NCT01255761

Brief Summary

Phase 4 study to evaluate a routine patient completed assessment (RAPID3) compared to a physician completed assessment (CDAI) to predict treatment success with subjects with moderate to severe rheumatoid arthritis

Trial Health

87
On Track

Trial Health Score

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

Enrollment
736

participants targeted

Target at P75+ for phase_4 rheumatoid-arthritis

Timeline
Completed

Started Nov 2010

Geographic Reach
1 country

110 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

November 1, 2010

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

December 6, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

December 7, 2010

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2012

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2012

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

March 7, 2014

Completed
Last Updated

July 31, 2018

Status Verified

March 1, 2018

Enrollment Period

1.9 years

First QC Date

December 6, 2010

Results QC Date

October 7, 2013

Last Update Submit

July 4, 2018

Conditions

Keywords

Certolizumab PegolCimziaRheumatoid ArthritisCDAIRAPID3

Outcome Measures

Primary Outcomes (2)

  • Response at Week 12 as Assessed by Randomized Tool [Clinical Disease Activity Index (CDAI) or Routine Assessment of Patient Index Data 3 (RAPID3)]

    For subjects randomized to CDAI, response is defined as CDAI ≤10 or 20% improvement from Baseline. For subjects randomized to RAPID3, response is defined as RAPID3 ≤6 or 20% improvement from Baseline. CDAI is the sum of tender joint count, swollen joint count, Patient's Global Assessment of Disease Activity as assessed by Multi-dimensional Health Assessment Questionnaire (MDHAQ) subscore, and Investigator's Global Assessment of Disease Activity - VAS (VAS in cm). 28 joints are examined. RAPID3 is the sum of the MDHAQ subscores of physical function, pain, and patient's global status.

    Baseline (Week 0) to Week 12

  • Responders at Week 12 (as Assessed by Randomized Tool Clinical Disease Activity Index [CDAI] or Routine Assessment of Patient Index Data [RAPID3]) Achieving Low Disease Activity (Disease Activity Score 28 [Erythrocyte Sedimentation Rate]≤3.2) at Week 52

    For subjects randomized to CDAI, response is defined as CDAI ≤10 or 20% improvement from Baseline. For subjects randomized to RAPID3, response is defined as RAPID3 ≤6 or 20% improvement from Baseline. DAS28(ESR) is calculated from the tender joint count, swollen joint count, erythrocyte sedimentation rate (ESR in mm/hour), and Patient's Global Assessment of Disease Activity as assessed by Multi-dimensional Health Assessment Questionnaire (MDHAQ) subscore using this formula: 0.56x√(TJC) + 0.28x√(SJC) + 0.70xlognat (ESR) + 0.014xGlobal Assessment of Arthritis where 28 joints are examined.

    Baseline (Week 0) to Week 52

Secondary Outcomes (37)

  • Percentage of All Subjects Who Are Both Responders at Week 12 and With Non-low Disease Activity (Disease Activity Score 28 [Erythrocyte Sedimentation Rate] > 3.2) at Week 52

    Baseline (Week 0) to Week 52

  • Responders at Week 12 Achieving Remission (Disease Activity Score 28 [Erythrocyte Sedimentation Rate] < 2.6) at Week 52

    Baseline (Week 0) to Week 52

  • Percentage of All Subjects Who Are Both Responders at Week 12 and With Non-remission (Disease Activity Score 28 [Erythrocyte Sedimentation Rate] > 2.6) at Week 52

    Baseline (Week 0) to Week 52

  • Change From Baseline in the Disease Activity Score 28 Erythrocyte Sedimentation Rate [DAS28 (ESR)] Assessed at Week 12

    Baseline (Week 0) to Week 12

  • Change From Baseline in Disease Activity Score 28 Erythrocyte Sedimentation Rate [DAS28 (ESR)] Assessed at Week 52

    Baseline (Week 0) to Week 52

  • +32 more secondary outcomes

Study Arms (2)

RAPID3 to assess response to Cimzia

OTHER

RAPID3 is a subject-based assessment tool used to assess subject's response to Cimzia. Subjects will be randomized to a patient measure tool, a tool based on patient-report outcomes (RAPID3); using a total score of 30 points

Biological: Certolizumab Pegol (CZP)

CDAI to assess response to Cimzia

OTHER

CDAI is an investigator-based assessment tool used to assess subject's response to Cimzia. Subjects will be randomized to a clinical measures tool, a tool based on Investigator measures without the need for a lab value (CDAI)

Biological: Certolizumab Pegol (CZP)

Interventions

400 mg subcutaneous injection at Weeks 0, 2 and 4 200 mg subcutaneous injection every two weeks, Week 6 through Week 52

Also known as: Cimzia
CDAI to assess response to CimziaRAPID3 to assess response to Cimzia

Eligibility Criteria

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

You may qualify if:

  • Subjects 18 years of age or older
  • Subjects with a diagnosis of Adult-onset Rheumatoid Arthritis of at least 3 months as defined by the 1987 American College of Rheumatology (ACR) classification criteria
  • Subjects with active Rheumatoid Arthritis as defined by:
  • tender joints (28 joint count) at Screening and Baseline Visits; and
  • swollen joints (28 joint count) at Screening and Baseline Visits
  • Subjects who have had an unsatisfactory response or intolerance to at least 1 traditional Disease-modifying Antirheumatic Drugs (DMARD)

You may not qualify if:

  • Subjects must not have a diagnosis of any other inflammatory Arthritis
  • Subjects must not have greater than 3 Arthroplasties due to Rheumatoid Arthritis and/or Steinbrocker IV Functional Capacity
  • Subjects must not have a secondary non-inflammatory type of Arthritis that would interfere with study evaluation
  • Subjects must not be diagnosed with Fibromyalgia with sufficient symptoms requiring treatment
  • Subjects must not have a history of Infected Joint Prosthesis
  • Subjects must not have discontinued biological therapy for their Rheumatoid Arthritis due to Severe Hypersensitivity Reaction or Anaphylactic Reaction
  • Subjects must not have received more than 2 anti- Tumor Necrosis Factor (TNF) agents prior to enrollment
  • Subjects must not have received treatment with Abatacept and/or Rituximab or have received any experimental or approved B cell therapeutic agent
  • Subjects must not have a history of chronic alcohol or drug abuse
  • Subjects must not have known hypersensitivity to any components of the investigational medicinal product
  • Subjects must not have a history of chronic infections, recent serious or life-threatening infection within 6 months or any current sign or symptom that may indicate an infection
  • Subjects must not have a history of a Blood Dyscrasias
  • Subjects with known Tuberculosis (TB) Disease, high risk of acquiring TB or latent TB infection
  • Subjects must not be at high risk of infection
  • Subjects must not have a history of Lymphoproliferative Disorder including Lymphoma signs and symptoms suggestive of Lymphoproliferative Disease
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (110)

137

Birmingham, Alabama, United States

Location

166

Huntsville, Alabama, United States

Location

165

Peoria, Arizona, United States

Location

216

Tucson, Arizona, United States

Location

168

Hot Springs, Arkansas, United States

Location

241

Jonesboro, Arkansas, United States

Location

153

Little Rock, Arkansas, United States

Location

111

Covina, California, United States

Location

208

Escondido, California, United States

Location

103

Fullerton, California, United States

Location

155

Huntington Beach, California, United States

Location

202

La Mesa, California, United States

Location

203

Loma Linda, California, United States

Location

233

Los Angeles, California, United States

Location

105

Palm Desert, California, United States

Location

229

Roseville, California, United States

Location

113

Sacramento, California, United States

Location

127

San Diego, California, United States

Location

106

Santa Maria, California, United States

Location

172

Santa Monica, California, United States

Location

212

Upland, California, United States

Location

231

Van Nuys, California, United States

Location

158

Whittier, California, United States

Location

121

Bridgeport, Connecticut, United States

Location

200

Bridgeport, Connecticut, United States

Location

107

Danbury, Connecticut, United States

Location

195

Danbury, Connecticut, United States

Location

138

Hamden, Connecticut, United States

Location

218

Lewes, Delaware, United States

Location

108

Aventura, Florida, United States

Location

120

Dunedin, Florida, United States

Location

101

Ocala, Florida, United States

Location

225

Orange Park, Florida, United States

Location

227

Ormond Beach, Florida, United States

Location

184

Palm Harbor, Florida, United States

Location

145

Sarasota, Florida, United States

Location

191

Tampa, Florida, United States

Location

236

Vero Beach, Florida, United States

Location

144

Atlanta, Georgia, United States

Location

232

Atlanta, Georgia, United States

Location

157

Lawrenceville, Georgia, United States

Location

217

Coeur d'Alene, Idaho, United States

Location

206

Idaho Falls, Idaho, United States

Location

193

Rock Island, Illinois, United States

Location

207

Springfield, Illinois, United States

Location

186

Elizabethtown, Kentucky, United States

Location

204

Lexington, Kentucky, United States

Location

230

Louisville, Kentucky, United States

Location

149

Cumberland, Maryland, United States

Location

237

Hagerstown, Maryland, United States

Location

197

Wheaton, Maryland, United States

Location

118

Mansfield, Massachusetts, United States

Location

132

Worcester, Massachusetts, United States

Location

140

Lansing, Michigan, United States

Location

226

Petoskey, Michigan, United States

Location

114

Saint Clair Shores, Michigan, United States

Location

188

Bridgeton, Missouri, United States

Location

109

St Louis, Missouri, United States

Location

133

St Louis, Missouri, United States

Location

124

Lincoln, Nebraska, United States

Location

205

Reno, Nevada, United States

Location

159

Lebanon, New Hampshire, United States

Location

189

Nashua, New Hampshire, United States

Location

143

Clifton, New Jersey, United States

Location

125

Albuquerque, New Mexico, United States

Location

175

Albany, New York, United States

Location

139

Binghamton, New York, United States

Location

116

Brooklyn, New York, United States

Location

167

Brooklyn, New York, United States

Location

196

Johnson City, New York, United States

Location

174

New York, New York, United States

Location

104

Orchard Park, New York, United States

Location

135

Plainview, New York, United States

Location

215

Rochester, New York, United States

Location

178

Charlotte, North Carolina, United States

Location

210

Durham, North Carolina, United States

Location

234

Hickory, North Carolina, United States

Location

102

Monroe, North Carolina, United States

Location

152

Bethlehem, Pennsylvania, United States

Location

112

Duncansville, Pennsylvania, United States

Location

219

Erie, Pennsylvania, United States

Location

128

Philadelphia, Pennsylvania, United States

Location

147

Sellersville, Pennsylvania, United States

Location

213

Willow Grove, Pennsylvania, United States

Location

235

Wyomissing, Pennsylvania, United States

Location

198

Charleston, South Carolina, United States

Location

228

Columbia, South Carolina, United States

Location

130

Hendersonville, Tennessee, United States

Location

129

Jackson, Tennessee, United States

Location

162

Amarillo, Texas, United States

Location

110

Austin, Texas, United States

Location

156

Austin, Texas, United States

Location

192

Dallas, Texas, United States

Location

185

El Paso, Texas, United States

Location

122

Houston, Texas, United States

Location

170

Houston, Texas, United States

Location

123

Mesquite, Texas, United States

Location

115

Nassau Bay, Texas, United States

Location

117

San Antonio, Texas, United States

Location

119

San Antonio, Texas, United States

Location

161

San Antonio, Texas, United States

Location

190

Victoria, Texas, United States

Location

142

Waco, Texas, United States

Location

136

Burlington, Vermont, United States

Location

146

Arlington, Virginia, United States

Location

150

Chesapeake, Virginia, United States

Location

223

Kennewick, Washington, United States

Location

134

Spokane, Washington, United States

Location

221

Clarksburg, West Virginia, United States

Location

194

Glendale, Wisconsin, United States

Location

Related Publications (2)

  • Curtis JR, Herrem C, Ndlovu 'N, O'Brien C, Yazici Y. A somatization comorbidity phenotype impacts response to therapy in rheumatoid arthritis: post-hoc results from the certolizumab pegol phase 4 PREDICT trial. Arthritis Res Ther. 2017 Sep 29;19(1):215. doi: 10.1186/s13075-017-1412-z.

  • Curtis JR, Churchill M, Kivitz A, Samad A, Gauer L, Gervitz L, Koetse W, Melin J, Yazici Y. A Randomized Trial Comparing Disease Activity Measures for the Assessment and Prediction of Response in Rheumatoid Arthritis Patients Initiating Certolizumab Pegol. Arthritis Rheumatol. 2015 Dec;67(12):3104-12. doi: 10.1002/art.39322.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

Certolizumab Pegol

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Polyethylene GlycolsPolymersMacromolecular SubstancesImmunoglobulin Fab FragmentsImmunoglobulin FragmentsPeptide FragmentsPeptidesAmino Acids, Peptides, and ProteinsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
(UCB) Study Director
Organization
UCB Clinical Trial Call Center

Study Officials

  • UCB Clinical Trial Call Center

    +1 877 822 9493 (UCB)

    STUDY DIRECTOR

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
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

December 6, 2010

First Posted

December 7, 2010

Study Start

November 1, 2010

Primary Completion

October 1, 2012

Study Completion

December 1, 2012

Last Updated

July 31, 2018

Results First Posted

March 7, 2014

Record last verified: 2018-03

Locations