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Direct comparison between NSAIDs and biosimilar TNFa blockers in patients with axial spondyloarthritis

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-513213-13-00
Acronym
DESTINATION
Enrollment
100
Registered
2024-12-09
Start date
2025-03-13
Completion date
Unknown
Last updated
2025-09-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Axial Spondyloarthritis

Brief summary

Comparison of the proportion of patients on NSAID vs TNF blocker treatment who have low disease activity (ASDAS <2.1) after 12 weeks of treatment.

Detailed description

Comparison of the proportion of patients on NSAID vs TNF blocker treatment who have low disease activity (ASDAS <2.1) after 4 and 24 weeks of treatment., ASDAS-ID (inactive disease, ASDAS < 1.3), ASDAS -CII (clinically important improvement, Δ ≥ 1.1), ASDAS -MI (major improvement, Δ ≥ 2.0) after 4, 12 and 24 weeks., ASAS-20, ASAS-40 at 4, 12 and 24 weeks., BASDAI50 at weeks 4, 12 and 24 ., Change from baseline in Total Back Pain (PtBP), Patient Global Assessment (PtGA). Physician Global Assessment (PhGA) and other measures of disease activity (BASDAI), function (BASFI) at week 2, 4, 6, 12, 24, mobility (BASMI) and quality of life (ASAS Health Index) at week 4, 12, 24 ., Change from baseline in inflammatory activity in the MRI scan used for diagnosis at escalation and after 24 weeks., Change from baseline in Epionics spine dimensions after 24 weeks ., Normalized net incremental area under the curve for ASDAS, Total Back Pain (PtBP), Patient Global Assessment (PtGA). Physician Global Assessment (PhGA) and other measures of disease activity (BASDAI), function (BASFI), mobility (BASMI, Epionics spine) and quality of life (ASAS Health Index)., Time to achieve ASDAS-LDA and time to ASDAS-ID., Change from baseline in the laboratory examination (CRP) over the time of he examination period., Comparison of the proportion of patients who discontinue therapy due to intolerance or side effects., Incidence of adverse events and treatment emergent AEs and SAEs.

Interventions

DRUGDICLOFENAC
DRUGIBUPROFEN
DRUGETORICOXIB
DRUGMELOXICAM
DRUGCELECOXIB
DRUGNAPROXEN

Sponsors

St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Comparison of the proportion of patients on NSAID vs TNF blocker treatment who have low disease activity (ASDAS <2.1) after 12 weeks of treatment.

Secondary

MeasureTime frame
Comparison of the proportion of patients on NSAID vs TNF blocker treatment who have low disease activity (ASDAS <2.1) after 4 and 24 weeks of treatment., ASDAS-ID (inactive disease, ASDAS < 1.3), ASDAS -CII (clinically important improvement, Δ ≥ 1.1), ASDAS -MI (major improvement, Δ ≥ 2.0) after 4, 12 and 24 weeks., ASAS-20, ASAS-40 at 4, 12 and 24 weeks., BASDAI50 at weeks 4, 12 and 24 ., Change from baseline in Total Back Pain (PtBP), Patient Global Assessment (PtGA). Physician Global Assessment (PhGA) and other measures of disease activity (BASDAI), function (BASFI) at week 2, 4, 6, 12, 24, mobility (BASMI) and quality of life (ASAS Health Index) at week 4, 12, 24 ., Change from baseline in inflammatory activity in the MRI scan used for diagnosis at escalation and after 24 weeks., Change from baseline in Epionics spine dimensions after 24 weeks ., Normalized net incremental area under the curve for ASDAS, Total Back Pain (PtBP), Patient Global Assessment (PtGA). Physician Global Ass

Countries

Germany

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026