eksperimentell: Autoinjector B
Participants self-injected 50 mg etanercept once a week (RA) or twice a week (PsO) using Autoinjector B for 4 weeks.
Legemiddel: Etanercept via Autoinjector B
Autoinjector B is a single-use, spring-loaded, self-contained autoinjector preassembled with an etanercept 50-mg prefilled syringe.
Andre navn:
  • Enbrel® SureClick®

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Percentage of Participants With a Preference for Autoinjector A Versus Autoinjector B
Tidsramme: Week 8
Preference for autoinjector A versus autoinjector B was assessed by Question 1 of the Subject Preference Questionnaire administered after the completion of the 2 treatment periods at Week 8. Participants answered the question "Which autoinjector do you prefer overall?"
Week 8

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change From Baseline in Needle Apprehension at Week 4
Tidsramme: Baseline and Week 4
Participants' needle apprehension was assessed using the Subject's Perception of Self-Injecting Questionnaire. Participants answered the question "Overall how nervous are you about the needle when you think about giving yourself etanercept using the autoinjector" using a scale from 1 (extremely nervous) to 5 (not at all nervous).
Baseline and Week 4
Ease of Use
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Ease of use was assessed based on responses to questions 1 to 6 of the Subject's Experience with the Autoinjector Questionnaire: 1. How easy was it to learn how to use the autoinjector? 2. How easy was it for you to press the button to start the injection? 3. How easy was the autoinjector to use? 4. How easy was it to hold the autoinjector throughout the injection? 5. How easy was it for you to inject yourself using the autoinjector? 6. How easy was it to follow the progress of the injection? Each question was answered on a scale from 1 (Very difficult) to 5 (Very easy). The percentage of participants who scored either a 4 (Somewhat easy) or 5 (Very easy) on each question is reported.
At the end of each treatment period; Week 4 and Week 8
Certainty of Completing the Injection With the Autoinjector
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Certainty of completing the injection with the autoinjector was assessed based on responses to Question 7 of the Subject's Experience with the Autoinjector Questionnaire: "How certain were you that you knew when the injection was finished?" Participants answered on a scale from 1 (Not at all) to 5 (Extremely). The percentage of participants who scored 4 (Very) or 5 (Extremely) is reported.
At the end of each treatment period; Week 4 and Week 8
Convenience
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Convenience was assessed based on responses to Question 8 of the Subject's Experience with the Autoinjector Questionnaire: "How convenient was the autoinjector to use?" Participants answered on a scale from 1 (Not at all) to 5 (Very much). The percentage of participants who scored a 4 (Quite a bit) or 5 (Very much) is reported.
At the end of each treatment period; Week 4 and Week 8
Discomfort
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Discomfort was assessed based on responses to Question 9 of the Subject's Experience with the Autoinjector Questionnaire: "How much discomfort did you experience when giving yourself the medicine using the autoinjector?" Participants answered on a scale from 1 (None) to 5 (Very much). The percentage of participants who scored a 1 (None) or 2 (A little) is reported.
At the end of each treatment period; Week 4 and Week 8
Satisfaction
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Satisfaction was assessed based on responses to questions 11 and 12 of the Subject's Experience with the Autoinjector Questionnaire. Question 11: "How dependable (durable, sturdy, reliable) did you feel the autoinjector device was?" answered on a scale from 1 (Not at all) to 5 (Very much). Question 12: "Overall, how likely would you be to recommend the autoinjector to someone like you who is on etanercept?" answered on a scale from 1 (Would not recommend) to 5 (Highly likely to recommend). The percentage of participants who scored either a 4 or 5 on each question is reported.
At the end of each treatment period; Week 4 and Week 8
Pain Associated With Use of the Autoinjector
Tidsramme: At the end of each treatment period; Week 4 and Week 8
Pain associated with use of the autoinjector was assessed based on responses to Question 10 of the Subject's Experience with the Autoinjector Questionnaire: "Using this scale, select the circle that best describes how much it hurt when giving yourself an injection." Participants answered on a scale from 0 (No hurt) to 5 (Hurts worst). The percentage of participants who scored a 0 (No hurt) or 1 (Hurts a little bit) is reported.
At the end of each treatment period; Week 4 and Week 8
Strength of Preference for Autoinjector A and Autoinjector B
Tidsramme: Week 8
Strength of preference for Autoinjector A versus Autoinjector B was assessed by Question 2 of the Subject Preference Questionnaire administered after the completion of the two treatment periods at Week 8. After selecting which autoinjector they preferred overall, participants were asked to indicate how much they preferred it on a scale from 1 (Slightly), 2 (Somewhat), 3 (Strongly) and 4 (Vey Strongly).
Week 8

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Amgen

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

5. juni 2013

Primær fullføring (Faktiske)

4. mars 2014

Studiet fullført (Faktiske)

4. mars 2014

Datoer for studieregistrering

Først innsendt

10. juni 2013

Først innsendt som oppfylte QC-kriteriene

10. juni 2013

Først lagt ut (Anslag)

12. juni 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

4. september 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

1. august 2018

Sist bekreftet

1. august 2018

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 20090176

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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