Rheumatoid ArthritisNCT01078090
Effectiveness and Safety of Adalimumab in Rheumatoid Arthritis Patients in Routine Clinical Practice
An observational study of Rheumatoid Arthritis, run by AbbVie (prior sponsor, Abbott) at 370 sites in Germany.
Trial summary
Observation of safety, tolerability and effectiveness of adalimumab (Humira) therapy in a large patient collective under everyday clinical conditions over a 5-year period. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- How many people
- 5,745 participants
- Where
- 370 sitesGermany
- Study dates
- Apr 2003to Mar 2013
- 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: General population: patients with rheumatoid arthritis who resided in Germany. German regulations state that all patients are eligible for non-interventional studies; there are no exclusions. Adult patients (≥ 18 years of age) with RA who were preparing to initiate adalimumab therapy according to the product label were eligible for study enrollment. The eligibility criteria below reflect the approved label as stated in the German Summary of Product Characteristics (SPC) for Humira.
Who may be able to join
- Moderate to severe active rheumatoid arthritis in adults with insufficient response to disease-modifying antirheumatic drugs, including methotrexate.
- Moderate to severe active rheumatoid arthritis in adults who have not been treated with methotrexate before.
- In case of incompatibility with methotrexate, adalimumab can be used as monotherapy
Who cannot join
- Hypersensitivity against the drug or one of the other ingredients; active tuberculosis or other severe infections (e.g. sepsis and opportunistic infections); moderate to severe cardiac insufficiency
Trial locations and contacts
370 sites in 1 country.
300 sites in 1 country
Germany300 sites
Site Reference ID/Investigator# 35034
Aachen, 52062
Site Reference ID/Investigator# 35033
Aachen, 52064
Site Reference ID/Investigator# 53919
Achern, 77855
Site Reference ID/Investigator# 53883
Aichhalden, 78733
Site Reference ID/Investigator# 35041
Altenburg, 04600
Site Reference ID/Investigator# 35050
Amberg, 92224
Site Reference ID/Investigator# 53974
Amberg, 92224
Site Reference ID/Investigator# 33347
Augsburg, 86150
Site Reference ID/Investigator# 33356
Bad Abbach, 93077
Site Reference ID/Investigator# 33359
Bad Abbach, 93077
Site Reference ID/Investigator# 33362
Bad Aibling, 83043
Site Reference ID/Investigator# 35084
Bad Aibling, 83043
Site Reference ID/Investigator# 53968
Bad Aibling, 83043
Site Reference ID/Investigator# 53966
Bad Bellingen, 79415
Site Reference ID/Investigator# 35523
Bad Bentheim, D-48455
Site Reference ID/Investigator# 35571
Bad Bramstedt, 24576
Site Reference ID/Investigator# 53903
Bad Bramstedt, 24576
Site Reference ID/Investigator# 53929
Bad Buchau, 88422
Site Reference ID/Investigator# 33370
Bad Endbach, 35080
Site Reference ID/Investigator# 33369
Bad Endbach, 63065
Site Reference ID/Investigator# 33380
Bad Iburg, 49186
Site Reference ID/Investigator# 33384
Bad Kissingen, 97688
Site Reference ID/Investigator# 33385
Bad Kreuznach, 55543
Site Reference ID/Investigator# 33389
Bad Liebenwerda, 04924
Site Reference ID/Investigator# 53942
Bad Mergentheim, 97980
Site Reference ID/Investigator# 33394
Bad Münder am Deister, 31848
Site Reference ID/Investigator# 33398
Bad Nauheim, 61231
Site Reference ID/Investigator# 33399
Bad Neuenahr, 53474
Site Reference ID/Investigator# 35576
Bad Neuenahr, 53474
Site Reference ID/Investigator# 53980
Bad Pyrmont, 31812
Site Reference ID/Investigator# 33402
Bad Rappenau, 74906
Site Reference ID/Investigator# 33410
Bad Soden-Salmünster, 63628
Site Reference ID/Investigator# 33415
Bad Staffelstein, 96231
Site Reference ID/Investigator# 54804
Bad Tölz, 83646
Site Reference ID/Investigator# 33423
Baden-Baden, 76530
Site Reference ID/Investigator# 33427
Bamberg, 96047
Site Reference ID/Investigator# 33436
Bautzen, 02625
Site Reference ID/Investigator# 33440
Bayreuth, 95445
Site Reference ID/Investigator# 53978
Belm, 49191
Site Reference ID/Investigator# 33449
Bensheim, 64625
Site Reference ID/Investigator# 33646
Berlin, 10178
Site Reference ID/Investigator# 53902
Berlin, 10247
Site Reference ID/Investigator# 33662
Berlin, 10367
Site Reference ID/Investigator# 33695
Berlin, 10711
Site Reference ID/Investigator# 34243
Berlin, 10719
Site Reference ID/Investigator# 33681
Berlin, 10777
Site Reference ID/Investigator# 35599
Berlin, 12161
Site Reference ID/Investigator# 53959
Berlin, 12200
Site Reference ID/Investigator# 33688
Berlin, 12435
Site Reference ID/Investigator# 34260
Berlin, 12681
Site Reference ID/Investigator# 33685
Berlin, 13055
Site Reference ID/Investigator# 53948
Berlin, 13055
Site Reference ID/Investigator# 53939
Berlin, 13589
Site Reference ID/Investigator# 53971
Berlin, 13595
Site Reference ID/Investigator# 53933
Berlin, 14059
Site Reference ID/Investigator# 53884
Berlin, 14089
Site Reference ID/Investigator# 33672
Berlin, 14109
Site Reference ID/Investigator# 35552
Berlin, 14163
Site Reference ID/Investigator# 35554
Bernau, 16321
Site Reference ID/Investigator# 53899
Biberach, 88400
Site Reference ID/Investigator# 34279
Bielefeld, 33611
Site Reference ID/Investigator# 54810
Bielefeld, 33617
Site Reference ID/Investigator# 35559
Bietigheim-Bissingen, 74321
Site Reference ID/Investigator# 35560
Bietigheim-Bissingen, 74321
Site Reference ID/Investigator# 34283
Blankenburg/Hart, 38889
Site Reference ID/Investigator# 34286
Blaubeuren Abbey, 89143
Site Reference ID/Investigator# 34289
Bocholt, 46399
Site Reference ID/Investigator# 53946
Bocholt, 46399
Site Reference ID/Investigator# 35567
Bochum, 44789
Site Reference ID/Investigator# 35642
Bogen, 94327
Site Reference ID/Investigator# 34300
Bonn, 53111
Site Reference ID/Investigator# 53969
Bonn, 53129
Site Reference ID/Investigator# 35647
Bonn, 53175
Site Reference ID/Investigator# 35648
Bonn, 53175
Site Reference ID/Investigator# 34294
Bonn, 53177
Site Reference ID/Investigator# 34305
Braunschweig, 38100
Site Reference ID/Investigator# 34310
Braunschweig, 38100
Site Reference ID/Investigator# 35601
Breitenbrunn, 08359
Site Reference ID/Investigator# 35607
Bremen, 28209
Site Reference ID/Investigator# 53975
Bremen, 28329
Site Reference ID/Investigator# 34264
Buch, 13125
Site Reference ID/Investigator# 53934
Büchen, 21514
Site Reference ID/Investigator# 34696
Celle, 29221
Site Reference ID/Investigator# 34700
Chemnitz, 09126
Site Reference ID/Investigator# 35092
Chemnitz, D-09130
Site Reference ID/Investigator# 33990
Cologne, 50679
Site Reference ID/Investigator# 33987
Cologne, 50823
Site Reference ID/Investigator# 33996
Cologne, 50931
Site Reference ID/Investigator# 33993
Cologne, 50969
Site Reference ID/Investigator# 35238
Cologne, 51067
Site Reference ID/Investigator# 35617
Cottbus, 3048
Site Reference ID/Investigator# 53987
Cuxhaven, 27474
Site Reference ID/Investigator# 53889
Cuxhaven, 27476
Site Reference ID/Investigator# 35622
Darmstadt, 64295
Site Reference ID/Investigator# 53885
Delmenhorst, 27749
Site Reference ID/Investigator# 34726
Demmin, 17109
Site Reference ID/Investigator# 53932
Denkendorf, 73770
Site Reference ID/Investigator# 35636
Dortmund, 44147
Site Reference ID/Investigator# 35632
Dortmund, 44263
Site Reference ID/Investigator# 35171
Dresden, 01097
Site Reference ID/Investigator# 34762
Dresden, 01109
Site Reference ID/Investigator# 53958
Dresden, 01159
Site Reference ID/Investigator# 34749
Dresden, 01277
Site Reference ID/Investigator# 34763
Dresden, 01307
Site Reference ID/Investigator# 34776
Duisburg, 47055
Site Reference ID/Investigator# 53897
Duisburg, 47167
Site Reference ID/Investigator# 34771
Düsseldorf, 40211
Site Reference ID/Investigator# 34774
Düsseldorf, 40225
Site Reference ID/Investigator# 34779
Ebensfeld, 96250
Site Reference ID/Investigator# 34782
Eberswalde, 16225
Site Reference ID/Investigator# 54805
Eisenberg, 07607
Site Reference ID/Investigator# 35180
Elmshorn, 25335
Site Reference ID/Investigator# 34802
Erftstadt, 50374
Site Reference ID/Investigator# 34807
Erfurt, 99096
Site Reference ID/Investigator# 35097
Erfurt, 99096
Site Reference ID/Investigator# 35189
Erfurt, 99096
Site Reference ID/Investigator# 54811
Erlangen, 91054
Site Reference ID/Investigator# 34815
Erlangen, 91056
Site Reference ID/Investigator# 53925
Essen, 45128
Site Reference ID/Investigator# 34823
Essen, 45239
Site Reference ID/Investigator# 35194
Essen, 45326
Site Reference ID/Investigator# 53931
Essen, 45329
Site Reference ID/Investigator# 53945
Essen, 45359
Site Reference ID/Investigator# 34829
Esslingen am Neckar, 73732
Site Reference ID/Investigator# 35200
Feldafing, 82340
Site Reference ID/Investigator# 35203
Flensburg, 24937
Site Reference ID/Investigator# 34831
Forchheim, 91301
Site Reference ID/Investigator# 34851
Frankfurt, 60590
Site Reference ID/Investigator# 34838
Frankfurt, 60596
Site Reference ID/Investigator# 35211
Fraureuth, 08427
Site Reference ID/Investigator# 35217
Freiberg, 09599
Site Reference ID/Investigator# 34852
Freiburg im Breisgau, 79098
Site Reference ID/Investigator# 34855
Freiburg im Breisgau, 79098
Site Reference ID/Investigator# 53926
Freiburg im Breisgau, 79098
Site Reference ID/Investigator# 34859
Freiburg im Breisgau, 79106
Site Reference ID/Investigator# 35099
Freystadt, 92342
Site Reference ID/Investigator# 53960
Friedberg, 61169
Site Reference ID/Investigator# 35222
Friedrichroda, 99894
Site Reference ID/Investigator# 53976
Geesthacht, 21502
Site Reference ID/Investigator# 53890
Geilenkirchen, 52511
Site Reference ID/Investigator# 34877
Gelsenkirchen, 45881
Site Reference ID/Investigator# 53909
Giessen, 35392
Site Reference ID/Investigator# 53922
Gladbeck, 45964
Site Reference ID/Investigator# 34894
Goslar, 38642
Site Reference ID/Investigator# 35231
Göttingen, 37073
Site Reference ID/Investigator# 65622
Göttingen, 37075
Site Reference ID/Investigator# 34902
Greifswald, 17491
Site Reference ID/Investigator# 34910
Güstrow, 18273
Site Reference ID/Investigator# 35501
Hagen, 58089
Site Reference ID/Investigator# 34924
Halle, 06108
Site Reference ID/Investigator# 34935
Halle, 06108
Site Reference ID/Investigator# 34938
Halle, 06108
Site Reference ID/Investigator# 34920
Halle, 06112
Site Reference ID/Investigator# 34942
Halle, 06120
Site Reference ID/Investigator# 33819
Halle, 06128
Site Reference ID/Investigator# 35442
Hamburg, 20144
Site Reference ID/Investigator# 53984
Hamburg, 20355
Site Reference ID/Investigator# 33367
Hamburg, 21031
Site Reference ID/Investigator# 53900
Hamburg, 21073
Site Reference ID/Investigator# 34956
Hamburg, 21075
Site Reference ID/Investigator# 34962
Hamburg, 22081
Site Reference ID/Investigator# 35450
Hamburg, 22081
Site Reference ID/Investigator# 35112
Hamburg, 22087
Site Reference ID/Investigator# 34946
Hamburg, 22089
Site Reference ID/Investigator# 35001
Hamburg, 22119
Site Reference ID/Investigator# 34959
Hamburg, 22147
Site Reference ID/Investigator# 34977
Hamburg, 22147
Site Reference ID/Investigator# 34965
Hamburg, 22391
Site Reference ID/Investigator# 54806
Hamburg, 22399
Site Reference ID/Investigator# 33578
Hamburg, 22529
Site Reference ID/Investigator# 34967
Hamburg, 22529
Site Reference ID/Investigator# 34989
Hamburg, 22529
Site Reference ID/Investigator# 34981
Hamburg, 22609
Site Reference ID/Investigator# 34984
Hamburg, 22609
Site Reference ID/Investigator# 34996
Hamburg, 22609
Site Reference ID/Investigator# 53953
Hamm, 59065
Site Reference ID/Investigator# 35017
Hanau, 63450
Site Reference ID/Investigator# 33713
Hanover, 30159
Site Reference ID/Investigator# 35032
Hanover, 30159
Site Reference ID/Investigator# 35021
Hanover, 30161
Site Reference ID/Investigator# 33788
Hanover, 30625
Site Reference ID/Investigator# 34021
Hansestadt Salzwedel, 29410
Site Reference ID/Investigator# 33790
Harrislee, 24955
Site Reference ID/Investigator# 65629
Haselünne, 49740
Site Reference ID/Investigator# 33795
Hattingen, 45525
Site Reference ID/Investigator# 33796
Heidelberg, 69120
Site Reference ID/Investigator# 33806
Heidelberg, 69121
Site Reference ID/Investigator# 33811
Heidelberg, D-69115
Site Reference ID/Investigator# 33816
Heilbad Heiligenstadt, 37308
Site Reference ID/Investigator# 53911
Herne, 44623
Site Reference ID/Investigator# 53910
Herne, 44625
Site Reference ID/Investigator# 65623
Herne, 44652
Site Reference ID/Investigator# 33823
Herrsching am Ammersee, 82211
Site Reference ID/Investigator# 33831
Hildesheim, 31124
Site Reference ID/Investigator# 33836
Hof, 95028
Site Reference ID/Investigator# 33840
Hofheim, 65719
Site Reference ID/Investigator# 33843
Hohenfelde, 18209
Site Reference ID/Investigator# 54807
Homburg, 66424
Site Reference ID/Investigator# 53985
Illingen, 66557
Site Reference ID/Investigator# 33933
Ingolstadt, 85049
Site Reference ID/Investigator# 53938
Jena, 07743
Site Reference ID/Investigator# 5323
Jena, 07745
Site Reference ID/Investigator# 33940
Jülich, 52428
Site Reference ID/Investigator# 33944
Kahla, 07768
Site Reference ID/Investigator# 35124
Kahla, 07768
Site Reference ID/Investigator# 33948
Kaiserslautern, 67655
Site Reference ID/Investigator# 53935
Kaltenkirchen, 24568
Site Reference ID/Investigator# 33397
Karlsruhe, 76133
Site Reference ID/Investigator# 33954
Karlsruhe, 76133
Site Reference ID/Investigator# 35482
Karlstadt am Main, 97753
Site Reference ID/Investigator# 33962
Kassel, 34131
Site Reference ID/Investigator# 35239
Kolkwitz, 3099
Site Reference ID/Investigator# 34000
Königs Wusterhausen, 15711
Site Reference ID/Investigator# 34006
Kressbronn, 88079
Site Reference ID/Investigator# 34009
Kronach, 96317
Site Reference ID/Investigator# 34086
Kyritz, 16866
Site Reference ID/Investigator# 34003
Lahr, 77933
Site Reference ID/Investigator# 53937
Leipzig, 04103
Site Reference ID/Investigator# 65628
Leipzig, 04109
Site Reference ID/Investigator# 34107
Leipzig, 04207
Site Reference ID/Investigator# 34098
Leipzig, 04299
Site Reference ID/Investigator# 34119
Leverkusen, 51373
Site Reference ID/Investigator# 34121
Lichtenstein, 09350
Site Reference ID/Investigator# 35252
Lippstadt, 59555
Site Reference ID/Investigator# 53882
Löhne, 49393
Site Reference ID/Investigator# 34133
Lübeck, 23552
Site Reference ID/Investigator# 53943
Lüdenscheid, 58311
Site Reference ID/Investigator# 53886
Ludwigsburg, 71638
Site Reference ID/Investigator# 35257
Ludwigsfelde, 14974
Site Reference ID/Investigator# 53906
Ludwigslust, 19288
Site Reference ID/Investigator# 33407
Lüneburg, 21335
Site Reference ID/Investigator# 53888
Lüneburg, 21335
Site Reference ID/Investigator# 34148
Magdeburg, 39104
Site Reference ID/Investigator# 53981
Magdeburg, 39110
Site Reference ID/Investigator# 53913
Magdeburg, 39120
Site Reference ID/Investigator# 53928
Mainz, 55116
Site Reference ID/Investigator# 65631
Mainz, 55116
Site Reference ID/Investigator# 34184
Mannheim, 68165
Site Reference ID/Investigator# 34194
Marl, 45768
Site Reference ID/Investigator# 35283
Menz, 39175
Site Reference ID/Investigator# 53896
Merxheim, 55627
Site Reference ID/Investigator# 33418
Minden, 32429
Site Reference ID/Investigator# 34206
Mittelherwigsdorf, 02763
Site Reference ID/Investigator# 34219
Moenkeberg, 24248
Site Reference ID/Investigator# 34216
Mönchengladbach, 41061
Site Reference ID/Investigator# 53915
Mönchengladbach, 41061
Site Reference ID/Investigator# 34211
Mönchengladbach, 41199
Site Reference ID/Investigator# 34214
Mönchengladbach, 41199
Site Reference ID/Investigator# 34222
Mühlhausen, 99974
Site Reference ID/Investigator# 53904
Munich, 80331
Site Reference ID/Investigator# 53956
Munich, 80336
Site Reference ID/Investigator# 34037
Munich, 80639
Site Reference ID/Investigator# 53962
Munich, 80798
Site Reference ID/Investigator# 53912
Munich, 81547
Site Reference ID/Investigator# 35296
Munich, 81667
Site Reference ID/Investigator# 53924
Munich, 81667
Site Reference ID/Investigator# 34041
Munich, 81925
Site Reference ID/Investigator# 34035
Munich, D-81541
Site Reference ID/Investigator# 34044
Münster, 48143
Site Reference ID/Investigator# 53970
Münster, 48143
Site Reference ID/Investigator# 34046
Münster, 48149
Site Reference ID/Investigator# 34050
Naunhof, 04683
Site Reference ID/Investigator# 34059
Neubrandenburg, 17033
Site Reference ID/Investigator# 34062
Neuburg am Inn, 86633
Site Reference ID/Investigator# 34980
Neunkirchen, 66538
Site Reference ID/Investigator# 35311
Neuss, 41460
Site Reference ID/Investigator# 34072
Neustadt, 67434
Site Reference ID/Investigator# 65630
Neuwied, 56564
Site Reference ID/Investigator# 82694
Niederbrombach, 55767
Site Reference ID/Investigator# 34078
Niefern-Öschelbronn, 75223
Site Reference ID/Investigator# 34081
Nienburg, 31582
Site Reference ID/Investigator# 34082
Nienburg, 31582
Site Reference ID/Investigator# 53923
Nuremberg, 90402
Site Reference ID/Investigator# 34168
Obergünzburg, 87634
Site Reference ID/Investigator# 34174
Offenburg, 77652
Site Reference ID/Investigator# 33490
Oldenburg, 26121
Site Reference ID/Investigator# 53950
Olsberg, 59939
Site Reference ID/Investigator# 33499
Osnabrück, D-49074
Site Reference ID/Investigator# 54803
Osnabrück, D-49074
Site Reference ID/Investigator# 34715
Ostseebad Damp, 24351
Site Reference ID/Investigator# 35333
Paderborn, 33098
Site Reference ID/Investigator# 33503
Papenburg, 26871
Site Reference ID/Investigator# 33506
Parchim, 19370
Site Reference ID/Investigator# 33509
Parsberg, 92331
Site Reference ID/Investigator# 35338
Passau, 94032
Site Reference ID/Investigator# 33511
Petershagen, 32469
Site Reference ID/Investigator# 33519
Pinneberg, 25421
Site Reference ID/Investigator# 33520
Pirna, 01796
Site Reference ID/Investigator# 33521
Planegg, 82152
Site Reference ID/Investigator# 33526
Plauen, 08523
Site Reference ID/Investigator# 33468
Potsdam, 14467
Site Reference ID/Investigator# 33464
Potsdam, 14469
Site Reference ID/Investigator# 53940
Pulheim, 50259
Site Reference ID/Investigator# 33482
Radebeul, 01445
Site Reference ID/Investigator# 53964
Raststatt, 76437
Site Reference ID/Investigator# 33485
Ratingen, 40882
Site Reference ID/Investigator# 35134
Ratingen, 40882
Site Reference ID/Investigator# 54812
Ratingen, 40882
Site Reference ID/Investigator# 33888
Regensburg, 93049
Site Reference ID/Investigator# 33891
Regensburg, 93049
About this study
Observation of safety, tolerability and effectiveness of adalimumab (Humira) therapy in a large patient collective under everyday clinical conditions over a 5-year period.
Read the detailed description
Patients with Rheumatoid Arthritis and started treatment with adalimumab in a normal clinical setting according to the label were documented. The follow-up observation period was for 5 years and focused on safety information and maintenance of efficacy during the normal clinical setting. Follow-up with participants was via regular office visits at intervals as determined by routine clinical practice or as recommended by national guidelines.
- Conditions
- Rheumatoid Arthritis
- Keywords
- Safety, Rheumatoid Arthritis, Effectiveness
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Rheumatoid arthritis | Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Disease Activity Score (DAS) 28
The DAS28 is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, the erythrocyte sedimentation rate (ESR), and general health (measured on a visual analog scale [VAS] from 0 to 10 cm) are included in the DAS28 score. Scores on the DAS28 range from 0 to 10.
A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants in DAS28 Remission
Clinical remission is defined as a DAS28 score of < 2.6. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
Measured: Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Secondary outcomes (14)
Percentage of Participants With a Significant Therapeutic Response
Significant therapeutic response was determined by DAS28 critical difference (Dcrit). A Dcrit response is a statistically determined value that exceeds the threshold of random fluctuation and signifies a positive individual response during treatment. A DAS28-Dcrit individual therapeutic response is defined as a decrease (improvement) in DAS28 from Baseline of ≥ 1.8.
The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With Low, Moderate and High Disease Activity
Low disease activity is defined as a DAS28 score ≤ 3.2; Moderate disease activity as a DAS28 >3.2 to ≤5.1; High disease activity as a DAS28 >5.1.
The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Erythrocyte Sedimentation Rate (ESR) Over Time
Erythrocyte sedimentation rate (ESR) indirectly measures how much inflammation is in the body. A higher ESR is indicative of increased inflammation.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
C-Reactive Protein (CRP) Levels Over Time
C-reactive protein (CRP) was measured from blood samples as a marker for inflammation. Higher levels are indicative of more inflammation. Normal concentration in healthy human serum is usually lower than 10 mg/L, slightly increasing with age.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Tender Joint Count (TJC) Over Time
Twenty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Swollen Joint Count (SJC) Over Time
Twenty-eight joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Hannover Functional Questionnaire (FFbH) Over Time
A self-administered patient questionnaire used to assess patient function based on 18 questions. The numerically coded responses to the questions are added to provide a total patient score. The FFbH was calculated from this patient score by the following formula: FFbH = (patient score x 100) ÷ 2 (number of valid responses). The resulting FFbH score reflects the degree of remaining functional capacity where 0% indicates maximal impairment and 100% indicates maximal functional capacity.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Patients Global Assessment of Disease Activity Over Time
Participants indicated their global assessment of disease activity over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Participants Assessment of Pain Over Time
Participants indicated their level of pain over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Participants Assessment of Fatigue Over Time
Participants indicated their level of fatigue over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With Impairment in Daily Activities
Participants were asked to report how many days of impairment in daily activities they had experienced in the last 4 weeks.
Measured: Baseline and Months 6, 18, 24, and 30
Number of Days Missed From Work Due to Rheumatoid Arthritis
Participants reported the number of days they had missed from work in the prior 6 months due to rheumatoid arthritis. The Baseline measurement includes data for the prior 12 months.
Measured: Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With In-patient Hospitalization
The percentage of participants with in-patient hospitalization in the prior 6 months. Baseline data includes in-patient hospitalizations that occurred within the prior 12 months.
Measured: Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants on Concomitant Rheumatoid Arthritis and Pain Relief/Anti-inflammatory Medication
Measured: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2010 (estimated)
- Study startApr 2003
- Primary completionMar 2013
- Study completionMar 2013
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 (2)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
- Case only
- Time perspective
- Prospective
- Enrolment
- 5,745 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie (prior sponsor, Abbott)
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bianca Wittig, MD, Study director, AbbVie Deutschland GmbH & Co. KG, Medical Department
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01078090
- Sponsor's protocol ID
- HUM 03-1
- Status last verified
- Apr 2014
- First submitted
- 26 Feb 2010
- Last updated
- 8 May 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Behrens F, Koehm M, Schwaneck EC, Schmalzing M, Wittig BM, Gnann H, Greger G, Tony HP, Burkhardt H. Addition or removal of concomitant methotrexate alters adalimumab effectiveness in rheumatoid arthritis but not psoriatic arthritis. Scand J Rheumatol. 2019 Sep;48(5):375-382. doi: 10.1080/03009742.2019.1600717. Epub 2019 Jul 16.
PubMed 31311386Scharbatke EC, Behrens F, Schmalzing M, Koehm M, Greger G, Gnann H, Burkhardt H, Tony HP. Association of Improvement in Pain With Therapeutic Response as Determined by Individual Improvement Criteria in Patients With Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2016 Nov;68(11):1607-1615. doi: 10.1002/acr.22884. Epub 2016 Oct 1.
PubMed 26990995
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness and Safety of Adalimumab in Rheumatoid Arthritis Patients in Routine Clinical Practice
- ClinicalTrials.gov ID
- NCT01078090
- Acronym / sponsor ID
- HUM 03-1
- Conditions
- Rheumatoid Arthritis
- Keywords
- Safety, Rheumatoid Arthritis, Effectiveness
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 5,745 participants (actual)
- Lead sponsor
- AbbVie (prior sponsor, Abbott)Industry (pharma, biotech, devices)
- Study start
- Apr 2003
- Primary completion
- Mar 2013 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 2 Mar 2010 (estimated)
- Results
- Posted 23 Apr 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Observation of safety, tolerability and effectiveness of adalimumab (Humira) therapy in a large patient collective under everyday clinical conditions over a 5-year period.
Detailed description
Patients with Rheumatoid Arthritis and started treatment with adalimumab in a normal clinical setting according to the label were documented. The follow-up observation period was for 5 years and focused on safety information and maintenance of efficacy during the normal clinical setting. Follow-up with participants was via regular office visits at intervals as determined by routine clinical practice or as recommended by national guidelines.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Rheumatoid arthritis | – | –Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- General population: patients with rheumatoid arthritis who resided in Germany. German regulations state that all patients are eligible for non-interventional studies; there are no exclusions. Adult patients (≥ 18 years of age) with RA who were preparing to initiate adalimumab therapy according to the product label were eligible for study enrollment. The eligibility criteria below reflect the approved label as stated in the German Summary of Product Characteristics (SPC) for Humira.
Key inclusion criteria (3 listed)
- Moderate to severe active rheumatoid arthritis in adults with insufficient response to disease-modifying antirheumatic drugs, including methotrexate.
- Moderate to severe active rheumatoid arthritis in adults who have not been treated with methotrexate before.
- In case of incompatibility with methotrexate, adalimumab can be used as monotherapy
Key exclusion criteria (1 listed)
- Hypersensitivity against the drug or one of the other ingredients; active tuberculosis or other severe infections (e.g. sepsis and opportunistic infections); moderate to severe cardiac insufficiency
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Change From Baseline in Disease Activity Score (DAS) 28
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
The DAS28 is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, the erythrocyte sedimentation rate (ESR), and general health (measured on a visual analog scale [VAS] from 0 to 10 cm) are included in the DAS28 score. Scores on the DAS28 range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.
Percentage of Participants in DAS28 Remission
Time frame: Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Clinical remission is defined as a DAS28 score of < 2.6. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
14 secondary outcomes
Percentage of Participants With a Significant Therapeutic Response
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With Low, Moderate and High Disease Activity
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Erythrocyte Sedimentation Rate (ESR) Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
C-Reactive Protein (CRP) Levels Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Tender Joint Count (TJC) Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Swollen Joint Count (SJC) Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Hannover Functional Questionnaire (FFbH) Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Patients Global Assessment of Disease Activity Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Participants Assessment of Pain Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Participants Assessment of Fatigue Over Time
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With Impairment in Daily Activities
Time frame: Baseline and Months 6, 18, 24, and 30
Number of Days Missed From Work Due to Rheumatoid Arthritis
Time frame: Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants With In-patient Hospitalization
Time frame: Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60
Percentage of Participants on Concomitant Rheumatoid Arthritis and Pain Relief/Anti-inflammatory Medication
Time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31311386Behrens F, Koehm M, Schwaneck EC, Schmalzing M, Wittig BM, Gnann H, Greger G, Tony HP, Burkhardt H. Addition or removal of concomitant methotrexate alters adalimumab effectiveness in rheumatoid arthritis but not psoriatic arthritis. Scand J Rheumatol. 2019 Sep;48(5):375-382. doi: 10.1080/03009742.2019.1600717. Epub 2019 Jul 16.
- Derived from this study: PubMed 26990995Scharbatke EC, Behrens F, Schmalzing M, Koehm M, Greger G, Gnann H, Burkhardt H, Tony HP. Association of Improvement in Pain With Therapeutic Response as Determined by Individual Improvement Criteria in Patients With Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2016 Nov;68(11):1607-1615. doi: 10.1002/acr.22884. Epub 2016 Oct 1.
- Related InfoLink provided by the sponsor.
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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.
Bianca Wittig, MD study director
AbbVie Deutschland GmbH & Co. KG, Medical Department
370 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Rheumatoid Arthritis, run by AbbVie (prior sponsor, Abbott) at 370 sites in Germany.
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 3 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 8 May 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 370 sites in Germany. 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 23 Apr 2014). 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 Disease Activity Score (DAS) 28 (time frame: Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60). 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 NCT01078090, which also lists 2 linked publications.
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 8 May 2014.