Induction of Remission in RA Patients at Low Disease Activity by Additional Infliximab Therapy (Study P04644AM1) (TERMINATED)
|ClinicalTrials.gov Identifier: NCT00521924|
Recruitment Status : Terminated (Slow Enrollment)
First Posted : August 28, 2007
Results First Posted : June 1, 2009
Last Update Posted : April 12, 2017
Merck Sharp & Dohme Corp.
AESCA Pharma GmbH
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.
This Phase 3, randomized, open-label, multicenter study in rheumatoid arthritis (RA) patients with low disease activity (Disease Activity Score 28 [DAS28] >2.8 and <3.5) is being conducted to evaluate induction of remission by adding infliximab to pre-existing treatment versus no additional treatment. All subjects eligible for this study, aged >35 to <=65 years, will have a diagnosis of RA according to American College of Rheumatology (ACR) criteria, and will be offered additional treatment with infliximab. Prior to the start of treatment, subjects must be on a stable regimen of disease modifying antirheumatic drugs (DMARDs) for at least 3 months. Subjects will be randomized (1:1) to basic therapy with or without infliximab for a total duration of 38 weeks followed by a follow-up period of up to 6 months. Subjects randomized to basic therapy + infliximab will receive infliximab 3 mg/kg at Weeks 0, 2, 6, 14, 22, 30, and 38. The primary objective of the study is to assess the rate of remission according to DAS 28 (<2.6) at the end of treatment (after 38 weeks). Safety assessments include the incidence of adverse events, serious adverse events, and clinically notable abnormal vital signs and laboratory values.
|Condition or disease||Intervention/treatment||Phase|
|Rheumatoid Arthritis||Biological: infliximab Drug: DMARDs (methotrexate; chloroquine; leflunomidum; cyclosporin A; sulfasalazine; OM 89.||Phase 3|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||8 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Induction of Remission in RA Patients at Low Disease Activity by Additional Infliximab-therapy|
|Study Start Date :||June 2007|
|Primary Completion Date :||April 2008|
|Study Completion Date :||April 2008|
Experimental: Infliximab + basic treatment
3 mg/kg infliximab plus basic treatment
infliximab 3 mg/kg and basic treatment
Other Name: Basic treatment for RA (DMARDs)
Active Comparator: Basic treatment (DMARDs)
Rheumatoid Arthritis basic therapy (disease modifying anti-rheumatic drugs [DMARDs])
Drug: DMARDs (methotrexate; chloroquine; leflunomidum; cyclosporin A; sulfasalazine; OM 89.
Methotrexate (15 - 25 mg/week); chloroquine; leflunomidum; cyclosporin A; sulfasalazine; OM 89
Primary Outcome Measures :
- Number of Patients in Remission According to Disease Activity Score (DAS) 28 (< 2.6) [ Time Frame: after 38 weeks ]The DAS 28 is an assessment of disease activity based on swollen joint count, erythrocyte sedimentation rate, and general health. Patients can be scored on a range of 0 to 10, with lower scores indicating less disease activity.
Secondary Outcome Measures :
- DAS 28 at Baseline vs at Week 38; Quality of Life; American College of Rheumatology (ACR) Response Disease Progression (X-ray); Effect of Inflammatory Markers on Response and Disease Progression; Assess Simplified Disease Activity Index (SDAI). [ Time Frame: Weeks 14, 38, and 62 ]These were not prespecified key secondary outcomes; therefore, results will not be disclosed.
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