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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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25 November 2019 |
Main ID: |
EUCTR2010-020913-10-GB |
Date of registration:
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23/07/2010 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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An open label, pilot, multi-centre, step-down, randomised controlled trial to examine whether Etanercept 25mg once weekly is effective in maintaining a clinical response in patients with Ankylosing Spondylitis who have responded to 50mg once weekly - ANSWERS
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Scientific title:
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An open label, pilot, multi-centre, step-down, randomised controlled trial to examine whether Etanercept 25mg once weekly is effective in maintaining a clinical response in patients with Ankylosing Spondylitis who have responded to 50mg once weekly - ANSWERS |
Date of first enrolment:
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11/08/2010 |
Target sample size:
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50 |
Recruitment status: |
Not Recruiting |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2010-020913-10 |
Study type:
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Interventional clinical trial of medicinal product |
Study design:
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Controlled: yes Randomised: yes Open: yes Single blind: no Double blind: no Parallel group: no Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: no Other: yes Other specify the comparator: Enbrel 50mg solution for injection in prefilled syringe (etanercept) - EU/1/99/126/015-18
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Phase:
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Human pharmacology (Phase I): no
Therapeutic exploratory (Phase II): no
Therapeutic confirmatory - (Phase III): no
Therapeutic use (Phase IV): yes
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Countries of recruitment
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United Kingdom
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Key inclusion & exclusion criteria
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Inclusion criteria: At screening / baseline The participant will be placed on Etanercept 50mg once weekly providing: a) Diagnosis of AS according to the modified New York criteria (Study Protocol, Appendix 1). b) Confirmation of sustained active spinal disease, demonstrated by: i. BASDAI score of at least 4 units (Study Protocol, Section 5.6) ii. At least 4 cm on a 0-10cm spinal pain visual analogue scale (VAS) iii. Both severity measures demonstrated on two occasions at least 12 weeks apart without any change of treatment c) Conventional treatment with two or more NSAIDs taken sequentially at maximum tolerated or recommended dosage for 4 weeks have failed to control symptoms. d) Participant has clinically acceptable results from laboratory screening test. e) Male or Female, aged 18 – 80 years f) Participant is willing and able to give informed consent to participate in the study. g) Able (in the Investigators opinion) and willing to comply with all study requirements.
At randomisation The participant will be randomised to 50mg or 25mg Etanercept providing: a) An adequate response to treatment has been achieved, with response defined as: i. reduction of the BASDAI score to 50% of the pre-treatment value OR ii. reduction in BASDAI by 2 or more units AND iii. reduction of the spinal pain VAS by 2 cm or more. b) The participant finds Etanercept acceptable and wishes to continue treatment
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 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria: At screening / baseline: the participant will not enter the study if ANY of the following apply: a) Previous treatment with any licensed or experimental anti TNF therapy. b) Chronic infection of the upper respiratory tract (e.g. sinusitis), chest (e.g. bronchiectatic lung disease), urinary tract or skin (e.g. paronychia, chronic ulcers, open wounds). c) Serious infections (such as pneumonia or pyelonephritis) in the previous 3 months. d) Any ongoing or active infection or any major episode of infection requiring hospitalisation or treatment with intravenous (IV) antibiotics within the preceding 30 days and/or orally administered antibiotics in the preceding 15 days. e) Received any live (attenuated) vaccines within four weeks of screening visit. f) Known immunosuppressive disease or treatment with immunosuppressive drugs. g) Active / latent tuberculosis as identified by local screening guidelines. h) Stable corticosteroid use =10mgs OD taken in the 4 weeks prior to screening. i) History of hepatitis B or C. j) Significant concurrent cardio-vascular disease including; uncompensated congestive heart failure, myocardial infarction within 12 months, unstable angina pectoris, uncontrolled hypertension. k) Cancer or a history of cancer (other than resected cutaneous basal cell carcinoma, and in situ cervical cancer) within five years of entering the screening period. l) Significant renal or hepatic impairment. m) Leukopaenia (wbc <3000 x 10^6/L) and/or neutropeania (wbc =1500 x 10^6/L). n) Thrombocytopaenia (platelets less than 150 x 10^9/L). o) Demyelinating disorders such as multiple sclerosis. p) Women who are pregnant, lactating or of childbearing potential not using contraception. q) Scheduled elective surgery/procedures requiring general anaesthesia during the study. r) Allergy to latex (the needle cover of the syringe contains latex). s) Presence of any other significant and uncontrolled medical condition, which in the investigator's opinion precludes the use of Etanercept t) Unable to give informed consent u) Unable/unwilling to comply with study procedures. v) Not available for follow-up assessments w) Received treatment with an investigational drug within 12 weeks prior to study screening. x) History of back injury or trauma which confounds the clinical scenario
At randomisation: the participant will not be randomised if ANY of the following apply: a) An adequate response to Etanercept 50mg per week has not been achieved by the end of the 6 month lead in period. b) The participant wishes to discontinue treatment with Etanercept. c) On the basis of adverse reactions, the treating physician considers the participant should withdraw from treatment with Etanercept.
Age minimum:
Age maximum:
Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Ankylosing spondylitis
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Intervention(s)
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Trade Name: Enbrel® Product Name: Enbrel Pharmaceutical Form: Solution for injection INN or Proposed INN: Etanercept CAS Number: 185243-69-0 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 25-
Trade Name: Enbrel Product Name: Enbrel Pharmaceutical Form: Solution for injection
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Primary Outcome(s)
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Secondary Objective: To assess additional measurements of efficacy and adverse effects in low and high dose groups.
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Primary end point(s): The primary efficacy outcome measure will be: • 50% reduction in the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) AND/OR • Fall in BASDAI by >/= 2 units.
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Main Objective: To investigate whether Etanercept 25mg once weekly is effective in maintaining a clinical response in patients with ankylosing spondylitis who have responded to 50mg once weekly.
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Source(s) of Monetary Support
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Ethics review
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Status: Approved
Approval date:
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Results
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Results available:
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