Study Stopped
AZ decision to discontinue fostamatinib development in RA; rights to fostamatinib returned to Rigel Pharmaceuticals.
Evaluation of Efficacy and Safety of Fostamatinib Monotherapy Compared With Adalimumab Monotherapy in Patients With Rheumatoid Arthritis (RA)
OSKIRA -4
(OSKIRA-4): A Phase IIB, Multi-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study of the Efficacy and Safety of Fostamatinib Disodium Monotherapy Compared With Adalimumab Monotherapy in Patients With Active Rheumatoid Arthritis
2 other identifiers
interventional
644
13 countries
105
Brief Summary
The purpose of the study is to evaluate the improvements in signs and symptoms of rheumatoid arthritis (RA) for fostamatinib compared to placebo or adalimumab in patients who are Disease-Modifying anti-rheumatic drug (DMARD) naïve, DMARD intolerant or have had an inadequate response to DMARDs. The study will last for approximately six months
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 rheumatoid-arthritis
Started Jan 2011
Typical duration for phase_2 rheumatoid-arthritis
105 active sites
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
First Submitted
Initial submission to the registry
December 17, 2010
CompletedFirst Posted
Study publicly available on registry
December 22, 2010
CompletedStudy Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2013
CompletedResults Posted
Study results publicly available
May 6, 2014
CompletedMay 6, 2014
April 1, 2014
1.8 years
December 17, 2010
November 22, 2013
April 3, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
DAS28-CRP Score - Change From Baseline to Week 6 Compared to Placebo
DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. Mean changes from baseline in DAS28-CRP score are shown at each visit and are presented as decreases from baseline (defined as baseline minus post-baseline) with larger changes indicative of a better clinical condition. ANCOVA = analysis of covariance, BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, QD = once a day, SC = subcutaneous.
Baseline and 6 weeks
DAS28-CRP Score - Change From Baseline to Week 24 Compared to Adalimumab
DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. Mean changes from baseline in DAS28-CRP score are shown at each visit and are presented as decreases from baseline (defined as baseline minus post-baseline) with larger changes indicative of a better clinical condition. Non-responder imputation has been applied by carrying the baseline observation forward. ANCOVA = analysis of covariance, BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, IR = inadequate response, LS = least squares, n/a = not applicable, PO = orally, QD = once a day, SC = subcutaneous.
Baseline and 24 weeks
Secondary Outcomes (11)
DAS28 EULAR Response at Week 6
6 weeks
DAS28 EULAR Response at Week 24
24 weeks
Proportion of Patients Achieving ACR20 up to Week 24
6 and 24 weeks
Proportion of Patients Achieving ACR50 up to Week 24
6 and 24 weeks
Proportion of Patients Achieving ACR70 up to Week 24
6 and 24 weeks
- +6 more secondary outcomes
Study Arms (5)
Dosing Group A
EXPERIMENTALOral treatment and subcutaneous injection
Dosing Group B
EXPERIMENTALOral treatment and subcutaneous injection
Dosing Group C
EXPERIMENTALOral treatment and subcutaneous injection
Dosing Group D
ACTIVE COMPARATOROral treatment and subcutaneous injection
Dosing Group E
PLACEBO COMPARATOROral treatment and subcutaneous injection
Interventions
Fostamatinib 100mg twice daily and placebo injection once every two weeks
Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.
Placebo injection once every two weeks. Placebo to fostamatinib for six weeks, followed by fostamatinib 100mg twice daily (Group F) / fostamatinib 100mg twice daily then 150mg once daily (Group G).
Eligibility Criteria
You may qualify if:
- Male or female aged 18 and over
- Active rheumatoid arthritis (RA) diagnosed after the age of 16 and diagnosis within 5 years prior to study visit 1 and inadequate response to treatment with a maximum 2 Disease-Modifying anti-rheumatic drug (DMARD) therapies, or diagnosis within 5 years prior to study visit 1 and intolerance to DMARD therapy, or diagnosis within 2 years prior to study visit 1 and no previous use of DMARDs
- or more swollen joints and 4 or more tender/painful joints (from 28 joint count) and either Erythrocyte Sedimentation Rate (ESR) blood result of 28mm/h or more, or C-Reactive Protein (CRP) blood result of 10mg/L or more
- At least 2 of the following: documented history or current presence of positive rheumatoid factor (blood test), radiographic erosion within 12 months prior to study enrolment, presence of serum anti-cyclic citrullinated peptide antibodies (blood test)
You may not qualify if:
- Females who are pregnant or breast feeding
- Poorly controlled hypertension
- Liver disease or significant liver function test abnormalities
- Certain inflammatory conditions (other than rheumatoid arthritis), connective tissue diseases or chronic pain disorders
- Recent or significant cardiovascular disease
- Significant active or recent infection including tuberculosis
- Previously received treatment with a TNF alpha antagonist (including etanercept, certolizumab, adalimumab, infliximab, golimumab) or anakinra or previous treatment with other biological agent including rituximab, abatacept and tocilizumab
- Use of any DMARDs within 6 weeks before first study visit
- Severe renal impairment
- Neutropenia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (105)
Research Site
Birmingham, Alabama, United States
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Glendale, Arizona, United States
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Mesa, Arizona, United States
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Phoenix, Arizona, United States
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Scottsdale, Arizona, United States
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Huntington Beach, California, United States
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Long Beach, California, United States
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Colorado Springs, Colorado, United States
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Bridgeport, Connecticut, United States
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Daytona Beach, Florida, United States
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Jacksonville, Florida, United States
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Miami, Florida, United States
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Ocala, Florida, United States
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Palm Harbor, Florida, United States
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Pinellas Park, Florida, United States
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Venice, Florida, United States
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Chicago, Illinois, United States
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South Bend, Indiana, United States
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Bowling Green, Kentucky, United States
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Elizabethtown, Kentucky, United States
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Oxon Hill, Maryland, United States
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Kalamazoo, Michigan, United States
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Richmond Heights, Missouri, United States
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Kalispell, Montana, United States
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Nashua, New Hampshire, United States
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Albuquerque, New Mexico, United States
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Las Cruces, New Mexico, United States
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Brooklyn, New York, United States
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Charlotte, North Carolina, United States
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Perrysburg, Ohio, United States
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Duncansville, Pennsylvania, United States
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Greenville, South Carolina, United States
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Jackson, Tennessee, United States
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Knoxville, Tennessee, United States
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Memphis, Tennessee, United States
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Austin, Texas, United States
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Houston, Texas, United States
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Mesquite, Texas, United States
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Plano, Texas, United States
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San Antonio, Texas, United States
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Pleven, Bulgaria
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Plovdiv, Bulgaria
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Rousse, Bulgaria
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Sevlievo, Bulgaria
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Sofia, Bulgaria
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Veliko Tarnovo, Bulgaria
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Mississauga, Ontario, Canada
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Brno, Czechia
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Bruntál, Czechia
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Hlučín, Czechia
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Liberec, Czechia
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Ostrava, Czechia
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Ostrava - Poruba, Czechia
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Ostrava - Trebovice, Czechia
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Prague, Czechia
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Zlín, Czechia
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Dresden, Germany
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Hamburg, Germany
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München, Germany
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Balatonfüred, Hungary
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Budapest, Hungary
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Debrecen, Hungary
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Zalaegerszeg, Hungary
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Amsterdam, Netherlands
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Bytom, Poland
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Chełm Śląski, Poland
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Grodzisk Mazowiecki, Poland
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Lodz, Poland
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Środa Wielkopolska, Poland
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Warsaw, Poland
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Wroclaw, Poland
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Żyrardów, Poland
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Moscow, Russia
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Nizhny Novgorod, Russia
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Petrozavodsk, Russia
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Ryazan, Russia
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Saint Petersburg, Russia
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Voronezh, Russia
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Yaroslavl, Russia
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Trebišov, Slovakia
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Trnava, Slovakia
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Pretoria, Gauteng, South Africa
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Durban, KwaZulu-Natal, South Africa
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Cape Town, Western Cape, South Africa
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Cape Town, South Africa
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Durban, South Africa
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Pretoria, South Africa
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Stellenbosch, South Africa
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Donetsk, Ukraine
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Ivano-Frankivsk, Ukraine
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Kharkiv, Ukraine
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Kyiv, Ukraine
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Lutsk, Ukraine
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Lviv, Ukraine
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Odesa, Ukraine
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Simferopol, Ukraine
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Zaporyzhzhya, Ukraine
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Reading, Berkshire, United Kingdom
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London, Greater London, United Kingdom
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Eastbourne, Sussex, United Kingdom
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Basingstoke, United Kingdom
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Eastbourne, United Kingdom
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London, United Kingdom
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Manchester, United Kingdom
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Wolverhampton, United Kingdom
Related Publications (1)
Taylor PC, Genovese MC, Greenwood M, Ho M, Nasonov E, Oemar B, Stoilov R, Vencovsky J, Weinblatt M. OSKIRA-4: a phase IIb randomised, placebo-controlled study of the efficacy and safety of fostamatinib monotherapy. Ann Rheum Dis. 2015 Dec;74(12):2123-9. doi: 10.1136/annrheumdis-2014-205361. Epub 2014 Jul 29.
PMID: 25074688DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dave Goldstraw
- Organization
- AstraZeneca Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Neil MacKillop, MD PhD
AstraZeneca
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 17, 2010
First Posted
December 22, 2010
Study Start
January 1, 2011
Primary Completion
October 1, 2012
Study Completion
August 1, 2013
Last Updated
May 6, 2014
Results First Posted
May 6, 2014
Record last verified: 2014-04