AzTrials
AzTrials

ASPhase 3NCT02893254

Efficacy and Safety of IBI303 in Adult Patients With Active Ankylosing Spondylitis

A Phase 3 study testing IBI303 and Adalimumab in people with AS, run by Innovent Biologics (Suzhou) Co. Ltd..

Completed

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

Official record
Search all trials

Trial summary

Study of the efficacy and safety of IBI303 compared with adalimumab in adult patients with ankylosing spondylitis (AS) who have had an inadequate response to or who are intolerant to one or more nonsteroidal anti-inflammatory drugs (NSAIDs) Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
AS
What is being tested?
IBI303 and Adalimumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
438 participants
Where
No sites listed yet
Study dates
22 Sep 2016to 16 Mar 2018
Phase
Phase 3
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Between 18 and 65 years of age
  • Fulfilled modified New York Criteria for AS, had active disease(as defined by≥2 of the following: Bath AS Disease Activity Index(BASDAI) ≥4(10cm VAS); total back pain≥40(100mm VAS) and ≥1 hour of morning stiffness)
  • No response, or inadequate response, or intolerant to≥1 NSAID at least 4 weeks
  • Participants who are regularly taking DMARDs(SSZ≤3g/day,MTX≤15mg/week) as part of their AS therapy are required to be on a stable dose ≥28 days prior to Baseline, and are required to be on a stable DMARDs dose and to accept oral folic acid therapy(≥5mg/week) during the study period;
  • Participants who are regularly taking NSAIDs as part of their AS therapy are required to be on a stable dose ≥14 days prior to Baseline, and are required to be on a stable dose during the study period;
  • Glucocorticoid must be withdrawn for at least 4 weeks prior to Baseline, and were not allowed during the study period.
Show all 12Show fewer
  • Total duration of prior physical therapy should be at least 2 weeks
  • Traditional Chinese medicines to AS must be withdrawn for at least 28 days prior to Baseline, and were not allowed during the study period.
  • Biological agents must be withdrawn: etanercept and anakinra(IL-1 receptor antagonist) for at least 4 weeks prior to administration; tocilizumab(IL-6 monoclonal antibody) for at least 12 weeks prior to administration; other biological agents for 12 weeks or 5 half-lives(whichever is longer) prior to administration
  • Male subjects' partner, or female subjects should be willing to use adequate contraception from admission to clinical research center until 5 months post dosing;
  • To fully understanding the purpose of the study, to understand the pharmacological action of the study drugs and the possible adverse reactions; participants who are voluntary to sign the informed consent according to the Declaration of Helsinki
  • Blood routine examination: hemoglobin ≥90g/L, WBC count ≥3.5×109/L, PLT count ≥100×109/L; liver function examination: total bilirubin(TBIL), direct bilirubin(DBIL), aspartate transaminase(AST) or alanine aminotransferase (ALT) <1.5×ULN; kidney function examination:creatinine(Cr) ≤ULM, usea nitrogen(BUN) ≤1.25×ULN

Who cannot join

  • No response to prior tumor necrosis factor-α inhibitors treatment
  • Use of DMARD(except for sulfasalazine or methotrexate) within 4 weeks prior to Baseline
  • Use of opioid analgesics(such as methadone, morphine) within 4 weeks prior to Baseline
  • X-ray suggests total spinal ankylosis, or sacroiliac joint fusion
  • Patients with moderate to severe congestive heart failure(NYHA )
  • Has received intra-articular joint injection(s), spinal or paraspinal injection(s) with corticosteroids within 28 days prior to Baseline
Show all 22Show fewer
  • Has undergone spinal surgery or joint surgery within 2 months prior to the administration of the study drugs
  • Patients with other rheumatic diseases or immunodeficiency, including inflammatory bowel disease(IBD), psoriasis, active uveitis
  • Recent active or chronic infection requiring anti-infective therapy, such as M.tuberculosis, Listeriosis, Histophasmosis
  • Tuberculosis(TB) history, or a positive T-SPOT test, or chest radiograph suggests active TB
  • Positive serology for human immunodeficiency virus(HIV) antibody
  • Positive serology for hepatitis C virus antibody
  • Active or chronic HBV infection, such as positive hepatitis B virus surface antigen
  • Malignancy history ≤5 years(except for successfully treated cutaneous squamous cell carcinoma, or basal cell carcinoma, or localized cervical carcinoma in situ, or breast ductal carcinoma in situ)
  • History of relevant allergy/hypersensitivity (including allergy to the study medications or its excipients)
  • Prior or recent central nervous system demyelinating disease or multiple sclerosis
  • Use of live vaccines within 3 months prior to Baseline
  • Pregnant or breastfeeding women
  • Suspected or confirmed drug/alcohol use
  • Participation in another interventional trial within 3 months prior to administration
  • Subjects with serious psychiatric or nervous system diseases, or patients who have difficulty in informing consent or AE presentation, or illiterate patients
  • Subjects who are unable to complete the study, or who may not be able to comply with the requirement of the study, judged by the investigators

About this study

Official title: A Multicenter, Randomized, Double-blind, Parallel-controlled Phase 3 Study Evaluating the Efficacy and Safety of Recombinant Human Monoclonal Antibody Against Human Tumor Necrosis Factor-α (IBI303) Compared to Adalimumab in Patients With Active Ankylosing Spondylitis

Study of the efficacy and safety of IBI303 compared with adalimumab in adult patients with ankylosing spondylitis (AS) who have had an inadequate response to or who are intolerant to one or more nonsteroidal anti-inflammatory drugs (NSAIDs)

Read the detailed description

Adults patients with active ankylosing spondylitis (AS) were randomized in a 1:1 ratio to receive treatment with adalimumab 40 mg every other week (eow) or IBI303, given subcutaneously (SC), in the 24-week double-blind (DB) phase. Randomized participants received one SC injection of the appropriate DB study medication (adalimumab 40 mg or IBI303) at Week 0 and then eow until Week 22. A follow-up visit occurred 70 days(Week 32) after the last dose of study drug to obtain information on any ongoing or new adverse events (AEs).

Conditions
AS
Being tested
IBI303, Adalimumab
Keywords
ankylosing spondylitis, tumor necrosis factor-α inhibitors
Medical subject headings
Spondylitis, Ankylosing

What participants receive

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

  • IBI303Drug

    12 cycles. IBI303: 40 mg, iH

  • AdalimumabDrug

    12 cycles. Adalimumab: 40mg, iH

Study groups in NCT02893254
Study groupRoleWhat they receive
IBI303ExperimentalIBI303 40mg administered subcutaneously every other week, 12cycles
Receives: Drug: IBI303
AdalimumabActive comparatorAdalimumab 40mg administered subcutaneously every other week
Receives: Drug: Adalimumab

What is being measured

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

  1. Number of participants meeting the Assessment of Spondyloarthritis International Society(ASAS) ASAS20 Response Criteria

    Measured: Week 24

Secondary outcomes (46)
  1. Number of participants meeting the ASAS20 Response

    Measured: Week 2

  2. Number of participants meeting the ASAS20 Response

    Measured: Week 4

  3. Number of participants meeting the ASAS20 Response

    Measured: Week 8

  4. Number of participants meeting the ASAS20 Response

    Measured: Week 12

  5. Number of participants meeting the ASAS20 Response

    Measured: Week 16

  6. Number of participants meeting the ASAS20 Response

    Measured: Week 20

  7. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week 24

  8. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 24

  9. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 24

  10. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Measure Index(BASMI)

    Measured: Baseline and Week 24

  11. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week 2

  12. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week 4

  13. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week 8

  14. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week12

  15. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week16

  16. Number of participants meeting the ASAS40 Response Criteria

    Measured: Week20

  17. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 2

  18. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 4

  19. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 8

  20. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 12

  21. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 16

  22. Number of Participants Meeting the ASAS5/6 Response Criteria

    Measured: Week 20

  23. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 2

  24. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 4

  25. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 8

  26. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 12

  27. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 16

  28. Number of Participants Meeting the ASAS Partial Remission

    Measured: Week 20

  29. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 2

  30. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 4

  31. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 8

  32. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 12

  33. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 16

  34. Change from Baseline in Bath Ankylosing Spondylitis Disease Activity Index(BASDAI), in Bath Ankylosing Spondylitis Functional Index(BASFI), in Bath Ankylosing Spondylitis Messure Index(BASMI)

    Measured: Baseline and Week 20

  35. Change from Baseline in Patient Global Assessment of Disease Activity

    Measured: Baseline and Week 12

  36. Change from Baseline in Patient Global Assessment of Disease Activity

    Measured: Baseline and Week 24

  37. Change from Baseline in Total Back Pain Score

    Measured: Baseline and Week 12

  38. Change from Baseline in Total Back Pain Score

    Measured: Baseline and Week 24

  39. Change From Baseline in Inflammation Score

    Measured: Baseline and Week 12

  40. Change From Baseline in Inflammation Score

    Measured: Baseline and Week 24

  41. Change from Baseline in Maastricht Ankylosing Spondylitis Enthesis Score(MASES)

    Measured: Baseline and Week 12

  42. Change from Baseline in Maastricht Ankylosing Spondylitis Enthesis Score(MASES)

    Measured: Baseline and Week 24

  43. Change from Baseline in ASDAS-CRP and ASDAS-ESR

    Measured: Baseline and Week 12

  44. Change from Baseline in ASDAS-CRP and ASDAS-ESR

    Measured: Baseline and Week 24

  45. Change from Baseline in EQ-5D/WPAI-SHP/HAQ-S QoL

    Measured: Baseline and Week 12

  46. Change from Baseline in EQ-5D/WPAI-SHP/HAQ-S QoL

    Measured: Baseline and Week 24

Timeline

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

  1. First posted8 Sep 2016 (estimated)
  2. Study start22 Sep 2016
  3. Primary completion22 Jan 2018
  4. Study completion16 Mar 2018

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
438 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02893254
Sponsor's protocol ID
CIBI303A301
Status last verified
Jun 2018
First submitted
29 Aug 2016
Last updated
4 Jun 2018
Results posted
No
Data monitoring committee
No

Publications

  • Huang F, Gu J, Zhu P, Bao C, Xu J, Xu H, Wu H, Wang G, Shi Q, Andhivarothai N, Anderson J, Pangan AL. Efficacy and safety of adalimumab in Chinese adults with active ankylosing spondylitis: results of a randomised, controlled trial. Ann Rheum Dis. 2014 Mar;73(3):587-94. doi: 10.1136/annrheumdis-2012-202533. Epub 2013 Mar 8.

    PubMed 23475983
  • Xu H, Li Z, Wu J, Xing Q, Shi G, Li J, Liu X, Wu L, Li X, Tan W, He D, Bi L, Li H, Xiao Z, Shuai Z, Li X, Wang Y, Luo L, Zheng Y, Xiao W, Wu X, Zhou L, Li T, Qian L, Zhou H, Lu S, Zheng S, Xiong Y, Wang X, Wang Y, Wu X. IBI303, a biosimilar to adalimumab, for the treatment of patients with ankylosing spondylitis in China: a randomised, double-blind, phase 3 equivalence trial. Lancet Rheumatol. 2019 Sep;1(1):e35-e43. doi: 10.1016/S2665-9913(19)30013-X. Epub 2019 Aug 28.

    PubMed 38229357

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing IBI303 and Adalimumab in people with AS, run by Innovent Biologics (Suzhou) Co. Ltd..

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 12 inclusion and 22 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 4 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Number of participants meeting the Assessment of Spondyloarthritis International Society(ASAS) ASAS20 Response Criteria (time frame: Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02893254, which also lists 2 linked publications.

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 4 Jun 2018; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in