Rheumatoid Arthritis
Conditions
Brief summary
This is a phase Ⅲ multicenter, open-label, follow-up study, to assess the safety and efficacy of certolizumab pegol (CZP) as additional medication to methotrexate (MTX), in patients with active rheumatoid arthritis (RA) who participated in Study (Protocol) # 101-KOA-0801i.
Interventions
Certolizumab Pegol 200mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Failed to achieve an ACR20 response at Week 12 in the Study 101-KOA-0801i or completed the entire Study 101-KOA-0801i through Week 24 * Have a clear chest X-ray at the Entry visit * Negative urine pregnancy test at the Entry * Continue treatment on methotrexate
Exclusion criteria
* Any other inflammatory arthritis (e.g., psoriatic arthritis, ankylosing spondylitis or reactive arthritis) * Secondary, non-inflammatory type of arthritis (eg, osteoarthritis, fibromyalgia) * At study entry taking any of the prohibited medications as detailed in the Study (Protocol) # 101-KOA-0801i * NYHA (New York Heart Association) Class III or IV congestive heart failure * Current or history of tuberculosis * History of chronic infection, recent serious or life-threatening infection or any current sign or symptom that may indicate an infection (e.g., fever, cough) * History of a lymphoproliferative disorder including lymphoma or signs and symptoms suggesting lymphoproliferative disease * High risk of infection * Female breast feeding, pregnant or plan to become pregnant during the trial or for 12 weeks following the last dose of study drug
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the safety of CZP for a long term period as additional medication to MTX, in patients with active RA, as measured by adverse events frequency, severity and nature; PE and vitals; and laboratory values, blood parameters and urine parameters. | Up to 7 years | Treatment will continue until the drug is commercially available in the country. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess the clinical response rate measured by ACR20, ACR50 and ACR70 responder rate. | Up to 7 years | Treatment will continue until the drug is commercially available in the country. |
| Improvement in patient's Health-Related Quality of Life (HRQOL) as measured by the 36-item Short Form Health Survey (SF-36) | Up to 7 years | Treatment will continue until the drug is commercially available in the country. |
| To assess the achievement of clinical remission measured by DAS28. | Up to 7 years | Treatment will continue until the drug is commercially available in the country. |
| The improvement in physical function as measured by the Health Assessment Questionnaire Disability Index (HAQ-DI). | Up to 7 years | Treatment will continue until the drug is commercially available in the country. |