Juvenile Idiopathic Arthritis
Conditions
Keywords
Enbrel-JIA
Brief summary
This surveillance is conducted to survey the followings under the post marketed drug utilization on the patients who are administrated ENBREL as a treatment for active polyarticular JIA. 1. Primary Occurrence status of Adverse Events; incidence of all adverse events, serious adverse events 2. Secondary Factors affecting safety and to confirm the efficacy such as DAS28.
Detailed description
All patients who administrated ENBREL for active polyarticular juvenile idiopathic arthritis during registered period (2.5 year).
Interventions
All patients who administrated ENBREL for active polyarticular juvenile idiopathic arthritis (restricted to the case of lack of effect by other treatment) during registered period (2.5 year).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients in active polyarticular JIA (restricted to the case of lack of effect by other treatment) during enrollment period (2.5years). * Patients receiving Enbrel for JIA as diagnosed by a qualified physician. * Age 5 - 16 years
Exclusion criteria
* Patients not administered ENBREL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Treatment-Related Adverse Events of Etanercept | 24 weeks | Adverse events are all unfavorable events, including clinically problematic abnormal changes in laboratory test values, which develop in participants after the administration of Etanercept, irrespective of causal relationship to Etanercept. The causal relationship between an adverse event and Etanercept was evaluated by the sponsor. |
| Number of Participants With Serious Treatment-Related Adverse Events of Etanercept | 24 weeks | Serious treatment-related adverse events are defined as any events that lead to death, life-thretening, hospitalization or prolonged hospitalization, a permanent or remarkable disorder/dysfunction, congenital anormaly/congenital deficiency, or other medically significant events or disorder. |
| Number of Unlisted Treatment-Related Adverse Events of Etanercept | 24 weeks | Adverse events are all unfavorable events, including clinically problematic abnormal changes in laboratory test values, which develop in participants after the administration of Etanercept, irrespective of causal relationship to Etanercept. The causal relationship between an adverse event and Etanercept was evaluated by the sponsor. Unlisted treatment-related adverse events were confirmed with listed adverse drug reactions specified in Japanese package insert. |
| Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | 24 weeks | The Disease Activity Score Based on 28-joints Count based (DAS28-based) EULAR response criteria were used to measure individual response as none, good, and moderate, depending on the extent of change from baseline and the level of disease activity reached. Good responders: change from baseline \>1.2 with DAS28 =\< 3.2; moderate responders: change from baseline \>1.2 with DAS28 \>3.2 or change from baseline \>0.6 to =\<1.2 with DAS28 =\<5.1; non-responders: change from baseline =\< 0.6 or change from baseline \>0.6 and =\<1.2 with DAS28 \>5.1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Overall Improvement On Physician's Assessment. | 24 weeks | Percentage of participants in whom the efficacy of etanercept was assessed as either markedly effective or effective. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Etanercept (Genetical Recombination) Participants with polyarticular juvenile idiopathic arthritis (JIA) who received 10 mg or 25 mg lyophilized etanercept (genetical recombination) for subcutaneous injection. | 102 |
| Total | 102 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Found to have been registered twice | 6 |
| Overall Study | Syringe formulation was used | 1 |
| Overall Study | Treated before marketing approval | 4 |
Baseline characteristics
| Characteristic | Etanercept (Genetical Recombination) |
|---|---|
| Age, Customized >= 10 to < 15 years | 37 participants |
| Age, Customized >= 15 to < 20 years | 30 participants |
| Age, Customized >= 20 to < 30 years | 10 participants |
| Age, Customized >=30 years | 0 participants |
| Age, Customized >= 5 to < 10 years | 24 participants |
| Age, Customized <5 years | 1 participants |
| Sex: Female, Male Female | 78 Participants |
| Sex: Female, Male Male | 24 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 27 / 102 |
| serious Total, serious adverse events | 1 / 102 |
Outcome results
Number of Participants With Serious Treatment-Related Adverse Events of Etanercept
Serious treatment-related adverse events are defined as any events that lead to death, life-thretening, hospitalization or prolonged hospitalization, a permanent or remarkable disorder/dysfunction, congenital anormaly/congenital deficiency, or other medically significant events or disorder.
Time frame: 24 weeks
Population: The safety analysis population consisted of the participants who received 10 mg or 25 mg lyophilized etanercept (genetical recombination) for subcutaneous injection indicated for polyarticular JIA after the marketing authorization had been granted.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Etanercept (Genetical Recombination) | Number of Participants With Serious Treatment-Related Adverse Events of Etanercept | 1 participants |
Number of Participants With Treatment-Related Adverse Events of Etanercept
Adverse events are all unfavorable events, including clinically problematic abnormal changes in laboratory test values, which develop in participants after the administration of Etanercept, irrespective of causal relationship to Etanercept. The causal relationship between an adverse event and Etanercept was evaluated by the sponsor.
Time frame: 24 weeks
Population: The safety analysis population consisted of the participants who received 10 mg or 25 mg lyophilized etanercept (genetical recombination) for subcutaneous injection indicated for polyarticular JIA after the marketing authorization had been granted.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Etanercept (Genetical Recombination) | Number of Participants With Treatment-Related Adverse Events of Etanercept | 22 participants |
Number of Unlisted Treatment-Related Adverse Events of Etanercept
Adverse events are all unfavorable events, including clinically problematic abnormal changes in laboratory test values, which develop in participants after the administration of Etanercept, irrespective of causal relationship to Etanercept. The causal relationship between an adverse event and Etanercept was evaluated by the sponsor. Unlisted treatment-related adverse events were confirmed with listed adverse drug reactions specified in Japanese package insert.
Time frame: 24 weeks
Population: The safety analysis population consisted of the participants who received 10 mg or 25 mg lyophilized etanercept (genetical recombination) for subcutaneous injection indicated for polyarticular JIA after the marketing authorization had been granted.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Etanercept (Genetical Recombination) | Number of Unlisted Treatment-Related Adverse Events of Etanercept | 3 events |
Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28
The Disease Activity Score Based on 28-joints Count based (DAS28-based) EULAR response criteria were used to measure individual response as none, good, and moderate, depending on the extent of change from baseline and the level of disease activity reached. Good responders: change from baseline \>1.2 with DAS28 =\< 3.2; moderate responders: change from baseline \>1.2 with DAS28 \>3.2 or change from baseline \>0.6 to =\<1.2 with DAS28 =\<5.1; non-responders: change from baseline =\< 0.6 or change from baseline \>0.6 and =\<1.2 with DAS28 \>5.1.
Time frame: 24 weeks
Population: The efficacy analysis population consisted of the participants in whom DAS28 (4/ESR) was calculated (N = number of participants evaluated). The last observation carried forward (LOCF) method was used to impute missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 16 weeks (N = 32) | 75.00 Percentage of participants |
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 20 weeks (N = 34) | 73.53 Percentage of participants |
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 24 weeks (N = 46) | 63.04 Percentage of participants |
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 4 weeks (N = 25) | 72.00 Percentage of participants |
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 8 weeks (N = 30) | 73.33 Percentage of participants |
| Etanercept (Genetical Recombination) | Percentage of Good Responders and Moderate Responders Among Participants With European League Against Rheumatism (EULAR) Response Based on DAS28 | At 12 weeks (N = 31) | 70.97 Percentage of participants |
Percentage of Participants With Overall Improvement On Physician's Assessment.
Percentage of participants in whom the efficacy of etanercept was assessed as either markedly effective or effective.
Time frame: 24 weeks
Population: The efficacy analysis population consisted of the participants in whom DAS28 (4/ESR) was calculated (N = number of participants evaluated). The last observation carried forward (LOCF) method was used to impute missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 4 weeks (N = 51) | 94.12 percent |
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 8 weeks (N = 63) | 93.65 percent |
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 12 weeks (N = 64) | 93.75 percent |
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 16 weeks (N = 65) | 93.85 percent |
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 20 weeks (N = 67) | 91.04 percent |
| Etanercept (Genetical Recombination) | Percentage of Participants With Overall Improvement On Physician's Assessment. | At 24 weeks (N = 83) | 95.18 percent |