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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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28 December 2015 |
Main ID: |
EUCTR2015-002466-22-Outside-EU/EEA |
Date of registration:
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23/12/2015 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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A Randomized, Multi-center, Blinded, Placebo-controlled Study With an Openlabel Run-in Period to Evaluate the Efficacy, Safety, and Pharmacokinetics of Daily, Single, Subcutaneous Injections of r-metHuiL-1ra (Anakinra) in Polyarticular-Course Juvenile Rheumatoid Arthritis
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Scientific title:
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A Randomized, Multi-center, Blinded, Placebo-controlled Study With an Openlabel Run-in Period to Evaluate the Efficacy, Safety, and Pharmacokinetics of Daily, Single, Subcutaneous Injections of r-metHuiL-1ra (Anakinra) in Polyarticular-Course Juvenile Rheumatoid Arthritis |
Date of first enrolment:
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Target sample size:
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90 |
Recruitment status: |
NA |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2015-002466-22 |
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: no
Parallel group: no
Cross over: no
Other: yes
Other trial design description: Open phase followed by double blind phase
If controlled, specify comparator, Other Medicinial Product: no
Placebo: yes
Other: no
Number of treatment arms in the trial: 2
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Phase:
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Countries of recruitment
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Australia
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Canada
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Costa Rica
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New Zealand
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United States
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Contacts
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Name:
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Nick Yeager
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Address:
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One Amgen Center Drive
CA 90049
Thousand Oaks
United States |
Telephone:
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001805447-0659 |
Email:
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nyeager@amgen.com |
Affiliation:
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Amgen Inc. |
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Name:
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Nick Yeager
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Address:
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One Amgen Center Drive
CA 90049
Thousand Oaks
United States |
Telephone:
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001805447-0659 |
Email:
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nyeager@amgen.com |
Affiliation:
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Amgen Inc. |
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Key inclusion & exclusion criteria
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Inclusion criteria: • Boys or girls age 2 to 17 years (inclusive)
• Minimum weight of 10 kg
• Availability of an adult to assist with administration of SC injections of study drug and/or subjects capable of adequately performing self-injection technique as judged by the investigator
• Available for assessments
• Polyarticular, pauciarticular or systemic disease onset
• Active polyarticular-course JRA with at least 5 swollen joints due to active arthritis (not bony overgrowth) and 3 joints with limitation of motion (LOM) at screening and the day 1 visit
• Stable doses of background methotrexate (minimum 10 mg/m2/week, maximum 40 mg/week) for 6 consecutive weeks before the first dose of anakinra and throughout the trial (subjects not receiving background methotrexate or any other DMARD for 6 weeks before the first dose of anakinra could be enrolled but not initiate methotrexate treatment while participating in this study)
• Subjects who continued methotrexate were required to take either 1 to 5 mgs/day folic acid at least 5 days/week or 2.5 to 15 mgs folinic acid the day after methotrexate administration
• Subjects had at least a 4-week washout of any other biologic therapy (eg, etanercept and infliximab) before the first dose of anakinra
• Stable doses of NSAIDS (including Cox-2 inhibitors e.g. celecoxib and rofecoxib) and systemic oral corticosteroids (= 10 mg/day or 0.2 mg/kg/day of prednisone; whichever was less) for 4 weeks before the first dose of anakinra and during the trial
• Subjects who received leflunomide must have completed the prescribed course of cholestyramine washout
• Provision of written informed consent for participation in the study by the subject or legally acceptable representative before any study-specific procedure was performed Are the trial subjects under 18? yes Number of subjects for this age range: 90 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria: • Presence of any uncontrolled, clinically significant systemic disease, hepatic, renal, neurological, endocrine, cardiac, gastrointestinal (except NSAID-induced GI problems), or hematologic disease within 24 weeks of first dose of anakinra
• Presence of symptoms of systemic disease at screening (intermittent fever, rash, hepatosplenomegaly, pericarditis)
• Known diagnosis of hepatitis or HIV
• A malignancy other than basal cell or in situ carcinoma of the cervix within the previous 5 years
• Presence of any other rheumatic disease or major chronic infectious, inflammatory, immunologic disease (inflammatory bowel disease, psoriatic arthritis, spondyloarthropathy, systemic lupus erythematosus)
• Infection at screening or development of frequent, acute or chronic infection within 4 weeks
• Joint replacement required during the study
• ALT or AST > 2.0 or creatinine > 1.5 times the upper limit of normal range (confirmed by repeated measure)
• White blood cell count < 2.0 x 109/L and/or neutrophil count < 1.5 x 109/L and/or
platelet count < 150 x 109/L
• Concurrent treatment with a DMARD other than methotrexate
• Concurrent treatment of methotrexate < 10 mg/m2/week or > 40 mg/week
• Received intra-articular or systemic corticosteroid injection within 4 weeks
• Received live viral vaccines within 3 months of study
• Current enrollment in any other interventional clinical study or concurrent treatment with an investigational agent within 4 weeks of study
• Active substance abuse
• Known allergy to E coli-derived products
• Any disorder that compromised the ability to give informed consent for participation in the study, comply with protocol procedures, and/or be available for follow-up assessment
• Lack of adequate contraceptive precautions
• Pregnancy (eg, positive test for human chorionic gonadotropin), ongoing breastfeeding, or intention to become pregnant during the study
Age minimum:
Age maximum:
Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Juvenile Rheumatoid Arthritis
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Therapeutic area: Diseases [C] - Immune System Diseases [C20]
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Intervention(s)
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Product Name: anakinra Pharmaceutical Form: Solution for injection INN or Proposed INN: ANAKINRA CAS Number: 143090-92-0 Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concentration number: 100- Pharmaceutical form of the placebo: Solution for injection Route of administration of the placebo: Subcutaneous use
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Primary Outcome(s)
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Primary end point(s): Adverse events and laboratory assessment over time
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Secondary Objective: Not applicable
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Timepoint(s) of evaluation of this end point: 12+16 weeks
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Main Objective: The primary objective of this study was to evaluate the safety of anakinra
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Secondary Outcome(s)
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Timepoint(s) of evaluation of this end point: Not applicable
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Secondary end point(s): Not applicable
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Source(s) of Monetary Support
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Amgen Inc.
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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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