Rheumatoid Arthritis MedDRA version: 18.1 Level: PT Classification code 10039073 Term: Rheumatoid arthritis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Have completed all 24 weeks of study procedures (including dosing) according to protocol FKB32-002, with a minimum of 9 doses of study drug received, and are continuing with stable concomitant MTX and folate. 2. In the investigator’s opinion, the patient showed a clinical response to treatment during Study FKB327 002. 3. Are willing to participate in the study and have provided written informed consent. 4. Females of childbearing potential must have a negative pregnancy test prior to study dosing. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 580 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 100
Exclusion criteria
Exclusion criteria: 1. Evidence of a serious adverse event (SAE) ongoing from Study FKB327-002 at entry to this study, including a serious infection, malignancy, or any other condition that may put patients at increased risk when receiving treatment with adalimumab. 2. Presence of active and/or untreated latent tuberculosis (TB) as detected by QuantiFERON test at Week 22 combined with chest X-ray at Week 24 in Study FKB327-002. Latent TB, treated with prophylactic anti-mycobacterial therapy for at least 3 weeks before study dosing is resumed, is acceptable. Patients may have up to a maximum of 4 weeks interruption of dosing between the last dose in Study FKB327-002 and Week 0 dosing in study FKB327-003 for this purpose. 3. Were non compliant with FKB327-002 study procedures, or with any condition or circumstances, which, in the opinion of the Investigator, makes them unlikely or unable to comply with study procedures and requirements. 4. American College of Rheumatology (ACR) Functional Class IV.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of this study is to compare the safety of long-term treatment with FKB327 and Humira in patients with RA.;Secondary Objective: _ To compare the efficacy of long-term treatment with FKB327 and Humira in patients with RA. _ To compare the proportion of patients developing anti-drug antibodies (ADAs) on long-term treatment with FKB327 and Humira in patients with RA. _ To compare the pharmacokinetics (PK) of long-term treatment with FKB327 and Humira in patients with RA. _ To evaluate safety, changes in efficacy, and changes in PK and immunogenicity in patients who are switched from Humira in the preceding FKB327-002 double-blind study to FKB327 in the FKB327-003 open-label extension (OLE) study, and of patients who are switched from FKB327 to Humira, respectively. _ To evaluate safety, changes in efficacy, and changes in PK and immunogenicity in patients who are switched from FKB327 in the preceding FKB327-002 double-blind study to Humira in the FKB327-003 OLE study, and then switch back to FKB327 in the second part of the FKB327-003 OLE study (from Week 30; double switch).;Primary end point(s): The primary endpoint of the study is safety. Safety will be evaluated using the following assessments: _ Adverse events (AEs). _ SAEs, including serious infections and malignancies. _ Vital signs. _ Clinical laboratory tests.;Timepoint(s) of evaluation of this end point: During entire duration of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The secondary efficacy endpoints are as follows: _ ACR20, ACR50 and ACR70 response rates from baseline (Week 0 from Study FKB327-002). _ Changes in Disease Activity Score 28 based on C-reactive protein (CRP) (DAS28-CRP) score compared to baseline (Week 0 from Study FKB327-002).;Timepoint(s) of evaluation of this end point: They will be evaluated over time | — |
Countries
Bulgaria, Canada, Chile, Czech Republic, Germany, Peru, Poland, Romania, Russian Federation, Serbia, Spain, Ukraine, United States
Contacts
Fujifilm Kyowa Kirin Biologics Co., Ltd., EU Branch