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Ankylosing SpondylitisEASIC registryNCT01286545

European Ankylosing Spondylitis Infliximab Cohort (EASIC) Follow up Registration Study

An observational study of Ankylosing Spondylitis, run by Rheumazentrum Ruhrgebiet at 19 sites in 6 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Long term data on efficacy and safety of anti-TNF treatment with infliximab in patients with ankylosing spondylitis (AS) beyond 5 years is lacking. These data are important because patients with AS usually are younger and withdrawal of anti-TNF therapy in these patients almost always leads to a disease relapse. Read more about this study

Who is it for?
Ages 18 to 95 years
Conditions the study is for
Ankylosing Spondylitis
How many people
100 participants
Where
19 sitesin 6 countries
Study dates
Feb 2011to Oct 2013
Phase
Observational
Are there results?
None posted in the registry

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 95 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with ankylosing spondylitis who have completed: 1. the trials ASSERT, EASIC and EASIC extension (overall 7 years) 2. the trial DIKAS (overall 10 years) and who are still on infliximab or another anti-TNF agent wor who have terminated anti-TNF treatment

Who may be able to join

  • Established diagnosis of ankylosing spondylitis according to the modified New York criteria
  • Participation in the EASIC trial or participation in the DIKAS/TNF bei AS-trial
  • Completion of the EASIC extension or the DIKAS trial
  • Presence of written informed consent from the patient

Who cannot join

  • None

Trial locations and contacts

19 sites in 6 countries.

19 sites in 6 countries

Germany9 sites
  • Charité Universitätsmedizin Mitte

    Berlin, 10117

    Eugen Feist, Dr., 004930450513133, eugen.feist@charite.de

    Katrin Mattat, Mrs., 004930450513133, katrin.mattat@charite.de

  • Charité Campus Benjamin Franklin

    Berlin, 12200

    Hildrun Haibel, Dr-, 00493084454414, hildrun.haibel@charite.de

    Renate Pauli, Mrs., 00493084452660, renate.pauli@charite.de

  • Immanuel Krankenhaus Berlin Buch

    Berlin, 13125

    Andreas Krause, Prof. Dr., 00493094792300, a.krause@immanuel.de

    Carmen Herz, Mrs., 00493094792300, C.Herz@immanuel.de

  • Rheumatologie Schlosspark-Klinik

    Berlin, 14059

    Svitlana Dyachenko, Dr., 00493032641325, svitlana.dyachenko@schlosspark-klinik.de

    Rieke Alten, Dr., 00493032641325, rieke.alten@schlosspark-klinik.de

  • Rheumapraxis Berlin

    Berlin, 14163

    Helmut Sörensen, Dr., 00493081810188, h.soerensen@rheuma-berlin.com

    Pamela Sander, Mrs., 00493081810188, p.sander@rheuma-berlin.com

  • Rheumazentrum Düsseldorf, Universitätsklinik

    Düsseldorf, 40225

    Matthias Schneider, Prof. Dr., 00492118117817, schneider@rheumanet.org

    Elsbeth Richter, Mrs., 00492118117817, Elsbeth.Richter@med.uni-duesseldorf.de

  • Klinik für Immunologie und Rheumatologie der MHH

    Hanover, 30625

    Markus Rihl, Dr., 00495115325252, Rihl.Markus@mh-hannover.de

    Kathrin Scheiwe, Mrs., 00495115325252, Rht-Studienambulanz@mh-hannover.de

  • Rheumazentrum Ruhrgebiet

    Herne, 44652

    Frank Heldmann, 00492325592112, heldmann@rheumazentrum-ruhrgebiet.de

    Jürgen Braun, Prof. Dr.

  • Klinikum der Universität München, Rheumaeinheit

    München, 80336

    Matthias Witt, Dr., 00498951603455, Matthias.Witt@med.uni-muenchen.de

    Christine Strasser, Mrs., 00498951603455, Christine.Strasser@med.uni-muenchen.de

Other trials in Germany

Belgium3 sites
  • Erasme University Hospital

    Brussels

    Thierry Appelboom, Prof. Dr., tappelbo@ulb.ac.be

    Thierry Appelboom, Prof. Dr.

  • Universitair Ziekenhuis, Afdeling Rheumatologie

    Ghent, 9000

    Filip van den Bosch, Dr., filip.vandenbosch@ugent.be

    Kristel de Boeck, Mrs., kristel.deboeck@ugent.be

  • University Hospital Leuven

    Leuven, 3000

    Kurt de Vlam, Dr., 003216332211, kurt.devlam@uz.kuleuven.ac.be

    Jilke Beinsberger, Mrs., 003216332211, jilke.beinsberger@uz.leuven.be

Other trials in Belgium

France2 sites
  • Groupe Hopitalier Cochin

    Boulogne

    Maxime Breban, Prof. Dr., 0033149095672, maxime.breban@cch.ap-hop-paris.fr

    Claire Ribet, Mrs., 0033149095672, claire.ribet@apr.ap-hop-paris.fr

  • Universitat R. Decartes, Hopital Cochin

    Paris

    Sami Kolta, Dr., 0033158412584, sami.kolta@cch.ap-hop-paris.fr

    Nathalie Ménagé, Mrs

Other trials in France

Netherlands2 sites
  • Academisch Ziekenhuis

    Amsterdam, 1007 MB

    Irene vander Horst-Bruinsma, Dr., 0031204443432, I.E.vanderHorst@vumc.nl

    Silvy Weismann, Mrs., 0031204443432, S.Weismann@vumc.nl

  • University Hospital

    Maastricht, 6202 AZ

    Astrid van Tubergen, Dr., 0031433875026, a.van.tubergen@mumc.nl

    Janine Geusen, Mrs., 0031433875026, j.geusen@mumc.nl

Other trials in Netherlands

United Kingdom2 sites
  • University of Cambridge /Clin Med

    Cambridge, CB2 QQ

    Hill Gaston, Prof. Dr., 00441233330161, jshg2@medschl.cam.ac.uk

    Dominique R Roy, Mrs., 00441233330161, dr314@medschl.cam.ac.uk

  • University of Leeds

    Leeds, LS2 9N2

    Laura C Coates, Dr., 004411339224848, L.C.Coates@leeds.ac.uk

    David Pickles, Mr., 004411339224848, David.Pickles@leedsth.nhs.uk

Other trials in United Kingdom

Finland1 site
  • University Central Hospital, Division of Rheumatology

    Helsinki, 00029HYKS

    Marjatta Leirisalo-Repo, Prof. Dr., Marjatta.Leirisalo-Repo@hus.fi

    Arja Karto, arja.karto@hus.fi

Other trials in Finland

About this study

Long term data on efficacy and safety of anti-TNF treatment with infliximab in patients with ankylosing spondylitis (AS) beyond 5 years is lacking. These data are important because patients with AS usually are younger and withdrawal of anti-TNF therapy in these patients almost always leads to a disease relapse. Furthermore it is still unclear whether long term anti-TNF treatment in AS patients can inhibit radiographic progression. Patients who participated in the EASIC and the DIKAS trial respectively who were treated with infliximab within these studies for 7 and 10 years respectively are followed up by using clinical outcome parameters every 6 months assessing efficacy and safety of long term treatment. Furthermore radiographs of the spine, if done for clinical indication, are analyzed. It is hypothesized that anti-TNF treatment with infliximab is effective and safe over a time period of 9 and 12 years respectively and that long term anti-TNF therapy may inhibit radiographic progression of the spine.

Read the detailed description

Ankylosing spondylitis (AS) is the most frequent subtype of spondyloarthritides (SpA)(Braun et al.Lancet 2007, 369:1379-90). Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) is the cornerstone of the treatment of the disease and is widely used to suppress inflammation and ameliorate spinal pain (Zochling et al.:Ann Rheum Dis 2006, 65:442-52). There is evidence that antitumour necrosis factor (TNF) therapy is highly effective in SpA, especially in AS and psoriatic arthritis. Thus, TNF blockers may even be considered as first line treatment in a patient with active AS whose condition is not sufficiently controlled with NSAIDs in the case of axial disease, and sulfasalazine or methotrexate in the case of peripheral arthritis (Zochling et al.:Ann Rheum Dis 2006, 65:442-52). Long-term data on anti-TNF therapy in patients with AS are rather limited. Infliximab in a dosage of 5mg/kg was shown to be efficacious over 5 years, including a short period of withdrawal and readministration (Baraliakos et al.:Arthritis Res Ther 2005, 7: R439-44; Baraliakos et al.:J Rheumatol 2007, 34: 510-5; Braun J et al: Ann Rheum Dis 2008, 67: 340-5). In our EASIC study the investigators have also shown the efficacy and safety of infliximab treatment in patients with AS over 5 years. Long term data for the treatment of AS with etanercept has proven the efficacy as well (Dijkmans B et al.:J Rheumatol 2009, 36: 1256-64). But long term data for efficacy and safety of treatment with anti-TNF therapy beyond a time period of 5 years is lacking. These data on long term treatment are essential for several reasons. At first patients with AS are predominantly of younger age. When taking into account that withdrawal of anti-TNF therapy leads to disease relapse in a very high proportion of patients , anti-TNF therapy in AS patients is most often designed as a continuous therapy on a long term basis. The second reason for the need of long term data beyond 5 years is the ongoing debate whether anti-TNF agents have the potential to inhibit radiographic progression (Baraliakos X et al.:Ann Rheum Dis 2005, 64:1462-6; van der heijde D et al:Arthritis Rheum 2008, 58: 3063-70). Radiographic data on a larger cohort of patients treated with infliximab or other anti-TNF blockers for a long time period could contribute to answer this important question.

Keywords
Ankylosing spondylitis, Infliximab, Radiographic progression
Medical subject headings
Spondylitis, Ankylosing

What participants receive

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

Study groups in NCT01286545
Study groupRoleWhat they receive
Ankylosing spondylitis, long term treatment with infliximabPatients with ankylosing spondylitis under long term treatment with infliximab within the open label clinical trials EASIC and DIKAS are now followed up in a registration study. No intervention is planned. Patients will be followed up for clinical outcome parameters and for radiographic progression.

Timeline

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

  1. First posted31 Jan 2011 (estimated)
  2. Study startFeb 2011
  3. Primary completionJul 2013 (estimated)
  4. Study completionOct 2013 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01286545
Sponsor's protocol ID
EASIC 30505 registry
Acronym
EASIC registry
Status last verified
Jan 2011
First submitted
27 Jan 2011
Last updated
31 Jan 2011
Results posted
No
Data monitoring committee
No

Publications

  • Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007 Apr 21;369(9570):1379-1390. doi: 10.1016/S0140-6736(07)60635-7.

    PubMed 17448825
  • Zochling J, van der Heijde D, Burgos-Vargas R, Collantes E, Davis JC Jr, Dijkmans B, Dougados M, Geher P, Inman RD, Khan MA, Kvien TK, Leirisalo-Repo M, Olivieri I, Pavelka K, Sieper J, Stucki G, Sturrock RD, van der Linden S, Wendling D, Bohm H, van Royen BJ, Braun J; 'ASsessment in AS' international working group; European League Against Rheumatism. ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis. 2006 Apr;65(4):442-52. doi: 10.1136/ard.2005.041137. Epub 2005 Aug 26.

    PubMed 16126791
  • Baraliakos X, Listing J, Brandt J, Zink A, Alten R, Burmester G, Gromnica-Ihle E, Kellner H, Schneider M, Sorensen H, Zeidler H, Rudwaleit M, Sieper J, Braun J. Clinical response to discontinuation of anti-TNF therapy in patients with ankylosing spondylitis after 3 years of continuous treatment with infliximab. Arthritis Res Ther. 2005;7(3):R439-44. doi: 10.1186/ar1693. Epub 2005 Feb 21.

    PubMed 15899030
  • Baraliakos X, Listing J, Rudwaleit M, Brandt J, Alten R, Burmester G, Gromnica-Ihle E, Haibel H, Schewe S, Schneider M, Sorensen H, Zeidler H, Visvanathan S, Sieper J, Braun J. Safety and efficacy of readministration of infliximab after longterm continuous therapy and withdrawal in patients with ankylosing spondylitis. J Rheumatol. 2007 Mar;34(3):510-5. Epub 2007 Feb 1.

    PubMed 17299842
  • Braun J, Baraliakos X, Listing J, Fritz C, Alten R, Burmester G, Krause A, Schewe S, Schneider M, Sorensen H, Zeidler H, Sieper J. Persistent clinical efficacy and safety of anti-tumour necrosis factor alpha therapy with infliximab in patients with ankylosing spondylitis over 5 years: evidence for different types of response. Ann Rheum Dis. 2008 Mar;67(3):340-5. doi: 10.1136/ard.2007.075879. Epub 2007 Oct 29.

    PubMed 17967831
  • Dijkmans B, Emery P, Hakala M, Leirisalo-Repo M, Mola EM, Paolozzi L, Salvarani C, Sanmarti R, Sibilia J, Sieper J, Van Den Bosch F, van der Heijde D, van der Linden S, Wajdula J. Etanercept in the longterm treatment of patients with ankylosing spondylitis. J Rheumatol. 2009 Jun;36(6):1256-64. doi: 10.3899/jrheum.081033. Epub 2009 May 1.

    PubMed 19411393
  • Baraliakos X, Listing J, Rudwaleit M, Brandt J, Sieper J, Braun J. Radiographic progression in patients with ankylosing spondylitis after 2 years of treatment with the tumour necrosis factor alpha antibody infliximab. Ann Rheum Dis. 2005 Oct;64(10):1462-6. doi: 10.1136/ard.2004.033472. Epub 2005 Mar 18.

    PubMed 15778240
  • van der Heijde D, Landewe R, Baraliakos X, Houben H, van Tubergen A, Williamson P, Xu W, Baker D, Goldstein N, Braun J; Ankylosing Spondylitis Study for the Evaluation of Recombinant Infliximab Therapy Study Group. Radiographic findings following two years of infliximab therapy in patients with ankylosing spondylitis. Arthritis Rheum. 2008 Oct;58(10):3063-70. doi: 10.1002/art.23901.

    PubMed 18821688
  • Essers I, van Tubergen A, Heldmann F, Baraliakos X, Braun J, Kiltz U, Boonen A. Do patients with ankylosing spondylitis adapt to their disease? Evidence from a 'then-test' in patients treated with TNF inhibitors. RMD Open. 2015 Nov 17;1(1):e000164. doi: 10.1136/rmdopen-2015-000164. eCollection 2015.

    PubMed 26629367

Questions about this trial

What is this clinical trial studying?

An observational study of Ankylosing Spondylitis, run by Rheumazentrum Ruhrgebiet at 19 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 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: status not confirmed, as of the sponsor's last update on 31 Jan 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in Germany, Belgium, France, Netherlands, United Kingdom and 1 more country. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jürgen Braun, Prof. Dr. (00492325592131, j.braun@rheumazentrum-ruhrgebiet.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01286545, which also lists 9 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 31 Jan 2011.

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