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.
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
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.
- Conditions
- Rheumatoid Arthritis
- 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 group | Role | What they receive |
|---|---|---|
| Humira | Participants 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.
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
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
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
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
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
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)
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.
- First posted12 Mar 2010 (estimated)
- Study startMay 2006
- Primary completionJul 2012
- Study completionJul 2012
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.
- 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
- Time perspective
- Prospective
- Enrolment
- 566 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie (prior sponsor, Abbott)
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Thanasis Floros, MD, Study chair, AbbVie Pharmaceuticals S.A.
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 3-year Post-marketing Observational Study Following up Patients With Moderate to Severe RA Treated With Humira in Greece
- ClinicalTrials.gov ID
- NCT01086033
- Acronym / sponsor ID
- PMOS GREC 2004 06
- Conditions
- Rheumatoid Arthritis
- Keywords
- Evaluation of safety and efficacy, Adalimumab treatment, Rheumatoid Arthritis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 566 participants (actual)
- Lead sponsor
- AbbVie (prior sponsor, Abbott)Industry (pharma, biotech, devices)
- Study start
- May 2006
- Primary completion
- Jul 2012 (actual)
- Study completion
- Jul 2012 (actual)
- First posted
- 12 Mar 2010 (estimated)
- Results
- Posted 26 Sep 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Humira | – | –Participants with rheumatoid arthritis treated with Humira (adalimumab) as prescribed by the rheumatologist in the setting of routine clinical care. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with Rheumatoid Arthritis on Humira (adalimimab) treatment
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (2 listed)
- Contraindications according to the SPC.
- Patients should not participate in another observational Abbott study.
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
Number of Participants With Adverse Events
Time frame: 3 years
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.
Disease Activity Score (DAS) 28 Over Time
Time frame: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36
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.
European League Against Rheumatism (EULAR) Response
Time frame: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36
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.
Number of Participants With an American College of Rheumatology (ACR) 20 Response
Time frame: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36
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]).
Number of Participants With an American College of Rheumatology (ACR) 50 Response
Time frame: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36
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]).
Number of Participants With an American College of Rheumatology (ACR) 70 Response
Time frame: Baseline and Months 3, 6, 9, 12, 18, 24, 30, and 36
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]).
1 secondary outcome
Percentage of Participants Who Missed at Least One Dose of Humira
Time frame: Months 3, 6, 9, 12, 18, 24, 30, and 36
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
Thanasis Floros, MD study chair
AbbVie Pharmaceuticals S.A.
60 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 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.