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Arthritis, RheumatoidPhase 3NCT02937701

Study to Assess if ABP710 is Safe & Effective in Treating Moderate to Severe Rheumatoid Arthritis Compared to Infliximab

A Phase 3 study testing ABP 710 and Infliximab in people with Arthritis, Rheumatoid, run by Amgen at 73 sites in 9 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 main purpose of the study was to compare rheumatoid arthritis symptom improvement in participants who were given ABP 710 to those who were given infliximab, 22 weeks after starting treatment. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Arthritis, Rheumatoid
What is being tested?
ABP 710 and Infliximab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
558 participants
Where
73 sitesin 9 countries
Study dates
10 Oct 2016to 13 Aug 2018
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject (man or woman) is ≥ 18 and ≤ 80 years old.
  • Subject is diagnosed with rheumatoid arthritis (RA) as determined by meeting the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism classification criteria for RA.
  • Subject has RA duration of at least 3 months.
  • Subject has active RA defined as ≥ 6 swollen joints and ≥ 6 tender joints (based on 66/68 joint count excluding distal interphalangeal joints) at screening and baseline and at least 1 of the following at screening:
  • erythrocyte sedimentation rate ≥ 28 mm/hr
  • serum C-reactive protein > 1.0 mg/dL
Show all 19Show fewer
  • Subject has a positive rheumatoid factor or anti-cyclic citrullinated peptide at screening.
  • Subject has taken methotrexate (MTX) for ≥ 12 consecutive weeks and is on a stable dose of oral or subcutaneous MTX 7.5 to 25 mg/week for ≥ 8 weeks before receiving the investigational product and is willing to remain on a stable dose throughout the study.
  • For a subject on nonsteroidal anti-inflammatory drugs (NSAIDs) or low potency analgesics such as tramadol, Soma Compounds, Fioricet, or Fiorinal, the dose should be stable for ≥ 2 weeks before screening.
  • For a subject on oral corticosteroids (≤ 10 mg prednisone or equivalent), the dose should be stable for ≥ 4 weeks before screening.
  • Subject has no known history of active tuberculosis.
  • Subject has a negative test for tuberculosis during screening defined as either:
  • negative purified protein derivative (PPD) defined as < 5 mm of induration at 48 to 72 hours after test is placed OR
  • negative Quantiferon test
  • Subject with a positive PPD and a history of Bacillus Calmette-Guérin vaccination is allowed with a negative Quantiferon test.
  • Subject with a positive PPD test (without a history of Bacillus Calmette-Guérin vaccination) or a subject with a positive or indeterminate Quantiferon test is allowed if they have all of the following:
  • no symptoms of tuberculosis according to the worksheet provided by the sponsor, Amgen Inc.
  • documented history of adequate prophylaxis initiation before receiving investigational product in accordance with local recommendations
  • no known exposure to a case of active tuberculosis after most recent prophylaxis

Who cannot join

  • Subject has a history of prosthetic or native joint infection.
  • Subject has an active infection or history of infections as follows:
  • any active infection for which systemic anti-infectives were used within 28 days before first dose of investigational product
  • a serious infection, defined as requiring hospitalization or intravenous (IV) anti-infective(s) within 8 weeks before the first dose of investigational product
  • recurrent or chronic infections or other active infection that, in the opinion of the investigator, might cause this study to be detrimental to the subject
  • Subject has a positive blood test for human immunodeficiency virus (HIV).
Show all 28Show fewer
  • Subject has a positive hepatitis B surface antigen, hepatitis B core antibody, or hepatitis C virus antibody result at screening.
  • Subject has uncontrolled, clinically significant systemic disease such as diabetes mellitus, cardiovascular disease including moderate or severe heart failure (New York Heart Association Class III/IV), renal disease, liver disease, or hypertension.
  • Subject had a malignancy within 5 years EXCEPT for treated and considered cured cutaneous squamous or basal cell carcinoma, in situ cervical cancer, OR in situ breast ductal carcinoma.
  • Subject has a history of neurologic symptoms suggestive of central or peripheral nervous system demyelinating disease.
  • Subject has a major chronic inflammatory disease or connective tissue disease other than RA, with the exception of secondary Sjögren's syndrome.
  • Subject has a concurrent medical condition that, in the opinion of the investigator, could cause this study to be detrimental to the subject.
  • Subject has laboratory abnormalities at screening, including any of the following:
  • hemoglobin < 9 g/dL
  • platelet count < 100 000/mm³
  • white blood cell count < 3 000/mm³
  • aspartate aminotransferase and/or alanine aminotransferase ≥ 2.0 x the upper limit of normal
  • creatinine clearance < 50 mL/min (Cockroft-Gault formula)
  • any other laboratory abnormality, that, in the opinion of the investigator, will prevent the subject from completing the study or will interfere with the interpretation of the study results.
  • Subject has used commercially available or investigational biologic therapies for RA as follows:
  • anakinra, etanercept within 1 month before the first dose of investigational product
  • abatacept, tocilizumab, adalimumab, golimumab, certolizumab within 3 months before the first dose of investigational product
  • other experimental or commercially available biologic therapies for RA within 3 months or 5 half-lives (whichever is longer) before the first dose of investigational product
  • rituximab within 9 months before the investigational product along with evidence of incomplete B cell recovery
  • Subject has received live vaccines within 28 days before the first dose of investigational product or plans to receive live vaccines during the course of the study.
  • Subject has previously received Remicade® (infliximab) or a biosimilar of infliximab.
  • Woman who is pregnant or breast feeding, or plans to become pregnant while enrolled in the study and for 6 months after the last dose of investigational product.
  • Women of childbearing potential (ie, neither surgically sterile nor postmenopausal) and do not agree to use adequate contraception (eg, true abstinence, sterilization, birth control pills, Depo-Provera® [medroxyprogesterone] injections, or contraceptive implants) while on study and for 6 months after the last dose of investigational product.

Trial locations and contacts

73 sites in 9 countries.

73 sites in 9 countries

United States26 sites
  • Research Site

    Aventura, Florida, 33180

  • Research Site

    Carrollton, Texas, 75007-1601

  • Research Site

    Charleston, South Carolina, 29406-9333

  • Research Site

    Charlotte, North Carolina, 28210

  • Research Site

    Covina, California, 91722

  • Research Site

    Dallas, Texas, 75231

  • Research Site

    Flowood, Mississippi, 39232

  • Research Site

    Grand Blanc, Michigan, 48439

  • Research Site

    Hemet, California, 92543-4403

  • Research Site

    Houston, Texas, 77429-5890

  • Research Site

    Huntsville, Alabama, 35801

  • Research Site

    League City, Texas, 77573

  • Research Site

    Lexington, Kentucky, 40504

  • Research Site

    Memphis, Tennessee, 38119

  • Research Site

    Miami Lakes, Florida, 33014

  • Research Site

    Omaha, Nebraska, 68114

  • Research Site

    Orlando, Florida, 32804

  • Research Site

    Peoria, Arizona, 85381

  • Research Site

    Plano, Texas, 75024

  • Research Site

    Sarasota, Florida, 34239

  • Research Site

    St Louis, Missouri, 63141

  • Research Site

    Tuscaloosa, Alabama, 35406

  • Research Site

    Upland, California, 91786

  • Research Site

    Van Nuys, California, 91405

  • Research Site

    Vero Beach, Florida, 32960

  • Research Site

    Voorhees Township, New Jersey, 08043

Other trials in United States

Poland18 sites
  • Research Site

    Bialystok, Podlaskie Voivodeship, 15-099

  • Research Site

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-168

  • Research Site

    Elblag, Warmian-Masurian Voivodeship, 82-300

  • Research Site

    Gdansk, Pomeranian Voivodeship, 80-382

  • Research Site

    Katowice, Silesian Voivodeship, 40-282

  • Research Site

    Krakow, Lesser Poland Voivodeship, 30-033

  • Research Site

    Lodz, Łódź Voivodeship, 91-363

  • Research Site

    Lublin, Lublin Voivodeship, 20-582

  • Research Site

    Poznan, Greater Poland Voivodeship, 60-218

  • Research Site

    Poznan, Greater Poland Voivodeship, 60-529

  • Research Site

    Poznan, Greater Poland Voivodeship, 60-693

  • Research Site

    Poznan, Greater Poland Voivodeship, 61-113

  • Research Site

    Poznan, Greater Poland Voivodeship, 61-397

  • Research Site

    Stalowa Wola, Podkarpackie Voivodeship, 37-450

  • Research Site

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

  • Research Site

    Warsaw, Masovian Voivodeship, 01-192

  • Research Site

    Warsaw, Masovian Voivodeship, 02-691

  • Research Site

    Wroclaw, Lower Silesian Voivodeship, 50-381

Other trials in Poland

Czechia8 sites
  • Research Site

    Brno, Jihormoravsky KRAJ, 602 00

  • Research Site

    Hlučín, Moravian-Silesian Region, 748 01

  • Research Site

    Liberec, Severocesky KRAJ, 460 01

  • Research Site

    Ostrava, Severomoravsky KRAJ, 702 00

  • Research Site

    Pardubice, Vychodocesky KRAJ, 530 02

  • Research Site

    Prague, Prague, 128 50

  • Research Site

    Prague, Prague, 130 00

  • Research Site

    Zlín, Severomoravsky KRAJ, 760 01

Other trials in Czechia

Bulgaria6 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4002

  • Research Site

    Plovdiv, 4003

  • Research Site

    Sliven, 8800

  • Research Site

    Sofia, Sofia, 1606

  • Research Site

    Varna, 9005

Other trials in Bulgaria

Germany4 sites
  • Research Site

    Bad Doberan, Mecklenburg-Vorpommern, 18209

  • Research Site

    Hamburg, 20095

  • Research Site

    Hildesheim, Lower Saxony, 31134

  • Research Site

    Magdeburg, Saxony-Anhalt, 39120

Other trials in Germany

Hungary4 sites
  • Research Site

    Győr, Győr-Moson-Sopron, 9024

  • Research Site

    Gyula, Bekes County, 5700

  • Research Site

    Szentes, Csongrád megye, 6600

  • Research Site

    Veszprém, Veszprém megye, 8200

Other trials in Hungary

Spain3 sites
  • Research Site

    Barcelona, 08028

  • Research Site

    Madrid, 28041

  • Research Site

    Seville, 41010

Other trials in Spain

Australia2 sites
  • Research Site

    Fitzroy, Victoria, 3065

  • Research Site

    Woodville, South Australia, 5011

Other trials in Australia

Canada2 sites
  • Research Site

    Saint Johns, Newfoundland and Labrador, A1A 5E8

  • Research Site

    Victoria, British Columbia, V8V 3M9

Other trials in Canada

About this study

Official title: A Randomized, Double-Blind Phase 3 Study to Assess the Efficacy and Safety of ABP 710 Compared to Infliximab in Subjects With Moderate to Severe Rheumatoid Arthritis

The main purpose of the study was to compare rheumatoid arthritis symptom improvement in participants who were given ABP 710 to those who were given infliximab, 22 weeks after starting treatment.

Being tested
ABP 710, 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.

  • ABP 710Biological

    Administered by intravenous infusion

  • InfliximabBiological

    Also called Remicade®

    Administered by intravenous infusion

Study groups in NCT02937701
Study groupRoleWhat they receive
ABP 710ExperimentalParticipants randomized to receive a 3 mg/kg intravenous (IV) infusion of ABP 710 on day 1, at weeks 2 and 6, and every 8 weeks thereafter until week 22. At week 22 participants continued receiving 3 mg/kg ABP 710 every 8 weeks through week 46.
Receives: Biological: ABP 710
InfliximabActive comparatorParticipants randomized to receive a 3 mg/kg IV infusion of infliximab on day 1, at weeks 2 and 6, and every 8 weeks thereafter until week 22. At week 22 participants were re-randomized in a 1:1 ratio to either continue receiving 3 mg/kg infliximab every 8 weeks or transition to receive 3 mg/kg ABP 710 every 8 weeks through week 46.
Receives: Biological: Infliximab

What is being measured

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

  1. Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 22

    The primary efficacy endpoint was the response difference (RD) of 20% improvement in ACR core set measurements (ACR20) at week 22.

    A positive ACR20 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 20% improvement in 68 tender joint count;
    • ≥ 20% improvement in 66 swollen joint count; and
    • ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and week 22

Secondary outcomes (8)
  1. Percentage of Participants With an ACR20 Response Through Week 14

    A positive ACR20 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 20% improvement in 68 tender joint count;
    • ≥ 20% improvement in 66 swollen joint count; and
    • ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 2, 6, and 14

  2. Percentage of Participants With an ACR20 Response After Week 22

    A positive ACR20 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 20% improvement in 68 tender joint count;
    • ≥ 20% improvement in 66 swollen joint count; and
    • ≥ 20% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 30, 34, 38, 46, and 50

  3. Percentage of Participants With an ACR50 Response Through Week 22

    A positive ACR50 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 50% improvement in 68 tender joint count;
    • ≥ 50% improvement in 66 swollen joint count; and
    • ≥ 50% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 2, 6, 14, and 22

  4. Percentage of Participants With an ACR50 Response After Week 22

    A positive ACR50 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 50% improvement in 68 tender joint count;
    • ≥ 50% improvement in 66 swollen joint count; and
    • ≥ 50% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 30, 34, 38, 46, and 50

  5. Percentage of Participants With an ACR70 Response Through Week 22

    A positive ACR70 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 70% improvement in 68 tender joint count;
    • ≥ 70% improvement in 66 swollen joint count; and
    • ≥ 70% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 2, 6, 14, and 22

  6. Percentage of Participants With an ACR70 Response After Week 22

    A positive ACR70 response is defined if the following 3 criteria for improvement from baseline were met:

    • ≥ 70% improvement in 68 tender joint count;
    • ≥ 70% improvement in 66 swollen joint count; and
    • ≥ 70% improvement in at least 3 of the 5 following parameters:
    • Patient's assessment of disease-related pain (measured on a 100 mm visual analog scale [VAS]);
    • Patient's global health assessment (measured on a 100 mm VAS);
    • Investigator's global health assessment (measured on a 100 mm VAS);
    • Patient's self-assessment of physical function (Health Assessment Questionnaire - Disability Index [HAQ-DI]);
    • C-reactive protein concentration.

    Measured: Baseline and weeks 30, 34, 38, 46, and 50

  7. Change From Baseline in Disease Activity Score 28 (DAS28) Through Week 22

    The DAS28 measures the severity of disease at a specific time and is derived from the following variables:

    • 28 tender joint count
    • 28 swollen joint count
    • C-reactive protein (CRP)
    • Patient's global health assessment measured on a 100 mm VAS, where 0 mm = no RA activity and 100 mm = worst RA activity imaginable.

    DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.

    Measured: Baseline and weeks 2, 6, 14, and 22

  8. Change From Baseline in Disease Activity Score 28 (DAS28) After Week 22

    The DAS28 measures the severity of disease at a specific time and is derived from the following variables:

    • 28 tender joint count
    • 28 swollen joint count
    • C-reactive protein (CRP)
    • Patient's global health assessment measured on a 100 mm VAS, where 0 mm = no RA activity and 100 mm = worst RA activity imaginable.

    DAS28(CRP) scores range from 0 to approximately 10, with the upper bound dependent on the highest possible level of CRP. A DAS28 score higher than 5.1 indicates high disease activity, a DAS28 score less than 3.2 indicates low disease activity, and a DAS28 score less than 2.6 indicates clinical remission.

    Measured: Baseline and weeks 30, 34, 38, 46, and 50

Timeline

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

  1. First posted19 Oct 2016 (estimated)
  2. Study start10 Oct 2016
  3. Primary completion16 Apr 2018
  4. Study completion13 Aug 2018

Resources

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
Participant, Investigator
Enrolment
558 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02937701
Sponsor's protocol ID
20140111
Other IDs
2014-004704-29, 2014
Status last verified
Aug 2019
First submitted
30 Aug 2016
Last updated
28 Aug 2019
Data monitoring committee
Yes

Publications

  • Genovese MC, Sanchez-Burson J, Oh M, Balazs E, Neal J, Everding A, Hala T, Wojciechowski R, Fanjiang G, Cohen S. Comparative clinical efficacy and safety of the proposed biosimilar ABP 710 with infliximab reference product in patients with rheumatoid arthritis. Arthritis Res Ther. 2020 Mar 26;22(1):60. doi: 10.1186/s13075-020-2142-1.

    PubMed 32216829

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ABP 710 and Infliximab in people with Arthritis, Rheumatoid, run by Amgen at 73 sites in 9 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 19 inclusion and 28 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 28 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in United States, Poland, Czechia, Bulgaria, Germany and 4 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 28 Aug 2019). 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 With an American College of Rheumatology 20% (ACR20) Response at Week 22 (time frame: Baseline and week 22). 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 NCT02937701, 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 28 Aug 2019.

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