NCT00420303

Brief Summary

To assess the efficacy and safety of Etanercept in patients with spondylarthropathy and refractory heel enthesitis.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jan 2007

Geographic Reach
3 countries

15 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2007

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

January 8, 2007

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 11, 2007

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2008

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

November 10, 2009

Completed
Last Updated

July 20, 2010

Status Verified

July 1, 2010

Enrollment Period

1.7 years

First QC Date

January 8, 2007

Results QC Date

September 30, 2009

Last Update Submit

July 15, 2010

Conditions

Keywords

Refractory Heel Enthesitis in SpondylarthropathySpondylarthropathyRefractory Heel Enthesitis

Outcome Measures

Primary Outcomes (2)

  • Normalized Net Incremental Area Under the Curve (AUC) for Patient Global Assessment of Disease Activity (PGA) Between Randomization and Week 12

    PGA was measured using a 100mm Visual Analog Scale (VAS) ranging from 0=very good to 100=very bad. The normalized net incremental area under the curve of the PGA is the area between the baseline and the PGA curve as a function of time (week 2, 4, 8, 12). AUC was computed using the linear trapezoidal method. All the areas above the baseline and under the curve are positive and all the area below the baseline and above the curve are negative. The net incremental AUC is the sum of these areas. This result is then divided by the study duration of the patients. (negative value = improvement).

    12 weeks

  • Change From Baseline in Patient Global Assessment of Disease Activity Score at Week 12

    The patient global assessment of disease activity was measured using a 100mm Visual Analog Scale (VAS) ranging from 0=very good to 100=very bad. Change=12 week score minus baseline score. A negative score indicates an improvement in disease activity and a positive score indicates worsening.

    Baseline and 12 weeks

Secondary Outcomes (1)

  • Number of Patients Achieving a 50% Response on the Patient Global Assessment of Disease Activity

    12 weeks

Study Arms (2)

A

EXPERIMENTAL
Drug: Etanercept

B

PLACEBO COMPARATOR
Other: Placebo

Interventions

50 mg injection once weekly

A
PlaceboOTHER

placebo

B

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Spondylarthropathy
  • Heel enthesitis refractory to standard treatment
  • Between 18 and 70 years of age
  • The patient global assessment of the disease activity (measured by a 100 mm VAS) must be \>40 in the last 48 hours

You may not qualify if:

  • Use of \> 1 local steroid injection within 2 weeks of screening
  • Prior exposure to any TNF-inhibitor, including etanercept
  • Dose of NSAIDs changed within two weeks of study drug evaluation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Unknown Facility

Arles, 13200, France

Location

Unknown Facility

Avignon, 84000, France

Location

Unknown Facility

Bordeaux, 33076, France

Location

Unknown Facility

Grenoble, 38130, France

Location

Unknown Facility

Montpellier, 34295, France

Location

Unknown Facility

Nice, 6202, France

Location

Unknown Facility

Orléans, 45032, France

Location

Unknown Facility

Paris (Bichat), 75018, France

Location

Unknown Facility

Paris (cochin), 75679, France

Location

Unknown Facility

Paris (Pitie Salpetriere), 75651, France

Location

Unknown Facility

Strasbourg, 67098, France

Location

Unknown Facility

Toulouse, 31000, France

Location

Unknown Facility

Berlin, 12200, Germany

Location

Unknown Facility

Herne, 446652, Germany

Location

Unknown Facility

Maastricht, 6229 HX, Netherlands

Location

Related Publications (1)

  • Dougados M, Combe B, Braun J, Landewe R, Sibilia J, Cantagrel A, Feydy A, van der Heijde D, Leblanc V, Logeart I. A randomised, multicentre, double-blind, placebo-controlled trial of etanercept in adults with refractory heel enthesitis in spondyloarthritis: the HEEL trial. Ann Rheum Dis. 2010 Aug;69(8):1430-5. doi: 10.1136/ard.2009.121533. Epub 2010 May 28.

MeSH Terms

Conditions

Spondylarthropathies

Interventions

Etanercept

Condition Hierarchy (Ancestors)

SpondylarthritisSpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint Diseases

Intervention Hierarchy (Ancestors)

Immunoglobulin Fc FragmentsImmunoglobulin FragmentsPeptide FragmentsPeptidesAmino Acids, Peptides, and ProteinsImmunoglobulin Constant RegionsImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulinsReceptors, Tumor Necrosis FactorReceptors, CytokineReceptors, ImmunologicReceptors, Cell SurfaceMembrane Proteins

Results Point of Contact

Title
U. S. Contact Center
Organization
Wyeth

Study Officials

  • Medical Monitor

    Wyeth is now a wholly owned subsidiary of Pfizer

    STUDY DIRECTOR
  • Trial Manager

    For France, infomedfrance@wyeth.com

    PRINCIPAL INVESTIGATOR
  • Trial Manager

    For Germany, medinfoDEU@wyeth.com

    PRINCIPAL INVESTIGATOR
  • Trial Manager

    For Netherlands, trials-NL@wyeth.com

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

January 8, 2007

First Posted

January 11, 2007

Study Start

January 1, 2007

Primary Completion

September 1, 2008

Study Completion

September 1, 2008

Last Updated

July 20, 2010

Results First Posted

November 10, 2009

Record last verified: 2010-07

Locations