Rheumatoid ArthritisReAliseNCT00234884
Post-marketing Observational Study in Subjects With Rheumatoid Arthritis
An observational study of Rheumatoid Arthritis, run by Abbott at 311 sites in 11 countries.
Trial summary
The purpose of this observational study was to observe and assess the long term use, safety, and effectiveness of adalimumab in a normal clinical setting. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- adalimumab
- How many people
- 3,435 participants
- Where
- 311 sitesin 11 countries
- Study dates
- Sep 2003to Jul 2010
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Participants were patients with rheumatoid arthritis (RA) who had received adalimumab for at least 3 months in NCT00448383 (Study M02-497) and had been prescribed commercial adalimumab following termination of that study. At the time of enrollment in NCT00448383 (Study M02-497), participants had failed one or more disease-modifying antirheumatic drugs (DMARDs) and had active, moderate to severe RA despite concurrent RA treatment.
Who may be able to join
- Participants with ongoing adalimumab treatment who completed at least Month 3 (Visit 5) of NCT00448383 (Study M02-497) and who had subsequently been prescribed adalimumab according to the Summary of Product Characteristics (SmPC).
- Participants must have been willing to consent to data being collected and provided to Abbott.
Who cannot join
- Participants with contraindications according to the SmPC.
Trial locations and contacts
311 sites in 11 countries.
311 sites in 11 countries
France81 sites
Site Ref # / Investigator 49615
Aix-en-Provence, 13616
Site Ref # / Investigator 49332
Aix-les-Bains, 73106
Site Ref # / Investigator 49350
Angers, 49033
Site Ref # / Investigator 49604
Aulnay-sous-Bois, 93602
Site Ref # / Investigator 49340
Belfort, 90016
Site Ref # / Investigator 49621
Berck, 62608
Site Ref # / Investigator 49339
Besançon, 25030
Site Ref # / Investigator 49351
Bobigny, 93009
Site Ref # / Investigator 49365
Bordeaux, 33076
Site Ref # / Investigator 49611
Boulogne-Billancourt, 92100
Site Ref # / Investigator 49622
Bourg-en-Bresse, 01012
Site Ref # / Investigator 49329
Brest, 29609
Site Ref # / Investigator 49334
Caen, 14033
Site Ref # / Investigator 49358
Cahors, 46005
Site Ref # / Investigator 49607
Cannes, 06400
Site Ref # / Investigator 49612
Carcassonne, 11012
Site Ref # / Investigator 49628
Cherbourg, 50102
Site Ref # / Investigator 49613
Clermont-Ferrand, 63003
Site Ref # / Investigator 49624
Colombes, 92701
Site Ref # / Investigator 49376
Compiègne, 60200
Site Ref # / Investigator 49356
Corbeil-Essonnes, 91108
Site Ref # / Investigator 49370
Créteil, 94010
Site Ref # / Investigator 49605
Dijon, 21033
Site Ref # / Investigator 49608
Gleizé, 69400
Site Ref # / Investigator 49610
Gonesse, 95503
Site Ref # / Investigator 49379
Grenoble, 38000
Site Ref # / Investigator 49361
Grenoble, 38042
Site Ref # / Investigator 49614
La Roche-sur-Yon, 85925
Site Ref # / Investigator 49601
La Rochelle, 17019
Site Ref # / Investigator 49373
Le Kremlin-Bicêtre, 94275
Site Ref # / Investigator 49375
Le Mans, 72037
Site Ref # / Investigator 49325
Libourne, 33505
Site Ref # / Investigator 49620
Liévin, 62806
Site Ref # / Investigator 49360
Lille, 59037
Site Ref # / Investigator 49623
Limoges, 87042
Site Ref # / Investigator 49333
Lomme, 59462
Site Ref # / Investigator 49355
Lunel, 34400
Site Ref # / Investigator 49337
Lyon, 69310
Site Ref # / Investigator 49363
Lyon, 69365
Site Ref # / Investigator 49364
Lyon, 69437
Site Ref # / Investigator 49603
Mantes-la-Jolie, 78201
Site Ref # / Investigator 49626
Marseille, 13274
Site Ref # / Investigator 49342
Marseille, 13285
Site Ref # / Investigator 49345
Marseille, 13385
Site Ref # / Investigator 49362
Marseille, 13385
Site Ref # / Investigator 49330
Montivilliers, 76290
Site Ref # / Investigator 49323
Montpellier, 34295
Site Ref # / Investigator 5590
Mulhouse, 68070
Site Ref # / Investigator 49374
Nantes, 44035
Site Ref # / Investigator 49642
Narbonne, 11108
Site Ref # / Investigator 49353
Nice, 06200
Site Ref # / Investigator 49618
Orange, 84106
Site Ref # / Investigator 49331
Orléans, 45032
Site Ref # / Investigator 49326
Paris, 75014
Site Ref # / Investigator 49600
Paris, 75016
Site Ref # / Investigator 49625
Paris, 75475
Site Ref # / Investigator 49359
Paris, 75651
Site Ref # / Investigator 49352
Paris, 75679
Site Ref # / Investigator 49343
Pau, 64046
Site Ref # / Investigator 49344
Pessac, 33604
Site Ref # / Investigator 49606
Pierre-Bénite, 69495
Site Ref # / Investigator 49602
Poissy, 78303
Site Ref # / Investigator 49349
Poitiers, 86021
Site Ref # / Investigator 49627
Provins, 77488
Site Ref # / Investigator 49382
Reims, 51100
Site Ref # / Investigator 49328
Rennes, 35056
Site Ref # / Investigator 49619
Roubaix, 59056
Site Ref # / Investigator 49372
Rouen, 76031
Site Ref # / Investigator 49609
Saint-Aubin-lès-Elbeuf, 76410
Site Ref # / Investigator 49327
Saint-Brieuc, 22023
Site Ref # / Investigator 49598
Saint-Etienne, 42055
Site Ref # / Investigator 49336
Saint-Maurice, 94415
Site Ref # / Investigator 49346
Strasbourg, 67098
Site Ref # / Investigator 49366
Thionville, 57126
Site Ref # / Investigator 49616
Toulon, 83800
Site Ref # / Investigator 49322
Toulouse, 31059
Site Ref # / Investigator 49348
Toulouse, 31059
Site Ref # / Investigator 49324
Tours, 37044
Site Ref # / Investigator 49617
Valence, 26953
Site Ref # / Investigator 49371
Valenciennes, 59322
Site Ref # / Investigator 49629
Vannes, 56017
Germany48 sites
Site Ref # / Investigator 49573
Aachen, 52064
Site Ref # / Investigator 49454
Berlin, 12163
Site Ref # / Investigator 49705
Berlin, 12627
Site Ref # / Investigator 49480
Berlin, 14163
Site Ref # / Investigator 49433
Berlin, D-10117
Site Ref # / Investigator 49577
Bremen, 28209
Site Ref # / Investigator 49451
Chemnitz, D-09130
Site Ref # / Investigator 49551
Cologne, 50823
Site Ref # / Investigator 5602
Cottbus, 3048
Site Ref # / Investigator 49441
Damp, 24351
Site Ref # / Investigator 49446
Dresden, 01277
Site Ref # / Investigator 49474
Dresden, 01307
Site Ref # / Investigator 49483
Duisburg, 47055
Site Ref # / Investigator 49455
Erfurt, 99096
Site Ref # / Investigator 49579
Erlangen, 91054
Site Ref # / Investigator 49475
Erlangen, 91056
Site Ref # / Investigator 49481
Essen, 45239
Site Ref # / Investigator 49469
Freiburg im Breisgau, 79098
Site Ref # / Investigator 49711
Freiburg im Breisgau, 79106
Site Ref # / Investigator 49556
Fürth, 90766
Site Ref # / Investigator 49482
Gyhum, 27404
Site Ref # / Investigator 49422
Halle, 06128
Site Ref # / Investigator 49468
Hamburg, 20246
Site Ref # / Investigator 49552
Hamburg, 22081
Site Ref # / Investigator 49466
Hattingen, 45525
Site Ref # / Investigator 49544
Herrsching am Ammersee, 82211
Site Ref # / Investigator 49548
Hildesheim, 31134
Site Ref # / Investigator 49587
Hofheim, 65719
Site Ref # / Investigator 49447
Jena, 07747
Site Ref # / Investigator 49431
Leipzig, 04207
Site Ref # / Investigator 49424
Ludwigsburg, 71638
Site Ref # / Investigator 49557
Ludwigshafen, 67065
Site Ref # / Investigator 49704
Marl, 45770
Site Ref # / Investigator 49547
Mönchengladbach, 41199
Site Ref # / Investigator 49450
Munich, 80331
Site Ref # / Investigator 49563
Munich, 81667
Site Ref # / Investigator 49440
Münster, 48129
Site Ref # / Investigator 49442
Passau, 94032
Site Ref # / Investigator 49549
Ratingen, 40882
Site Ref # / Investigator 49708
Rostock, 18059
Site Ref # / Investigator 49558
Schlangenbad, 65388
Site Ref # / Investigator 49445
Sendenhorst, 48324
Site Ref # / Investigator 49437
Stuttgart, 70178
Site Ref # / Investigator 49560
Tübingen, 72076
Site Ref # / Investigator 49460
Villingen, 78054
Site Ref # / Investigator 49456
Vogelsang-Gommern, 39245
Site Ref # / Investigator 49449
Wuppertal, 42117
Site Ref # / Investigator 49545
Würzburg, 97070
Belgium45 sites
Site Ref # / Investigator 49794
Aalst, 9300
Site Ref # / Investigator 49817
Antwerp, 2020
Site Ref # / Investigator 49788
Assebroek, 8310
Site Ref # / Investigator 49764
Baudour, 7331
Site Ref # / Investigator 49808
Belsele, 9111
Site Ref # / Investigator 49806
Bonheiden, 2820
Site Ref # / Investigator 49809
Bonheiden, 2820
Site Ref # / Investigator 49798
Braine-l'Alleud, 1421
Site Ref # / Investigator 49773
Bruges, 8000
Site Ref # / Investigator 49774
Brussels, 1000
Site Ref # / Investigator 49763
Brussels, 1020
Site Ref # / Investigator 49791
Brussels, 1050
Site Ref # / Investigator 49762
Brussels, 1070
Site Ref # / Investigator 49811
Brussels, 1090
Site Ref # / Investigator 49807
Brussels, 1180
Site Ref # / Investigator 49772
Brussels, 1200
Site Ref # / Investigator 49780
Chimay, 6460
Site Ref # / Investigator 49795
Destelbergen, 9070
Site Ref # / Investigator 49768
Edegem, 2650
Site Ref # / Investigator 49776
Genk, 3600
Site Ref # / Investigator 49813
Genk, 3600
Site Ref # / Investigator 26424
Ghent, 9000
Site Ref # / Investigator 49766
Gosselies, 6041
Site Ref # / Investigator 49781
Hamme, 9220
Site Ref # / Investigator 49814
Hasselt, 3500
Site Ref # / Investigator 49810
Hasselt, B-3500
Site Ref # / Investigator 49777
Kortrijk, 8500
Site Ref # / Investigator 49767
La Louvière, 7100
Site Ref # / Investigator 49801
La Louvière, 7100
Site Ref # / Investigator 49816
Leuven, 3000
Site Ref # / Investigator 49789
Liège, 4000
Site Ref # / Investigator 49775
Lier, 2500
Site Ref # / Investigator 49778
Lokeren, 9160
Site Ref # / Investigator 49771
Mechelen, 2800
Site Ref # / Investigator 49815
Mechelen, 2800
Site Ref # / Investigator 49796
Merksem, 2170
Site Ref # / Investigator 49785
Mons, 7000
Site Ref # / Investigator 49891
Montignies-sur-Sambre, 6061
Site Ref # / Investigator 49770
Namur, 5000
Site Ref # / Investigator 49783
Namur, 5000
Site Ref # / Investigator 49797
Nukerke, 9681
Site Ref # / Investigator 49787
Ostend, 8400
Site Ref # / Investigator 49802
Ottignies, 1340
Site Ref # / Investigator 49793
Sijsele, 8340
Site Ref # / Investigator 49805
Sint-Niklaas, 9100
Italy39 sites
Site Ref # / Investigator 49990
Acqui Terme (AL), 15011
Site Ref # / Investigator 49591
Arenzano (GE), 16011
Site Ref # / Investigator 49983
Bari, 70124
Site Ref # / Investigator 49593
Bologna, 40138
Site Ref # / Investigator 49980
Brescia, 25123
Site Ref # / Investigator 49986
Cagliari, 09042
Site Ref # / Investigator 50056
Ferrara, 44100
Site Ref # / Investigator 49987
Florence, 50100
Site Ref # / Investigator 49597
Foggia, 71100
Site Ref # / Investigator 49824
Genoa, 16132
Site Ref # / Investigator 50051
Genoa, 16148
Site Ref # / Investigator 49981
Jesi (Ancona), 60035
Site Ref # / Investigator 49588
Messina, 98125
Site Ref # / Investigator 49976
Milan, 20122
Site Ref # / Investigator 50052
Milan, 20132
Site Ref # / Investigator 49596
Milan, 20162
Site Ref # / Investigator 49985
Modena, 41100
Site Ref # / Investigator 49949
Naples, 80135
Site Ref # / Investigator 49595
Novara, 28100
Site Ref # / Investigator 49947
Padova, 35128
Site Ref # / Investigator 49948
Palermo, 90127
Site Ref # / Investigator 49978
Perugia, 06126
Site Ref # / Investigator 49974
Pescara, 65126
Site Ref # / Investigator 49592
Pisa, 56126
Site Ref # / Investigator 49992
Potenza, 85100
Site Ref # / Investigator 49822
Prato, 59100
Site Ref # / Investigator 49946
Reggio Emilia, 42100
Site Ref # / Investigator 49989
Rome, 00152
Site Ref # / Investigator 49950
Rome, 00161
Site Ref # / Investigator 50057
Rome, 00168
Site Ref # / Investigator 49984
Rozzano, 20089
Site Ref # / Investigator 49991
San Cesario Lecce, 73016
Site Ref # / Investigator 49994
Torino, 10128
Site Ref # / Investigator 49825
Udine, 33100
Site Ref # / Investigator 26422
Valeggio Sul Mincio Verona, 37067
Site Ref # / Investigator 49594
Varese, 21100
Site Ref # / Investigator 50055
Verbania Pallanza, 28048
Site Ref # / Investigator 49589
Verona, 37134
Site Ref # / Investigator 50053
Vimercate, 20059
Spain36 sites
Site Ref # / Investigator 49653
Alicante, 3010
Site Ref # / Investigator 49662
Asturias, 33006
Site Ref # / Investigator 49684
Barcelona, 08003
Site Ref # / Investigator 49680
Barcelona, 08022
Site Ref # / Investigator 49646
Barcelona, 08025
Site Ref # / Investigator 49645
Barcelona, 08036
Site Ref # / Investigator 49649
Barcelona, 08208
Site Ref # / Investigator 49647
Barcelona, 08221
Site Ref # / Investigator 49670
Barcelona, 08907
Site Ref # / Investigator 49667
Cadiz, 11009
Site Ref # / Investigator 49693
Cadiz, 11407
Site Ref # / Investigator 5594
Castellon, 12004
Site Ref # / Investigator 49663
Córdoba, 14004
Site Ref # / Investigator 49652
Elche, 32032
Site Ref # / Investigator 49651
Granada, 18012
Site Ref # / Investigator 49681
Granada, 18014
Site Ref # / Investigator 49695
Guadalajara, 19002
Site Ref # / Investigator 49669
Jaén, 23007
Site Ref # / Investigator 49689
Lleida, 25198
Site Ref # / Investigator 49686
Madrid, 28007
Site Ref # / Investigator 49697
Madrid, 28034
Site Ref # / Investigator 49679
Madrid, 28040
Site Ref # / Investigator 49650
Madrid, 28041
Site Ref # / Investigator 49683
Madrid, 28046
Site Ref # / Investigator 49687
Madrid, 28222
Site Ref # / Investigator 49692
Madrid, 28905
Site Ref # / Investigator 49664
Madrid, 28911
Site Ref # / Investigator 49696
Madrid, 28922
Site Ref # / Investigator 49665
Málaga, 29010
Site Ref # / Investigator 49691
Málaga, 29010
Site Ref # / Investigator 49685
Mostoles-Madrid, 28935
Site Ref # / Investigator 49666
Sant Joan Despi (Barcelona), 08970
Site Ref # / Investigator 49688
Seville, 41071
Site Ref # / Investigator 49694
Toledo, 45004
Site Ref # / Investigator 49654
Valencia, 46017
Site Ref # / Investigator 49648
Vic (Barcelona), 08500
Netherlands16 sites
Site Ref # / Investigator 49904
Alkmaar, 1815 JD
Site Ref # / Investigator 49909
Almere Stad, 1315 RA
Site Ref # / Investigator 49831
Amersfoort, 3818 ES
Site Ref # / Investigator 49906
Bergen op Zoom, 4624 VT
Site Ref # / Investigator 49907
Breda, 4818 CK
Site Ref # / Investigator 49910
Den Helder, 1780 AT
Site Ref # / Investigator 49835
Flushing, 4382 EE
Site Ref # / Investigator 49902
Goes, 4462 RA
Site Ref # / Investigator 49829
Leeuwarden, 8934 AD
Site Ref # / Investigator 26426
Rotterdam, 3015 GD
Site Ref # / Investigator 49830
Rotterdam, 3078 HT
Site Ref # / Investigator 49908
Schiedam, 3118 JH
Site Ref # / Investigator 49905
The Hague, 2545 CH
Site Ref # / Investigator 49920
The Hague, 2597 AX
Site Ref # / Investigator 49827
Utrecht, GA 3508
Site Ref # / Investigator 49903
Venlo, 5912 BL
Greece15 sites
Site Ref # / Investigator 49580
Athens, 10682
Site Ref # / Investigator 49568
Athens, 11521
Site Ref # / Investigator 49584
Athens, 11521
Site Ref # / Investigator 49554
Athens, 11526
Site Ref # / Investigator 49565
Athens, 11527
Site Ref # / Investigator 49583
Athens, 11527
Site Ref # / Investigator 49585
Athens, 14500
Site Ref # / Investigator 49564
Heraklion, 81352
Site Ref # / Investigator 49567
Ioannina, 45500
Site Ref # / Investigator 49581
Larissa, 41110
Site Ref # / Investigator 26425
Pátrai, 26500
Site Ref # / Investigator 49566
Thessaloniki, 54625
Site Ref # / Investigator 49582
Thessaloniki, 54636
Site Ref # / Investigator 49553
Thessaloniki, 54642
Site Ref # / Investigator 49569
Thessaloniki, 57010
Austria12 sites
Site Ref # / Investigator 49747
Bad Schallerbach, 4701
Site Ref # / Investigator 49517
Graz, 8036
Site Ref # / Investigator 49521
Graz, A-8020
Site Ref # / Investigator 49518
Innsbruck, A-6020
Site Ref # / Investigator 49746
Klagenfurt, 9020
Site Ref # / Investigator 49748
Laab im Walde, 2381
Site Ref # / Investigator 49516
Linz, 4020
Site Ref # / Investigator 49523
Oberpullendorf, 7350
Site Ref # / Investigator 49745
Sankt Pölten, 3100
Site Ref # / Investigator 49519
Stockerau, 2000
Site Ref # / Investigator 49520
Vienna, 1090
Site Ref # / Investigator 4961
Vienna, 1130
Portugal7 sites
Site Ref # / Investigator 49514
Coimbra, 3000-075
Site Ref # / Investigator 49515
Lisbon, 1050-034
Site Ref # / Investigator 49509
Lisbon, 1200
Site Ref # / Investigator 49510
Lisbon, 1349-019
Site Ref # / Investigator 49513
Lisbon, 1649-035
Site Ref # / Investigator 49512
Ponta Delgada-Acores, 9500-370
Site Ref # / Investigator 26427
Ponte de Lima, 4990-041
Australia6 sites
Site Ref # / Investigator 49508
Brisbane, Queensland, 4102
Site Ref # / Investigator 49502
Cairns, 4870
Site Ref # / Investigator 5606
Camperdown, New South Wales, 2050
Site Ref # / Investigator 49504
New Lambton, New South Wales, 2305
Site Ref # / Investigator 49503
West Heidelberg, Victoria, 3081
Site Ref # / Investigator 49505
Woodville, South Australia, 5011
United Kingdom6 sites
Site Ref # / Investigator 49485
Brighton, BN2 5BE
Site Ref # / Investigator 49470
Greater Manchester, M6 8HD
Site Ref # / Investigator 49471
Harrogate, HG2 7SX
Site Ref # / Investigator 49476
Manchester, M41 5SL
Site Ref # / Investigator 49486
Oxford, OX3 7LD
Site Ref # / Investigator 49472
Wigan, WN6 9EP
About this study
Official title: A Five-year, Post-marketing Observational Study to Follow-up Patients With Rheumatoid Arthritis Formerly Treated in Study M02-497 (ReAct) and Subsequently Prescribed Humira
The purpose of this observational study was to observe and assess the long term use, safety, and effectiveness of adalimumab in a normal clinical setting.
Read the detailed description
This was a multicenter, uncontrolled, 5-year observational study of adalimumab in the treatment of patients with rheumatoid arthritis (RA) who had received adalimumab for at least 3 months in NCT00448383 (Study M02-497), an interventional study that ended when adalimumab became commercially available for the treatment of RA. Participants had to have been receiving ongoing adalimumab treatment at the time NCT00448383 (Study M02-497) ended and been prescribed commercial adalimumab, and could have received commercial adalimumab for up to 1 year afterward prior to enrollment in NCT00234884 (Study M03-634).
Physician investigators were encouraged to treat participants as they would any other patient with RA in their routine clinical practice, and were free to determine the appropriate therapy for each patient. Concomitant treatment with disease-modifying antirheumatic drugs (DMARDs), including methotrexate, could be continued while receiving adalimumab. If treatment with adalimumab was permanently discontinued for any reason, participants were discontinued from the study and the reason was recorded. Investigators were asked to record adverse events up to 3 months after last administration of adalimumab.
- Conditions
- Rheumatoid Arthritis
- Being tested
- adalimumab
- Keywords
- rheumatoid arthritis, adalimumab
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
adalimumabBiological
Also called HUMIRA®
commercial adalimumab as prescribed by the rheumatologist in a normal clinical setting and in accordance with the Summary of Product Characteristics (SmPC)
| Study group | Role | What they receive |
|---|---|---|
| Adalimumab | RA patients in treatment with commercial adalimumab Receives: Biological: adalimumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease Activity Score in 28 Joints (DAS28) Based on Erythrocyte Sedimentation Rate (ESR)
DAS28 is a composite measure of disease activity in patients with rheumatoid arthritis. It is calculated on the basis of tender and swollen joint counts (each assessed in 28 joints), the patient's ESR, and the patient's subjective assessment of disease activity (assessed using a 100-mm visual analog scale). A DAS28 less than 3.2 indicates low disease activity and a DAS28 greater than 5.1 indicates high disease activity; there is no absolute range of scores due to inter-patient variability in ESR.
Measured: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
American College of Rheumatology 20% (ACR20) Response Rate
ACR20 response is a 20% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
Measured: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
American College of Rheumatology 50% (ACR50) Response Rate
ACR50 response is a 50% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
Measured: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
American College of Rheumatology 70% (ACR70) Response Rate
ACR70 response is a 70% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
Measured: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
Change From Baseline in the Health Assessment Questionnaire Disability Index (HAQ-DI)
HAQ-DI is a composite measure of physical function calculated on the basis of 20 questions in 8 domains (dressing, arising, eating, walking, hygiene, reach, grip, and common activities), each evaluated on a 4-point scale ranging from 0 (without any difficulty) to 3 (unable to do). HAQ-DI score is the sum of worst scores in each domain divided by the number of domains answered, and ranges from 0 (no difficulty) to 3 (unable to do). A mean change of -0.22 is considered the minimum clinically important change. Mean change in HAQ-DI was calculated from Baseline of NCT00448383 (Study M02-497).
Measured: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2005 (estimated)
- Study startSep 2003
- Primary completionJul 2010
- Study completionJul 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 3,435 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Laura Redden, MD, PhD, Study director, Abbott
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00234884
- Sponsor's protocol ID
- M03-634
- Acronym
- ReAlise
- Status last verified
- Aug 2011
- First submitted
- 16 Sep 2005
- Last updated
- 30 Sep 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Burmester GR, Matucci-Cerinic M, Mariette X, Navarro-Blasco F, Kary S, Unnebrink K, Kupper H. Safety and effectiveness of adalimumab in patients with rheumatoid arthritis over 5 years of therapy in a phase 3b and subsequent postmarketing observational study. Arthritis Res Ther. 2014 Jan 27;16(1):R24. doi: 10.1186/ar4452.
PubMed 24460746
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Five-year, Post-marketing Observational Study to Follow-up Patients With Rheumatoid Arthritis Formerly Treated in Study M02-497 (ReAct) and Subsequently Prescribed Humira
- ClinicalTrials.gov ID
- NCT00234884
- Acronym / sponsor ID
- ReAlise / M03-634
- Conditions
- Rheumatoid Arthritis
- Keywords
- rheumatoid arthritis, adalimumab
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 3,435 participants (actual)
- Lead sponsor
- AbbottIndustry (pharma, biotech, devices)
- Study start
- Sep 2003
- Primary completion
- Jul 2010 (actual)
- Study completion
- Jul 2010 (actual)
- First posted
- 10 Oct 2005 (estimated)
- Results
- Posted 30 Sep 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this observational study was to observe and assess the long term use, safety, and effectiveness of adalimumab in a normal clinical setting.
Detailed description
This was a multicenter, uncontrolled, 5-year observational study of adalimumab in the treatment of patients with rheumatoid arthritis (RA) who had received adalimumab for at least 3 months in NCT00448383 (Study M02-497), an interventional study that ended when adalimumab became commercially available for the treatment of RA. Participants had to have been receiving ongoing adalimumab treatment at the time NCT00448383 (Study M02-497) ended and been prescribed commercial adalimumab, and could have received commercial adalimumab for up to 1 year afterward prior to enrollment in NCT00234884 (Study M03-634).
Physician investigators were encouraged to treat participants as they would any other patient with RA in their routine clinical practice, and were free to determine the appropriate therapy for each patient. Concomitant treatment with disease-modifying antirheumatic drugs (DMARDs), including methotrexate, could be continued while receiving adalimumab. If treatment with adalimumab was permanently discontinued for any reason, participants were discontinued from the study and the reason was recorded. Investigators were asked to record adverse events up to 3 months after last administration of adalimumab.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Adalimumab | – | Biological: adalimumabRA patients in treatment with commercial adalimumab |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Participants were patients with rheumatoid arthritis (RA) who had received adalimumab for at least 3 months in NCT00448383 (Study M02-497) and had been prescribed commercial adalimumab following termination of that study. At the time of enrollment in NCT00448383 (Study M02-497), participants had failed one or more disease-modifying antirheumatic drugs (DMARDs) and had active, moderate to severe RA despite concurrent RA treatment.
Key inclusion criteria (2 listed)
- Participants with ongoing adalimumab treatment who completed at least Month 3 (Visit 5) of NCT00448383 (Study M02-497) and who had subsequently been prescribed adalimumab according to the Summary of Product Characteristics (SmPC).
- Participants must have been willing to consent to data being collected and provided to Abbott.
Key exclusion criteria (1 listed)
- Participants with contraindications according to the SmPC.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| adalimumabAlso: HUMIRA®commercial adalimumab as prescribed by the rheumatologist in a normal clinical setting and in accordance with the Summary of Product Characteristics (SmPC) | Biological | Adalimumab |
Primary outcome
Disease Activity Score in 28 Joints (DAS28) Based on Erythrocyte Sedimentation Rate (ESR)
Time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
DAS28 is a composite measure of disease activity in patients with rheumatoid arthritis. It is calculated on the basis of tender and swollen joint counts (each assessed in 28 joints), the patient's ESR, and the patient's subjective assessment of disease activity (assessed using a 100-mm visual analog scale). A DAS28 less than 3.2 indicates low disease activity and a DAS28 greater than 5.1 indicates high disease activity; there is no absolute range of scores due to inter-patient variability in ESR.
American College of Rheumatology 20% (ACR20) Response Rate
Time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
ACR20 response is a 20% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
American College of Rheumatology 50% (ACR50) Response Rate
Time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
ACR50 response is a 50% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
American College of Rheumatology 70% (ACR70) Response Rate
Time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
ACR70 response is a 70% or better improvement from Baseline in tender joint count, swollen joint count, and at least 3 of the following 5 parameters: patient's assessment of pain, patient's global assessment of disease activity, physician's global assessment of disease activity, Health Assessment Questionnaire Disability Index (HAQ-DI), and C-reactive protein. Response was calculated based on values at Baseline of NCT00448383 (Study M02-497).
Change From Baseline in the Health Assessment Questionnaire Disability Index (HAQ-DI)
Time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value
HAQ-DI is a composite measure of physical function calculated on the basis of 20 questions in 8 domains (dressing, arising, eating, walking, hygiene, reach, grip, and common activities), each evaluated on a 4-point scale ranging from 0 (without any difficulty) to 3 (unable to do). HAQ-DI score is the sum of worst scores in each domain divided by the number of domains answered, and ranges from 0 (no difficulty) to 3 (unable to do). A mean change of -0.22 is considered the minimum clinically important change. Mean change in HAQ-DI was calculated from Baseline of NCT00448383 (Study M02-497).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24460746Burmester GR, Matucci-Cerinic M, Mariette X, Navarro-Blasco F, Kary S, Unnebrink K, Kupper H. Safety and effectiveness of adalimumab in patients with rheumatoid arthritis over 5 years of therapy in a phase 3b and subsequent postmarketing observational study. Arthritis Res Ther. 2014 Jan 27;16(1):R24. doi: 10.1186/ar4452.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Laura Redden, MD, PhD study director
Abbott
311 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Rheumatoid Arthritis, run by Abbott at 311 sites in 11 countries.
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 2 inclusion and 1 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 30 Sep 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 311 sites in France, Germany, Belgium, Italy, Spain and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Sep 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Disease Activity Score in 28 Joints (DAS28) Based on Erythrocyte Sedimentation Rate (ESR) (time frame: Baseline, Months 12, 24, 36, 48, and 60, and Last Observed Value). The study lists 5 primary outcomes in all. 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 NCT00234884, which also lists 1 linked publication.
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 30 Sep 2011.