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Rheumatoid ArthritisNCT01086033

A 3-year Study Following up Patients With Moderate to Severe Rheumatoid Arthritis Treated With Humira in Greece

An observational study of Rheumatoid Arthritis, run by AbbVie (prior sponsor, Abbott) at 60 sites in Greece.

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

The objectives of the study are to observe and assess the long-term use, safety and efficacy of Humira (adalimumab), as prescribed by the rheumatologist in a normal clinical setting and in accordance with the terms of the European marketing authorization and to observe compliance of patients with the prescribed… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rheumatoid Arthritis
How many people
566 participants
Where
60 sitesGreece
Study dates
May 2006to Jul 2012
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: Patients with Rheumatoid Arthritis on Humira (adalimimab) treatment

Who may be able to join

  • Patients with moderate or severe active rheumatoid arthritis, who have been prescribed and are receiving Humira (adalimumab) under normal clinical practice for at least one month prior to inclusion and according to the approved Summary of Product Characteristics (SPC) in the European Union.
  • Patients must be willing to consent to data being collected and provided to Abbott Laboratories.

Who cannot join

  • Contraindications according to the SPC.
  • Patients should not participate in another observational Abbott study.

Trial locations and contacts

60 sites in 1 country.

60 sites in 1 country

Greece60 sites
  • Site Reference ID/Investigator# 30116

    A. Glyfada

  • Site Reference ID/Investigator# 47544

    Ag. Dimitrios, Athens, 17121

  • Site Reference ID/Investigator# 47542

    Ag. Paraskevi, Athens, 15343

  • Site Reference ID/Investigator# 29992

    Ágioi Anárgyroi, 13122

  • Site Reference ID/Investigator# 29954

    Ágioi Anárgyroi

  • Site Reference ID/Investigator# 29915

    Alexandroupoli, 68100

  • Site Reference ID/Investigator# 30118

    Arta, 47100

  • Site Reference ID/Investigator# 29989

    Athens, 10444

  • Site Reference ID/Investigator# 29914

    Athens, 115 21

  • Site Reference ID/Investigator# 29950

    Athens, 115 25

  • Site Reference ID/Investigator# 5284

    Athens, 115 25

  • Site Reference ID/Investigator# 29944

    Athens, 115 27

  • Site Reference ID/Investigator# 30474

    Athens, 115 27

  • Site Reference ID/Investigator# 29953

    Athens, 11521

  • Site Reference ID/Investigator# 30085

    Athens, 11521

  • Site Reference ID/Investigator# 30472

    Athens, 11521

  • Site Reference ID/Investigator# 30479

    Athens, 11527

  • Site Reference ID/Investigator# 30480

    Athens, 11527

  • Site Reference ID/Investigator# 29899

    Athens, 11528

  • Site Reference ID/Investigator# 30178

    Athens, 11635

  • Site Reference ID/Investigator# 30785

    Athens, 12462

  • Site Reference ID/Investigator# 30788

    Athens, 12462

  • Site Reference ID/Investigator# 30198

    Chalcis, 34100

  • Site Reference ID/Investigator# 30789

    Cholargós, 15562

  • Site Reference ID/Investigator# 30008

    Crete, 71201

  • Site Reference ID/Investigator# 30210

    Crete, 74100

  • Site Reference ID/Investigator# 29828

    Crete

  • Site Reference ID/Investigator# 30105

    Drama, 66100

  • Site Reference ID/Investigator# 29820

    Elefsina, 19200

  • Site Reference ID/Investigator# 30146

    Ermoupolis Syros

  • Site Reference ID/Investigator# 30767

    Heraklion Crete, 70013

  • Site Reference ID/Investigator# 30482

    Ioannina, 45500

  • Site Reference ID/Investigator# 47322

    Karditsa, 43100

  • Site Reference ID/Investigator# 29850

    Katerini

  • Site Reference ID/Investigator# 30189

    Kavala, 65302

  • Site Reference ID/Investigator# 30476

    Kifissia, 14500

  • Site Reference ID/Investigator# 30004

    Kozani, 50100

  • Site Reference ID/Investigator# 29993

    Lamia, 35100

  • Site Reference ID/Investigator# 30770

    Larissa, 411 10

  • Site Reference ID/Investigator# 29988

    Larissa, 41223

  • Site Reference ID/Investigator# 29922

    Nikaia, 18454

  • Site Reference ID/Investigator# 29972

    Pátrai, 26221

  • Site Reference ID/Investigator# 29916

    Pátrai, 26335

  • Site Reference ID/Investigator# 29827

    Peristeri, 12134

  • Site Reference ID/Investigator# 29936

    Pýrgos

  • Site Reference ID/Investigator# 30200

    Rion, Patras, 265 00

  • Site Reference ID/Investigator# 29900

    Thessaloniki, 54622

  • Site Reference ID/Investigator# 30192

    Thessaloniki, 54622

  • Site Reference ID/Investigator# 30165

    Thessaloniki, 54623

  • Site Reference ID/Investigator# 30765

    Thessaloniki, 54636

  • Site Reference ID/Investigator# 29845

    Thessaloniki, 54639

  • Site Reference ID/Investigator# 30791

    Thessaloniki, 54642

  • Site Reference ID/Investigator# 30792

    Thessaloniki, 54642

  • Site Reference ID/Investigator# 47543

    Thessaloniki, 54643

  • Site Reference ID/Investigator# 29924

    Thessaloniki, 55134

  • Site Reference ID/Investigator# 30477

    Thessaloniki, 564 29

  • Site Reference ID/Investigator# 29947

    Thessaloniki, 570 10

  • Site Reference ID/Investigator# 30115

    Trikala, 42100

  • Site Reference ID/Investigator# 30084

    Véria

  • Site Reference ID/Investigator# 29968

    Xánthi, 67100

Other trials in Greece

About this study

Official title: A 3-year Post-marketing Observational Study Following up Patients With Moderate to Severe RA Treated With Humira in Greece

The objectives of the study are to observe and assess the long-term use, safety and efficacy of Humira (adalimumab), as prescribed by the rheumatologist in a normal clinical setting and in accordance with the terms of the European marketing authorization and to observe compliance of patients with the prescribed treatment.

Read the detailed description

This is a multi-center, uncontrolled observational study of patients who at the time of entry had moderate to severe rheumatoid arthritis (RΑ) and who were subsequently prescribed Humira (adalimumab) following normal clinical practice, with or without other anti-rheumatic treatments, prior to enrollment in this study.

Once the physician has determined that the patient meets the inclusion criteria, and the patient has agreed to be included in the observational study by signing the informed consent, the patient's Day 1 demographic data, and disease status will be reported in the Day 1 Data Report Forms. The physician will then follow-up with the patient via regular office visits at intervals as determined by routine clinical practice. Patient's safety and efficacy data, if they are part of clinical routine, will be recorded in the Data Report Forms at Day 1, and regular visits which are closest to Month 3, Month 6, Month 9, Month 12, Month 18, Month 24, Month 30, and Month 36.

Keywords
Evaluation of safety and efficacy, Adalimumab treatment, Rheumatoid Arthritis
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 groups in NCT01086033
Study groupRoleWhat they receive
HumiraParticipants with rheumatoid arthritis treated with Humira (adalimumab) as prescribed by the rheumatologist in the setting of routine clinical care.

What is being measured

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

  1. Number of Participants With Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

    If an adverse event meets any of the following criteria, it is considered a serious adverse event (SAE): Results in death, is life-threatening, results in hospitalization or the prolongation of hospitalization, is a congenital anomaly or a persistent or significant disability/incapacity, is an event that results in a condition that substantially interferes with the activities of daily living of the participant, is an important medical event requiring medical or surgical intervention to prevent a serious outcome, spontaneous abortion or miscarriage experienced by the participant, or an elective abortion performed on the participant.

    Measured: 3 years

  2. Disease Activity Score (DAS) 28 Over Time

    The DAS28 is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, C reactive protein, and general health 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, 9, 12, 18, 24, 30, and 36

  3. European League Against Rheumatism (EULAR) Response

    A EULAR response reflects an improvement in disease activity and an attainment of a lower degree of disease activity based on the DAS28 score. The DAS28 score ranges from 0-10, with higher scores indicating more disease activity.

    A Good EULAR Response is defined as an improvement (decrease) in the DAS28 of > 1.2 compared with Baseline and attainment of a DAS28 score of ≤ 3.2.

    A Moderate EULAR Response is defined as either:

    • an improvement (decrease) in the DAS28 of > 0.6 and ≤ 1.2 from Baseline and attainment of a DAS28 score of ≤ 5.1, or
    • an improvement (decrease) in the DAS28 of > 1.2 from Baseline and attainment of a DAS28 score of > 3.2.

    No Response is defined as either:

    • an improvement (decrease) in the DAS28 of ≤ to 0.6, or
    • an improvement (decrease) in the DAS28 of > 0.6 and ≤ 1.2 and attainment of a DAS28 of > 5.1.

    Measured: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36

  4. Number of Participants With an American College of Rheumatology (ACR) 20 Response

    American College of Rheumatology 20% (ACR20) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:

    • ≥ 20% improvement in tender joint count;
    • ≥ 20% improvement in swollen joint count; and
    • ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global assessment of disease activity (measured on a 100 mm VAS);
    • Physician's global assessment of disease activity (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • Acute phase reactant value (C-reactive protein [CRP]).

    Measured: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36

  5. Number of Participants With an American College of Rheumatology (ACR) 50 Response

    American College of Rheumatology 50% (ACR50) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:

    • ≥ 50% improvement in tender joint count;
    • ≥ 50% improvement in swollen joint count; and
    • ≥ 50% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global assessment of disease activity (measured on a 100 mm VAS);
    • Physician's global assessment of disease activity (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • Acute phase reactant value (C-reactive protein [CRP]).

    Measured: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36

  6. Number of Participants With an American College of Rheumatology (ACR) 70 Response

    American College of Rheumatology 70% (ACR70) response. A participant was a responder if the following 3 criteria for improvement from Baseline were met:

    • ≥ 70% improvement in tender joint count;
    • ≥ 70% improvement in swollen joint count; and
    • ≥ 70% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global assessment of disease activity (measured on a 100 mm VAS);
    • Physician's global assessment of disease activity (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • Acute phase reactant value (C-reactive protein [CRP]).

    Measured: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36

Secondary outcomes (1)
  1. Percentage of Participants Who Missed at Least One Dose of Humira

    Compliance to study treatment was measured by the percentage of participants who missed at least one dose of Humira during each time interval between study visits.

    Measured: Months 3, 6, 9, 12, 18, 24, 30, and 36

Timeline

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

  1. First posted12 Mar 2010 (estimated)
  2. Study startMay 2006
  3. Primary completionJul 2012
  4. Study completionJul 2012

Resources

More details

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

Study design
Study type
Observational
Time perspective
Prospective
Enrolment
566 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01086033
Sponsor's protocol ID
PMOS GREC 2004 06
Status last verified
Sep 2013
First submitted
26 Feb 2010
Last updated
26 Sep 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Rheumatoid Arthritis, run by AbbVie (prior sponsor, Abbott) at 60 sites in Greece.

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 2 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 26 Sep 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in Greece. 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 26 Sep 2013). 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?

Number of Participants With Adverse Events (time frame: 3 years). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Sep 2013.

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