Efficacy Confirmation Study of CDP870 in Early Rheumatoid Arthritis

Last updated: November 12, 2024
Sponsor: Astellas Pharma Inc
Overall Status: Completed

Phase

3

Condition

Rheumatoid Arthritis

Musculoskeletal Diseases

Bone Diseases

Treatment

CZP

Placebo

methotrexate (MTX)

Clinical Study ID

NCT01451203
CDP870-275-11-001
JapicCTI-111636
  • Ages 20-64
  • All Genders

Study Summary

The objective of this study is to assess the efficacy of certolizumab pegol (CZP) with methotrexate (MTX) compared with MTX-alone in patients with early-stage rheumatoid arthritis (RA) who are naive to MTX and have with poor prognostic factors, using inhibition of radiographically confirmed joint damage progression over a one-year period as a primary endpoint. Following a year of treatment with CZP plus MTX treatment, CZP will be discontinued, and the subjects will be monitored for one more year (the follow-up period) to investigate the sustainability of efficacy of CZP during the MTX monotherapy for exploratory purposes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects with RA as defined by the ACR/EULAR criteria (2010) who meet all of thefollowing criteria:
  1. Subjects who developed RA within one year after onset of RA.

  2. Subjects who have never received MTX before (MTX naive)

  3. Subjects whose disease activity is moderate or higher (DAS28(ESR) ≥ 3.2)

  4. Subjects must satisfy at least two of the three criteria (Anti-CCP antibodypositive, Rheumatoid factor positive, Presence of X-ray erosion) for poorprognostic factors. The anti-CCP antibody positive is essential for everypatient.

Exclusion

Exclusion Criteria:

  • Patients who have a diagnosis of any other type of inflammatory arthritis.

  • Patients who have a secondary, non-inflammatory type of arthritis.

  • Patients who have used with MTX, reflunomide, or any other biologics prior to thestart of study drug administration.

  • Patients who have NYHA (New York Heart Association) Class III or IV congestive heartfailure

  • Patients who currently have, or who have a history of, tuberculosis.

  • Patients who have a high risk of infection (with a current infectious disease, achronic infectious disease, a history of serious infectious disease)

  • Patients who currently have, or have a history of, malignant tumor

  • Female patients who are breastfeeding or pregnant, who are of childbearing potential

Study Design

Total Participants: 319
Treatment Group(s): 3
Primary Treatment: CZP
Phase: 3
Study Start date:
October 11, 2011
Estimated Completion Date:
October 20, 2014

Study Description

This study was initiated by Otsuka Pharmaceutical Co., Ltd and transferred to Astellas on 12/04/2012.

Connect with a study center

  • Chubu Region,
    Japan

    Site Not Available

  • Chugoku Region,
    Japan

    Site Not Available

  • Hokkaido Region,
    Japan

    Site Not Available

  • Kanto Region,
    Japan

    Site Not Available

  • Kinki Region,
    Japan

    Site Not Available

  • Kyushu Region,
    Japan

    Site Not Available

  • Shikoku Region,
    Japan

    Site Not Available

  • Tohoku Region,
    Japan

    Site Not Available

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