NCT00520572

Brief Summary

The purpose of this study is to confirm that AZD9056 is effective in treating rheumatoid arthritis with regard to signs and symptoms and to determine what dose is favourable over a 6-month treatment period. Patients will receive background treatment with either Methotrexate or Sulphasalazine

Trial Health

98
On Track

Trial Health Score

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

Enrollment
385

participants targeted

Target at P75+ for phase_2 rheumatoid-arthritis

Timeline
Completed

Started Aug 2007

Geographic Reach
12 countries

51 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

August 1, 2007

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

August 22, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 24, 2007

Completed
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2009

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

October 4, 2010

Completed
Last Updated

February 4, 2013

Status Verified

January 1, 2013

First QC Date

August 22, 2007

Results QC Date

July 22, 2010

Last Update Submit

January 31, 2013

Conditions

Keywords

Rheumatoid Arthritis

Outcome Measures

Primary Outcomes (1)

  • American College of Rheumatology 20 Response (ACR20) at 6 Months

    The number of participants with greater to or equal to 20% improvement in the ACR composite score (a measure of RA symptoms including: joint swelling and tenderness; patient's assessment of pain, disease activity and physical function; physician's assessment of disease activity; and CRP) after 6 months' treatment

    6 months

Secondary Outcomes (4)

  • American College of Rheumatology 50 Response (ACR50) at 6 Months

    6 months

  • American College of Rheumatology 70 Response (ACR70) at 6 Months

    6 months

  • Disease Activity Score (Based on 28 Joint Count) (DAS28) at 6 Months.

    Baseline to 6 months

  • Health Assessment Questionnaire - Disability Index (HAQ-DI) at 6 Months.

    Baseline to 6 months

Study Arms (6)

1

ACTIVE COMPARATOR

Etanercept 50mg, subcutaneous, once weekly

Drug: Etanercept

2

EXPERIMENTAL

50mg oral, once daily

Drug: AZD9056

3

EXPERIMENTAL

100 mg oral, once daily

Drug: AZD9056

4

EXPERIMENTAL

200 mg oral, once daily

Drug: AZD9056

5

EXPERIMENTAL

400mg once, daily

Drug: AZD9056

6

PLACEBO COMPARATOR

oral, once daily

Drug: Placebo

Interventions

2345
6

Eligibility Criteria

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

You may qualify if:

  • Diagnosis of RA with active disease defined as: ≥4 swollen joints and ≥6 tender/painful joints, and either have (blood tests) elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP). At least one of the following: documented history and current presence of positive rheumatoid factor (blood test), baseline radiographic erosion.
  • Be receiving either oral (tablets) or subcutaneous/intramuscular (injection) methotrexate for at least 6 months prior to randomisation.

You may not qualify if:

  • Any other inflammatory disease in addition to RA that may interfere with the study (e.g. polymyalgia rheumatica, giant cell arteritis, reactive arthritis, e t c). Current chronic pain disorders including fibromyalgia and chronic fatigue syndromes. Persistently abnormal liver function enzymes (blood test).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

Research Site

Aventura, Florida, United States

Location

Research Site

Orlando, Florida, United States

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Research Site

Sarasota, Florida, United States

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Research Site

Tampa, Florida, United States

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Research Site

Petoskey, Michigan, United States

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Research Site

Syracuse, New York, United States

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Research Site

Portland, Oregon, United States

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Research Site

Olympia, Washington, United States

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Research Site

Rosario, Santa Fe Province, Argentina

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Research Site

Buenos Aires, Argentina

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Research Site

Córdoba, Argentina

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Research Site

Planta Baja San Juan, Argentina

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Research Site

San Miguel de Tucumán, Argentina

Location

Research Site

Woolloongabba, Queensland, Australia

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Research Site

Woodsville, South Australia, Australia

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Research Site

Victoria Park, Western Australia, Australia

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Research Site

George Town, Australia

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Research Site

Hasselt, Belgium

Location

Research Site

Winnipeg, Manitoba, Canada

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Research Site

St. John's, Newfoundland and Labrador, Canada

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Research Site

Prague, Czechia

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Research Site

Uherské Hradiště, Czechia

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Zlín, Czechia

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Research Site

Bobigny, France

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Research Site

Bordeaux, France

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Tours, France

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Research Site

Cd. Juarez, Mexico

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Research Site

Chihuahua City, Mexico

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Research Site

Guadalajara, Mexico

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Mexico City, Mexico

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Research Site

Tapachula, Mexico

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Tijuana, Mexico

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Bialystok, Poland

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Elblag, Poland

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Katowice, Poland

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Krakow, Poland

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Lublin, Poland

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Research Site

Poznan, Poland

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Research Site

Sopot, Poland

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Research Site

Torun, Poland

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Research Site

Warsaw, Poland

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Research Site

Brasov, Brașov County, Romania

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Research Site

Bucharest, Romania

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Research Site

Cluj-Napoca, Romania

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Research Site

Iași, Romania

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Research Site

Ploieşti, Romania

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Research Site

Sf. Gheorghe, Romania

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Research Site

Saint Petersburg, Russia

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Research Site

Bansky Bystrica, Slovakia

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Research Site

Bratislava, Slovakia

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Research Site

Piešťany, Slovakia

Location

Related Publications (1)

  • Keystone EC, Wang MM, Layton M, Hollis S, McInnes IB; D1520C00001 Study Team. Clinical evaluation of the efficacy of the P2X7 purinergic receptor antagonist AZD9056 on the signs and symptoms of rheumatoid arthritis in patients with active disease despite treatment with methotrexate or sulphasalazine. Ann Rheum Dis. 2012 Oct;71(10):1630-5. doi: 10.1136/annrheumdis-2011-143578.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

AZD9056Etanercept

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System 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

Limitations and Caveats

Hybrid ACR, ACRn, individual ACR components, Erythrocyte sedimentation rate, Short-form-36, Rheumatoid Arthritis Quality of Life, Patient Assessment of Fatigue and DEXA X-ray scanning did not provide extra information so are not presented

Results Point of Contact

Title
Gerard Lynch
Organization
AstraZeneca

Study Officials

  • Edward Keystone, MD, FRCPC

    MOUNT SINAI HOSPITAL

    PRINCIPAL INVESTIGATOR
  • Zoltan Koroknai, MD, D.E.A.A.

    Omnicare Clinical Research

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 22, 2007

First Posted

August 24, 2007

Study Start

August 1, 2007

Study Completion

March 1, 2009

Last Updated

February 4, 2013

Results First Posted

October 4, 2010

Record last verified: 2013-01

Locations