NCT04230213

Brief Summary

The study will assess the impact of pharmacokinetics (PK), safety and immunogenicity after switches between PF-06410293 and adalimumab and with continuous dosing with adalimumab in combination with methotrexate in subjects with moderately to severely active rheumatoid arthritis.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
455

participants targeted

Target at P50-P75 for phase_3 rheumatoid-arthritis

Timeline
Completed

Started Jan 2020

Shorter than P25 for phase_3 rheumatoid-arthritis

Geographic Reach
10 countries

72 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

January 13, 2020

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

January 14, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 18, 2020

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 22, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 22, 2021

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

August 22, 2022

Completed
Last Updated

February 22, 2024

Status Verified

January 1, 2024

Enrollment Period

1.4 years

First QC Date

January 14, 2020

Results QC Date

June 17, 2022

Last Update Submit

January 26, 2024

Conditions

Outcome Measures

Primary Outcomes (2)

  • Maximum Observed Serum Concentration (Cmax) of Adalimumab

    Cmax refers to maximum observed serum concentration of drug. The geometric coefficient of variation is expressed in percentage.

    Pre-dose, 48, 72, 96, 144, 240 and 336 hours post dose on Day 211 (Week 30)

  • Area Under the Serum Concentration-Time Curve Over the Dosing Interval (AUCtau) of Adalimumab

    Area under the serum concentration curve from time 0 to end of dosing interval (tau), where dosing interval was once every two weeks. The geometric coefficient of variation is expressed in percentage.

    Pre-dose, 48, 72, 96, 144, 240 and 336 hours post dose on Day 211 (Week 30)

Secondary Outcomes (29)

  • Time to Reach Cmax (Tmax) of Adalimumab

    Pre-dose, 48, 72, 96, 144, 240 and 336 hours post dose on Day 211 (Week 30)

  • Average Serum Concentration (Cav) of Adalimumab

    Pre-dose, 48, 72, 96, 144, 240 and 336 hours post dose on Day 211 (Week 30)

  • Apparent Clearance (CL/F) of Serum Adalimumab

    Pre-dose, 48, 72, 96, 144, 240 and 336 hours post dose on Day 211 (Week 30)

  • Pre-dose Serum Concentration During Multiple Dosing (Ctrough) of Adalimumab

    Pre-dose on Day 1, 71,113, 155, 169, 183, 197 and 211

  • Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and Treatment Related TEAEs: TP1

    Day 1 up to maximum of 10 Weeks

  • +24 more secondary outcomes

Study Arms (2)

Treatment Arm 1

EXPERIMENTAL

Subcutaneous (SC) injection given every other week

Drug: PF-06410293Drug: adalimumab

Treatment Arm 2

ACTIVE COMPARATOR

SC injection given every other week

Drug: adalimumab

Interventions

SC injection

Treatment Arm 1

SC injection

Also known as: Humira ®
Treatment Arm 1Treatment Arm 2

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of RA based on 2010 ACR/EULAR for RA for at least a 4 month duration.
  • Moderately to severely active RA based on local standard of care.

You may not qualify if:

  • Evidence of untreated or inadequately treated latent or active TB.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (72)

Graves Gilbert Clinic

Bowling Green, Kentucky, 42101, United States

Location

Altoona Center for Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Metroplex Clinical Research Center

Dallas, Texas, 75231, United States

Location

Rheumatology and Pulmonary Clinic

Beckley, West Virginia, 25801, United States

Location

University Clinical Center of the Republic of Srpska

Banja Luka, 78000, Bosnia and Herzegovina

Location

Health Center Gradiska

Gradiška, 78400, Bosnia and Herzegovina

Location

Clinical Center University of Sarajevo

Sarajevo, 71000, Bosnia and Herzegovina

Location

General Hospital Prim. Dr.Abdulah Nakas

Sarajevo, 71000, Bosnia and Herzegovina

Location

UMHAT "Dr Georgi Stranski" EAD

Pleven, 5800, Bulgaria

Location

DCC Sveti Georgi

Plovdiv, 4002, Bulgaria

Location

Unimed Medical Centre

Plovdiv, 4023, Bulgaria

Location

IMEDICA s.r.o.

Brno, 602 00, Czechia

Location

Lekarna Na Lidicke

Brno, 602 00, Czechia

Location

Lekarna Biovita

Brno, 60200, Czechia

Location

X-Medica, s.r.o.

Brno, 613 00, Czechia

Location

Revmacentrum MUDr. Mostera, s.r.o.

Brno, 615 00, Czechia

Location

L.K.N. Arthrocentrum, s.r.o.

Hlučín, 748 01, Czechia

Location

Plicni ambulance

Hlučín, 748 01, Czechia

Location

Chirurgie Sibenik

Olomouc, 779 00, Czechia

Location

CTCenter MaVe s.r.o

Olomouc, 779 00, Czechia

Location

Lekarna u Pottingea

Olomouc, 779 00, Czechia

Location

Lekarna Vesalion

Ostrava, 702 00, Czechia

Location

CCR Czech a.s.

Pardubice, 530 02, Czechia

Location

Lekarna BENU

Pardubice, 530 02, Czechia

Location

Lekarna Pod Platany

Prague, 101 00, Czechia

Location

Revmatologicky ustav

Prague, 12850, Czechia

Location

CCR Prague s.r.o.

Prague, 130 00, Czechia

Location

Diagnostické centrum Olšanská s.r.o.

Prague, 13000, Czechia

Location

Fakultni Nemocnice v Motole

Prague, 150 06, Czechia

Location

Lekarna Hradebni s.r.o.

Uherské Hradiště, 68601, Czechia

Location

MEDICAL PLUS s.r.o.

Uherské Hradiště, 68601, Czechia

Location

Radiodiagnosticka ordinace a pracoviste

Uherské Hradiště, 68601, Czechia

Location

Hospital of Lithuanian University of Health Sciences, Kauno klinikos

Kaunas, LT-50161, Lithuania

Location

Klaipeda University Hospital

Klaipėda, LT-92288, Lithuania

Location

Gabinet Internistyczno-Reumatologiczny Piotr Adrian Klimiuk

Bialystok, 15-099, Poland

Location

NZOZ Osteo-Medic s.c. A.Racewicz, J. Supronik

Bialystok, 15-351, Poland

Location

Małopolskie Badania Kliniczne Sp. z o. o. Sp. k.

Krakow, 30-002, Poland

Location

Pratia MCM Krakow

Krakow, 30-510, Poland

Location

Zespol Poradni Specjalistycznych REUMED

Lublin, 20-582, Poland

Location

NZOZ Lecznica MAK-MED s.c.

Nadarzyn, 05-830, Poland

Location

Twoja Przychodnia Centrum Medyczne Nowa Sol

Nowa Sól, 67-100, Poland

Location

Prywatna Praktyka Lekarska Prof. UM dr hab. med. Pawel Hrycaj

Poznan, 61-397, Poland

Location

Nasz Lekarz Przychodnie Medyczne

Torun, 87-100, Poland

Location

Rheuma Medicus Zaklad Opieki Zdrowotnej

Warsaw, 02-118, Poland

Location

Limited Liability Company "Clinic on Maroseyka"

Moscow, 101000, Russia

Location

Limited Liability Company Consultative and Diagnostic Rheumatological Center "Healthy Joints"

Novosibirsk, 630099, Russia

Location

FGBOU VO "Orenburg State Medical University" of the Ministry of Health of the Russian Federation

Orenburg, 460000, Russia

Location

GBUZ "Orenburg Regional Clinical Hospital"

Orenburg, 460018, Russia

Location

SBHI of the Republic of Karelia "Republican Hospital n. a. V.A. Baranov"

Petrozavodsk, 185910, Russia

Location

FSBEI of HE "Ryazan State Medical University n. a academician I.P.Pavlov"

Ryazan, 390026, Russia

Location

SBI of the Ryazan Region "Regional Clinical Cardiology dispensary"

Ryazan, 390026, Russia

Location

SBI of Ryazan Region "Regional Clinical Hospital"

Ryazan, 390039, Russia

Location

Smolensk Regional Clinical Hospital

Smolensk, 214018, Russia

Location

FSBEI of HE "Smolensk State Medical University" of the Ministry of Health of the RF

Smolensk, 214019, Russia

Location

LLC "BioMed"

Vladimir, 600005, Russia

Location

LLC "Center for Medical Advice and Research-PRACTICE"

Yaroslavl, 150003, Russia

Location

Institute of Rheumatology

Belgrade, 11000, Serbia

Location

Institute for Treatment and Rehabilitation Niska Banja

Niška Banja, 18205, Serbia

Location

Special Hospital for Rheumatic Diseases Novi Sad

Novi Sad, 21000, Serbia

Location

Emmed Research

Pretoria, Gauteng, 0002, South Africa

Location

Jakaranda Hospital

Pretoria, Gauteng, 0002, South Africa

Location

Arthritis Clinical Research Trials

Cape Town, Western Cape, 7405, South Africa

Location

Panorama Medical Centre

Cape Town, Western Cape, 7500, South Africa

Location

Winelands Medical Research Centre

Stellenbosch, Western Cape, 7600, South Africa

Location

Komunalne nekomertsiine pidpryiemstvo Kharkivskoi oblasnoi rady Oblasna klinichna likarnia

Kharkiv, 61058, Ukraine

Location

Medychnyi tsentr tovarystva z obmezhenoiu vidpovidalnistiu " Instytut revmatolohii "

Kyiv, 02081, Ukraine

Location

Derzhavna ustanova Natsionalnyi naukovyi tsentr Instytut kardiolohii imeni akademika M.D. Strazheska

Kyiv, 03680, Ukraine

Location

Komunalne Nekomertsiine Pidpryiemstvo "Tsentralna Miska Klinichna Likarnia

M. Ivano-Frankivsk, 76018, Ukraine

Location

Komunalne nekomertsiine pidpryiemstvo "Odeska oblasna klinichna likarnia"

Odesa, 65025, Ukraine

Location

Bahatoprofilnyi medychnyi tsentr Odeskoho natsionalnoho medychnoho universytetu

Odesa, 65026, Ukraine

Location

Komunalne nekomertsiine pidpryiemstvo "Vinnytska oblasna klinichna likarnia im. M.I. Pyrohova

Vinnytsia, 21028, Ukraine

Location

Komunalne pidpryiemstvo "Likarnia No 1" Zhytomyrskoi miskoi rady

Zhytomyr, 10002, Ukraine

Location

Related Publications (1)

  • Fleischmann RM, Saikali W, Lakhanpal S, Alvarez DF, Cox DS, Ianos CA, Zhang W, Cronenberger C, Wang K. Multiple switching between the biosimilar adalimumab PF-06410293 and reference adalimumab in patients with active rheumatoid arthritis: a phase 3, open-label, randomised, parallel-group study. Lancet Rheumatol. 2023 Sep;5(9):e532-e541. doi: 10.1016/S2665-9913(23)00161-3. Epub 2023 Aug 21.

Related Links

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

PF-06410293Adalimumab

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

Limitations and Caveats

In participant flow, there were discontinuations due to AEs, which were captured within different reasons for discontinuations (e.g. other, physician decision etc.) as the study case report form (CRF) page did not include AE as an option for sites to record if the discontinuation was truly due to AE.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 14, 2020

First Posted

January 18, 2020

Study Start

January 13, 2020

Primary Completion

June 22, 2021

Study Completion

June 22, 2021

Last Updated

February 22, 2024

Results First Posted

August 22, 2022

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations