AzTrials
AzTrials

Rheumatoid ArthritisANTIBODY-RANCT01981473

Drug Concentration, Immunogenicity, and Efficacy Study in Patients With Rheumatoid Arthritis Currently Treated With Etanercept, Adalimumab, or Infliximab

An observational study of Rheumatoid Arthritis, run by Pfizer at 54 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to examine the relationship between anti-drug antibodies, serum drug concentrations, and clinical response for rheumatoid arthritis patients being treated with etanercept, adalimumab or infliximab. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rheumatoid Arthritis
How many people
605 participants
Where
54 sitesin 5 countries
Study dates
Jan 2014to Dec 2014
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: Population will be selected from patients seen in a rheumatology clinical setting who currently treated with etanercept, adalimumab or infliximab for rheumatoid arthritis

Who may be able to join

  • Age 18 years or older.
  • Diagnosis of RA based on the 1987 American College of Rheumatology revised criteria
  • Current continuous treatment with either etanercept, adalimumab, or infliximab for a minimum of 6 months and maximum of 24 months.

Who cannot join

  • Treatment with biosimilar or investigational etanercept, adalimumab, or infliximab within past 6 months.
  • Treatment with any other investigational drugs within past 3 months or five half lives of the drug, whichever is longer.
  • Any medical condition that would interfere with rheumatoid arthritis evaluation or other study assessments (eg, fibromyalgia, lupus).

Trial locations and contacts

54 sites in 5 countries.

54 sites in 5 countries

United States34 sites
  • Austin Regional Clinic

    Austin, Texas, 78731

  • Rheumatology Associates of Baltimore

    Baltimore, Maryland, 21286

  • Advanced Arthritis Care Center

    Brooklyn, New York, 11235

  • Box Arthritis and Rheumatology

    Charlotte, North Carolina, 28210

  • Center for Arthritis and Rheumatic Diseases, P.C.

    Chesapeake, Virginia, 23320

  • Omega Research Consultants, LLC

    DeBary, Florida, 32713

  • Phase III Clinical Research

    Fall River, Massachusetts, 02720

  • David S. Rosenberg, M.D

    Florissant, Missouri, 63031

  • Center for Rheumatology, Immunology, and Arthritis

    Fort Lauderdale, Florida, 33309

  • Florida Medical Research

    Gainesville, Florida, 32607

  • Northeast Georgia Diagnostic Clinic, LLC

    Gainesville, Georgia, 30501

  • Arizona Arthritis & Rheumatology

    Glendale, Arizona, 85304

  • Comprehensive Rheumatology Care

    Hendersonville, Tennessee, 37075

  • Elizabeth Marini Simpson

    Hixon, Tennessee, 37343

  • Mercy Clinic Hot Springs Communities

    Hot Springs, Arkansas, 71913

  • Accurate Clinical Research

    Houston, Texas, 77084

  • Clinical Research Institute of Houston

    Houston, Texas, 77090

  • Rheumatology Consultants of Delaware dba Delaware Arthritis

    Lewes, Delaware, 19958

  • Dr Melvin Albert Churchill Jr

    Lincoln, Nebraska, 68516

  • Arizona Arthritis & Rheumatology Associates, P. C.

    Mesa, Arizona, 85202

  • Prospect Medical Offices

    Midland Park, New Jersey, 07432

  • Low Country Rheumatology, PA

    North Charleston, South Carolina, 29406

  • Arizona Arthritis & Rheumatology

    Phoenix, Arizona, 85032

  • Arizona Arthritis and Rheumatology Research, PLLC

    Phoenix, Arizona, 85032

  • Prem C.Chatpar, M.D., LLC

    Plainview, New York, 11803

  • Sutter Institute for Medical Research

    Sacramento, California, 95816

  • Arthritis Care Center, Incorporated

    San Jose, California, 95035

  • Arthritis and Rheumatic Care Center

    South Miami, Florida, 33143

  • Arthritis Northwest, PLLC

    Spokane, Washington, 99204

  • Arizona Arthritis & Rheumatology Research

    Sun City, Arizona, 85351

  • Health Point Medical Group, Inc.

    Tampa, Florida, 33614

  • Spring Clinical Research

    Tomball, Texas, 77375

  • Via Christi Hospitals Wichita, Inc.

    Wichita, Kansas, 67214

  • Clinical Research Center of Reading, LLC

    Wyomissing, Pennsylvania, 19610

Other trials in United States

Argentina11 sites
  • Hospital Británico de Buenos Aires

    Ciudad Autonoma de Buenos Aires, Buenos Aires, C1280AEB

  • Sociedad Italiana de Beneficencia en Buenos Aires (Hospital Italiano de Buenos Aires)

    Ciudad Autónoma de Buenos Aires / Buenos Aires, Buenos Aires / Argentina, C1181ACH

  • Clínica Adventista Belgrano

    Ciudad Autónoma de Buenos Aires / Buenos Aires, Ciudad Autónoma de Buenos Aires / Buenos Aires /Argentina., C1430EGF

  • CIER, centro de investigaciones en enfermedades reumáticas (Razón social: ARIES MEDICA S.R.L.)

    Ciudad de Buenos Aires / Buenos Aires, Ciudad de Buenos Aires, Buenos Aires, Argentina, C1055AAF

  • Sociedad Española de Beneficiencia y Mutualidad Hospital español de Mendoza

    Godoy Cruz, Mendoza / Argentina, M5501AAJ

  • DIM Clinica Privada

    Ramos Mejía, Ramos Mejía / Buenos Aires / Argentina, B1704ETD

  • Instituto CAICI SRL.

    Rosario, Santa Fe / Argentina, S2000PBJ

  • Centro Integral de Reumatología S.R.L.

    S.M. de Tucumán / Tucumán, S.M. de Tucumán / Tucumán / Argentina., 4000

  • Instituto de Asistencia Reumatológica Integral I.A.R.I

    San Fernando, Buenos Aires / Argentina, 1646

  • C.E.R - Centro Polivalente de Asistencia e Investigación Clínica propiedad de CER SAN JUAN S.R.L.

    San Juan, San Juan / San Juan / Buenos Aires, J5402DIL

  • I.N.Ne.L S.R.L. (Instituto de Neurología y Neurorrehabilitación del Litoral S.R.L.)

    Santa Fe, Santa Fé / Argentina, S3000ASL

Other trials in Argentina

Bulgaria4 sites
  • MHAT Burgas

    Burgas, 8000

  • DCC Sveti Pantaleimon OOD

    Pleven, 5800

  • MHAT Kaspela EOOD

    Plovdiv, 4000

  • UMHAT "Sv.Ivan Rilski"

    Sofia, 1612

Other trials in Bulgaria

Turkey (Türkiye)4 sites
  • Cukurova Universitesi Tip Fakultesi Balcalı Hastanesi

    Adana, 01030

  • Hacettepe Universitesi Tip Fakultesi Hastanesi

    Ankara, 06100

  • Ataturk Universitesi Yakutiye Egitim ve Arastirma Hastanesi

    Erzurum, 25240

  • Osmangazi Universitesi Tıp Fakultesi Hastanesi

    Eskişehir, 26480

Other trials in Turkey (Türkiye)

Australia1 site
  • Southern Clinical Research Pty Ltd

    Sandy Bay, Hobart, Tasmania, 7000

Other trials in Australia

About this study

Official title: Anti-tnf Inhibitor Antibody-mediated Blockade Of Drug Efficacy In Rheumatoid Arthritis (Antibody-ra)

The purpose of this study is to examine the relationship between anti-drug antibodies, serum drug concentrations, and clinical response for rheumatoid arthritis patients being treated with etanercept, adalimumab or infliximab.

Read the detailed description

cross-sectional Population will be selected through convenience sampling. Patients sequentially visiting the rheumatology clinic for routine care who are receiving etanercept, adalimumab, or infliximab for between 6 and 24 months will be evaluated for eligibility and interest in participation. A maximum of 200 patients per treatment will be enrolled.

Being tested
no intervention
Keywords
rheumatoid arthritis, etanercept, adalimumab, infliximab, anti-drug antibody, immunogenicity, drug concentration
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • no interventionOther

    Also called Enbrel

  • no interventionOther

    Also called Humira

  • no interventionOther

    Also called Remicade

Study groups in NCT01981473
Study groupRoleWhat they receive
etanerceptParticipants currently receiving etanercept treatment in a clinical setting for a minimum of 6 months and maximum of 24 months prior to study assessment visit.
Receives: Other: no intervention
adalimumabParticipants currently receiving adalimumab treatment in a clinical setting for a minimum of 6 months and maximum of 24 months prior to study assessment visit.
Receives: Other: no intervention
infliximabParticipants currently receiving infliximab treatment in a clinical setting for a minimum of 6 months and maximum of 24 months prior to study assessment visit.
Receives: Other: no intervention

What is being measured

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

  1. Percentage of Participants Positive for Antidrug Antibodies Among Those Treated With Etanercept Versus Those Treated With Monoclonal Antibodies (Adalimumab or Infliximab).

    Percentage of participants positive for antidrug antibodies among those treated with etanercept versus those treated with monoclonal antibodies (adalimumab or infliximab) was determined.

    Measured: 1 day

Secondary outcomes (11)
  1. Percentage of Participants With Low Disease Activity (LDA) (DAS28 ESR Score ≤ 3.2) Among Those Who Are Antidrug Antibody Positive Versus Negative (All Patients Receiving Etanercept, Adalimumab, or Infliximab Combined).

    Percentage of participants with Low Disease Activity (LDA) (Disease Activity Score based on a 28-joint count [DAS28] Erythrocyte sedimentation rate [ESR] score ≤3.2) among those who are antidrug antibody positive versus negative (all participants receiving etanercept, adalimumab, or infliximab combined).

    Measured: 1 day

  2. Serum Trough Drug Concentrations for Etanercept, Adalimumab, and Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    Serum trough drug concentrations for etanercept, adalimumab, and infliximab compared between participants who are antidrug antibody positive versus negative. Units of measurement for Serum trough drug concentration is µg/mL.

    Measured: 1 day

  3. Percentage of Participants Positive for Antidrug Antibodies Among Those Treated With Etanercept, Adalimumab, or Infliximab.

    Percentage of participants positive for antidrug antibodies among those treated with etanercept, adalimumab, or infliximab were determined.

    Measured: 1 Day

  4. The Clinical Disease Activity Index (CDAI) Total Scores for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    The CDAI total scores for etanercept, adalimumab, or infliximab compared between participants who are antidrug antibody positive versus negative. CDAI = Disease activity score (DAS) 28 prorated Swollen Joint Count (0-28) + DAS 28 prorated Tender Joint Count (0-28) + Physician's Global Assessment (0-10) + Subject's Global Assessment (0-10). The total score range is 0-76. Score interpretation: Remission ≤ 2.8; Low Disease Activity CDAI > 2.8 and ≤ 10; Moderate Disease Activity CDAI > 10 and ≤ 22; High Disease Activity CDAI > 22.

    Measured: 1 Day

  5. The Simplified Disease Activity Index (SDAI) Total Scores for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    The SDAI Total Scores for etanercept, adalimumab, or infliximab compared between participants who are antidrug antibody positive versus negative. SDAI = DAS 28 prorated Swollen Joint Count (0-28) + DAS 28 prorated Tender Joint Count (0-28) + Physician's Global Assessment (0-10) + Subject's Global Assessment (0-10) + C-reactive protein (CRP) (in mg/dL). The total score range is 0-86. Score interpretation: Remission SDAI ≤ 3.3; Low Disease Activity SDAI > 3.3 and ≤ 11; Moderate Disease Activity SDAI > 11 and ≤ 26; High Disease Activity SDAI > 26.

    Measured: 1 day

  6. Disease Activity Score Based on a 28-joint Count (DAS28), Calculated With Erythrocyte Sedimentation Rate for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    The DAS28 assessment is a derived measurement with differential weight given to each component. DAS28 will be calculated twice, utilizing first ESR, and then CRP as the acute phase reactant: 1) DAS28-ESR = 0.56 sqrt (28 painful/tender joint count) + 0.28 sqrt (28 swollen joint count) + 0.70 (ln ESR) + 0.014 GH, where GH=subject general health VAS (0-100 mm). 2) DAS28-4 CRP = 0.56 sqrt (28 painful/tender joint count) + 0.28 sqrt (28 swollen count) + 0.36 (ln CRP+1) + 0.014 GH + 0.96, where GH=subject general health VAS (0- 100 mm), higher scores were indicative of a worse outcome. The specific components of the DAS28 assessment that were used in this study are: Tender/Painful Joint Count (28), Swollen Joint Count (28), ESR/CRP, and Subject's General Health VAS assessment.

    Measured: 1 day

  7. Disease Activity Score, 28 Joint Count, Calculated With C-reactive Protein (DAS28-CRP) for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    The DAS28 assessment is a derived measurement with differential weight given to each component. DAS28 will be calculated twice, utilizing first ESR, and then CRP as the acute phase reactant: 1) DAS28-ESR = 0.56 sqrt (28 painful/tender joint count) + 0.28 sqrt (28 swollen joint count) + 0.70 (ln ESR) + 0.014 GH, where GH=subject general health VAS (0 100 mm). 2) DAS28-4 CRP = 0.56 sqrt (28 painful/tender joint count) + 0.28 sqrt (28 swollen count) + 0.36 (ln CRP+1) + 0.014 GH + 0.96, where GH=subject general health VAS (0-100 mm), higher scores were indicative of a worse outcome. The specific components of the DAS28 assessment that were used in this study are: Tender/Painful Joint Count (28), Swollen Joint Count (28), ESR/CRP, and Subject's General Health VAS assessment.

    Measured: 1 day

  8. Health Assessment Questionnaire-Disability Index (HAQ DI) Scores for for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    The HAQ-DI assesses the degree of difficulty a participant has experienced during the past week in 8 domains of daily living activities: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities. Each activity category consists of 2-3 items. For each question in the questionnaire, the level of difficulty is scored from 0 to 3 with 0 representing "no difficulty," 1 as "some difficulty," 2 as "much difficulty," and 3 as "unable to do." Any activity that requires assistance from another individual or requires the use of an assistive device adjusts to a minimum score of 2 to represent a more limited functional status. The total score range for the HAQ-DI scale, minimum score was 0 (best), maximum score was 3 (worst).

    Measured: 1 day

  9. Percentage of HAQ DI (<=0.5) Scores for Etanercept, Adalimumab, or Infliximab Compared Between Participants Who Are Antidrug Antibody Positive Versus Negative.

    HAQ DI (<=0.5) scores for etanercept, adalimumab, or infliximab compared between participants who are antidrug antibody positive versus negative.

    Measured: 1 day

  10. Correlation of Antidrug Antibody Titers With Efficacy Measures.

    Correlation of antidrug antibody titers with efficacy measures analysed using Spearman correlation coefficient.

    Measured: 1 day

  11. Correlation of Antidrug Antibody Titers With Trough Drug Concentration.

    Correlation of antidrug antibody titers with trough drug concentration analysed using Spearman correlation coefficient.

    Measured: 1 day

Timeline

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

  1. First posted11 Nov 2013 (estimated)
  2. Study startJan 2014
  3. Primary completionDec 2014
  4. Study completionDec 2014

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
Cross-sectional
Enrolment
605 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01981473
Sponsor's protocol ID
B1801364
Other IDs
ANTIBODY-RA
Acronym
ANTIBODY-RA
Status last verified
Dec 2015
First submitted
5 Nov 2013
Last updated
12 Jan 2016
Data monitoring committee
No

Publications

  • Bassiouni H, Spargo CE, Vlahos B, Jones HE, Pedersen R, Shirazy K. Maintenance of Remission with Etanercept-DMARD Combination Therapy Compared with DMARDs Alone in African and Middle Eastern Patients with Active Rheumatoid Arthritis. Rheumatol Ther. 2018 Jun;5(1):149-158. doi: 10.1007/s40744-018-0094-6. Epub 2018 Feb 26.

    PubMed 29480357

Questions about this trial

What is this clinical trial studying?

An observational study of Rheumatoid Arthritis, run by Pfizer at 54 sites in 5 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 3 inclusion and 3 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 12 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Argentina, Bulgaria, Turkey (Türkiye), Australia. 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 12 Jan 2016). 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?

Percentage of Participants Positive for Antidrug Antibodies Among Those Treated With Etanercept Versus Those Treated With Monoclonal Antibodies (Adalimumab or Infliximab). (time frame: 1 day). 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 NCT01981473, 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 12 Jan 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in