Re³ (Re-Cube: Retain Remicade® Response)(Study P04249AM3)

This study has been terminated.
(Study enrollment was stopped due to insufficient subject accrual.)
Sponsor:
Collaborator:
Integrated Therapeutics Group
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier:
NCT00394589
First received: October 31, 2006
Last updated: April 30, 2014
Last verified: April 2014

October 31, 2006
April 30, 2014
March 2006
October 2008   (final data collection date for primary outcome measure)
Change in Disease Activity Score Based on 28 Joint Count (DAS28) Score. [ Time Frame: Between Screening (Week <=1) and Week 24 ] [ Designated as safety issue: No ]
Descriptive summary of DAS28 (Disease Activity Score Based on 28 Joint Count)change from Baseline to the end of study (Week 24) in the population with available data at both Baseline and Week 24 (increased dose group, n=5; increased frequency group, n=7; and control group, n=5). DAS28 is a unit scale from 2.0 (best value) to 10.0 (worst value).
Not Provided
Complete list of historical versions of study NCT00394589 on ClinicalTrials.gov Archive Site
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Re³ (Re-Cube: Retain Remicade® Response)(Study P04249AM3)
Randomised Controlled Trial Evaluating Strategies to Optimize Disease Activity Control in RA Patients Treated With Infliximab in Clinical Practice.

This Phase IIIb, randomized, multi-national, multi-center, blinded study of Infliximab (IFX) in subjects aged 18 and older with active RA is being conducted to assess whether increasing either the infusion dose or infusion frequency in patients presenting with a disease flare after an initial response to infliximab results in a significant improvement in disease activity.

Subjects responding to an initial infliximab treatment regimen, who flare during continuation of treatment at 3 mg/kg administered every 8 weeks, will be randomly assigned to one of 3 different dosing regimens of infliximab and will be treated for 4 or 5 consecutive infusions for a total duration of 24 weeks. The infliximab control group and the infliximab increased dose group are evaluator and subject-blinded. The increased frequency group is not blinded. Clinical assessments of disease activity will be based the European League Against Rheumatism (EULAR) criteria for response. Safety parameters will be assessed at every infusion.

A disease flare is defined by an increase in DAS28 with 0.6 or more at screening, when compared to the DAS28 score measured immediately prior to the last Remicade® infusion and depends upon the actual score as well. Since prior to enrollment, the subject received Remicade® as per routine clinical practice, the days on which infusions were administered and assessments are done during the induction period do not have to be exactly at Week 2, 6 and 14.

  • Drug: Infliximab Control (double-blinded)
  • Drug: Infliximab Increased Dose (double-blinded)
  • Drug: Infliximab Increased Frequency (open-label)
Not Provided
Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Rheumatoid Arthritis
  • Drug: Infliximab Increased Frequency
    Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks for 24 weeks
    Other Name: Increased Frequency
  • Drug: Infliximab Increased Dose
    3 mg/kg infliximab + 1 extra vial (100 mg) infliximab every 8 weeks for 24 weeks
    Other Name: Increased Dose
  • Drug: Infliximab Control
    Continuation of infliximab 3 mg/kg every 8 weeks for 24 weeks
    Other Name: Control
  • Experimental: Increased Frequency
    Continuing the same dose of 3 mg/kg infliximab, but at every 6 weeks
    Intervention: Drug: Infliximab Increased Frequency
  • Experimental: Increased Dose
    3 mg/kg infliximab + 1 extra vial (100 mg) infliximab, every 8 weeks
    Intervention: Drug: Infliximab Increased Dose
  • Active Comparator: Control
    Continuation of infliximab 3 mg/kg every 8 weeks
    Intervention: Drug: Infliximab Control
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
43
October 2008
October 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • aged 18 years or more
  • with RA according to ACR criteria
  • presented with a disease flare after initial response to infliximab, with both response and flare being defined using the DAS28 score (EULAR criteria)
  • received the standard Remicade® dosing schedule per the EU label (3 mg/kg at Weeks 0, 2, 6, [and 14])
  • an initial response documented by moderate or good DAS28 improvement (EULAR criteria) from Week 0 to Week 6 or 14.

Exclusion Criteria:

  • a female who is, or intends to become, pregnant during or within 6 months of the end of the study, is nursing or not using adequate contraceptive measures
  • has not observed the designated periods for concomitant medications
  • used any investigational medical product within 30 days prior to Baseline
  • any clinically significant deviation from normal in the physical examination or chest X-ray that in the investigator's judgment, may interfere with the study evaluation or affect subject safety
  • rheumatic disease other than RA or has any systemic inflammatory condition with signs and symptoms that might confound the evaluations of safety and toxicity
  • allergic reaction/sensitivity to the study drug or its excipients that requires corticosteroid pre-infusion medication.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00394589
P04249
No
Merck Sharp & Dohme Corp.
Merck Sharp & Dohme Corp.
Integrated Therapeutics Group
Not Provided
Merck Sharp & Dohme Corp.
April 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP