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Ankylosing SpondylitisPhase 3NCT00762463

Study Of Celecoxib Or Diclofenac For Efficacy and Safety In Chinese Patients With Ankylosing Spondylitis

A Phase 3 study testing Celecoxib and Diclofenac SR in people with Ankylosing Spondylitis, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 5 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a local, multicenter, randomized, active comparator, double-blind, parallel group study with extension will be conducted to evaluate the efficacy and safety of celecoxib versus diclofenac SR in the treatment of Chinese patients with Ankylosing Spondylitis (AS). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Ankylosing Spondylitis
What is being tested?
Celecoxib and Diclofenac SR
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
5 sitesChina
Study dates
Jul 2009to Aug 2010
Phase
Phase 3
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meet the 1984 Modified New York Criteria for Classification of Ankylosing Spondylitis
  • With axial involvement
  • Without peripheral joint involvement (synovitis) at the time of study entry, (excluding involvement of the hips, knees and shoulders)
  • Need for daily treatment with NSAIDs during the previous 30 days before study entry

Who cannot join

  • Known inflammatory enteropathy (eg, ulcerative colitis, Crohn's disease, etc)
  • Presence of extra-articular manifestations (eg, uveitis, endocarditis, etc.)
  • Known vertebral compression
  • Need for a corset during the study

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

China5 sites
  • Pfizer Investigational Site

    Beijing, 100020

  • Pfizer Investigational Site

    Beijing, 100853

  • Pfizer Investigational Site

    Chengdu, Sichuan, 610041

  • Pfizer Investigational Site

    Guangzhou, Guangdong, 510630

  • Pfizer Investigational Site

    Xi’an, Shanxi, 710032

Other trials in China

About this study

Official title: A 6-Week, Randomized, Double-Blind, Parallel-Group Study To Evaluate The Symptomatic Effects And Safety Of Celecoxib 200mg QD Compared To Diclofenac 75mg SR QD In Chinese Patients With Ankylosing Spondylitis, With 6-Week Extension Phase Treatment On Celecoxib 400 Mg QD Or Maintaining Double-Blind Phase Therapy

This is a local, multicenter, randomized, active comparator, double-blind, parallel group study with extension will be conducted to evaluate the efficacy and safety of celecoxib versus diclofenac SR in the treatment of Chinese patients with Ankylosing Spondylitis (AS).

Being tested
Celecoxib, Diclofenac SR
Medical subject headings
Spondylitis, Ankylosing

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CelecoxibDrug

    capsule, 200 mg QD, 6-12 weeks

  • Diclofenac SRDrug

    tablet, 75 mg QD,6-12 weeks

Study groups in NCT00762463
Study groupRoleWhat they receive
Celecoxib 200 mg QDExperimentalNot described
Receives: Drug: Celecoxib
Diclofenac SR 75 mg QDActive comparatorNot described
Receives: Drug: Diclofenac SR

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Participant's Assessment of Global Pain Intensity at Week 6

    100-millimeter (mm) Visual Analog Scale (VAS) score specified participant's assessment of overall pain intensity in the previous 48 hours, in response to the following question "What has been your global pain intensity in the last 48 hours?" 0=no pain to 100=worst pain. Change from baseline of less than (<) 0 indicated improvement.

    Measured: Baseline, Week 6

  2. Participant's Assessment of Global Pain Intensity at Baseline

    100-mm VAS scores specified participant's assessment of global pain intensity in the previous 48 hours, in response to the following question "What has been your global pain intensity in the last 48 hours?" 0=no pain to 100=worst pain. Lower scores indicated less pain.

    Measured: Baseline

Secondary outcomes (24)
  1. Change From Baseline in Participant's Assessment of Global Pain Intensity at Weeks 2 and 4

    100-mm VAS score specified participant's assessment of overall pain intensity in the previous 48 hours, in response to the following question "What has been your global pain intensity in the last 48 hours?" 0=no pain to 100=worst pain. Change from baseline of <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4

  2. Change From Baseline in Participant's Assessment of Global Pain Intensity at Week 12

    100-mm VAS score specified participant's assessment of overall pain intensity in the previous 48 hours, in response to the following question "What has been your global pain intensity in the last 48 hours?" 0=no pain to 100=worst pain. Lower scores indicated less pain. Change from baseline of <0 indicated improvement.

    Measured: Baseline, Week 12

  3. Change From Baseline in Participant's Global Assessment of Disease Activity at Weeks 2, 4, and 6

    5-point Likert scale scores specified participant's current situation in response to the following question "Considering all the ways your Ankylosing Spondylitis affects you, how are you doing today?" 1=very good to 5=very poor. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  4. Change From Baseline in Participant's Global Assessment of Disease Activity at Week 12

    5-point Likert scale scores specified participant's current situation in response to the following question "Considering all the ways your Ankylosing Spondylitis affects you, how are you doing today?" 1=very good to 5=very poor. Lower scores indicated better health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  5. Change From Baseline in Physician's Global Assessment of Disease Activity at Weeks 2, 4, and 6

    5-point Likert scale scores specified physician's subjective assessment on how overall ankylosing spondylitis appeared at the time of participant's visit and participant's disease signs. 1=very good to 5=very poor. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  6. Change From Baseline in Physician's Global Assessment of Disease Activity at Week 12

    5-point Likert scale scores specified physician's subjective assessment on how the overall ankylosing spondylitis appeared at the time of the participant's visit and participant's disease signs. 1=very good to 5=very poor. Lower scores indicated better health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  7. Change From Baseline in Bath Ankylosing Spondylitis Functional Index (BASFI) at Weeks 2, 4, and 6

    Bath Ankylosing Spondylitis Functional Index (BASFI) was comprised of 10 specific questions, each answered on a 10-mm VAS scale. 0=easy to 10=impossible. BASFI score was defined as the mean of the scaled responses to these 10 questions. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  8. Change From Baseline in BASFI at Week 12

    BASFI was comprised of 10 specific questions, each answered on a 10-mm VAS scale. 0=easy to 10=impossible. BASFI score was defined as the mean of the scaled responses to these 10 questions. Lower scores indicated better functional health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  9. Change From Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) at Weeks 2, 4, and 6

    Baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) was comprised of 6 specific questions, each answered on a 10-mm VAS scale. Scores for the first 5 questions: 0=none to 10=severe. Score for the sixth question: 0=0 hours to 10=2 hours. BASDAI score was defined as the mean of the scaled responses to these 6 questions. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  10. Change From Baseline in BASDAI at Week 12

    BASDAI is comprised of 6 specific questions, each answered on a 10-mm VAS. Scores for the first 5 questions: 0=none to 10=severe. Score for the sixth question: 0=0 hours to 10=2 hours. BASDAI score was defined as the mean of the scaled responses to these 6 questions. Lower scores indicated better health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  11. Percentages of Participants Responding to Assessment in Ankylosing Spondylitis (ASAS)-20

    Percentages of participants who demonstrated an improvement of greater than or equal to (≥) 20% from baseline and an absolute improvement of ≥10 mm from baseline on a 100-mm VAS in ≥3 of the 4 domains proposed by the Ankylosing Spondylitis Assessment Working Group (ASAS-20).

    Measured: Weeks 2, 4, 6, 12

  12. Change From Baseline in Nocturnal Pain at Weeks 2, 4, and 6

    100-mm VAS scores specified participant's nocturnal pain in response to the following question "Did you have any pain in the neck, back or hips during the previous night?" 0=no pain to 100=worst pain possible. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  13. Change From Baseline in Nocturnal Pain at Week 12

    100-mm VAS scores specified participant's nocturnal pain in response to the following question "Did you have any pain in the neck, back or hips during the previous night?" 0=no pain to 100=worst pain possible. Lower scores indicated less pain. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  14. Change From Baseline in Fingertips to Floor Distance at Weeks 2, 4, and 6

    Fingertips to floor distance measured in centimeter (cm) from the tip of the fingers to the floor with participants standing erect and feet together, knees as straight as possible, then bending forward as far as possible with fingers reaching towards the floor. The better of 2 tries was recorded. Change from baseline <0 indicated improvement.

    Measured: Baseline, Weeks 2, 4, 6

  15. Change From Baseline in Fingertips to Floor Distance at Week 12

    Fingertips to floor distance measured in cm from the tip of the fingers to the floor with participant standing erect and feet together, knees as straight as possible, then bending forward as far as possible with fingers reaching towards the floor. The better of 2 tries was recorded. Lower scores indicated better health. Change from baseline <0 represented improvement.

    Measured: Baseline, Week 12

  16. Change From Baseline in Chest Expansion at Weeks 2, 4, and 6

    Chest expansion, measured in cm, is defined as the difference in thoracic circumference during full expiration versus full inspiration, measured at the fourth intercostal space (nipple line). The better of 2 tries was recorded. Change from baseline greater than (>) 0 represented improvement.

    Measured: Baseline, Weeks 2, 4, 6

  17. Change From Baseline in Chest Expansion at Week 12

    Chest expansion, measured in cm, is defined as the difference in thoracic circumference during full expiration versus full inspiration, measured at the fourth intercostal space (nipple line). The better of 2 tries was recorded. Higher scores indicate better health. Change from baseline greater than (>) 0 represented improvement.

    Measured: Baseline, Week 12

  18. Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Week 6

    Erythrocyte Sedimentation Rate (ESR) was a laboratory test that providee a non-specific measure of inflammation. The test assessed the rate at which red blood cells fell in a test tube and was measured in millimeter per hour (mm/h). Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 6

  19. Change From Baseline in ESR at Week 12

    ESR was a laboratory test that provided a non-specific measure of inflammation. The test assessed the rate at which red blood cells fell in a test tube. Lower values indicated better health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  20. Change From Baseline in C-Reactive Protein (CRP) at Week 6

    C-Reactive Protein (CRP) was a marker of inflammation, measured in milligram per liter (mg/L). Change from baseline <0 indicated improvement.

    Measured: Baseline, 6 Weeks

  21. Change From Baseline in CRP at Week 12

    CRP was a marker of inflammation. Lower values indicated better health. Change from baseline <0 indicated improvement.

    Measured: Baseline, Week 12

  22. Percentage of Participants With Concomitant Use of Paracetamol

    Percentage of participants who concomitantly took at least 1 paracetamol tablet as rescue medication at Week 6

    Measured: Week 6

  23. Percentage of Days With Concomitant Administration of Paracetamol

    Calculated as days on rescue medication divided by days of exposure in the study at the end of Week 6.

    Measured: Week 6

  24. Paracetamol Tablets Taken Per Day by Participant

    Calculated as the total number of paracetamol tablets taken divided by days of exposure in the study.

    Measured: Week 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Sep 2008 (estimated)
  2. Study startJul 2009
  3. Primary completionJun 2010
  4. Study completionAug 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00762463
Sponsor's protocol ID
A3191348
Status last verified
Jan 2021
First submitted
29 Sep 2008
Last updated
2 Feb 2021
Data monitoring committee
No

Publications

  • Huang F, Gu J, Liu Y, Zhu P, Zheng Y, Fu J, Pan S, Le S. Efficacy and safety of celecoxib in chinese patients with ankylosing spondylitis: a 6-week randomized, double-blinded study with 6-week open-label extension treatment. Curr Ther Res Clin Exp. 2014 Dec 5;76:126-33. doi: 10.1016/j.curtheres.2014.08.002. eCollection 2014 Dec.

    PubMed 25516774

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Celecoxib and Diclofenac SR in people with Ankylosing Spondylitis, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 5 sites in China.

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 4 inclusion and 4 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 2 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in China. 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Aug 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?

Change From Baseline in Participant's Assessment of Global Pain Intensity at Week 6 (time frame: Baseline, Week 6). The study lists 2 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 NCT00762463, 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 2 Feb 2021.

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