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Rheumatoid ArthritisNCT01083693

Quality of Life Outcomes of HUMIRA in Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA), Ankylosing Spondylitis (AS) After Unsustainable Response to Biologicals and Disease Modifying Antirheumatic Drugs

An observational study of Rheumatoid Arthritis and Ankylosing Spondylitis, run by Abbott at 20 sites in Austria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this post-marketing observational study is to obtain further data on the evaluation of quality of life outcomes of HUMIRA® in routine clinical use in patients with Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) or Ankylosing Spondylitis (AS) after unsustainable clinical response to disease modifying… Read more about this study

Who is it for?
Ages 18 years and older
How many people
162 participants
Where
20 sitesAustria
Study dates
Sep 2008to Jun 2010
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Primary care clinic and medical practice specialized in rheumatology

Who may be able to join

  • Patients age greater than or equal to 18
  • Patients must fulfill international and national guidelines for use of a BDMARD in RA, PsA and AS (Chest X-ray and purified protein derivative (PPD) skin test negative for tuberculosis).
  • In addition one of the following criteria must be fulfilled:
  • unsatisfactory DMARD response defined as failure to treatment with at least two DMARDs including Methotrexate in patients with RA or PsA
  • unsatisfactory NSAID response in patients with AS or
  • unsatisfactory response to prior BDMARDs (in this case patients must have received BDMARDs at least 12 weeks before visit 1) in patients with RA or PsA or AS.

Who cannot join

  • Patients who meet contraindications as outlined in the latest version of the Humira syringe® Summary of Product Characteristics (SmPC) and Humira Pen® SmPC
  • Patients participating in another study or clinical trial.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

Austria20 sites
  • Site Reference ID/Investigator # 32372

    Amstetten, A-3300

  • Site Reference ID/Investigator # 32368

    Bludenz, A-6700

  • Site Reference ID/Investigator # 32367

    Gloggnitz, A-2640

  • Site Ref # / Investigator 37123

    Graz, A-8020

  • Site Ref # / Investigator 37125

    Innsbruck, A-6020

  • Site Reference ID/Investigator # 32375

    Klagenfurt, A-9020

  • Site Reference ID/Investigator # 32365

    Linz, A-4020

  • Site Reference ID/Investigator # 32369

    Linz, A-4020

  • Site Reference ID/Investigator # 32371

    Linz, A-4020

  • Site Reference ID/Investigator # 32376

    Linz, A-4020

  • Site Reference ID/Investigator # 32373

    Neudorf, A-2351

  • Site Reference ID/Investigator # 32364

    Salzburg, A-5020

  • Site Reference ID/Investigator # 18782

    Vienna, A-1030

  • Site Reference ID/Investigator # 32363

    Vienna, A-1030

  • Site Reference ID/Investigator # 32377

    Vienna, A-1100

  • Site Reference ID/Investigator # 32378

    Vienna, A-1100

  • Site Reference ID/Investigator # 32366

    Vienna, A-1140

  • Site Reference ID/Investigator # 32374

    Vöcklabruck, A-4840

  • Site Reference ID/Investigator # 32370

    Weiz, A-8160

  • Site Ref # / Investigator 37124

    Wels, A-4600

Other trials in Austria

About this study

Official title: An Open Label Multicenter Post Marketing Observational Study for the Evaluation of Quality of Life Outcomes and Tolerability of HUMIRA in Routine Clinical Use in Patients With RA PsA AS After Unsustainable Response to Disease Modifying Antirheumatic Drugs and or Biologicals

The aim of this post-marketing observational study is to obtain further data on the evaluation of quality of life outcomes of HUMIRA® in routine clinical use in patients with Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) or Ankylosing Spondylitis (AS) after unsustainable clinical response to disease modifying antirheumatic drugs (DMARD) and or biological disease modifying antirheumatic drugs (BDMARD). Treatment strategies in moderate to severe rheumatoid arthritis, psoriatic arthritis and in severe active ankylosing spondylitis commonly consist of introducing biologics after conventional disease modifying antirheumatic drugs or non steroidal antiinflammatory drugs fail. Although biologic disease modifying antirheumatic drugs are generally well-tolerated, intolerances may develop or efficacy may diminish, at which time another biologic disease modifying antirheumatic drug might be considered. This study shall evaluate the quality of life outcomes of HUMIRA®, given after conventional disease modifying antirheumatic drugs and or non antiinflammatory drug failures and or after biological disease modifying antirheumatic drug failures . Failure in this context means primary or secondary loss of efficacy or intolerance to the initial agent.

Keywords
Monoclonals, Antibodies, Ankylosing Spondylitis, Antirheumatic Agents, Quality of Life, Adalimumab, rheumatoid arthritis, psoriatic arthritis
Medical subject headings
Arthritis, Rheumatoid, Spondylitis, Ankylosing, Arthritis, Psoriatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01083693
Study groupRoleWhat they receive
Rheumatoid, Psoriatic Arthritis, Ankylosing SpondylitisRheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, patients with unsustainable clinical response to disease modifying antirheumatic drugs and or biological disease modifying antirheumatic drugs.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. RA and if Reasonable for PsA Patients Health Assessment Questionnaire Disability Index HAQ-DI

    The HAQ-DI is a questionnaire that measures functional status (disability) and health-related quality of life. It measures a patient's ability to perform everyday tasks. The index consists of 20 questions regarding the function of the upper and lower extremities. These questions are summarized in 8 categories: dressing and grooming, arising, eating, walking, hygiene,reach, grip, activities. Each question is evaluated according to the degree of severity on a scale ranging from 0 (without any difficulty) to 3 (unable to do).

    Measured: Baseline, months 3,6,9,12

  2. SF-36 as Generic Measure of Health Status for RA, PsA, AS Physical Score Measures How Decrements in Physical Function Affect Day-to-day Activities Impact of Physical Impairment/Disability on QoL ,Mental Score: Impact of Mental Effect, Symptoms of Pain

    Medical Outcomes Study Short Form 36 (MOS SF-36) is generic assessment of health status that consists of 36 questions within 8 domains including Physical Functioning (PF), Role Functioning - Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role Functioning - Emotional (RE), Mental Health (MH) and Reported Health Transition (HT). Results from each domain are summarized and transformed into a scale ranging from 0 (worst) to 100 (best) with the exception of HT. The score range for HT is 0 (worst) to 5 (best).

    Measured: Baseline, months 3,6,9,12

  3. EQ-5D for RA,PsA,AS, as Measure of Health Outcome. Self Reported Health Status: Measures Mobility, Self Care, Usual Activities, Pain Discomfort, Anxiety Depression

    European Quality of Life 5 Dimensions (EQ-5D) is a self-reported health outcome which measures mobility, self care, usual activities, pain discomfort, anxiety depression. An overall score is derived that measures from -0.59 (worst) to +1 (best).

    In addition, health state is measured on the thermometer scale (score 0 to 100) with higher scores representing better health status.

    Measured: Baseline, months 3,6,9,12

Secondary outcomes (6)
  1. DAS28: Changes in Disease Activity Score 28 in Patients With RA and if Reasonable in PsA: Measures the no. of Swollen and Tender Joints (28 Joints), Erythrocyte Sedimentation Rate, Patients Global Assessment of Disease Activity on a Visual Scale

    The Disease Activity Score 28 measures disease activity based on the number of swollen and tender joints (28 joints), erythrocyte sedimentation rate, and patient's global assessment of disease activity on a visual scale. DAS28 is a unit scale from 0 (best value) to 10.0 (worst value).

    Measured: Baseline,months 3,6,9,12

  2. Changes in Bath Ankylosing Spondylitis Disease Activity Index in Patients With AS: Measures Patients Fatigue, Pain (Neck, Hip, Other Joints), Tender Sensitive Body Sites, Morning Stiffness

    Bath as Disease Activity Index (BASDI) measures fatigue, pain (neck, hip, other joints), tender sensitive body sites, and morning stiffness for patients suffering from AS. Scores range from 0 to 10 with higher scores representing worse disease activity.

    Measured: Baseline, months 3,6,9,12

  3. Physician´s /Patient's Global Assessment on Disease Activity Measured on a Visual Analogue Scale, for RA and PsA Patients Only

    Physician's and Patient's Global Assessment of Disease Activity (PGA) are measured using a visual analogue scale with scores ranging from 0 to 100 (higher scores indicate worse disease activity).

    Measured: Baseline, months 3,6,9,12

  4. Physician´s / Patient's Global Assessment of State of Health (GH) Measured on a Visual Analogue Scale, for RA and PsA Patients Only

    Physician's and Patient's Global Assessment of State of Health was measured using a visual analogue scale with scores from 0 to 100 (higher scores indicate worse health state).

    Measured: Baseline, months 3,6,9,12

  5. Erythrocyte Sedimentation Rate

    Erythrocyte sedimentation rate (ESR) is a nonspecific lab value that measures inflammation from arthritic disease. A decrease in the level indicates reduction in inflammation and therefore improvement.

    Measured: Baseline, months 3,6,9,12

  6. C-Reactive Protein

    The test for C-Reactive Protein (CRP) is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

    Measured: Baseline, months 3,6,9,12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2010 (estimated)
  2. Study startSep 2008
  3. Primary completionJun 2010
  4. Study completionJun 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01083693
Sponsor's protocol ID
P10-726
Status last verified
Aug 2011
First submitted
28 Feb 2010
Last updated
11 Aug 2011
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Rheumatoid Arthritis and Ankylosing Spondylitis, run by Abbott at 20 sites in Austria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Aug 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Jul 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

RA and if Reasonable for PsA Patients Health Assessment Questionnaire Disability Index HAQ-DI (time frame: Baseline, months 3,6,9,12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2011; AzTrials last refreshed its copy on 8 Nov 2026.

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