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A Phase 2 Study For Patients With A Physician's Diagnosis Of Rheumatoid Arthritis
This study is currently recruiting participants.
Verified by Pfizer, January 2009
Sponsored by: Pfizer
Information provided by: Pfizer
ClinicalTrials.gov Identifier: NCT00550446
  Purpose

The purpose of this study is to determine the effectiveness and safety, over 6 months, of 5 doses of CP-690,550 for the treatment of adults with active rheumatoid arthritis. Five out of seven subjects will receive CP-690,550. One out of seven will receive adalimumab (Humira®) and one out of seven will only receive inactive substances (placebo.)


Condition Intervention Phase
Arthritis, Rheumatoid
Drug: Adalimumab
Drug: CP-690-550
Drug: CP-690,550
Drug: Placebo
Phase II

MedlinePlus related topics: Rheumatoid Arthritis
Drug Information available for: Adalimumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 2b, Randomized, Double Blind, Placebo Controlled Active Comparator, Multicenter Study To Compare 5 Dose Regimens Of CP- 690,550 And Adalimumab Versus Placebo, Administered For 6 Months In The Treatment Of Subjects With Active Rheumatoid Arthritis

Further study details as provided by Pfizer:

Primary Outcome Measures:
  • American College of Rheumatology 20 (ACR 20) responder rate at the Week 12 visit. [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Incidence and severity of adverse events after switch from adalimumab to CP- 690,550 compared to CP-690,550 alone [ Time Frame: All timepoints during study ] [ Designated as safety issue: Yes ]
  • Categorical summary of absolute vital signs and vital signs changes compared to baseline by subject [ Time Frame: All timepoints during study ] [ Designated as safety issue: Yes ]
  • The ACR 20 Responder rate (in addition to week 12) [ Time Frame: All timepoints during study other than week 12 ] [ Designated as safety issue: No ]
  • ACR 50 Responder rate [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • ACR 90 Responder rate [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Area under the ACR n curve [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in FACS lymphocyte biomarkers. [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Mean change from baseline in vital signs (blood pressure, heart rate, and oral or tympanic temperature) measurements [ Time Frame: All timepoints during study ] [ Designated as safety issue: Yes ]
  • Actual and change from baseline in the FACIT Fatigue Scale [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in the Medical Outcomes Study (MOS) Sleep Scale [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in serum IgG, IgM and IgA levels [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in disease activity, assessed as the [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • ACR 70 Responder rate [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in the SF 36 Health Questionnaire [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in the EuroQol EQ 5D [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline of the 7 individual components of the ACR 20, 50, 70, and 90 response criteria [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Actual and change from baseline in the Health Assessment Questionnaire (HAQ DI) [ Time Frame: All timepoints during study ] [ Designated as safety issue: No ]
  • Incidence and severity of adverse events [ Time Frame: All timepoints during study ] [ Designated as safety issue: Yes ]
  • Incidence and severity of clinical laboratory abnormalities [ Time Frame: All timepoints during study ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 350
Study Start Date: September 2007
Estimated Study Completion Date: January 2009
Estimated Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator Drug: Adalimumab
40mg subcutaneous injections every other week for 6 injections during week 0-10 with oral placebo BID. Subjects switched to CP-690,550 at week 12.
2: Experimental Drug: CP-690-550
15 mg BID oral plus 6 placebo subcutaneous injections (week 0-10)
3: Experimental Drug: CP-690-550
10 mg BID oral plus 6 placebo subcutaneous injections (week 0-10)
4: Experimental Drug: CP-690-550
5 mg BID oral plus 6 placebo subcutaneous injections (week 0-10)
5: Experimental Drug: CP-690,550
3 mg BID PO plus 6 placebo subcutaneous injections (week 0-10)
6: Experimental Drug: CP-690,550
1 mg BID PO plus 6 placebo subcutaneous injections (week 0-10)
7: Placebo Comparator Drug: Placebo
Placebo by mouth plus 6 placebo subcutaneous injections (week 0-10)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subjects must have active rheumatoid arthritis
  • Subjects must have failed at least 1 disease modifying anti-rheumatic drug (DMARD)
  • Subjects must not be currently taking any DMARD other than an antimalarial

Exclusion Criteria:

  • Subjects who discontinued any previous TNF inhibitor therapy for either lack of benefit or safety.
  • Subjects who previously received adalimumab (Humira®) therapy for any reason.
  • Subjects with evidence of blood disorders, chronic infections or untreated tuberculosis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00550446

Contacts
Contact: Pfizer CT.gov Call Center 1-800-718-1021

  Show 63 Study Locations
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

To obtain contact information for a study center near you, click here.  This link exits the ClinicalTrials.gov site

Responsible Party: Pfizer Inc. ( Director, Clinical Trial Disclosure )
Study ID Numbers: A3921035
Study First Received: October 25, 2007
Last Updated: January 8, 2009
ClinicalTrials.gov Identifier: NCT00550446  
Health Authority: United States: Food and Drug Administration

Keywords provided by Pfizer:
Janus Kinase 3 Clinical Trial

Study placed in the following topic categories:
Autoimmune Diseases
Musculoskeletal Diseases
Joint Diseases
Arthritis
Connective Tissue Diseases
Arthritis, Rheumatoid
Rheumatic Diseases
Adalimumab

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Immune System Diseases
Therapeutic Uses
Antirheumatic Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009