NCT00900796

Brief Summary

The objective of this observational study is to determine the incidence of response in patients with predictive factors of major clinical response in active ankylosing spondylitis (AS) in patients who start anti-tumor necrosis factor (anti-TNF) therapy and correlate these findings in patients who switch from one to another anti-TNF due to inefficacy under usual clinical practice conditions in Spain.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
132

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2009

Typical duration for all trials

Geographic Reach
1 country

1 active site

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

March 1, 2009

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

May 11, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 13, 2009

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2011

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

June 19, 2012

Completed
Last Updated

June 19, 2012

Status Verified

May 1, 2012

Enrollment Period

2.2 years

First QC Date

May 11, 2009

Results QC Date

May 7, 2012

Last Update Submit

May 7, 2012

Conditions

Keywords

Ankylosing spondylitis;predictive factors

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With a Clinical Response

    Assessment of clinical response was as per investigator's discretion. Investigators were provided with the final consensus document of the Spanish Society for Rheumatology (SER) for the biological treatment of spondyloarthropathies as a guide for defining active AS, the indication of treatment with biological therapy and the assessment of response to it.

    Week 16

Secondary Outcomes (6)

  • Percentage of Participants With High Probability of Response and no Response Who Received Second Anti-TNF Treatment

    Week 32

  • Percentage of Participants With Low Probability of Response and no Response Who Received Second Anti-TNF Treatment

    Week 32

  • Percentage of Participants With Low Probability of Response and a Clinical Response at Week 16

    Week 16

  • Percentage of Participants With Assessment in Ankylosing Spondylitis (ASAS) 40 Response at Week 16

    Week 16

  • Percentage of Participants Who Switched to Another Anti-TNF Treatment Due to Lack of Efficacy

    Week 16

  • +1 more secondary outcomes

Study Arms (1)

1

Patients diagnosed with active AS who start anti-TNF therapy according to standard clinical practice.

Other: Treatment switching

Interventions

If the patients do not response to first AntiTNF treatment, Investigator can switch to another anti TNF.Spanish Guidelines will be provided to the investigators, which recommend stopping biologics if there is an inadequate response after 16w of therapy and switch to another biologic. Responsive patients to the first anti-TNF who continue with this first anti-TNF adjusting dose treatment according to the Spanish guidelines or investigator criteria. The doses for each Anti TNF will be done following specific SmPc and under Investiagtor criteria

1

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with active ankylosing spondylitis treated in rheumatology units

You may qualify if:

  • Patients diagnosed of active AS who will start anti-TNF therapy following standard clinical practice as per summary of product characteristics doses.
  • \>18 years, both genders, any disease duration
  • Signature of informed consent

You may not qualify if:

  • Previous treatment with biological therapies
  • Active tuberculosis infection (local guidelines for appropriate screening and treatment of tuberculosis in the setting of anti-TNF therapy must be followed)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pfizer Investigational Site

Madrid, Madrid, 28006, Spain

Location

Related Links

MeSH Terms

Conditions

Spondylitis, Ankylosing

Interventions

Treatment Switching

Condition Hierarchy (Ancestors)

Axial SpondyloarthritisSpondylarthropathiesSpondylarthritisSpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesAnkylosisJoint DiseasesArthritis

Intervention Hierarchy (Ancestors)

TherapeuticsEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 11, 2009

First Posted

May 13, 2009

Study Start

March 1, 2009

Primary Completion

May 1, 2011

Study Completion

May 1, 2011

Last Updated

June 19, 2012

Results First Posted

June 19, 2012

Record last verified: 2012-05

Locations