Rheumatoid ArthritisPhase 3ENIA11NCT01709760
A Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination With Methotrexate Versus Methotrexate Alone in Patients With RA
A Phase 3 study testing Methotrexate and ENIA11 in people with Rheumatoid Arthritis, run by Mycenax Biotech Inc. at 8 sites in Taiwan.
Trial summary
A Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination with Methotrexate versus Methotrexate Alone in Patients with Rheumatoid Arthritis Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- Methotrexate and ENIA11
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 91 participants
- Where
- 8 sitesTaiwan
- Study dates
- Nov 2012to Dec 2019
- Phase
- Phase 3
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patients aged ≥ 20 years old;
- Patient meet ACR criteria for rheumatoid arthritis over 6 month duration;
- Patient with active disease at the time of screening as defined by six or more swollen joints and six or more tender joints;
- Presence of at least one of the following criteria:
- Erythrocyte Sedimentation Rate (ESR) ≥ 28 mm/h,
- C-Reactive Protein (CRP) ≥ 10 mg/L,
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- RA functional class I, II, or III;
- Patients have been treated on methotrexate for at least 3 month, and maintained at stable dose of 15-25 mg/week for at least 8 weeks; MTX low dose as 10 mg per week is allowed for patients who had a documented history of constitutional symptoms at higher doses.
- Patient is willing and able to comply with study procedures and sign informed consent.
Who cannot join
- Active autoimmune disease (other than RA) requiring immunosuppressive therapy;
- In the opinion of the investigator, the patient shows persistent signs of immunosuppression;
- Known hypersensitivity to etanercept or ENIA11 or any of its components;
- Previous unsuccessful treatment with etanercept, anti-TNF monoclonal antibodies or a soluble TNF receptor (e.g., infliximab);
- Suspected or diagnosed pulmonary tuberculosis, or other chronic or current infectious disease at discretion of investigator;
- Patients who have a history or evidence of a medical condition that would expose them to an undue risk of a significant adverse event during the course of the trial, including but not limited to hepatic, renal, respiratory, cardiovascular, endocrine, immune, neurological, hematological, gastrointestinal or psychiatric disease as determined by the clinical judgment of the investigator;
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- Patients with any of the following laboratory abnormalities: ALT/AST > 3 times ULN, creatinine > 2 mg/dl, WBC < 3,000/mm3, Hgb < 8.5 g/dL, platelet count < 100,000/mm3;
- Patients have received live attenuated vaccination program within 3 months or BCG vaccine within 12 months prior enrollment;
- Female patient of childbearing potential who:
- is lactating; or
- has positive urine pregnancy test at Visit 1; or
- refuse to adopt reliable method of contraception during the study;
- Diagnosis of primary fibromyalgia or other joint inflammatory disease including but not limited to gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme disease;
- Known or suspected positive serology for human immunodeficiency, hepatitis B or C virus;
- Patient has received any investigational agent within 28 days or 5 half-lives, whichever is longer, prior to the first dose of investigational product;
- Patient has history of substance abuse, drug addiction or alcoholism;
- Patient who have had participated in prior phase I/II clinical trial.
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
Taiwan8 sites
Changhua Christian Hospital
Changhua
Buddhist Tzu Chi General Hospital
Chiayi City
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City
Kaohsiung Veterans General Hospital
Kaohsiung City
Taichung Veterans General Hospital
Taichung, 407
China Medical University Hospital
Taichung
Chung Shan Medical University Hospital
Taichung
Taipei City Hospital
Taipei
About this study
Official title: A Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination With Methotrexate Versus Methotrexate Alone in Patients With Rheumatoid Arthritis
A Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination with Methotrexate versus Methotrexate Alone in Patients with Rheumatoid Arthritis
Read the detailed description
The objectives of the study are to evaluate the efficacy and safety of ENIA11 in combination with methotrexate versus methotrexate alone in patients with rheumatoid arthritis.
This is a multi-center, double-blind, randomized, parallel-group, placebo-controlled study to evaluate the efficacy and safety of ENIA11 in combination with methotrexate versus methotrexate alone in patients with rheumatoid arthritis.
Subject participation duration: A total of 28 weeks, including: 2 weeks of screening, 24 weeks of treatment and 2 weeks of follow-up
- Conditions
- Rheumatoid Arthritis
- Being tested
- Methotrexate, ENIA11, Placebo
- Keywords
- ENIA11, MTX, RA, TNF
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MethotrexateDrug
Methotrexate 15-25 mg/week
ENIA11Drug
Also called TuNEX
ENIA11 25 mg, sc twice weekly
PlaceboDrug
Placebo, sc twice weekly
| Study group | Role | What they receive |
|---|---|---|
| methotrexate & ENIA11 | Experimental | ENIA11 25 mg, sc twice weekly Receives: Drug: Methotrexate; Drug: ENIA11 |
| methotrexate & Placebo | Active comparator | Placebo, sc twice weekly Receives: Drug: Methotrexate; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
ACR20 responder at last treatment visit
The primary efficacy endpoint is defined as ACR20 responder at last treatment visit (Week 24).
Measured: Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2012 (estimated)
- Study startNov 2012
- Primary completionDec 2017
- Study completionDec 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Care provider, Investigator
- Enrolment
- 91 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mycenax Biotech Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Joung-Liang Lan, PHD, Principal investigator, China Medical University HospitalChung-Ming Huang, MD, Principal investigator, China Medical University HospitalDer-Yuan Chen, PHD, Principal investigator, Taichung Veterans General HospitalLing-Ying Lu, PHD, Principal investigator, Kaohsiung Veterans General Hospital.Ning-Sheng Lai, PHD, Principal investigator, Buddhist Tzu Chi General HospitalTien-Tsai Cheng, MD, Principal investigator, Chang Gung Memorial HospitalGregory J Tsay, PHD, Principal investigator, Chung Shan Medical UniversityYing-Ming Chiu, MD, Principal investigator, Changhua Christian Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01709760
- Sponsor's protocol ID
- TSHEN1101
- Acronym
- ENIA11
- Status last verified
- Apr 2018
- First submitted
- 16 Oct 2012
- Last updated
- 17 Apr 2018
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 17 Apr 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination With Methotrexate Versus Methotrexate Alone in Patients With Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT01709760
- Acronym / sponsor ID
- ENIA11 / TSHEN1101
- Conditions
- Rheumatoid Arthritis
- Keywords
- ENIA11, MTX, RA, TNF
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 91 participants (actual)
- Lead sponsor
- Mycenax Biotech Inc.Industry (pharma, biotech, devices)
- Study start
- Nov 2012
- Primary completion
- Dec 2017 (actual)
- Study completion
- Dec 2019 (estimated)
- First posted
- 18 Oct 2012 (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.
A Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicentre, Phase III Study to Evaluate the Efficacy and Safety of ENIA11 in Combination with Methotrexate versus Methotrexate Alone in Patients with Rheumatoid Arthritis
Detailed description
The objectives of the study are to evaluate the efficacy and safety of ENIA11 in combination with methotrexate versus methotrexate alone in patients with rheumatoid arthritis.
This is a multi-center, double-blind, randomized, parallel-group, placebo-controlled study to evaluate the efficacy and safety of ENIA11 in combination with methotrexate versus methotrexate alone in patients with rheumatoid arthritis.
Subject participation duration: A total of 28 weeks, including: 2 weeks of screening, 24 weeks of treatment and 2 weeks of follow-up
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| methotrexate & ENIA11 | Experimental | Drug: Methotrexate, Drug: ENIA11ENIA11 25 mg, sc twice weekly |
| methotrexate & Placebo | Active comparator | Drug: Methotrexate, Drug: PlaceboPlacebo, sc twice weekly |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female patients aged ≥ 20 years old;
- Patient meet ACR criteria for rheumatoid arthritis over 6 month duration;
- Patient with active disease at the time of screening as defined by six or more swollen joints and six or more tender joints;
- Presence of at least one of the following criteria:
- RA functional class I, II, or III;
Key exclusion criteria (17 listed)
- Active autoimmune disease (other than RA) requiring immunosuppressive therapy;
- In the opinion of the investigator, the patient shows persistent signs of immunosuppression;
- Known hypersensitivity to etanercept or ENIA11 or any of its components;
- Previous unsuccessful treatment with etanercept, anti-TNF monoclonal antibodies or a soluble TNF receptor (e.g., infliximab);
- Suspected or diagnosed pulmonary tuberculosis, or other chronic or current infectious disease at discretion of investigator;
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 |
|---|---|---|
| MethotrexateMethotrexate 15-25 mg/week | Drug | methotrexate & ENIA11, methotrexate & Placebo |
| ENIA11Also: TuNEXENIA11 25 mg, sc twice weekly | Drug | methotrexate & ENIA11 |
| PlaceboPlacebo, sc twice weekly | Drug | methotrexate & Placebo |
Primary outcome
ACR20 responder at last treatment visit
Time frame: Week 24
The primary efficacy endpoint is defined as ACR20 responder at last treatment visit (Week 24).
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Apr 2018.
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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.
Joung-Liang Lan, PHD principal investigator
China Medical University Hospital
Chung-Ming Huang, MD principal investigator
China Medical University Hospital
Der-Yuan Chen, PHD principal investigator
Taichung Veterans General Hospital
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Methotrexate and ENIA11 in people with Rheumatoid Arthritis, run by Mycenax Biotech Inc. at 8 sites in Taiwan.
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 17 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 17 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Taiwan. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
ACR20 responder at last treatment visit (time frame: Week 24). 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 17 Apr 2018.