Arthritis, RheumatoidPhase 3NCT02114931
Long-term Safety and Efficacy of ABP 501 in Subjects With Moderate to Severe Rheumatoid Arthritis
A Phase 3 study testing ABP 501 in people with Arthritis, Rheumatoid, run by Amgen at 77 sites in 11 countries.
Trial summary
The purpose of this open-label study is to evaluate the long-term safety and efficacy of ABP 501 in adults with moderate to severe rheumatoid arthritis (RA). Read more about this study
- Who is it for?
- Ages 18 to 81 years
- Conditions the study is for
- Arthritis, Rheumatoid
- What is being tested?
- ABP 501
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 467 participants
- Where
- 77 sitesin 11 countries
- Study dates
- Apr 2014to Apr 2016
- Phase
- Phase 3
- 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 to 81 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject was randomized into protocol 20120262 (NCT01970475) and completed the week 26 visit
Who cannot join
- Subject experienced a serious adverse event (SAE) or an adverse event (AE) in the 20120262 study that could cause extension treatment to be detrimental
- Subject completed study 20120262 but cannot be dosed within 4 weeks of the week 26 visit of study 20120262
- Current infection requiring the use of oral or intravenous antibiotics
- Other Inclusion/Exclusion criteria may apply
Trial locations and contacts
77 sites in 11 countries.
77 sites in 11 countries
United States29 sites
Research Site
Bethlehem, Pennsylvania, 18015
Research Site
Brooklyn, New York, 11201
Research Site
Carrollton, Texas, 75007
Research Site
Charleston, South Carolina, 29406
Research Site
Covina, California, 91723
Research Site
Dallas, Texas, 75231
Research Site
Danbury, Connecticut, 06810
Research Site
Duncansville, Pennsylvania, 16635
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El Cajon, California, 92020
Research Site
Hagerstown, Maryland, 21740
Research Site
Hemet, California, 92543
Research Site
Huntsville, Alabama, 35801
Research Site
Lexington, Kentucky, 40504
Research Site
Memphis, Tennessee, 38119
Research Site
Miami, Florida, 33015
Research Site
Mineola, New York, 11501
Research Site
Oklahoma City, Oklahoma, 73103
Research Site
Omaha, Nebraska, 68114
Research Site
Orlando, Florida, 32804
Research Site
Palm Desert, California, 92260
Research Site
Peoria, Arizona, 85381
Research Site
Sandy Springs, Georgia, 30328
Research Site
Sarasota, Florida, 34233
Research Site
Scottsdale, Arizona, 85258
Research Site
Spokane, Washington, 99204
Research Site
St Louis, Missouri, 63141
Research Site
Van Nuys, California, 91405
Research Site
Wheaton, Maryland, 20902
Research Site
Whittier, California, 90602
Poland17 sites
Research Site
Bialystok, Podlaskie Voivodeship, 15-099
Research Site
Bialystok, Podlaskie Voivodeship, 15-351
Research Site
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-168
Research Site
Działdowo, Warmian-Masurian Voivodeship, 13-200
Research Site
Elblag, Warmian-Masurian Voivodeship, 82-300
Research Site
Gdansk, Pomeranian Voivodeship, 80-307
Research Site
Gdynia, Pomeranian Voivodeship, 81-338
Research Site
Kościan, Greater Poland Voivodeship, 64-000
Research Site
Lublin, Lublin Voivodeship, 20-022
Research Site
Lublin, Lublin Voivodeship, 20-582
Research Site
Poznan, Greater Poland Voivodeship, 60-218
Research Site
Poznan, Greater Poland Voivodeship, 61-113
Research Site
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Research Site
Warsaw, Masovian Voivodeship, 01-192
Research Site
Warsaw, Masovian Voivodeship, 01-518
Research Site
Wroclaw, Lower Silesian Voivodeship, 50-088
Research Site
Wroclaw, Lower Silesian Voivodeship, 52-416
Czechia7 sites
Research Site
Hlučín, Severomoravsky Kraj, 748 01
Research Site
Ostrava, Severomoravsky Kraj, 702 00
Research Site
Prague, Prague, 128 50
Research Site
Prague, Prague, 140 00
Research Site
Prague, 140 00
Research Site
Prague, 140 59
Research Site
Zlín, Severomoravsky Kraj, 760 01
Hungary6 sites
Research Site
Balatonfüred, Veszprém megye, 8230
Research Site
Budapest, Budapest, 1023
Research Site
Budapest, Budapest, 1027
Research Site
Budapest, Budapest, 1036
Research Site
Szentes, Csongrád megye, 6600
Research Site
Veszprém, Veszprém megye, 8200
Bulgaria4 sites
Research Site
Plovdiv, Plovdiv, 4002
Research Site
Plovdiv, Plovdiv, 4003
Research Site
Rousse, Ruse, 7012
Research Site
Soifia, Sofia, 1612
Germany4 sites
Research Site
Göttingen, Lower Saxony, 37075
Research Site
Hamburg, Free and Hanseatic City of Hamburg, 22391
Research Site
Leipzig, Saxony, 04103
Research Site
Ratingen, North Rhine-Westphalia, 40882
Spain4 sites
Research Site
A Coruña, La Coruna, 15006
Research Site
Madrid, Madrid, 28041
Research Site
Santiago de Compostela, A Coruna, 15705
Research Site
Seville, Sevilla, 41009
Canada3 sites
Research Site
St. John's, Newfoundland and Labrador, A1A 5E8
Research Site
Windsor, Ontario, N8X 5A6
Research Site
Winnipeg, Manitoba, R3N 0K6
About this study
Official title: An Open-label, Single-arm Extension Study to Evaluate the Long-term Safety and Efficacy of ABP 501 in Subjects With Moderate to Severe Rheumatoid Arthritis
The purpose of this open-label study is to evaluate the long-term safety and efficacy of ABP 501 in adults with moderate to severe rheumatoid arthritis (RA).
- Conditions
- Arthritis, Rheumatoid
- Being tested
- ABP 501
- Keywords
- arthritis, rheumatoid
- Medical subject headings
- Arthritis, Rheumatoid, Arthritis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ABP 501Biological
Also called AMJEVITA™, Adalimumab-atto
Solution for subcutaneous injection in a syringe containing 40 mg/0.8 mL ABP 501
| Study group | Role | What they receive |
|---|---|---|
| ABP 501 | Experimental | Participants received ABP 501 40 mg subcutaneously (SC) every other week for up to 18 months. Receives: Biological: ABP 501 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adverse Events
Adverse events (AEs) were graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale:
1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal. A treatment-related AE is defined as an event where the answer to the question "is there a reasonable possibility that the event may have been caused by the Investigational Medicinal Product" was yes.
A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria:
- fatal
- life threatening (places the subject at immediate risk of death)
- requires inpatient hospitalization or prolongation of existing hospitalization
- results in persistent or significant disability/incapacity
- congenital anomaly/birth defect
- other medically important serious event.
Measured: From the first dose of study drug in the extension study to 28 days following the last dose; 72 weeks
Number of Participants With Grade ≥ 3 Hematology and Chemistry Laboratory Results
Laboratory results were graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale:
1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal.
Measured: From the first dose of study drug in the extension study to 28 days following the last dose; 72 weeks
Percentage of Participants Who Developed Antibodies to ABP 501
Two validated assays were used to detect the presence of anti-drug antibodies. All samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect anti-drug antibodies against ABP 501 (Binding Antibody Assay). Samples confirmed to be positive for binding antibodies were subsequently tested in a non-cell based bioassay to determine neutralizing activity against ABP 501. If a sample was positive for binding antibodies and demonstrated neutralizing activity at the same time point, the sample was defined as positive for neutralizing antibodies.
Preexisting antibody positive indicates participants with a positive result at baseline of the extension study. Developing antibody positive indicates participants with a negative or no result at baseline of the extension study who were positive at any time point post-baseline during the extension study.
Measured: Up to week 72
Secondary outcomes (2)
Percentage of Participants With an American College of Rheumatology (ACR) 20 Response
A participant was a responder if the following 3 criteria for improvement from Baseline of the parent study 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 likert scale from 0 to 10);
- Physician's global assessment of disease activity (measured on a likert scale from 0 to 10);
- Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
- C-Reactive Protein level.
Measured: Parent study baseline, extension study baseline and weeks 4, 24, 48, and 70
Change From Parent Study Baseline in Disease Activity Score 28-C-reactive Protein (DAS28-CRP)
The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables:
- The number of swollen and tender joints assessed using the 28-joint count;
- C-reactive protein (CRP) level
- Patient's global assessment of disease activity assessed on a score from 0 to 100 transformed from the result measured on a horizontal scale from 0 (no RA activity at all) to 10 (worst RA activity imaginable).
The DAS28-CRP score ranges from approximately zero to ten. Higher DAS28-CRP scores indicate higher disease activity.
Measured: Parent study baseline, extension study baseline and weeks 4, 24, 48 and 70
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Apr 2014 (estimated)
- Study startApr 2014
- Primary completionApr 2016
- Study completionApr 2016
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.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Arthritis, RheumatoidStudies of the same condition, open and under way.
- More trials run by AmgenThe 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 467 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Amgen MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02114931
- Sponsor's protocol ID
- 20130258
- Other IDs
- 2013-004654-13
- Status last verified
- Feb 2017
- First submitted
- 11 Apr 2014
- Last updated
- 24 Apr 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Huizinga TWJ, Torii Y, Muniz R. Adalimumab Biosimilars in the Treatment of Rheumatoid Arthritis: A Systematic Review of the Evidence for Biosimilarity. Rheumatol Ther. 2021 Mar;8(1):41-61. doi: 10.1007/s40744-020-00259-8. Epub 2020 Dec 1.
PubMed 33263165Cohen S, Pablos JL, Pavelka K, Muller GA, Matsumoto A, Kivitz A, Wang H, Krishnan E. An open-label extension study to demonstrate long-term safety and efficacy of ABP 501 in patients with rheumatoid arthritis. Arthritis Res Ther. 2019 Mar 29;21(1):84. doi: 10.1186/s13075-019-1857-3.
PubMed 30922373
Study at a glance
From the registry record, last updated by the sponsor on 24 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Single-arm Extension Study to Evaluate the Long-term Safety and Efficacy of ABP 501 in Subjects With Moderate to Severe Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT02114931
- Acronym / sponsor ID
- 20130258
- Conditions
- Arthritis, Rheumatoid
- Keywords
- arthritis, rheumatoid
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 467 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- Apr 2014
- Primary completion
- Apr 2016 (actual)
- Study completion
- Apr 2016 (actual)
- First posted
- 15 Apr 2014 (estimated)
- Results
- Posted 24 Apr 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this open-label study is to evaluate the long-term safety and efficacy of ABP 501 in adults with moderate to severe rheumatoid arthritis (RA).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ABP 501 | Experimental | Biological: ABP 501Participants received ABP 501 40 mg subcutaneously (SC) every other week for up to 18 months. |
Who may qualify
- Ages
- 18 to 81 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Subject was randomized into protocol 20120262 (NCT01970475) and completed the week 26 visit
Key exclusion criteria (4 listed)
- Subject experienced a serious adverse event (SAE) or an adverse event (AE) in the 20120262 study that could cause extension treatment to be detrimental
- Subject completed study 20120262 but cannot be dosed within 4 weeks of the week 26 visit of study 20120262
- Current infection requiring the use of oral or intravenous antibiotics
- Other Inclusion/Exclusion criteria may apply
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 |
|---|---|---|
| ABP 501Also: AMJEVITA™, Adalimumab-attoSolution for subcutaneous injection in a syringe containing 40 mg/0.8 mL ABP 501 | Biological | ABP 501 |
Primary outcome
Number of Participants With Adverse Events
Time frame: From the first dose of study drug in the extension study to 28 days following the last dose; 72 weeks
Adverse events (AEs) were graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale: 1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal. A treatment-related AE is defined as an event where the answer to the question "is there a reasonable possibility that the event may have been caused by the Investigational Medicinal Product" was yes. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria: * fatal * life threatening (places the subject at immediate risk of death) * requires inpatient hospitalization or prolongation of existing hospitalization * results in persistent or significant disability/incapacity * congenital anomaly/birth defect * other medically important serious event.
Number of Participants With Grade ≥ 3 Hematology and Chemistry Laboratory Results
Time frame: From the first dose of study drug in the extension study to 28 days following the last dose; 72 weeks
Laboratory results were graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale: 1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal.
Percentage of Participants Who Developed Antibodies to ABP 501
Time frame: Up to week 72
Two validated assays were used to detect the presence of anti-drug antibodies. All samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect anti-drug antibodies against ABP 501 (Binding Antibody Assay). Samples confirmed to be positive for binding antibodies were subsequently tested in a non-cell based bioassay to determine neutralizing activity against ABP 501. If a sample was positive for binding antibodies and demonstrated neutralizing activity at the same time point, the sample was defined as positive for neutralizing antibodies. Preexisting antibody positive indicates participants with a positive result at baseline of the extension study. Developing antibody positive indicates participants with a negative or no result at baseline of the extension study who were positive at any time point post-baseline during the extension study.
2 secondary outcomes
Percentage of Participants With an American College of Rheumatology (ACR) 20 Response
Time frame: Parent study baseline, extension study baseline and weeks 4, 24, 48, and 70
Change From Parent Study Baseline in Disease Activity Score 28-C-reactive Protein (DAS28-CRP)
Time frame: Parent study baseline, extension study baseline and weeks 4, 24, 48 and 70
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Apr 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33263165Huizinga TWJ, Torii Y, Muniz R. Adalimumab Biosimilars in the Treatment of Rheumatoid Arthritis: A Systematic Review of the Evidence for Biosimilarity. Rheumatol Ther. 2021 Mar;8(1):41-61. doi: 10.1007/s40744-020-00259-8. Epub 2020 Dec 1.
- Derived from this study: PubMed 30922373Cohen S, Pablos JL, Pavelka K, Muller GA, Matsumoto A, Kivitz A, Wang H, Krishnan E. An open-label extension study to demonstrate long-term safety and efficacy of ABP 501 in patients with rheumatoid arthritis. Arthritis Res Ther. 2019 Mar 29;21(1):84. doi: 10.1186/s13075-019-1857-3.
- AmgenTrials clinical trials websiteLink 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.
Amgen MD study director
Amgen
77 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ABP 501 in people with Arthritis, Rheumatoid, run by Amgen at 77 sites in 11 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 1 inclusion and 4 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 24 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in United States, Poland, Czechia, Hungary, Bulgaria and 6 more countries. 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?
Yes. Results are posted in the registry (first posted 24 Apr 2017). 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: From the first dose of study drug in the extension study to 28 days following the last dose; 72 weeks). The study lists 3 primary outcomes in all. 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 NCT02114931, which also lists 2 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 24 Apr 2017.