Rheumatoid ArthritisNexTNCT01764321
Noninterventional Examination of Subcutaneous (sc) Tumor Necrosis Factor (TNF) Inhibitors
An observational study of Rheumatoid Arthritis, run by UCB Pharma SA at 122 sites in Germany.
Trial summary
This prospective, post marketing, observational, Noninterventional Study (NIS) is designed to compare drug persistence in patients treated with Certolizumab Pegol (CZP) and patients treated with any other subcutaneously (sc) administered Tumor Necrosis Factor (TNF) inhibitor. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- Type of treatment
- Injection or infusion
- How many people
- 1,723 participants
- Where
- 122 sitesGermany
- Study dates
- Dec 2012to 16 Jun 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
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: Adult patients with diagnosed Rheumatoid Arthritis (RA)
Who may be able to join
- Diagnosis of Rheumatoid Arthritis (RA)
- Moderate to severe disease activity of RA
- The patient receives Tumor Necrosis Factor (TNF) inhibitor in combination with at least 1 synthetic Disease Modifying Antirheumatic Drug (DMARD)
- The decision to prescribe a TNF inhibitor in combination with DMARD is made by the treating physician, prior to and independently from the decision to include the patient in this Non-Interventional Study (NIS)
- Male or female patients ≥ 18 years of age, considered by the treating physician to be reliable and capable of adhering to the observational plan (eg, able to understand and complete questionnaires)
- The patient personally signed and dated Patient Data Consent Form (PDCF) prior to Visit 2
- Treatment is according to the Summary of Product Characteristics (SmPC)
Who cannot join
- Known contraindications to Tumor Necrosis Factor (TNF) inhibitors
- Prior use of any TNF inhibitors (including Adalimumab, Etanercept, Infliximab, Certolizumab, or Golimumab), or other biologic DMARDs (including Abatacept, Rituximab, Tocilizumab, or Anakinra)
- Participation in an investigational study
Trial locations and contacts
122 sites in 1 country.
122 sites in 1 country
Germany122 sites
039
Aachen
079
Aachen
017
Altenburg
044
Altenholz
082
Amberg
030
Bad Bramstedt
073
Bad Doberan
134
Bad Homburg
010
Bad Kreuznach
153
Bad Kreuznach
023
Bad Nauheim
132
Bad Neuenahr-Ahrweiler
196
Bad Pyrmont
046
Bautzen
125
Bautzen
031
Bayreuth
033
Bayreuth
018
Berlin
019
Berlin
036
Berlin
040
Berlin
058
Berlin
072
Berlin
087
Berlin
099
Berlin
100
Berlin
101
Berlin
005
Bochum
194
Braunschweig
021
Burghausen
179
Chemnitz
075
Cottbus
027
Darmstadt
062
Donaueschingen
089
Dresden
110
Dresden
063
Düsseldorf
014
Elmshorn
080
Erfurt
142
Erlangen
176
Essen
008
Frankenberg
016
Frankfurt
098
Frankfurt
054
Freiberg
041
Freiburg im Breisgau
147
Freiburg im Breisgau
188
Friedrichroda
140
Geilenkirchen
164
Geislingen an der Steige
133
Giessen
191
Giessen
143
Goslar
032
Göttingen
025
Greifswald
029
Halle
186
Halle
002
Hamburg
006
Hamburg
052
Hamburg
056
Hamburg
070
Hamburg
107
Hanover
136
Hanover
048
Heidelberg
057
Heidelberg
124
Herne
043
Hildesheim
053
Hofheim
092
Hoyerswerda
096
Jena
180
Karlsruhe
184
Kronach
004
Leipzig
068
Leipzig
114
Lübeck
013
Ludwigsfelde
034
Magdeburg
177
Mainz
195
Mansfeld
028
Marktredwitz
049
Mittelherwigsdorf
055
Mönchengladbach
015
München
020
München
093
München
111
München
175
München
037
Naunhof
047
Neubrandenburg
078
Neuss
090
Neuss
109
Nienburg
076
Offenburg
035
Planegg
097
Plauen
051
Potsdam
187
Potsdam
061
Püttlingen
185
Radebeul
123
Rendsburg
118
Rostock
112
Saarbrücken
121
Schwerin
122
Schwerin
144
Schwerin
193
Seesen
115
Stadtbergen
171
Stolberg
074
Stuttgart
146
Stuttgart
085
Traunstein
152
Treuenbrietzen
009
Tübingen
059
Tübingen
077
Weener
113
Winsen
065
Wuppertal
106
Würselen
042
Würzburg
182
Zwickau
001
Zwiesel
About this study
Official title: A Multi-center, Noninterventional Study With Certolizumab Pegol in Comparison With Any Other Subcutaneous TNF Inhibitor in Two Parallel Groups in Biologic Naive Patients With Rheumatoid Arthritis
This prospective, post marketing, observational, Noninterventional Study (NIS) is designed to compare drug persistence in patients treated with Certolizumab Pegol (CZP) and patients treated with any other subcutaneously (sc) administered Tumor Necrosis Factor (TNF) inhibitor.
- Conditions
- Rheumatoid Arthritis
- Keywords
- Certolizumab Pegol, Cimzia®, TNF inhibitor, DMARD, Rheumatoid Arthritis
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Certolizumab Pegol treatment | Certolizumab Pegol in combination with at least one Disease Modifying Antirheumatic Drug (DMARD) | |
| Other Tumor Necrosis Factor TNF inhibitor treatment | Other subcutaneous (sc) Tumor Necrosis Factor (TNF) inhibitor (Adalimumab, Golimumab, Etanercept) in combination with at least one Disease Modifying Antirheumatic Drug (DMARD) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients demonstrating persistence to the initially prescribed Tumor Necrosis Factor (TNF) inhibitor after 24 months of treatment
For a patient to be classified as persistent he or she must be classified as an early responder up to Week 12 and be continuously treated up to Week 104 with the initially prescribed Tumor Necrosis Factor (TNF) inhibitor at a dose not greater than that initially prescribed according to the Summary of Product Characteristics (SmPC).
For the definition of persistence rate for the primary variable, patients will be classified as early responders if their Disease Activity Score 28 (DAS28) shows a reduction of >=1.2 from Baseline or decreases to <=3.2 (Low Disease Activity (LDA) or remission) up to Week 12.
Non responders up to Week 12 will be counted as non persistent to the initially prescribed TNF inhibitor treatment.
Patients who stop the initially prescribed TNF inhibitor treatment will not be counted as persistent, except if treatment with TNF inhibitor is stopped because the patient is in clinical remission.
Measured: up to Week 104
Secondary outcomes (13)
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2 or DAS28 decrease to ≤ 3.2 up to Week 12
Measured: From Baseline up to Week 12
Proportion of patients achieving early clinical response to treatment based on DAS28 reduction of ≥ 1.2 or DAS28 decrease to ≤ 3.2, and being in DAS28 remission (DAS28<2.6) or ([LDA] DAS28<=3.2) at Week 104
- LDA is defined as DAS28 ≤ 3.2
- DAS28 is defined as Disease Activity Score 28
Measured: From Baseline up to Week 12 and to Week 104
Proportion of patients not achieving early clinical response to treatment based on DAS28 reduction of >=1.2 or DAS28 decrease to <=3.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
- LDA is defined as DAS28 ≤ 3.2
- DAS28 is defined as Disease Activity Score 28
Measured: From Baseline up to Week 12 and to Week 104
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2 up to Week 12
Measured: From Baseline up to Week 12
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
Low Disease Activity (LDA) is defined as DAS28 ≤ 3.2
Measured: From Baseline up to Week 12 and to Week 104
Proportion of patients not achieving early clinical response to treatment based on DAS28 reduction of >=1.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
Low Disease Activity (LDA) is defined as DAS28 ≤ 3.2
Measured: From Baseline up to Week 12 and to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to lack/loss of efficacy during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to Adverse Events (AEs) during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to any other reasons during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment at the dose recommended according to the Summary of Product Characteristics (SmPC) during the duration of the study
Measured: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to lack/loss of efficacy during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to Adverse Events (AEs) during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to any other reasons during the duration of the study (up to Week 104)
Measured: From Baseline up to Week 104
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2013 (estimated)
- Study startDec 2012
- Primary completion16 Jun 2020
- Study completion16 Jun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 1,723 participants (actual)
Sponsor and investigators
- Lead sponsor
- UCB Pharma SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- UCB Cares, Study director, +1 844 599 2273 (UCB)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01764321
- Sponsor's protocol ID
- RA0097
- Acronym
- NexT
- Status last verified
- Dec 2020
- First submitted
- 7 Jan 2013
- Last updated
- 22 Dec 2020
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-center, Noninterventional Study With Certolizumab Pegol in Comparison With Any Other Subcutaneous TNF Inhibitor in Two Parallel Groups in Biologic Naive Patients With Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT01764321
- Acronym / sponsor ID
- NexT / RA0097
- Conditions
- Rheumatoid Arthritis
- Keywords
- Certolizumab Pegol, Cimzia®, TNF inhibitor, DMARD, Rheumatoid Arthritis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,723 participants (actual)
- Lead sponsor
- UCB Pharma SAIndustry (pharma, biotech, devices)
- Study start
- Dec 2012 (actual)
- Primary completion
- 16 Jun 2020 (actual)
- Study completion
- 16 Jun 2020 (actual)
- First posted
- 9 Jan 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective, post marketing, observational, Noninterventional Study (NIS) is designed to compare drug persistence in patients treated with Certolizumab Pegol (CZP) and patients treated with any other subcutaneously (sc) administered Tumor Necrosis Factor (TNF) inhibitor.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Certolizumab Pegol treatment | – | –Certolizumab Pegol in combination with at least one Disease Modifying Antirheumatic Drug (DMARD) |
| Other Tumor Necrosis Factor TNF inhibitor treatment | – | –Other subcutaneous (sc) Tumor Necrosis Factor (TNF) inhibitor (Adalimumab, Golimumab, Etanercept) in combination with at least one Disease Modifying Antirheumatic Drug (DMARD) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients with diagnosed Rheumatoid Arthritis (RA)
Key inclusion criteria (7 listed)
- Diagnosis of Rheumatoid Arthritis (RA)
- Moderate to severe disease activity of RA
- The patient receives Tumor Necrosis Factor (TNF) inhibitor in combination with at least 1 synthetic Disease Modifying Antirheumatic Drug (DMARD)
- The decision to prescribe a TNF inhibitor in combination with DMARD is made by the treating physician, prior to and independently from the decision to include the patient in this Non-Interventional Study (NIS)
- Male or female patients ≥ 18 years of age, considered by the treating physician to be reliable and capable of adhering to the observational plan (eg, able to understand and complete questionnaires)
Key exclusion criteria (3 listed)
- Known contraindications to Tumor Necrosis Factor (TNF) inhibitors
- Prior use of any TNF inhibitors (including Adalimumab, Etanercept, Infliximab, Certolizumab, or Golimumab), or other biologic DMARDs (including Abatacept, Rituximab, Tocilizumab, or Anakinra)
- Participation in an investigational study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Proportion of patients demonstrating persistence to the initially prescribed Tumor Necrosis Factor (TNF) inhibitor after 24 months of treatment
Time frame: up to Week 104
For a patient to be classified as persistent he or she must be classified as an early responder up to Week 12 and be continuously treated up to Week 104 with the initially prescribed Tumor Necrosis Factor (TNF) inhibitor at a dose not greater than that initially prescribed according to the Summary of Product Characteristics (SmPC). For the definition of persistence rate for the primary variable, patients will be classified as early responders if their Disease Activity Score 28 (DAS28) shows a reduction of >=1.2 from Baseline or decreases to <=3.2 (Low Disease Activity (LDA) or remission) up to Week 12. Non responders up to Week 12 will be counted as non persistent to the initially prescribed TNF inhibitor treatment. Patients who stop the initially prescribed TNF inhibitor treatment will not be counted as persistent, except if treatment with TNF inhibitor is stopped because the patient is in clinical remission.
13 secondary outcomes
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2 or DAS28 decrease to ≤ 3.2 up to Week 12
Time frame: From Baseline up to Week 12
Proportion of patients achieving early clinical response to treatment based on DAS28 reduction of ≥ 1.2 or DAS28 decrease to ≤ 3.2, and being in DAS28 remission (DAS28<2.6) or ([LDA] DAS28<=3.2) at Week 104
Time frame: From Baseline up to Week 12 and to Week 104
Proportion of patients not achieving early clinical response to treatment based on DAS28 reduction of >=1.2 or DAS28 decrease to <=3.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
Time frame: From Baseline up to Week 12 and to Week 104
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2 up to Week 12
Time frame: From Baseline up to Week 12
Proportion of patients achieving early clinical response to treatment based on Disease Activity Score 28 (DAS28) reduction of ≥ 1.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
Time frame: From Baseline up to Week 12 and to Week 104
Proportion of patients not achieving early clinical response to treatment based on DAS28 reduction of >=1.2, and being in DAS28 remission (DAS28<2.6) or LDA (DAS28<=3.2) at Week 104
Time frame: From Baseline up to Week 12 and to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to lack/loss of efficacy during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to Adverse Events (AEs) during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Proportion of patients who discontinued the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to any other reasons during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment at the dose recommended according to the Summary of Product Characteristics (SmPC) during the duration of the study
Time frame: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to lack/loss of efficacy during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to Adverse Events (AEs) during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Time to discontinuation of the initially prescribed Tumor Necrosis Factor (TNF) inhibitor treatment due to any other reasons during the duration of the study (up to Week 104)
Time frame: From Baseline up to Week 104
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Dec 2020.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
UCB Cares study director
+1 844 599 2273 (UCB)
122 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Rheumatoid Arthritis, run by UCB Pharma SA at 122 sites in Germany.
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 7 inclusion and 3 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 22 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 122 sites in Germany. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Proportion of patients demonstrating persistence to the initially prescribed Tumor Necrosis Factor (TNF) inhibitor after 24 months of treatment (time frame: up to Week 104). 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 22 Dec 2020.