Skip to content

Study to Evaluate the Ability of Subjects With Rheumatoid Arthritis or Psoriatic Arthritis to Effectively Use a Reusable Autoinjector to Self-inject Etanercept

A Single-arm, Multicenter Study to Evaluate the Ability of Subjects With Rheumatoid Arthritis or Psoriatic Arthritis to Effectively Use a Reusable Electromechanical Autoinjector to Self-inject Etanercept

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01901185
Enrollment
77
Registered
2013-07-17
Start date
2013-06-11
Completion date
2013-12-30
Last updated
2018-09-04

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

Conditions

Psoriatic Arthritis, Rheumatoid Arthritis

Brief summary

The purpose of this study is to assess the ability of people with rheumatoid arthritis (RA) or psoriatic arthritis (PsA) to use an experimental autoinjector to self inject etanercept (Enbrel®).

Detailed description

Study participants need to have been self-administering etanercept for greater than or equal to 6 months prior to screening. You will be in this study for about 9 weeks. This includes a 4-week screening period and a 5-week treatment period.

Interventions

DRUGEtanercept / Autoinjector A

Autoinjector A, a hand-held, reusable electromechanical device, and a single-use, disposable cassette preassembled with an etanercept 50-mg liquid prefilled syringe (PFS).

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subject has diagnosis of RA or PsA and indicated for treatment with etanercept per the current label, based on history. * Subject is willing to self-inject per investigator judgement at screening. * Subject has no known history of tuberculosis.

Exclusion criteria

* Latex allergy. * Subject has any active infection (including chronic or localized infections) for which anti-infectives were indicated within 4 weeks prior to first study dose of etanercept. * Subject had prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening. * Other criteria may apply.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Successful Self-injections to Total Non-missed InjectionsWeek 1, Week 2, Week 3, Week 4 and Week 5The successful self-injection of etanercept using the Autoinjector A, as evaluated by the percentage of successful injections of the total nonmissed injections administered by participants in the non-health care setting during Weeks 1 to 5. Successful self-injection was assessed by Question 1 in the Participant Self-injection Questionnaire, which was completed by each participant after each self-injection. Successful injection is defined as the Autoinjector A signaling a complete injection and no liquid medication pooled on your skin.

Secondary

MeasureTime frameDescription
Percentage of Autoinjector A System FailuresWeek 1, Week 2, Week 3, Week 4 and Week 5The autoinjector A and prefilled syringe (PFS)/cassettes used by the participants were examined at the end of the study by device engineers. System failure was defined as the failure of the Autoinjector A or PFS/cassette to meet the device design requirements during Weeks 1 to 5. The percentage of system failures is reported out of the total number of injection attempts during the study, including multiple attempts per week.
Percentage of Errors in Each Step of the Self-injection ProcessWeek 1, Week 2, Week 3, Week 4 and Week 5For all the nonmissed injections recorded on the Participant Self-injection Questionnaire, the percentage of the following steps in the self-injection process that were not successfully completed out of the total nonmissed injections during Weeks 1 to 5 are reported. If multiple attempts were recorded, all the recorded attempts were considered, regardless whether it was a successful attempt or not. • Error Icon lit up (Question 2) • Could not load cassette successfully (Question 3) • Could not remove purple cassette cap successfully (Question 4) • Could not press start button to begin self-injection successfully (Question 5).

Other

MeasureTime frameDescription
Number of Participants With Adverse Events, Serious Adverse Events and Adverse Device Events9 weeksAn adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant that does not necessarily have a causal relationship with study treatment or the device under study. The definition includes worsening of a pre-existing medical condition. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria: • fatal • life threatening • requires or prolongs in-patient hospitalization • results in persistent or significant disability/incapacity • congenital anomaly/birth defect • other medically important serious event. An adverse device effect is any adverse event related to the use of a medical device. Adverse device effects include AEs resulting from insufficient or inadequate instructions for use, malfunction of the device, or from use errors (including errors resulting from normal use, reasonably forseeable misuse or from intentional misuse) of the device.

Countries

United States

Participant flow

Recruitment details

Patients with rheumatoid arthritis (RA) or psoriatic arthritis (psA) currently receiving treatment with etanercept were eligible to enrol in this study. First patient enrolled on 11 June 2013; last patient enrolled on 13 November 2013.

Participants by arm

ArmCount
Etanercept / Autoinjector A
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
77
Total77

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicEtanercept / Autoinjector A
Age, Continuous53.8 years
STANDARD_DEVIATION 13.7
Disease state
Psoriatic arthritis
11 participants
Disease state
Rheumatoid arthritis
66 participants
Race/Ethnicity, Customized
Asian
1 participants
Race/Ethnicity, Customized
Hispanic/Latino
14 participants
Race/Ethnicity, Customized
Not Hispanic/Latino
63 participants
Race/Ethnicity, Customized
Other
2 participants
Race/Ethnicity, Customized
White
74 participants
Sex: Female, Male
Female
56 Participants
Sex: Female, Male
Male
21 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
14 / 75
serious
Total, serious adverse events
1 / 75

Outcome results

Primary

Percentage of Successful Self-injections to Total Non-missed Injections

The successful self-injection of etanercept using the Autoinjector A, as evaluated by the percentage of successful injections of the total nonmissed injections administered by participants in the non-health care setting during Weeks 1 to 5. Successful self-injection was assessed by Question 1 in the Participant Self-injection Questionnaire, which was completed by each participant after each self-injection. Successful injection is defined as the Autoinjector A signaling a complete injection and no liquid medication pooled on your skin.

Time frame: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set defined as all nonmissed injections using Autoinjector A during Weeks 1 to 5 for all enrolled participants; in the event of multiple injection attempts, only the last attempt per week was counted.

ArmMeasureValue (NUMBER)
Etanercept / Autoinjector APercentage of Successful Self-injections to Total Non-missed Injections97.8 percentage of successful injections
Secondary

Percentage of Autoinjector A System Failures

The autoinjector A and prefilled syringe (PFS)/cassettes used by the participants were examined at the end of the study by device engineers. System failure was defined as the failure of the Autoinjector A or PFS/cassette to meet the device design requirements during Weeks 1 to 5. The percentage of system failures is reported out of the total number of injection attempts during the study, including multiple attempts per week.

Time frame: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set; multiple injection attempts per week are included.

ArmMeasureValue (NUMBER)
Etanercept / Autoinjector APercentage of Autoinjector A System Failures2.4 percentage of system failures
Secondary

Percentage of Errors in Each Step of the Self-injection Process

For all the nonmissed injections recorded on the Participant Self-injection Questionnaire, the percentage of the following steps in the self-injection process that were not successfully completed out of the total nonmissed injections during Weeks 1 to 5 are reported. If multiple attempts were recorded, all the recorded attempts were considered, regardless whether it was a successful attempt or not. • Error Icon lit up (Question 2) • Could not load cassette successfully (Question 3) • Could not remove purple cassette cap successfully (Question 4) • Could not press start button to begin self-injection successfully (Question 5).

Time frame: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set; multiple injection attempts per week are included.

ArmMeasureGroupValue (NUMBER)
Etanercept / Autoinjector APercentage of Errors in Each Step of the Self-injection ProcessCould not remove purple cassette cap successfully1.1 percentage of errors
Etanercept / Autoinjector APercentage of Errors in Each Step of the Self-injection ProcessCould not press start button to begin injection1.6 percentage of errors
Etanercept / Autoinjector APercentage of Errors in Each Step of the Self-injection ProcessError icon lit up4.3 percentage of errors
Etanercept / Autoinjector APercentage of Errors in Each Step of the Self-injection ProcessCould not load cassette successfully1.9 percentage of errors
Other Pre-specified

Number of Participants With Adverse Events, Serious Adverse Events and Adverse Device Events

An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant that does not necessarily have a causal relationship with study treatment or the device under study. The definition includes worsening of a pre-existing medical condition. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria: • fatal • life threatening • requires or prolongs in-patient hospitalization • results in persistent or significant disability/incapacity • congenital anomaly/birth defect • other medically important serious event. An adverse device effect is any adverse event related to the use of a medical device. Adverse device effects include AEs resulting from insufficient or inadequate instructions for use, malfunction of the device, or from use errors (including errors resulting from normal use, reasonably forseeable misuse or from intentional misuse) of the device.

Time frame: 9 weeks

Population: Safety population

ArmMeasureGroupValue (NUMBER)
Etanercept / Autoinjector ANumber of Participants With Adverse Events, Serious Adverse Events and Adverse Device EventsAll adverse events21 participants
Etanercept / Autoinjector ANumber of Participants With Adverse Events, Serious Adverse Events and Adverse Device EventsAdverse events associated with device10 participants
Etanercept / Autoinjector ANumber of Participants With Adverse Events, Serious Adverse Events and Adverse Device EventsSerious adverse events1 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026