A Crossover Study of the Safety and Tolerability of Two Formulations of Adalimumab
A Multicenter, Randomized, Single-Blind Crossover Study of the Safety and Tolerability of Two Adalimumab Formulations in Adult Subjects With Rheumatoid Arthritis
2 other identifiers
interventional
61
3 countries
7
Brief Summary
This study will compare injection site pain levels between current Humira® formulation versus a new formulation of Humira in patients with Rheumatoid Arthritis (RA), who are either currently on a stable dose (minimum six consecutive doses) of on-label Humira or biological naïve who will be prescribed on-label Humira as treatment for their Rheumatoid Arthritis. The study is being conducted in three countries, Australia (3 sites), Canada (2 sites), and Germany (2 sites).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 rheumatoid-arthritis
Started Jan 2012
Shorter than P25 for phase_2 rheumatoid-arthritis
7 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 1, 2011
CompletedFirst Posted
Study publicly available on registry
December 30, 2011
CompletedStudy Start
First participant enrolled
January 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedResults Posted
Study results publicly available
February 20, 2014
CompletedFebruary 20, 2014
January 1, 2014
10 months
December 1, 2011
November 7, 2013
January 23, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean Injection Site Pain on a Visual Analogue Scale (VAS)
The primary response variable is participant's immediate pain of injection on a visual analogue scale (VAS) of 0 to 10 (cm), with 0 representing no pain and 10 representing the worst possible pain.
Immediately after injection.
Secondary Outcomes (6)
Mean Injection Site Pain on a Visual Analogue Scale (VAS)
15 minutes post injection
Percentage of Participants With no Hemorrhage/Petechiae in the Draize Scale
10 minutes and 30 minutes after injection
Percentage of Participants With no Erythema in the Draize Scale
10 minutes and 30 minutes after injection
Percentage of Participants With no Edema in the Draize Scale
10 minutes and 30 minutes after injection
Percentage of Participants With no Pruritus in the Draize Scale
10 minutes and 30 minutes after injection
- +1 more secondary outcomes
Study Arms (2)
Current formulation adalimumab
ACTIVE COMPARATOROne dose with 40 mg of current formulation of adalimumab in a pre-filled syringe
New formulation of adalimumab
EXPERIMENTALOne dose with 40 mg of new formulation of adalimumab in a pre-filled syringe
Interventions
Subcutaneously 40 mg every other week (eow) or every week (ew) (as dosing requires)
Eligibility Criteria
You may qualify if:
- Male or female subject age 18 years or older, who requires Humira 40 mg SC every other week (eow) or every week (ew) for the treatment of rheumatoid arthritis, in accordance with the local Humira label.
- Subject must be a current, on-label user of Humira who rates his/her average Humira injection site related pain as at least 3 cm on a pain Visual Analogue Scale and has had at least 6 consecutive doses of Humira prior to Screening, or a biologic naïve subject who requires initiation of on-label treatment with Humira.
- Subject has diagnosis of rheumatoid arthritis (RA) as defined by the 1987 revised ACR classification criteria or the ACR/EULAR 2010 criteria,
- Female subjects are either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy and/or hysterectomy), or are practicing at least one method of birth control throughout the study and for at least 70 days after the last dose of study drug.
- All female subjects of childbearing potential must have a negative test for pregnancy on a serum sample at Screening and prior to study drug dosing on a urine sample obtained at Visit 1.
You may not qualify if:
- Subject has been treated with any investigational drug of a chemical or biologic nature within a minimum of 30 days or 5 half-lives (whichever is longer) of the drug prior to Visit 1.
- Any infection(s) requiring treatment with intravenous (IV) anti-infectives within 30 days prior to Visit 1 or oral anti-infectives within 14 days prior to Visit 1.
- Prior exposure to natalizumab (Tysabri®) or efalizumab (Raptiva®).
- Known hypersensitivity to adalimumab or its excipients.
- History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Site Reference ID/Investigator# 63354
Malvern East, 3145, Australia
Site Reference ID/Investigator# 63355
Maroochydore, 4558, Australia
Site Reference ID/Investigator# 63353
Shenton Park, 6008, Australia
Site Reference ID/Investigator# 67105
Hamilton, L8N 2B6, Canada
Site Reference ID/Investigator# 64122
Winnipeg, R3A 1M3, Canada
Site Reference ID/Investigator# 63356
Munich, 80336, Germany
Site Reference ID/Investigator# 69242
Ostseebad Damp, 24351, Germany
Related Publications (1)
Nash P, Vanhoof J, Hall S, Arulmani U, Tarzynski-Potempa R, Unnebrink K, Payne AN, Cividino A. Randomized Crossover Comparison of Injection Site Pain with 40 mg/0.4 or 0.8 mL Formulations of Adalimumab in Patients with Rheumatoid Arthritis. Rheumatol Ther. 2016 Dec;3(2):257-270. doi: 10.1007/s40744-016-0041-3. Epub 2016 Aug 18.
PMID: 27747583DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Medical Services
- Organization
- AbbVie (prior sponsor, Abbott)
Study Officials
- STUDY DIRECTOR
Andrew Payne, PhD
AbbVie
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 1, 2011
First Posted
December 30, 2011
Study Start
January 1, 2012
Primary Completion
November 1, 2012
Study Completion
November 1, 2012
Last Updated
February 20, 2014
Results First Posted
February 20, 2014
Record last verified: 2014-01