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

1 augusti 2018 uppdaterad 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

217

Fas

  • Fas 4

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Crossover tilldelning
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Autoinjector A
Participants self-injected 50 mg etanercept once a week (RA) or twice a week (PsO) using Autoinjector A for 4 weeks.
Läkemedel: 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.
Experimentell: Autoinjector B
Participants self-injected 50 mg etanercept once a week (RA) or twice a week (PsO) using Autoinjector B for 4 weeks.
Läkemedel: Etanercept via Autoinjector B
Autoinjector B is a single-use, spring-loaded, self-contained autoinjector preassembled with an etanercept 50-mg prefilled syringe.
Andra namn:
  • Enbrel® SureClick®

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Percentage of Participants With a Preference for Autoinjector A Versus Autoinjector B
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change From Baseline in Needle Apprehension at Week 4
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

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Sponsor

Amgen

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Användbara länkar

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

5 juni 2013

Primärt slutförande (Faktisk)

4 mars 2014

Avslutad studie (Faktisk)

4 mars 2014

Studieregistreringsdatum

Först inskickad

10 juni 2013

Först inskickad som uppfyllde QC-kriterierna

10 juni 2013

Första postat (Uppskatta)

12 juni 2013

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

4 september 2018

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

1 augusti 2018

Senast verifierad

1 augusti 2018

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • 20090176

Läkemedels- och apparatinformation, studiedokument

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produkt tillverkad i och exporterad från U.S.A.

Nej

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