Status:

COMPLETED

Subcutaneous Golimumab (GLM) Plus DMARDs for Rheumatoid Arthritis, Followed by Intravenous/Subcutaneous GLM Strategy (P06129 AM2)

Lead Sponsor:

Merck Sharp & Dohme LLC

Conditions:

Arthritis, Rheumatoid

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Part 1 of this trial will assess the safety and effectiveness of subcutaneous (SC) golimumab administered by autoinjector once monthly, when combined with different disease-modifying antirheumatic dru...

Detailed Description

Participants who had a good or moderate European League Against Rheumatism (EULAR) response but not achieve remission at the end of Part 1 were invited to participate in Part 2 and were randomized to ...

Eligibility Criteria

Inclusion

  • For Part 1:
  • Age \>=18 years, either sex, any race.
  • Diagnosis of RA according to the 1987 revised American College of Rheumatology (ACR) criteria.
  • Active disease despite DMARD treatment
  • Subject must be taking at least one of the allowed DMARDs, and must be able to continue with it during the trial.
  • Eligibility for anti tumor necrosis factor (TNF) use according to the following criteria:
  • Participant must have failed conventional treatment according to the investigator's opinion OR local guidelines.
  • Local guidelines regarding safety screening of anti TNF candidates (ie, tuberculosis \[TB\] screening and other safety screening such as vaccination, if applicable) must be met. Chest X-ray and either a PPD skin test or QuantiFERON®-TB Gold test are also required.
  • Anamnesis and physical examination must make the participant eligible for anti TNF use and trial participation according to the investigator's judgment.
  • For Part 2:
  • Participant must have completed Part 1 of this trial.
  • Participant must have:
  • good or moderate response to SC golimumab at the end of Month 6 compared to Baseline, AND.
  • no DAS28 ESR remission.
  • Both the investigator and the subject must agree to switch the participant's treatment to IV administration as may be required in Part 2 of this trial.
  • The investigator must judge that no safety events (eg, serious adverse events \[SAEs\], serious infections, marked injection-site reactions or intolerance to drug) have occurred that could reoccur or aggravate with increased drug exposure.

Exclusion

  • History of biologic drug use for RA.
  • Evidence of active TB. or latent TB that is untreated.
  • Moderate to severe heart failure
  • Certain inflammatory rheumatic disease other than RA or certain systemic inflammatory condition
  • Allergy to latex

Key Trial Info

Start Date :

September 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2012

Estimated Enrollment :

3366 Patients enrolled

Trial Details

Trial ID

NCT00975130

Start Date

September 1 2009

End Date

February 1 2012

Last Update

April 13 2017

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