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Arthritis, RheumatoidAWARENCT02728934

Comparative and Pragmatic Study of Golimumab Intravenous (IV) (Simponi Aria) Versus Infliximab (Remicade) in Rheumatoid Arthritis

An observational study of Arthritis, Rheumatoid, run by Janssen Scientific Affairs, LLC at 85 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of this study is to compare the proportion of patients with an infusion reaction in Rheumatoid arthritis (RA) patients treated with Golimumab Intravenous (IV) or Infliximab. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Arthritis, Rheumatoid
What is being tested?
Golimumab Intravenous (IV), Infliximab and Biosimilar Infliximab
Type of treatment
Injection or infusion
How many people
1,279 participants
Where
85 sitesUnited States
Study dates
25 Feb 2016to 31 Jan 2020
How long will I take part?
3 Years
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients in the US who enroll in the study will have a rheumatologist confirmed diagnosis of Rheumatoid arthritis (RA) and will be medically eligible for, and will have been prescribed but not yet initiated treatment with, either Golimumab IV or Infliximab.

Who may be able to join

  • Patient must be a male or female 18 years of age or older as the study is intended to assess Golimumab intravenous (IV) and Infliximab in adult RA patients
  • Patient must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and is willing to participate in the study
  • Patient has a confirmed diagnosis of Rheumatoid arthritis (RA) and is medically eligible for treatment with Golimumab IV or Infliximab in accordance with standard of care (example, screening for tuberculosis [TB], vaccinations, etc.)
  • At the time of enrollment the patient will be initiating treatment with Golimumab IV or Infliximab. The patient may or may not have previously received treatment with a biologic. Patients with previous exposure to subcutaneously administered Simponi may enroll in the study
  • Patient must be willing to complete Patient reported outcomes (PRO) forms during the study and agree to return completed forms to the site if receiving an infusion of Golimumab IV or Infliximab at a location remote from the study site

Who cannot join

  • Patient is less than 18 years of age
  • Patient is pregnant or planning a pregnancy
  • Patient is currently enrolled in an interventional study
  • Patient has received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 28 days, as appropriate, before the planned first dose of Golimumab IV or Infliximab
  • Patient previously received Golimumab IV if planning to receive Golimumab IV in this study or the patient previously received Infliximab if planning to receive Infliximab or BI in this study. Patient previously receive BI if planning to receive BI or Remicade in this study
  • Patient has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the patient (example, compromise the patient's well-being) or that could prevent, limit, or confound the protocol-specified assessments

Trial locations and contacts

85 sites in 1 country.

85 sites in 1 country

United States85 sites
  • Study site

    Amarillo, Texas

  • Study site

    Ann Arbor, Michigan

  • Study site

    Arlington, Virginia

  • Study site

    Bakersfield, California

  • Study site

    Baton Rouge, Louisiana

  • Study site

    Beaumont, Texas

  • Study site

    Beckley, West Virginia

  • Study site

    Bethlehem, Pennsylvania

  • Study site

    Birmingham, Alabama

  • Study site

    Bowling Green, Kentucky

  • Study site

    Brooklyn, New York

  • Study site

    Campbell, California

  • Study site

    Chesapeake, Virginia

  • Study site

    Clearwater, Florida

  • Study site

    College Station, Texas

  • Study site

    Corpus Christi, Texas

  • Study site

    Covina, California

  • Study site

    Cumberland, Maryland

  • Study site

    Dallas, Texas

  • Study site

    Denver, Colorado

  • Study site

    Duncansville, Pennsylvania

  • Study site

    Eagan, Minnesota

  • Study site

    Edina, Minnesota

  • Study site

    Edmond, Oklahoma

  • Study site

    El Cajon, California

  • Study site

    Freehold, New Jersey

  • Study site

    Glendale, Arizona

  • Study site

    Glendale, Wisconsin

  • Study site

    Greensboro, North Carolina

  • Study site

    Hagerstown, Maryland

  • Study site

    Hemet, California

  • Study site

    Houston, Texas

  • Study site

    Huntsville, Alabama

  • Study site

    Kennewick, Washington

  • Study site

    Lakewood, Colorado

  • Study site

    Lansing, Michigan

  • Study site

    Las Vegas, Nevada

  • Study site

    Lawrenceville, Georgia

  • Study site

    Leland, North Carolina

  • Study site

    Los Angeles, California

  • Study site

    Lubbock, Texas

  • Study site

    Mesa, Arizona

  • Study site

    Mesquite, Texas

  • Study site

    Monroe, Louisiana

  • Study site

    Muncie, Indiana

  • Study site

    Myrtle Beach, South Carolina

  • Study site

    Nashua, New Hampshire

  • Study site

    Nashville, Tennessee

  • Study site

    Nassau Bay, Texas

  • Study site

    Newport News, Virginia

  • Study site

    Onalaska, Wisconsin

  • Study site

    Orchard Park, New York

  • Study site

    Palm Harbor, Florida

  • Study site

    Peoria, Arizona

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Phoenix, Arizona

  • Study site

    Plano, Texas

  • Study site

    Plantation, Florida

  • Study site

    Prescott, Arizona

  • Study site

    Raleigh, North Carolina

  • Study site

    Saint Clair Shores, Michigan

  • Study site

    San Antonio, Texas

  • Study site

    San Marcos, Texas

  • Study site

    Santa Cruz, California

  • Study site

    Seattle, Washington

  • Study site

    Shreveport, Louisiana

  • Study site

    South Charleston, West Virginia

  • Study site

    Springfield, Illinois

  • Study site

    Sugar Land, Texas

  • Study site

    Sun City, Arizona

  • Study site

    Tamarac, Florida

  • Study site

    The Woodlands, Texas

  • Study site

    Thousand Oaks, California

  • Study site

    Towson, Maryland

  • Study site

    Tulsa, Oklahoma

  • Study site

    Upland, California

  • Study site

    Van Nuys, California

  • Study site

    Venice, Florida

  • Study site

    Voorhees Township, New Jersey

  • Study site

    Waco, Texas

  • Study site

    West Hills, California

  • Study site

    Wexford, Pennsylvania

  • Study site

    Wheaton, Maryland

  • Study site

    Whittier, California

  • Study site

    Winston-Salem, North Carolina

Other trials in United States

About this study

Official title: Comparative and Pragmatic Study of Simponi Aria Versus Remicade in Rheumatoid Arthritis

The purpose of this study is to compare the proportion of patients with an infusion reaction in Rheumatoid arthritis (RA) patients treated with Golimumab Intravenous (IV) or Infliximab.

Read the detailed description

This is a prospective, noninterventional (no treatment medication provided by the study), observational (study in which the investigators/ physicians observe the patients and measure their outcomes), multicenter (study conducted at multiple sites) study of Golimumab IV and Infliximab in RA patients. The study allows for an anticipated 2-year enrollment period and a 3-year study duration for each patient. No interventions will be given to patients as a part of this study. This study will be conducted in the US, at rheumatology-based clinical practices and will enroll adult RA patients who meet all entry criteria. The primary endpoint of this study is the proportion of patients with an infusion reaction through week 52. Patients will be enrolled in a 1:1 ratio to initiate treatment with either Golimumab IV or Infliximab. Patients' safety will be monitored throughout the study.

Being tested
Golimumab Intravenous (IV), Infliximab, Biosimilar Infliximab
Keywords
Rheumatoid Arthritis, Golimumab, Infliximab
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • Golimumab Intravenous (IV)Biological

    Also called Simponi Aria

    This is an observational study. Patients who will receive golimumab IV will be observed for 3 years.

  • InfliximabBiological

    Also called Remicade

    This is an observational study. Patients who will receive infliximab will be observed for 3 years.

  • Biosimilar InfliximabBiological

    Also called Inflectra

    This is an observational study. New patients who will receive biosimilar infliximab will be observed for 3 years (maximum). Biosimilar Infliximab patients will be included in Exploratory analyses only and will not be included in Primary or Secondary outcome measures analyses.

Study groups in NCT02728934
Study groupRoleWhat they receive
Golimumab Intravenous (IV)Patients in the US who enroll in the study will have a rheumatologist confirmed diagnosis of Rheumatoid arthritis (RA) and will be medically eligible for, and will have been prescribed but not yet initiated treatment with Golimumab IV.
Receives: Biological: Golimumab Intravenous (IV)
InfliximabPatients in the US who enroll in the study will have a rheumatologist confirmed diagnosis of Rheumatoid arthritis (RA) and will be medically eligible for, and will have been prescribed but not yet initiated treatment with Infliximab.
Receives: Biological: Infliximab; Biological: Biosimilar Infliximab

What is being measured

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

  1. Proportion of Patients With an Infusion Reaction Through Week 52

    An infusion reaction is any adverse event that occurs during an infusion or within 1 hour of completion of infusion of either Golimumab IV or Infliximab. The number of patients with infusion reactions will be reported.

    Measured: Up to week 52

Secondary outcomes (16)
  1. Change from Baseline in Clinical Disease Activity Index (CDAI) Score in Bionaïve Patients at Month 6

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. The change from baseline at Month 6 in CDAI in bionaive patients will be reported.

    Measured: Baseline and Month 6

  2. Change from Baseline in CDAI Score in Bionaïve Patients at Month 12

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. The change from baseline at Month 12 in CDAI in bionaïve patients will be reported.

    Measured: Baseline and Month 12

  3. Change from Baseline in CDAI Score in Bionaïve Patients at Month 3

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. The change from baseline at Month 3 in CDAI in bionaïve patients will be reported.

    Measured: Baseline and Month 3

  4. CDAI Score in Patients with or Without Concomitant Methotrexate use

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. CDAI score in patients with or without concomitant methotrexate use, will be reported.

    Measured: Months 3, 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  5. Change from Baseline in CDAI Score in Patients with or Without Concomitant Methotrexate use

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. Change from baseline in CDAI score in patients with or without concomitant methotrexate use, will be reported.

    Measured: Baseline, Months 3, 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  6. CDAI Score in Dose-escalated Patients

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. CDAI score in patients in whom dose of Remicade was escalated (increased prescribe dose or reduced dose interval, or a combination of both), will be reported.

    Measured: Months 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  7. Change from Baseline in CDAI Score in Dose-escalated Patients

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. Change from baseline in CDAI score in patients in whom dose of Remicade was escalated (increased prescribe dose or reduced dose interval, or a combination of both), will be reported.

    Measured: Baseline, Months 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  8. CDAI Score in Patients who Previously Administered Remicade (or Other Biologic[s])

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. CDAI score in patients who previously administered Remicade (or other biologic[s]), will be reported.

    Measured: Months 3, 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  9. Change from Baseline in CDAI Score in Patients who Previously Administered Remicade (or Other Biologic[s])

    The CDAI is a validated measure of disease activity consisting of the sum of 4 clinical variables: tender joint and swollen joint count based on a 28-joint assessment, patient global assessment, and the physician global assessment of disease activity based on a visual analog scale (VAS) ranging from 0 to 10. The CDAI has a range from 0 to 76, with higher scores indicating more severe disease. Change from baseline in CDAI score in patients who previously administered Remicade (or other biologic[s]), will be reported.

    Measured: Baseline, Months 3, 6, 12, and at 6-month intervals through the end of the study (up to Month 36)

  10. Number of Patients With Serious Infusion Reaction and Discontinuation of Therapy due to Infusion Reaction

    Measured: 3 years

  11. Number of Infusions With Infusion Reactions

    Measured: 3 years

  12. Discontinuation Rates

    Participants discontinuation rates for both the Simponi Aria and Remicade groups will be reported.

    Measured: 3 years

  13. Persistency of use of Treatment

    Persistency of use, defined as the continuous period of time a participant receives either Simponi Aria or Remicade, will be reported.

    Measured: 3 years

  14. Number of Patients with Adverse Events (AEs) and Serious AEs

    Measured: 3 years

  15. Number of Patients With an Infusion Reaction

    Measured: 3 years

  16. Number of Patients With Severe Infusion Reaction and Discontinuation of Therapy due to Infusion Reaction

    Measured: Up to week 52

Timeline

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

  1. First posted5 Apr 2016 (estimated)
  2. Study start25 Feb 2016
  3. Primary completion31 Jan 2020
  4. Study completion31 Jan 2020

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
1,279 participants (actual)
Target duration
3 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT02728934
Sponsor's protocol ID
CR108132
Other IDs
CNTO148ART4011
Acronym
AWARE
Status last verified
Apr 2020
First submitted
31 Mar 2016
Last updated
15 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No

Publications

  • Broadwell A, Schechtman J, Conaway D, Kivitz A, Shiff NJ, Black S, Xu S, Langholff W, Schwartzman S, Curtis JR. Effectiveness and safety of intravenous golimumab with and without concomitant methotrexate in patients with rheumatoid arthritis in the prospective, noninterventional AWARE study. BMC Rheumatol. 2023 Mar 27;7(1):5. doi: 10.1186/s41927-023-00329-8.

    PubMed 36973741
  • Bingham CO 3rd, Black S, Shiff NJ, Xu S, Langholff W, Curtis JR. Response to Treatment with Intravenous Golimumab or Infliximab in Rheumatoid Arthritis Patients: PROMIS Results from the Real-World Observational Phase 4 AWARE Study. Rheumatol Ther. 2023 Jun;10(3):659-678. doi: 10.1007/s40744-023-00533-5. Epub 2023 Feb 23.

    PubMed 36820983
  • Curtis JR, Chakravarty SD, Black S, Kafka S, Xu S, Langholff W, Parenti D, Greenspan A, Schwartzman S. Incidence of Infusion Reactions and Clinical Effectiveness of Intravenous Golimumab Versus Infliximab in Patients with Rheumatoid Arthritis: The Real-World AWARE Study. Rheumatol Ther. 2021 Dec;8(4):1551-1563. doi: 10.1007/s40744-021-00354-4. Epub 2021 Aug 20.

    PubMed 34417735

Questions about this trial

What is this clinical trial studying?

An observational study of Arthritis, Rheumatoid, run by Janssen Scientific Affairs, LLC at 85 sites in United States.

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 5 inclusion and 6 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 15 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 85 sites in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of Patients With an Infusion Reaction Through Week 52 (time frame: Up to week 52). 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 NCT02728934, which also lists 3 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 15 Apr 2020.

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