Long Term Effects of an Early Response to Certolizumab Pegol (CZP, Cimzia®) in Rheumatoid Arthritis (RA) Patients
RA-PROACTIVE
A Prospective, Multicentre, Non-interventional, Observational, Cohort Study to Evaluate the Long Term Clinical, Patient Reported and Health Care Resource Utilization Effects of an Early Response to Certolizumab Pegol (Cimzia®) in Rheumatoid Arthritis Patients in Daily Clinical Practice in the United Kingdom and Eire.
1 other identifier
observational
149
2 countries
22
Brief Summary
To determine if early clinical response at 12 weeks to Certolizumab Pegol (CZP, Cimzia ®) therapy in adult Rheumatoid Arthritis (RA) patients is a predictor of better long term clinical response at 18 months compared with a lack of clinical response at 12 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2011
Typical duration for all trials
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 25, 2011
CompletedFirst Posted
Study publicly available on registry
February 2, 2011
CompletedStudy Start
First participant enrolled
July 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedResults Posted
Study results publicly available
June 27, 2016
CompletedSeptember 16, 2016
August 1, 2016
3.3 years
January 25, 2011
September 29, 2015
August 5, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With a Disease Activity Score (DAS) Response at 78 Weeks Where DAS Response is Defined as a Reduction From Baseline in DAS 28-joint Count (Erythrocyte Sedimentation Rate) [DAS28(ESR)] Score of Greater Than 1.2 Points
DAS28(ESR) is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC), ESR (mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (PtGADA-VAS in mm). 28 joints are examined using: DAS28(ESR) = 0.56 \* √(TJC) + 0.28\* √(SJC) + 0.70\* ln(ESR) + 0.014\* PtGADA, with TJC=0 to 28, SJC=0 to 28, PtGADA=0 to 100 mm, ESR=0 to infinite mm/hour but ESR values of greater 250 mm/h are typically measurement errors. DAS28(ESR) ranges from 0 to around 10 with lower scores indicating less disease activity.
Baseline (Week 0), 78 weeks
Secondary Outcomes (4)
Change From Baseline in Disease Activity Score 28-joint Count (Erythrocyte Sedimentation Rate) [DAS28(ESR)] Score at 78 Weeks
Baseline (Week 0), 78 weeks
Percentage of Participants With a Disease Activity Score (DAS)-Based European League Against Rheumatoid Arthritis (EULAR) Response at 78 Weeks Compared to Baseline
Baseline (Week 0), 78 weeks
Change From Baseline in Rheumatoid Arthritis Disease Activity Index (RADAI) Scores at 78 Weeks
Baseline (Week 0), 78 weeks
Change From Baseline in Health Assessment Questionnaire-Disease Index (HAQ-DI) Scores at 78 Weeks
Baseline (Week 0), 78 weeks
Study Arms (2)
Week 12 Disease Activity Score (DAS) Responders
Patients achieving a reduction from Baseline in a Disease Activity Score 28-joint count (Erythrocyte Sedimentation Rate) \[DAS28(ESR)\] score of greater than 1.2 points at Week 12
Week 12 Disease Activity Score (DAS) Non-Responders
Patients who fail to achieve a reduction from Baseline in a Disease Activity Score 28-joint count (Erythrocyte Sedimentation Rate) \[DAS28(ESR)\] score of greater than 1.2 points at Week 12
Eligibility Criteria
Patient presenting with Rheumatoid Arthritis (RA) and having prescribed certolizumab pegol (CZP, Cimzia®) at the clinic
You may qualify if:
- Informed consent is signed and dated
- The patient is considered capable of and prepared to adhere to the study protocol procedures
- The patient is prescribed CZP according to the Summary of Product Characteristics (SmPC) (UK and Eire) and National Institute of Clinical Excellence (NICE) (UK only) guidelines for anti tumor necrosis factor (TNF) α therapy for Rheumatoid Arthritis (RA).
- The patient is screen-negative for tuberculosis
- The patient is 18 years of age or above
You may not qualify if:
- The patient has been exposed previously to biological disease modifying anti rheumatic drugs (DMARD) agents.
- Patient has previously participated in this study or the patient has previously been assigned to treatment in a study of CZP or another biological agent used to treat RA.
- Patient has participated in another study within the last 30 days
- Patient has any medical or psychiatric condition that, in the opinion of the physician, can jeopardize or would compromise the patient's ability to adequately participate in the study
- Patient has inadequate literacy to understand and complete the questionnaires.
- Contraindications stated in the SmPC
- Patient is pregnant or breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UCB Pharmalead
Study Sites (22)
2
Cork, Cork, Ireland
7
Bridgend, Bridgend, United Kingdom
25
Cardiff, Cardiff, United Kingdom
4
Durham, County Durham, United Kingdom
17
Poole, Dorset, United Kingdom
24
Eastbourne, East Sussex, United Kingdom
13
Southend, Essex, United Kingdom
11
Manchester, Greater Manchester, United Kingdom
12
Manchester, Greater Manchester, United Kingdom
6
Southampton, Hampshire, United Kingdom
20
Gillingham, Kent, United Kingdom
15
St Helens, Lancashire, United Kingdom
10
Liverpool, Merseyside, United Kingdom
22
Ashford, Middlesex, United Kingdom
14
Abergavenny, Monmouthshire, United Kingdom
5
Bath, Somerset, United Kingdom
19
Burton, Staffordshire, United Kingdom
3
Chertsey, Surrey, United Kingdom
18
Birmingham, West Midlands, United Kingdom
16
Cannock, West Midlands, United Kingdom
9
Dudley, West Midlands, United Kingdom
1
York, Yorkshire, United Kingdom
Related Publications (1)
Kumar N, Naz S, Quinn M, Ryan J, Kumke T, Sheeran T. Treatment of Rheumatoid Arthritis with Certolizumab Pegol: Results from PROACTIVE, a Non-Interventional Study in the UK and Ireland. Adv Ther. 2018 Sep;35(9):1426-1437. doi: 10.1007/s12325-018-0758-1. Epub 2018 Aug 3.
PMID: 30076523DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- UCB Clinical Trial Call Center
- Organization
- UCB
Study Officials
- STUDY DIRECTOR
UCB Clinical Trial Call Center
+1 877 822 9493 (UCB)
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- 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
January 25, 2011
First Posted
February 2, 2011
Study Start
July 1, 2011
Primary Completion
October 1, 2014
Study Completion
December 1, 2014
Last Updated
September 16, 2016
Results First Posted
June 27, 2016
Record last verified: 2016-08