NCT01264770

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

68
Monitor

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
644

participants targeted

Target at P75+ for phase_2 rheumatoid-arthritis

Timeline
Completed

Started Jan 2011

Typical duration for phase_2 rheumatoid-arthritis

Geographic Reach
13 countries

105 active sites

Status
terminated

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

Completed
5 days until next milestone

First Posted

Study publicly available on registry

December 22, 2010

Completed
10 days until next milestone

Study Start

First participant enrolled

January 1, 2011

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2012

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2013

Completed
9 months until next milestone

Results Posted

Study results publicly available

May 6, 2014

Completed
Last Updated

May 6, 2014

Status Verified

April 1, 2014

Enrollment Period

1.8 years

First QC Date

December 17, 2010

Results QC Date

November 22, 2013

Last Update Submit

April 3, 2014

Conditions

Keywords

Rheumatoid ArthritisOSKIRAfostamatinib

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

EXPERIMENTAL

Oral treatment and subcutaneous injection

Drug: Fostamatinib and placebo injections

Dosing Group B

EXPERIMENTAL

Oral treatment and subcutaneous injection

Drug: Fostamatinib and placebo injections

Dosing Group C

EXPERIMENTAL

Oral treatment and subcutaneous injection

Drug: Fostamatinib and placebo injections

Dosing Group D

ACTIVE COMPARATOR

Oral treatment and subcutaneous injection

Drug: Adalimumab and placebo of fostamatinib

Dosing Group E

PLACEBO COMPARATOR

Oral treatment and subcutaneous injection

Drug: Placebo of fostamatinib, fostamatinib, and placebo injections

Interventions

Fostamatinib 100mg twice daily and placebo injection once every two weeks

Dosing Group A

Adalimumab 40mg injection once every two weeks and placebo to fostamatinib twice daily.

Also known as: Humira®
Dosing Group D

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).

Dosing Group E

Eligibility Criteria

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

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

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

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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.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

fostamatinibAdalimumab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Dave Goldstraw
Organization
AstraZeneca Pharmaceuticals

Study Officials

  • Neil MacKillop, MD PhD

    AstraZeneca

    STUDY DIRECTOR

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

Locations