Ankylosing SpondylitisPhase 2Enbrel_AS-2NCT01289743
Etanercept (Enbrel) in Ankylosing Spondylitis
A Phase 2 study testing Etanercept in people with Ankylosing Spondylitis, run by Charite University, Berlin, Germany at 2 sites in Germany.
Trial summary
The study has the aim to investigate the efficacy and safety of etanercept in patients with active ankylosing spondylitis (AS) over 520 weeks. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Ankylosing Spondylitis
- What is being tested?
- Etanercept
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 2 sitesGermany
- Study dates
- Feb 2002to May 2012
- Phase
- Phase 2
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients 18 to 65 years of age.
- Proven ankylosing spondylitis according to the modified New York criteria
- Acute phase of disease with high disease activity the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score ≥ 4 or a pain score ≥ 4 on a Numeric Rating Scale (NRS) at two occasions in 2 weeks
- Understand, sign. and date the written informed consent at the screening visit.
- Sexually active women participatittg in the study must use a medically acceptable form of contraception until 6 month after the last injection of study medication. Medically acceptable forms of contraception include oral contraceptives, injectable or implantable methods, intrauterine devices, or properly used barrier contraception. Additionally, the use of condoms is suggested as an adjunct to the methods previously addressed to protect against sexually transmitted diseases and to provide additional protection against accidental pregnancy.
- Sexually active men must agree to use a medically accepted form of contraception during the study until 6 month after the last injection of study medication.
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- Negative serum or urine pregnancy test taken at screen in all women except those surgically sterile or at least 1 year postmenopausal.
- Able to self-administer injectable drug supplies or have a caregiver who will do so.
- Able to store injectable test article at 2° to 8° C.
Who cannot join
- Pregnancy/lactation
- Previously exposure to murine or chimeric monoclonal antibodies
- Receipt of any live (attenuated) vaccines within 4 weeks before screening visit
- History of chronic or a recent serious infection
- History of tuberculosis within the last 3 years
- History of malignancy
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- Significant concurrent medical diseases including uncompensated congestive heart failure, myocardial infarction within 12 months, stable or unstable angina pectoris, uncontrolled hypertension, severe pulmonary disease, history of human immunodeficiency virus (HIV) infection, central nervous system demyelinating events suggestive of multiple sclerosis
- Presence or history of confirmed blood dyscrasias
- History of any viral hepatitis within 1 year prior screening or history of any drug-induced liver injury at any time prior to screening
- Laboratory exclusions are: hemoglobin level < 8,5 mg/dl white blood cell count < 3.5 x 10^9/l platelet count < 125 x 10^9 /l creatinine level > 175 mcmol/l, liver enzymes > 1.5 times the upper limit of normal or alkaline phosphatase > 2 times the upper limit of normal.
- Participation in trials of other investigational medications within 30 days of entering the study
- Clinical examination showing significant abnormalities of clinical relevance
- Concomitant medication with disease-modifying anti-rheumatic drugs (DMARDs) or corticosteroids
- History or current evidence of abuse of "hard" drugs (eg., cocaine/heroine) or alcoholism
Trial locations and contacts
2 sites in 1 country.
Germany2 sites
Charite Campus Benjamin Franklin, Rheumatology
Berlin, 12203
Rheumazentrum Ruhrgebiet
Herne, 44652
About this study
Official title: An Open-label Study of Etanercept (Enbrel) Efficacy in Ankylosing Spondylitis
The study has the aim to investigate the efficacy and safety of etanercept in patients with active ankylosing spondylitis (AS) over 520 weeks.
- Conditions
- Ankylosing Spondylitis
- Being tested
- Etanercept
- Keywords
- ankylosing spondylitis, atanercept, therapy, magnetic resonance imaging
- Medical subject headings
- Spondylitis, Ankylosing
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EtanerceptDrug
Also called Enbrel
Etanercept 25 mg subcutaneously twice a week
| Study group | Role | What they receive |
|---|---|---|
| Etanercept 25 mg | Experimental | Etanercept 25 mg subcutaneously twice weekly Receives: Drug: Etanercept |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)50 response
Achievement of at least 50% improvement of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) at week 12 as compared to baseline
Measured: at week 12
Secondary outcomes (4)
Sustained response
Percentage of patients achieving the BASDAI50 response over time
Measured: every 3 months througout the study
Safety outcome
Percentage of patients experienced adverse event during the study
Measured: at 6 and 12 weeks, every 12 weeks thereafter
Magnetic resonance imaging (MRI) response
Reduction of inflammation seen on MRI in comparison to baseline
Measured: at week 24, 54, 102, 210, 308, 416, 514
X-ray progression
Progression of the spinal structural changes as assessed by x-ray in comparison to baseline
Measured: at week 54, 102, 210, 308, 514
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Feb 2011 (estimated)
- Study startFeb 2002
- Primary completionSep 2003
- Study completionMay 2012 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Ankylosing SpondylitisStudies of the same condition, open and under way.
- More trials run by Charite University, Berlin, GermanyThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- Charite University, Berlin, Germany
- Sponsor type
- University, hospital or other
- Collaborators
- Rheumazentrum Ruhrgebiet
- Investigators
- Joachim Sieper, Prof. Dr., Principal investigator, Charite University, Berlin, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01289743
- Sponsor's protocol ID
- Enbrel _AS-2
- Other IDs
- 202-04
- Acronym
- Enbrel_AS-2
- Status last verified
- Feb 2002
- First submitted
- 1 Feb 2011
- Last updated
- 4 Feb 2011
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Baraliakos X, Haibel H, Fritz C, Listing J, Heldmann F, Braun J, Sieper J. Long-term outcome of patients with active ankylosing spondylitis with etanercept-sustained efficacy and safety after seven years. Arthritis Res Ther. 2013;15(3):R67. doi: 10.1186/ar4244.
PubMed 23786760
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label Study of Etanercept (Enbrel) Efficacy in Ankylosing Spondylitis
- ClinicalTrials.gov ID
- NCT01289743
- Acronym / sponsor ID
- Enbrel_AS-2 / Enbrel _AS-2
- Conditions
- Ankylosing Spondylitis
- Keywords
- ankylosing spondylitis, atanercept, therapy, magnetic resonance imaging
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 24 participants (actual)
- Lead sponsor
- Charite University, Berlin, GermanyUniversity, hospital or other
- Collaborators
- Rheumazentrum Ruhrgebiet
- Study start
- Feb 2002
- Primary completion
- Sep 2003 (actual)
- Study completion
- May 2012 (estimated)
- First posted
- 4 Feb 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study has the aim to investigate the efficacy and safety of etanercept in patients with active ankylosing spondylitis (AS) over 520 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Etanercept 25 mg | Experimental | Drug: EtanerceptEtanercept 25 mg subcutaneously twice weekly |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patients 18 to 65 years of age.
- Proven ankylosing spondylitis according to the modified New York criteria
- Acute phase of disease with high disease activity the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score ≥ 4 or a pain score ≥ 4 on a Numeric Rating Scale (NRS) at two occasions in 2 weeks
- Understand, sign. and date the written informed consent at the screening visit.
- Sexually active women participatittg in the study must use a medically acceptable form of contraception until 6 month after the last injection of study medication. Medically acceptable forms of contraception include oral contraceptives, injectable or implantable methods, intrauterine devices, or properly used barrier contraception. Additionally, the use of condoms is suggested as an adjunct to the methods previously addressed to protect against sexually transmitted diseases and to provide additional protection against accidental pregnancy.
Key exclusion criteria (14 listed)
- Pregnancy/lactation
- Previously exposure to murine or chimeric monoclonal antibodies
- Receipt of any live (attenuated) vaccines within 4 weeks before screening visit
- History of chronic or a recent serious infection
- History of tuberculosis within the last 3 years
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EtanerceptAlso: EnbrelEtanercept 25 mg subcutaneously twice a week | Drug | Etanercept 25 mg |
Primary outcome
The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)50 response
Time frame: at week 12
Achievement of at least 50% improvement of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) at week 12 as compared to baseline
4 secondary outcomes
Sustained response
Time frame: every 3 months througout the study
Safety outcome
Time frame: at 6 and 12 weeks, every 12 weeks thereafter
Magnetic resonance imaging (MRI) response
Time frame: at week 24, 54, 102, 210, 308, 416, 514
X-ray progression
Time frame: at week 54, 102, 210, 308, 514
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2011.
- Derived from this study: PubMed 23786760Baraliakos X, Haibel H, Fritz C, Listing J, Heldmann F, Braun J, Sieper J. Long-term outcome of patients with active ankylosing spondylitis with etanercept-sustained efficacy and safety after seven years. Arthritis Res Ther. 2013;15(3):R67. doi: 10.1186/ar4244.
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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.
Joachim Sieper, Prof. Dr. principal investigator
Charite University, Berlin, Germany
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Etanercept in people with Ankylosing Spondylitis, run by Charite University, Berlin, Germany at 2 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 9 inclusion and 14 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 4 Feb 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
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?
The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)50 response (time frame: at week 12). 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 NCT01289743, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Feb 2011.