A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)
Part of paid clinical trials in Sun City, Arizona.
- Sponsor
- AbbVie
- Study ID
- NCT02814175
- Phase
- PHASE4
- Status
- Completed
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- methotrexate (MTX) — DRUG
- adalimumab (ADA) — BIOLOGICAL
Study Details
An interventional Phase 4 open-label, randomized, controlled, parallel-group, multi-country study in participants with psoriatic arthritis (PsA) consisting of 2 parts: Part 1 (Day 1 up to Week 16) is designed to compare the achievement of minimal disease activity (MDA) between participants randomized to either adalimumab in combination with methotrexate (MTX) or MTX alone escalated to the highest recommended or tolerable dose; Part 2 (Week 16 through Week 32) is designed to evaluate the maintenance or achievement of MDA on 4 different treatment regimens using adalimumab and/or MTX, with participant allocation based on the initial randomized treatment and achievement of MDA in Part 1, and with rescue treatment option.
Key Dates
- Start date
- Aug 5, 2016
- Status verified
- Oct 2020
- Primary completion
- Sep 23, 2019
- Completion
- Mar 19, 2020
Study Design
- Enrollment
- 246 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Active Comparator: Part 1: MTX Escalated DoseMethotrexate (MTX) escalated to 20 - 25 mg or highest tolerable dose every week (ew)
- Experimental: Part 1: ADA + MTXAdalimumab (ADA) 40 mg every other week (eow) in combination with MTX 15 mg ew
- Active Comparator: Part 2: MTX Escalated DoseParticipants achieving minimal disease activity (MDA) at Week 16 on MTX escalated to 20 -25 mg or highest tolerable dose ew, continued with the same MTX dose
- Active Comparator: Part 2: ADA + MTX Escalated DoseParticipants not achieving MDA at Week 16 on MTX escalated to 20 - 25 mg or highest tolerable dose ew, received ADA 40 mg eow in combination with MTX 20 - 25 mg or highest tolerable dose ew
- Experimental: Part 2: ADAParticipants achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had MTX completely withdrawn at Week 16 and continued receiving ADA as monotherapy
- Experimental: Part 2: ADA ew + MTXParticipants not achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had ADA escalated to 40 mg ew in combination with MTX 15 mg ew
Primary Outcome Measure
Percentage of Participants Achieving Minimal Disease Activity (MDA) (Non-responder Imputation [NRI]) (Part 1) [ Time Frame: Week 16 ]
Locations (12)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| AZ Arthritis & Rheum Research /ID# 161796 | Sun City | Arizona | 85351 | - |
| LeJenue Research Associates /ID# 200093 | Miami | Florida | 33126 | - |
| Deerbrook Medical Associates /ID# 158655 | Vernon Hills | Illinois | 60061 | - |
| Ochsner Clinic Foundation /ID# 155178 | Baton Rouge | Louisiana | 70836-6455 | - |
| Clinical Pharmacology Study Gr /ID# 161057 | Worcester | Massachusetts | 01605 | - |
| Shores Rheumatology, PC /ID# 162697 | Saint Clair Shores | Michigan | 48081 | - |
| Coastal Carolina Health Care /ID# 152088 | New Bern | North Carolina | 28562 | - |
| PMG Research of Wilmington LLC /ID# 152089 | Wilmington | North Carolina | 28401 | - |
| Altoona Ctr Clinical Res /ID# 152087 | Duncansville | Pennsylvania | 16635 | - |
| Metroplex Clinical Research /ID# 162486 | Dallas | Texas | 75231 | - |
| Swedish Medical Center /ID# 162051 | Seattle | Washington | 98104 | - |
| West Virginia Research Inst /ID# 157815 | South Charleston | West Virginia | 25309 | - |
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