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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01502423
Registration number
NCT01502423
Ethics application status
Date submitted
1/12/2011
Date registered
30/12/2011
Date last updated
20/02/2014
Titles & IDs
Public title
A Crossover Study of the Safety and Tolerability of Two Formulations of Adalimumab
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Scientific title
A Multicenter, Randomized, Single-Blind Crossover Study of the Safety and Tolerability of Two Adalimumab Formulations in Adult Subjects With Rheumatoid Arthritis
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Secondary ID [1]
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2011-003953-25
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Secondary ID [2]
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M11-964
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rheumatoid Arthritis
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Inflammatory and Immune System
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Rheumatoid arthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Adalimumab
Active comparator: Current formulation adalimumab - One dose with 40 mg of current formulation of adalimumab in a pre-filled syringe
Experimental: New formulation of adalimumab - One dose with 40 mg of new formulation of adalimumab in a pre-filled syringe
Treatment: Other: Adalimumab
Subcutaneously 40 mg every other week (eow) or every week (ew) (as dosing requires)
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean Injection Site Pain on a Visual Analogue Scale (VAS)
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Assessment method [1]
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The primary response variable is participant's immediate pain of injection on a visual analogue scale (VAS) of 0 to 10 (cm), with 0 representing no pain and 10 representing the worst possible pain.
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Timepoint [1]
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Immediately after injection.
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Secondary outcome [1]
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Mean Injection Site Pain on a Visual Analogue Scale (VAS)
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Assessment method [1]
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The secondary response variable is participant's pain of injection on a visual analogue scale (VAS) of 0 to 10 (cm) recorded 15 minutes after the injection.
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Timepoint [1]
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15 minutes post injection
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Secondary outcome [2]
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Percentage of Participants With no Hemorrhage/Petechiae in the Draize Scale
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Assessment method [2]
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Hemorrhage/petechiae (bleeding/spots of bleeding underneath the skin) was assessed.
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Timepoint [2]
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10 minutes and 30 minutes after injection
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Secondary outcome [3]
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Percentage of Participants With no Erythema in the Draize Scale
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Assessment method [3]
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Erythema (redness) was assessed.
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Timepoint [3]
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10 minutes and 30 minutes after injection
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Secondary outcome [4]
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Percentage of Participants With no Edema in the Draize Scale
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Assessment method [4]
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Edema (swelling) was assessed.
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Timepoint [4]
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10 minutes and 30 minutes after injection
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Secondary outcome [5]
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Percentage of Participants With no Pruritus in the Draize Scale
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Assessment method [5]
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Pruritus (itching) was assessed.
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Timepoint [5]
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10 minutes and 30 minutes after injection
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Secondary outcome [6]
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Number of Participants With Adverse Events (AEs)
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Assessment method [6]
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An AE was defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment.
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Timepoint [6]
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Adverse events were collected from the time of study drug administration until 70 days following discontinuation of study drug. Serious adverse events were collected from the time that participant signed the informed consent.
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Eligibility
Key inclusion criteria
* Male or female subject age 18 years or older, who requires Humira 40 mg SC every other week (eow) or every week (ew) for the treatment of rheumatoid arthritis, in accordance with the local Humira label.
* Subject must be a current, on-label user of Humira who rates his/her average Humira injection site related pain as at least 3 cm on a pain Visual Analogue Scale and has had at least 6 consecutive doses of Humira prior to Screening, or a biologic naïve subject who requires initiation of on-label treatment with Humira.
* Subject has diagnosis of rheumatoid arthritis (RA) as defined by the 1987 revised ACR classification criteria or the ACR/EULAR 2010 criteria,
* Female subjects are either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy and/or hysterectomy), or are practicing at least one method of birth control throughout the study and for at least 70 days after the last dose of study drug.
* All female subjects of childbearing potential must have a negative test for pregnancy on a serum sample at Screening and prior to study drug dosing on a urine sample obtained at Visit 1.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject has been treated with any investigational drug of a chemical or biologic nature within a minimum of 30 days or 5 half-lives (whichever is longer) of the drug prior to Visit 1.
* Any infection(s) requiring treatment with intravenous (IV) anti-infectives within 30 days prior to Visit 1 or oral anti-infectives within 14 days prior to Visit 1.
* Prior exposure to natalizumab (Tysabri®) or efalizumab (Raptiva®).
* Known hypersensitivity to adalimumab or its excipients.
* History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/11/2012
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Sample size
Target
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Accrual to date
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Final
61
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Site Reference ID/Investigator# 63354 - Malvern East
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Recruitment hospital [2]
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Site Reference ID/Investigator# 63355 - Maroochydore
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Recruitment hospital [3]
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Site Reference ID/Investigator# 63353 - Shenton Park
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Recruitment postcode(s) [1]
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3145 - Malvern East
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Recruitment postcode(s) [2]
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4558 - Maroochydore
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Recruitment postcode(s) [3]
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6008 - Shenton Park
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Hamilton
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Country [2]
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Canada
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State/province [2]
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Winnipeg
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Country [3]
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Germany
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State/province [3]
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Munich
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Country [4]
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Germany
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State/province [4]
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Ostseebad Damp
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AbbVie (prior sponsor, Abbott)
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will compare injection site pain levels between current Humira® formulation versus a new formulation of Humira in patients with Rheumatoid Arthritis (RA), who are either currently on a stable dose (minimum six consecutive doses) of on-label Humira or biological naïve who will be prescribed on-label Humira as treatment for their Rheumatoid Arthritis. The study is being conducted in three countries, Australia (3 sites), Canada (2 sites), and Germany (2 sites).
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Trial website
https://clinicaltrials.gov/study/NCT01502423
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Trial related presentations / publications
Nash P, Vanhoof J, Hall S, Arulmani U, Tarzynski-Potempa R, Unnebrink K, Payne AN, Cividino A. Randomized Crossover Comparison of Injection Site Pain with 40 mg/0.4 or 0.8 mL Formulations of Adalimumab in Patients with Rheumatoid Arthritis. Rheumatol Ther. 2016 Dec;3(2):257-270. doi: 10.1007/s40744-016-0041-3. Epub 2016 Aug 18.
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Public notes
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Contacts
Principal investigator
Name
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Andrew Payne, PhD
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Address
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AbbVie
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01502423
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