Rheumatoid Arthritis
Conditions
Keywords
Rheumatoid Arthritis, Golimumab, Observational, Compliance
Brief summary
The purpose of this study is to describe adherence to golimumab in Colombian participants with rheumatoid arthritis (RA) experiencing adequate treatment response, in a real-world clinical settings.
Detailed description
This is a multi-center (when more than one hospital or medical school team work on a medical research study), non-interventional, prospective cohort study that will enroll participants with RA in Colombia, for whom the treating physician has decided to treat with golimumab prior to enrolment. All participants will be observed for adherence to golimumab treatment for 24 months from study start (Week 0), and recommended follow up assessments will be every 3 months. Any changes including addition of new medications or dose modifications of existing medications will be entirely according to the treating physician's judgment. Participants' safety will be monitored throughout the study.
Interventions
BIOLOGICALGolimumab
This is an observational study. Participants with rheumatoid arthritis in Colombia will be observed for 24 months.
Sponsors
Janssen-Cilag, S.A.
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participants with moderate to severe RA for whom the physician had decided to treat with golimumab according to the local product label, with the first dose being administered between 12 and 26 weeks prior to study enrollment * Participants who have achieved an adequate therapeutic response to regular doses of golimumab, within 12 to 26 weeks of treatment * Participants should be evaluated for tuberculosis (TB) exposure/risk factors or managed for active and latent TB (per local requirements and according to the local product label) * Participants who have been evaluated for active/latent hepatitis B virus (HBV) and hepatitis C virus (HCV) * Participants for whom, since golimumab initiation, a complete medical record is available
Exclusion criteria
* Participants who have received and terminated golimumab treatment in the past * Participants that have been treated with golimumab for more than 26 weeks prior to enrolment in the study * Participants with use of any other investigational agent less than or equal to 30 days before starting treatment with golimumab * Participants with suspected latent TB, having not received prophylactic treatment of at least 4 weeks * Participants with suspected or active TB * Participants with active/latent HBV or HCV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Adherence Measured by Continuous Measures of Medication Gaps (CMG) | 24 months | Adherence rates to golimumab will be measured by the Continuous Measures of Medication Gaps (CMG). CMG provides an approximate percentage of time in which a participant is without medication available for use. Number of days of delay between consecutive golimumab injections will be observed throughout the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Treatment Termination | 24 months | Treatment termination is defined as a treatment gap of at least 2 cycles of golimumab, with no treatment restart as assessed by CMG. |
| Change From Baseline in 28-Joint Disease Activity Score (DAS-28) at Month 6, 12, 18, and 24 or Early Termination | Baseline, Month 6, 12, 18, and 24 or Early Termination | DAS28 is calculated from the number of swollen joints (SJC) and tender joints (TJC) using the 28 joints count, the erythrocyte sedimentation rate (ESR) (millimeters per hour \[mm/hour\]) or the C-reactive protein (CRP) and patient's global assessment (PtGA) of disease activity (participant rate arthritis activity using visual analog scale \[VAS\] ranging from 0 to 100; higher scores indicated greater affectation due to disease activity). |
| Change From Baseline in Patient's Global Assessment (PtGA) at Month 6, 12, 18, and 24 or Early Termination | Baseline, Month 6, 12, 18, and 24 or Early Termination | Participant will rate arthritis activity using Visual Analog Scale (VAS) ranging from 0 to 100; higher scores indicated greater affectation due to disease activity. |
| Change From Baseline in Physician Global Assessment of Disease Activity (MDGA) at Month 6, 12, 18, and 24 or Early Termination | Baseline, Month 6, 12, 18, and 24 or Early Termination | Physician will rate arthritis activity using Visual Analog Scale (VAS) ranging from 0 to 100; higher scores indicated greater affectation due to disease activity. |
| Change From Baseline in Work Related Productivity at Month 6, 12, 18, and 24 or Early Termination | Baseline, Month 6, 12, 18, and 24 or Early Termination | Work related productivity (absenteeism, presenteeism, and impairment in daily activities) will be assessed using Work Productivity and Activity Impairment Questionnaire: Rheumatoid Arthritis (WPAI-RA), which consisted of 6 items: 1) Current employment status; 2) Number of hours missed due to a health problem; 3) Number of hours missed due to other reasons; 4) Hours actually worked; 5) Degree to which health affected productivity while working; 6) Degree to which health affected regular (non-work) activities. |
| Frequency of Treatment Suspension | 24 months | Treatment suspension is defined as a treatment gap of at least 2 cycles of golimumab, with subsequent restart, as assessed by CMG. |
| Change From Baseline in Functional Status at Month 6, 12, 18, and 24 or Early Termination | Baseline, Month 6, 12, 18, and 24 or Early Termination | Functional status will be assessed by Health Assessment Questionnaire-Disability Index (HAQ-DI). HAQ-DI is a self-administered questionnaire measuring the participant's functional ability. It consists of 20 items converging to 8 scales measuring daily living activities: dress/groom; arise; eat; walk; hygiene; reach; grip; and common daily activities over past week. The participant rate each activity as 0 = without any difficulty, 1 = some difficulty, 2 = much difficulty and 3 = unable. The final score ranges from 0 to 3 with higher scores indicating more disability. |
| Change from Baseline in Utilization of Health Care Resources at Month 3, 6, 9, 12, 15, 18, 21, and 24 or Early Termination | Baseline, Month 3, 6, 9, 12, 15, 18, 21, and 24 or Early Termination | Utilization of Health Care Resources will be measured by the Consumption of Health Care Resources Questionnaire, which includes 8 questions related to the participant's use of health care resources related to RA: 1) Extra or unscheduled visits to the study doctor office/clinic, 2) Visits to another physician/healthcare professional (like nurse, therapist, physiotherapist), 3) Visits to hospital emergency room/ total duration of stay (hours), 4) Use of an ambulance service, 5) Admitted to a hospital/ total duration of stay (hours), 6) Visit to a specialist, 7) Complementary alternative therapy visits, 8) Out of pocket expenses related to RA (for example over-the-counter medication, payments for health care professionals, medical procedures or laboratory tests, medical devices, health care or extra help at home, transportation costs, differences in cost of prescription medication not covered by insurance). |
| Number of Participants with Adverse Events (AEs) Leading to Treatment Discontinuation | 24 months | — |
| Number of Participants with Serious adverse Events (SAE) | 24 months | An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. |
| Change From Baseline in Quality of Life at Month 12 and 24 or Early Termination | Baseline, Month 12 and 24 or Early Termination | Quality of life will be assessed by 36-Item Short-Form Health Survey (SF-36). SF-36 is a generic quality of life questionnaire that assesses 8 health concepts: 1) Limitations in physical activities because of health problems; 2) Limitations in social activities because of physical or emotional problems; 3) Limitations in usual role activities because of physical health problems; 4) Bodily pain; 5) General mental health (psychological distress and well-being); 6) Limitations in usual role activities because of emotional problems; 7) Vitality (energy and fatigue); 8) General health perceptions. |
Countries
Colombia
Outcome results
None listed