A Study of Rheumatoid Arthritis Treatment With Enbrel in Adult Patient in Outpatient Department (ENBREL NIS CN)

This study has been terminated.
(See termination reason in detailed description.)
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01411215
First received: May 13, 2011
Last updated: March 4, 2013
Last verified: March 2013
  Purpose

This is an open-label, multicenter and observational study in China, which is designed to record the data of RA & AS patients within 52 weeks after rheumatologists decided to prescribe etanercept, and evaluate the safety and efficacy of the treatment. All eligible subjects agreed to be recruited in the study and can withdraw anytime if they choose so.

Patients with RA or AS are typically managed by rheumatologists. As this study seeks to record the data of RA & AS patient in etanercept and evaluate the safety and efficacy of the treatment, patients will be recruited from Rheumatic department. Rheumatologist will be asked to build up the database for RA & AS patient surveillance prospectively in outpatient dept, which benefits for the patient treatment outcomes evaluation and clinical management.


Condition Intervention Phase
Rheumatoid Arthritis
Ankylosing Spondylitis
Drug: Enbrel
Phase 4

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective
Official Title: A Non-Interventional Study of the Treatment With Etanercept in Rheumatoid Arthritis (RA) and Ankylosing Spondylitis (AS) Subjects in Rheumatology Department

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Evaluate the safety of etanercept in real clinical practice in Chinese RA and AS subjects by measuring the number of subjects reporting an event [ Time Frame: 52 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Evaluate the efficacy of etanercept in Chinese RA and AS subjects by comparing Disease Activity Score Using 28-Joint Count (DAS28) [ Time Frame: 52 weeks ] [ Designated as safety issue: No ]
  • Evaluate the efficacy of etanercept in Chinese RA and AS subjects by comparing the Physician Global Assessment (PGA) of Disease Activity on 0-100 mm visual analog scale (VAS) [ Time Frame: 52 weeks ] [ Designated as safety issue: No ]
  • Evaluate the efficacy of etanercept in Chinese RA and AS subjects by comparing the Pain assessment 0-100 mm visual analog scale (VAS) [ Time Frame: 52 weeks ] [ Designated as safety issue: No ]
  • Evaluate the subject's adherence to treatment in real-life by comparing patient's dosage and frequency with label use (25 mg biweekly, or 50 mg weekly) [ Time Frame: 52 weeks ] [ Designated as safety issue: No ]
  • Evaluate the association between subject's age and treatment adherence by comparing grouped adherence [ Time Frame: 52 weeks ] [ Designated as safety issue: No ]

Enrollment: 166
Study Start Date: January 2011
Study Completion Date: January 2013
Primary Completion Date: January 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
RA, AS
Rheumatoid arthritis patients Ankylosing spondylitis patients
Drug: Enbrel
25mg biweekly or 50mg per week, subcutaneous injection
Other Name: etanercept

Detailed Description:

The primary objective of this non-interventional study is to evaluate the safety of etanercept in Chinese RA and AS subjects. Total of 600 subjects (300 RA subjects and 300 AS subjects) will be enrolled in the study. If the true rate of an adverse event is no less than 0.5%, with sample size of 600 subjects, this study will have 95% probability to detect at least one occurrence of the adverse event. The study prematurely discontinued on January 15, 2013 due to slow enrollment and low adherence of etanercept. It should be noted that safety concerns have not been seen in this study and have not factored into this decision.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

outpatient RA and AS patients in China

Criteria

Inclusion Criteria:

  • Subject has a confirmed diagnosis of rheumatoid arthritis or ankylosing spondylitis.
  • Subject has accepted physician's prescription of etanercept in rheumatology department.
  • Subject agreed to be enrolled in the observational study and sign the ICD.
  • Subject is≥18 years of age at the time of consent.
  • Subject is willing and able to understand and complete questionnaires

Exclusion Criteria:

  • Presence of active or suspected latent infection including HIV, or any underlying disease, including open cutaneous ulcers that could predispose the subject to infections.
  • Immunodeficiency syndromes including Felty syndrome or large granular lymphocyte syndrome.
  • Active tuberculosis (TB) or a history of TB, or findings consistent with previous exposure to TB on a chest x-ray (CXR). Investigators must follow China's guidelines for appropriate screening and treatment of TB.
  • History of hypersensitivity to any of the ingredients in either preparation.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01411215

Locations
China, Chongqing
Daping Hospital
Chongqing, Chongqing, China, 400038
China, Fujian
Fujian Provincial Hospital
Fuzhou, Fujian, China, 350001
China, Gansu
Lanzhou University Second Hospital
Lanzhou, Gansu, China, 730030
China, Guangdong
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, China, 510405
China, Heilongjiang
No. 199
Haerbin, Heilongjiang, China, 150001
China, Hunan
The Second Xiangya Hospital of Central South University
Changsha, Hunan, China, 410011
China, Inner Mongolia
The First Affiliated Hospital of Baotou Medical College
Baotou, Inner Mongolia, China, 014010
China, Jiangsu
Jiangsu Province Hospital/Department of Rheumatology
Nanjing, Jiangsu, China, 210029
Affiliated Hospital of Nantong University
Nantong, Jiangsu, China, 226001
China, Shanxi
The Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, China, 030001
China, Sichuan
Si Chuan Huaxi Hospital/Rheumatology Department
Chengdu, Sichuan, China, 610041
China
Baotou Central Hospital
Baotou city, China
Shanghai Changning Guanghua Integrative Medicine Hospital
Beijing, China, 200052
Shanghai Jiaotong University Affiliated Third People's Hospital
Shanghai, China, 201900
Xinjiang Uygur Autonomous Region People's Hospital
Urumqi, China, 830001
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT01411215     History of Changes
Other Study ID Numbers: B1801044
Study First Received: May 13, 2011
Last Updated: March 4, 2013
Health Authority: China: People's hospital

Keywords provided by Pfizer:
Rheumatoid arthritis
ankylosing spondylitis
observational study

Additional relevant MeSH terms:
Arthritis
Arthritis, Rheumatoid
Spondylitis
Spondylitis, Ankylosing
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Bone Diseases, Infectious
Infection
Bone Diseases
Spinal Diseases
Spondylarthropathies
Spondylarthritis
Ankylosis
TNFR-Fc fusion protein
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Inflammatory Agents
Therapeutic Uses
Antirheumatic Agents
Gastrointestinal Agents
Immunologic Factors

ClinicalTrials.gov processed this record on June 18, 2013