Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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EUCTR |
Last refreshed on:
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26 February 2024 |
Main ID: |
EUCTR2015-003333-95-SK |
Date of registration:
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04/11/2015 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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A Study Comparing Upadacitinib (ABT-494) to Placebo and to Adalimumab in Subjects with Rheumatoid Arthritis who are on a Stable Dose of Methotrexate and Who Have an Inadequate Response to Methotrexate (SELECT-COMPARE)
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Scientific title:
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A Phase 3, Randomized, Double-Blind Study Comparing Upadacitinib (ABT-494) to Placebo and to Adalimumab in Subjects with Moderately to Severely Active Rheumatoid Arthritis Who are on a Stable Background of Methotrexate (MTX) and Who Have an Inadequate Response to MTX (MTX-IR) |
Date of first enrolment:
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18/12/2015 |
Target sample size:
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1500 |
Recruitment status: |
Not Recruiting |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2015-003333-95 |
Study type:
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Interventional clinical trial of medicinal product |
Study design:
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Controlled: yes Randomised: yes Open: no Single blind: no Double blind: yes Parallel group: yes Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: yes Placebo: yes Other: no Number of treatment arms in the trial: 3
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Phase:
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Human pharmacology (Phase I): no
Therapeutic exploratory (Phase II): no
Therapeutic confirmatory - (Phase III): yes
Therapeutic use (Phase IV): no
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Countries of recruitment
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Argentina
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Australia
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Austria
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Belarus
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Belgium
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Bosnia and Herzegovina
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Brazil
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Bulgaria
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Canada
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Chile
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Colombia
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Croatia
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Czech Republic
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Denmark
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Egypt
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European Union
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Finland
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Germany
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Greece
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Hong Kong
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Hungary
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Ireland
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Israel
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Kazakhstan
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Korea, Republic of
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Latvia
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Lithuania
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Malaysia
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Mexico
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New Zealand
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Poland
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Portugal
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Puerto Rico
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Romania
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Russian Federation
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Serbia
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Singapore
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Slovakia
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South Africa
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Spain
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Taiwan
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Turkey
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Ukraine
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United Kingdom
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United States
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Contacts
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Name:
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EU Clinical Trials Helpdesk
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Address:
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AbbVie House, Vanwall Business Park, Vanwall Road
SL6 4UB
Maidenhead, Berkshire
United Kingdom |
Telephone:
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+441628561090 |
Email:
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eu-clinical-trials@abbvie.com |
Affiliation:
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AbbVie Ltd |
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Name:
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EU Clinical Trials Helpdesk
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Address:
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AbbVie House, Vanwall Business Park, Vanwall Road
SL6 4UB
Maidenhead, Berkshire
United Kingdom |
Telephone:
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+441628561090 |
Email:
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eu-clinical-trials@abbvie.com |
Affiliation:
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AbbVie Ltd |
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Key inclusion & exclusion criteria
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Inclusion criteria: • Adult male or female, at least 18 years old. • Diagnosis of RA for = 3 months. • Subjects must have been on oral or parenteral MTX therapy = 3 months prior to the first dose of study drug. • Subjects meeting both: = 6 swollen joints and = 6 tender joints at screening and baseline, and hsCRP = 5 mg/L at screening • At least one of the following at Screening: = 3 bone erosions on x-ray OR = 1 bone erosion and a positive rheumatoid factor OR = 1 bone erosion and a positive anti-cyclic citrullinated peptide autoantibodies. • Subjects with prior exposure to only one bDMARD (except ADA) may be enrolled (up to 20% of total study population). Specifically, prior to enrollment: a. Patients with limited exposure to a bDMARD (< 3 months), OR b. Patients who are responding to a bDMARD but had to discontinue due to intolerability (regardless of treatment duration). • Except for MTX, subject must have discontinued all conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs).
Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 1125 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 375
Exclusion criteria: • Prior exposure to any Janus kinase (JAK) inhibitor (including but not limited to tofacitinib, baricitinib, and filgotinib). Subjects who are considered inadequate responders to bDMARD therapy • History of inflammatory joint disease other than RA. History of secondary Sjogren's Syndrome is permitted.
Age minimum:
Age maximum:
Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Moderately to Severely Active Rheumatoid Arthritis (RA) MedDRA version: 23.1
Level: PT
Classification code 10039073
Term: Rheumatoid arthritis
System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
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Therapeutic area: Diseases [C] - Immune System Diseases [C20]
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Intervention(s)
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Product Name: Upadacitinib Product Code: ABT-494 Pharmaceutical Form: Tablet INN or Proposed INN: Upadacitinib CAS Number: 1310726-60-3 Current Sponsor code: ABT-494 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 15- Pharmaceutical form of the placebo: Tablet Route of administration of the placebo: Oral use
Trade Name: Humira 40mg/0.8ml solution for injection in pre-filled syringe Product Name: Adalimumab Pharmaceutical Form: Solution for injection in pre-filled syringe INN or Proposed INN: ADALIMUMAB CAS Number: 331731-18-1 Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concentration number: 50- Pharmaceutical form of the placebo: Solution for injection in pre-filled syringe Route of administration of the placebo: Subcutaneous use
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Primary Outcome(s)
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Main Objective: Period 1 • To compare the efficacy of upadacitinib QD versus placebo, and versus adalimumab (ADA) for the treatment of signs and symptoms of rheumatoid arthritis (RA) in subjects with moderately to severely active RA who are on a on a stable background of methotrexate (MTX) and who have an inadequate response to MTX (MTX-IR). • To compare the efficacy of upadacitinib QD versus placebo for the prevention of structural progression in RA subjects with moderately to severely active RA who are on a on a stable background of MTX and who have an inadequate response to MTX (MTX-IR). • To compare the safety and tolerability of upadacitinib QD versus placebo, and versus ADA in subjects with moderately to severely active RA subjects who are on a stable background of MTX and who have an inadequate response to MTX (MTX-IR). Period 2 • To evaluate the long-term safety, tolerability, and efficacy of upadacitinib in subjects with RA who have completed Period 1.
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Primary end point(s): The primary endpoint is the proportion of subjects achieving ACR20 response at Week 12 / the proportion of subjects achieving clinical remission (CR) based on DAS28 (CRP) at Week 12
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Secondary Objective: Not applicable
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Timepoint(s) of evaluation of this end point: week 12
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Secondary Outcome(s)
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Secondary end point(s): Ranked: 1. Change from baseline in modified Total Sharp Score (mTSS) at Week 26 2. Proportion of subjects achieving LDA based on Disease Activity Score (DAS)28 [CRP] = 3.2 at Week 12 3. Change from baseline in Disease Activity Score (DAS) 28 (CRP) at Week 12 4. Change from baseline in Health Assessment Questionnaire (HAQ-DI) at Week 12 5. ACR20 response at Week 12 6. Proportion of subjects achieving LDA based on DAS28 (CRP) = 3.2 at Week 12 (noninferiority of upadacitinib vs. ADA) 7. Change from baseline in Short Form 36 (SF-36) PCS at Week 12 8. Proportion of subjects achieving LDA based on Clinical Disease Activity Index (CDAI) at week 12 9. Change from baseline in morning stiffness at Week 12 10. Change from baseline in Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) at Week 12 11. Proportion of subjects with no radiographic progression at Week 26 Other: 1. ACR50 response at Week 12 2. ACR70 response at Week 12
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Timepoint(s) of evaluation of this end point: Week 12 and Week 26
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Source(s) of Monetary Support
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AbbVie Inc.
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Ethics review
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Status: Approved
Approval date: 18/11/2015
Contact:
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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