Rheumatoid Arthritis
Conditions
Keywords
Vaccines with adalimumab dosing
Brief summary
To evaluate the immunogeneicity of the Influenza virus and standard 23-valent pneumococcal virus in subject with RA receiving adalimumab or placebo
Interventions
80 mg adalimumab (2 injections) day 1; 40 mg (1 injection) Day 15 and Day 29
2 injections Day 1, 1 injection Days 15 and 29
Sponsors
Study design
Eligibility
Inclusion criteria
* Male/Females at least 20 years of age. * Females post-menopausal for at least 1 year, surgically sterile, or practicing acceptable methods of birth control. * Females have a negative pregnancy test at screening. * Diagnosis of RA and met ACR criteria. * Must discontinue any TNF at least 2 months prior to baseline. * In condition of general good health.
Exclusion criteria
* History of significant sensitivity to any drug; clinically significant drug or alcohol abuse within the past year; active infection with Listeria or TB; lymphoma or leukemia; sickle-cell disease, splenectomy, other malignancy within 5 years with the exception of successfully treated non-metastatic basal cell or squamous cell carcinoma of skin or localized carcinoma in situ of the cervix. * History of current acute inflammatory joint disease. * Use of TAMIFLU or Symmetrel within 3 months of study drug administration. * Recent (3 month) history of influenza or pneumococcal bacterial infection. * Known positive human immunodeficiency virus (HIV) status. * Positive hepatitis B or hepatitis C virus. * Positive PPD \>5 mm. * Chest x-ray with calcified granulomas and/or pleural scarring or significant abnormalities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood samples for Influenza A & B antibody Assay | Baseline (Day 1), Day 36 or premature discontinuation |
| Blood Samples for Pneumococcal Antibody Assay | Baseline (Day 1), Day 36 or premature discontinuation |
Secondary
| Measure | Time frame |
|---|---|
| Laboratory assessments | Screening, Week 15, Day 36, Month 3 and Month 6 |
| Vitals signs | Screening - Month 6 |
| Adverse events | Screening - Month 6 |