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Usability of an AI for M923 in Subjects With Moderate to Severe RA

14 maja 2018 zaktualizowane przez: Momenta Pharmaceuticals, Inc.

An Open-label Single-arm Multicenter Study to Evaluate Usability of a Subcutaneous (SC) Autoinjector (AI) for a Proposed Adalimumab Biosimilar (M923) in Subjects With Moderate to Severe Rheumatoid Arthritis (RA)

The purpose of this study is to evaluate the usability of an auto-injector (AI) for the delivery of M923 in patients with rheumatoid arthritis (RA)

Przegląd badań

Status

Zakończony

Warunki

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

33

Faza

  • Faza 3

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

    • Michigan
      • Detroit, Michigan, Stany Zjednoczone, 48202
        • Henry Ford Health System
    • North Carolina
      • Greensboro, North Carolina, Stany Zjednoczone, 27408
        • Medication Management, LLC
    • Oklahoma
      • Oklahoma City, Oklahoma, Stany Zjednoczone, 73112
        • Lynn Health Science Institute
    • Pennsylvania
      • Duncansville, Pennsylvania, Stany Zjednoczone, 16635
        • Altoona Center for Clinical Research, PC
    • Texas
      • Austin, Texas, Stany Zjednoczone, 78731
        • Austin Regional Clinic, PA
      • Houston, Texas, Stany Zjednoczone, 77034
        • Accurate Clinical Research, Inc.
      • Houston, Texas, Stany Zjednoczone, 77004
        • Accurate Clinical Management

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

Inclusion Criteria:

  1. Participants ≥18 years old at the time of Screening
  2. Able to understand and communicate with the Investigator and comply with the requirements of the study, and must give a written, signed and dated informed consent before any study related activity is performed. Where relevant, a legal representative will also sign the informed study consent according to local laws and regulations.
  3. RA diagnosed for at least 6 months before Screening
  4. Meets classification criteria for rheumatoid arthritis (RA) by 2010 American College of Rheumatology/European League Against Rheumatism criteria
  5. Active disease at Screening and Baseline
  6. Participants must have at least 1 documented swollen and/or tender joint in their hand or wrist of the dominant hand as assessed by the Investigator or designated assessor
  7. Must be willing and able to attempt self-administration of subcutaneous (SC) injection(s)
  8. Male participants and their female partners must be willing to comply with the contraception restrictions for this study from the time of the first administration of investigational product (IP) until 3 months after the last dose.
  9. Female participants must have a negative pregnancy test at screening and on admission to the clinic, and must not be lactating and must be using an acceptable method of contraception throughout the study and for 3 months after the last dose, or be of non-childbearing potential. Non-pregnant female partners of male participants who are of childbearing potential should use an effective form of contraception.

Exclusion Criteria:

  1. Prior use of systemic tumor necrosis factor (TNF) inhibitor therapy.
  2. Prior use of rituximab
  3. Prior use of abatacept, tocilizumab and tofacitinib within 4 weeks prior to Screening
  4. Current use of a conventional disease modifying anti-rheumatic drugs (DMARD) other than the following: methotrexate orally (≤25 mg/day), hydroxychloroquine (≤400 mg/day) or sulfasalazine (≤3 g/day)) at a stable dose for at least 4 weeks prior to Screening. If discontinued, methotrexate, hydroxychloroquine, and sulfasalazine must have been discontinued at least 4 weeks prior to Baseline. No other conventional DMARDs are permitted and no combination therapy is permitted.
  5. Prior use of cytotoxic or alkylating agents or immunosuppressants must have been discontinued for at least 90 days prior to Baseline
  6. Current use of oral corticosteroids at a dose >10 mg/day prednisone or equivalent or change of dose within 2 weeks prior to Screening
  7. Current use of more than 1 nonsteroidal anti-inflammatory drug.
  8. Prior use of injectable corticosteroids (intramuscular [IM], intra-articular [IA], or intravenous [IV]) within 6 weeks prior to Baseline
  9. Prior or current use of other self-injected drugs, eg, insulin
  10. All other prior non-RA concomitant treatments must be on a stable dose for at least 4 weeks before Baseline
  11. Meets Class IV Steinbrocker criteria for disability/activities of daily living
  12. Laboratory abnormalities at Screening deemed clinically significant by the Investigator and/or Sponsor.
  13. Presence of fibromyalgia, another autoimmune rheumatologic illness or inflammatory arthritis, eg, systemic lupus erythematosus, gout. The presence of secondary Sjogren's syndrome is permitted.
  14. Joint surgery within the last 8 weeks prior to Screening
  15. Severe, progressive, or uncontrolled renal, hepatic, metabolic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac or neurologic disease, including pleural effusions or ascites, which in the opinion of the Investigator would preclude the participant from adhering to or completing the study or where participation in the study exposes the participant to unfavorable benefit/risk
  16. History or presence of signs and/or symptoms or a diagnosis of a demyelinating disorder
  17. History or presence of Class III or IV New York Heart Association congestive heart failure
  18. History or presence of symptoms suggestive of lymphoproliferative disorders, lymphoma, leukemia, myeloproliferative disorders, or multiple myeloma
  19. Existing malignancy or history of any malignancy except adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ, with no more than 3 lifetime basal cell or squamous cell carcinomas
  20. Chronic infections, recurrent infections (3 or more of the same infection requiring anti-infective treatment in any rolling 12-month period); any recent infection (ie, in the last 30 days) requiring hospitalization or any infection requiring parenteral anti-infective therapy within 30 days or oral infective therapies within 14 days of Baseline; herpes zoster within 6 months of Baseline or more than 2 lifetime episodes of herpes zoster; or history of systemic fungal infection or opportunistic infection (eg, coccidioidomycosis, histoplasmosis, toxoplasmosis)
  21. History or presence of human immunodeficiency virus (HIV), Hepatitis B or C virus
  22. History of active tuberculosis (TB) or untreated or inadequately treated latent TB.
  23. Participant has been exposed to an investigational product (IP) within 30 days (or 5 half-lives) prior to enrollment, whichever is longer, or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study
  24. Participant is a family member or employee of the Investigator or Baxalta or its partners

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Nie dotyczy
  • Model interwencyjny: Zadanie dla jednej grupy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: All Study Participants
All study participants to receive M923 administered via a subcutaneous auto-injector (AI)
Rekombinowane ludzkie przeciwciało monoklonalne immunoglobuliny G podklasy 1 (IgG1) specyficzne dla ludzkiego czynnika martwicy nowotworów alfa (TNF-α)
Inne nazwy:
  • Adalimumab
Subcutaneous administration

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Usability of the Auto-injector (AI) at Week 4
Ramy czasowe: Week 4
The primary usability measure was the participant rating captured in the PRE- and POST-Self-injection Assessment Questionnaire (SIAQ) modules at Week 4. The PRE-SIAQ module is a 7-item questionnaire that investigates feelings about injections, self-confidence (regarding self-administration), and satisfaction with self-injection. The POST-SIAQ module is a 27-item questionnaire that assesses feelings about injections, self-image, self-confidence (regarding self-administration), pain and skin reactions during or after injection (injection-site reactions), ease of use of the self-injection device, and satisfaction with self-injection. Participants rated each item of the SIAQ on a 5-point (or 6-point) semantic Likert-type scale, where a score of 1 corresponds to a participant's worst experience and a score of 5 (or 6) corresponds to a participant's best experience. Item scores were transformed to obtain a score ranging from 0 (worst experience) to 10 (best experience) for each item.
Week 4

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Number of Participants With Successful Injections as Assessed by the Observer at Week 4
Ramy czasowe: Week 4
Observers assessed usability by using a self-injection checklist. Self-injection assessment was coded as successful if categories P7 (removed protective needle cap from auto-injector), P10 (press down on auto-injector to insert the needle into the skin), and P11 (held auto-injector pressed fully down through second "click" sound) were checked as "yes."
Week 4
Number of Participants With Hazard-free Injections as Assessed by the Observer at Week 4
Ramy czasowe: Week 4
Observers assessed usability by using a potential hazard checklist. If all potential hazards in the checklist were checked as "no," the assessment was coded as hazard free.
Week 4
Usability of the Auto-injector at Baseline
Ramy czasowe: Baseline (Day 1)
The usability measure was the participant rating captured in the PRE- and POST- SIAQ modules at Baseline. The PRE-SIAQ module is a 7-item questionnaire that investigates feelings about injections, self-confidence (regarding self-administration), and satisfaction with self-injection. The POST-SIAQ module is a 27-item questionnaire that assesses feelings about injections, self-image, self-confidence (regarding self-administration), pain and skin reactions during or after injection (injection-site reactions), ease of use of the self-injection device, and satisfaction with self-injection. Participants rated each item of the SIAQ on a 5-point (or 6-point) semantic Likert-type scale, where a score of 1 corresponds to a participant's worst experience and a score of 5 (or 6) corresponds to a participant's best experience. Item scores were transformed to obtain a score ranging from 0 (worst experience) to 10 (best experience) for each item.
Baseline (Day 1)
Usability of the Auto-injector at Week 2
Ramy czasowe: Week 2
The usability measure was the participant rating captured in the PRE- and POST- SIAQ modules at Week 2. The PRE-SIAQ module is a 7-item questionnaire that investigates feelings about injections, self-confidence (regarding self-administration), and satisfaction with self-injection. The POST-SIAQ module is a 27-item questionnaire that assesses feelings about injections, self-image, self-confidence (regarding self-administration), pain and skin reactions during or after injection (injection-site reactions), ease of use of the self-injection device, and satisfaction with self-injection. Participants rated each item of the SIAQ on a 5-point (or 6-point) semantic Likert-type scale, where a score of 1 corresponds to a participant's worst experience and a score of 5 (or 6) corresponds to a participant's best experience. Item scores were transformed to obtain a score ranging from 0 (worst experience) to 10 (best experience) for each item.
Week 2
Number of Participants With Successful Injections as Assessed by the Observer at Baseline
Ramy czasowe: Baseline (Day 1)
Observers assessed usability by using a self-injection checklist. Self-injection assessment was coded as successful if categories P7 (removed protective needle cap from auto-injector), P10 (press down on auto-injector to insert the needle into the skin), and P11 (held auto-injector pressed fully down through second "click" sound) were checked as "yes."
Baseline (Day 1)
Number of Participants With Hazard-free Injections as Assessed by the Observer at Baseline
Ramy czasowe: Baseline (Day 1)
Observers assessed usability by using a potential hazard checklist. If all potential hazards in the checklist were checked as "no," the assessment was coded as hazard free.
Baseline (Day 1)
Number of Participants With Successful Injections as Assessed by the Observer at Week 2
Ramy czasowe: Week 2
Observers assessed usability by using a self-injection checklist. Self-injection assessment was coded as successful if categories P7 (removed protective needle cap from auto-injector), P10 (press down on auto-injector to insert the needle into the skin), and P11 (held auto-injector pressed fully down through second "click" sound) were checked as "yes."
Week 2
Number of Participants With Hazard-free Injections as Assessed by the Observer at Week 2
Ramy czasowe: Week 2
Observers assessed usability by using a potential hazard checklist. If all potential hazards in the checklist were checked as "no," the assessment was coded as hazard free.
Week 2
Number of Participants With Clinically Significant Changes in Clinical Laboratory Assessments
Ramy czasowe: Baseline; 32 Weeks
Hematology, clinical chemistry, and urinalysis clinical laboratory parameters were assessed. The hematology panel consisted of complete blood count, hemoglobin, hematocrit, mean cell volume, total leukocytes, and platelet counts. The clinical chemistry panel consisted of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transferase, total bilirubin, lactate dehydrogenase, creatine kinase, C-reactive protein, cholesterol, triglycerides, total protein, sodium, potassium, chloride, blood urea nitrogen, creatinine, albumin, calcium, phosphate, glucose, glycosylated hemoglobin, uric acid, and bicarbonate. The urinalysis panel consisted of leucocytes, protein, bilirubin, urobilinogen, glucose, ketones, blood pH, nitrite, and specific gravity. Clinical significance was assessed by the Investigator.
Baseline; 32 Weeks
Number of Participants With Vital Signs Outside the Expected Range
Ramy czasowe: 32 Weeks
Vital signs included respiratory rate, body temperature, pulse rate, and systolic and diastolic blood pressure.
32 Weeks
Number of Participants With Clinically Significant Changes in Twelve-lead Electrocardiogram (ECG) Findings
Ramy czasowe: Baseline; 32 Weeks
Clinical significance was assessed by the Investigator.
Baseline; 32 Weeks
Number of Participants With Adverse Events Leading to Premature Study Withdrawal
Ramy czasowe: 32 Weeks
The number of participants who had an adverse event that led to premature study withdrawal was assessed.
32 Weeks
Number of Participants With Treatment-emergent Injection Site Reactions
Ramy czasowe: 32 Weeks
An injection site reaction is defined as pain, tenderness, erythema/redness, induration/swelling, and other. If an injection site reaction was observed, a physician was to characterize and document the reaction as an adverse event (AE). Treatment-emergent adverse events (TEAEs) are defined as AEs that started or worsened in severity on or after the first dose of study medication, until study completion/withdrawal or within 30 days following the last treatment for early withdrawn participants.
32 Weeks
Immunogenicity of M923 Assessed as the Number of Participants With Evidence of Seroconversion as Measured by Titer of Anti-drug Antibodies (ADAs) at Baseline
Ramy czasowe: Baseline (Day 1)
A participant was considered to have developed ADAs if a confirmed positive result was observed at any time during the treatment period post-dose (irrespective of titer value). Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Baseline (Day 1)
Immunogenicity of M923 Assessed as the Number of Participants With Evidence of Seroconversion as Measured by Titer of ADAs at Week 4
Ramy czasowe: Week 4
A participant was considered to have developed ADAs if a confirmed positive result was observed at any time during the treatment period post-dose (irrespective of titer value). Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 4
Immunogenicity of M923 Assessed as the Number of Participants With Evidence of Seroconversion as Measured by Titer of ADAs at Week 12
Ramy czasowe: Week 12
A participant was considered to have developed ADAs if a confirmed positive result was observed at any time during the treatment period post-dose (irrespective of titer value). Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 12
Immunogenicity of M923 Assessed as the Number of Participants With Evidence of Seroconversion as Measured by Titer of ADAs at Week 24
Ramy czasowe: Week 24
A participant was considered to have developed ADAs if a confirmed positive result was observed at any time during the treatment period post-dose (irrespective of titer value). Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 24
Immunogenicity of M923 Assessed as the Number of Participants With Evidence of Seroconversion as Measured by Titer of ADAs at the Safety Follow-Up Visit
Ramy czasowe: Safety Follow-Up Visit (32 Weeks)
A participant was considered to have developed ADAs if a confirmed positive result was observed at any time during the treatment period post-dose (irrespective of titer value). Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Safety Follow-Up Visit (32 Weeks)
Immunogenicity of M923 Assessed as the Number of Participants With Neutralizing Anti-drug Antibodies (nADAs) at Baseline
Ramy czasowe: Baseline (Day 1)
A participant was considered to have developed nADAs if a confirmed positive result was observed at any time during the treatment period post-dose. Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Baseline (Day 1)
Immunogenicity of M923 Assessed as the Number of Participants With nADAs at Week 4
Ramy czasowe: Week 4
A participant was considered to have developed nADAs if a confirmed positive result was observed at any time during the treatment period post-dose. Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 4
Immunogenicity of M923 Assessed as the Number of Participants With nADAs at Week 12
Ramy czasowe: Week 12
A participant was considered to have developed nADAs if a confirmed positive result was observed at any time during the treatment period post-dose. Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 12
Immunogenicity of M923 Assessed as the Number of Participants With nADAs at Week 24
Ramy czasowe: Week 24
A participant was considered to have developed nADAs if a confirmed positive result was observed at any time during the treatment period post-dose. Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Week 24
Immunogenicity of M923 Assessed as the Number of Participants With nADAs at the Safety Follow-Up Visit
Ramy czasowe: Safety Follow-Up Visit (32 Weeks)
A participant was considered to have developed nADAs if a confirmed positive result was observed at any time during the treatment period post-dose. Samples were collected predose (prior to administering investigational product) and before any hematology/chemistry samples were drawn at that visit.
Safety Follow-Up Visit (32 Weeks)

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Śledczy

  • Dyrektor Studium: John Caminis, MD, Baxalta US Inc., now part of Shire

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów

1 kwietnia 2016

Zakończenie podstawowe (Rzeczywisty)

21 lutego 2017

Ukończenie studiów (Rzeczywisty)

21 lutego 2017

Daty rejestracji na studia

Pierwszy przesłany

23 marca 2016

Pierwszy przesłany, który spełnia kryteria kontroli jakości

23 marca 2016

Pierwszy wysłany (Oszacować)

29 marca 2016

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

16 maja 2018

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

14 maja 2018

Ostatnia weryfikacja

1 maja 2018

Więcej informacji

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

Badania kliniczne na M923

Subskrybuj