Status:
COMPLETED
Initial Treatment With Golimumab in Early PsA
Lead Sponsor:
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Conditions:
Psoriatic Arthritis
Eligibility:
All Genders
18-70 years
Phase:
PHASE3
Brief Summary
The investigators will perform a 22-week randomized, double-blind, placebo-controlled trial of golimumab + methotrexate (MTX) versus methotrexate alone in methotrexate-naïve patients with Psoriatic Ar...
Eligibility Criteria
Inclusion
- Prior to any study procedure, voluntary written informed consent must be obtained, after the nature and purpose of this study were explained
- Patients should be between 18 and 70 years of age at time of consent
- Patients must have a diagnosis of PsA according to the Classification for psoriatic Arthritis (CASPAR) classification criteria (see Appendix 1).
- The patient must have an active disease as defined by 3 swollen and 3 tender joints.
- The use of a stable dose of concomitant nonsteroidal antiinflammatory drug (NSAIDs) and/or corticosteroids is allowed. The dose of corticosteroids should not exceed a prednisone equivalent of 10 mg/day and must be stable for at least 4 weeks prior to baseline. The dose of concomitant NSAIDs and corticosteroids should be kept stable during the whole study period.
- Patients are considered to be in generally good health based upon the result of a medical history, physical examination, laboratory profile, chest X-ray and electrocardiography (ECG).
Exclusion
- Patient has a concomitant rheumatic condition other than PsA
- Positivity for rheumatoid factor (RF) or anti-cyclic citrullinated peptide (anti CCP) antibodies (ACPA)
- Current or previous use of methotrexate
- Current use of other Disease Modifying Antirheumatic drug (DMARDs) (sulphasalazine or leflunomide).
- Prior use of other DMARDs (sulphasalazine or leflunomide) within 3 months before baseline.
- Current or previous use of biologicals, including Tumor Necrosis Factor (TNF) blocking therapy
- Patient has active tuberculosis. A purified protein derivative (PPD) skin test and chest X-ray at screening should be negative (in case of latent tuberculosis, a patient may enter the study if prophylaxis with isoniazide is begun prior to administration of study medication). If a patient has an adequately treated tuberculosis in the past, he/she may enter the trial.
- Patient has received an intra-articular injection with corticosteroids within 4 weeks prior to baseline.
- Patient has a malignancy (other than basal cell carcinoma of the skin) in the past 5 years
- Patients has a recent history of (or persistent) infection requiring hospitalization or antibiotic treatment within 4 weeks of baseline Patient has a significant history of cardiac, pulmonary, renal (glomerular filtration rate \<40ml/min), hepatic (liver cirrhosis), hematological, neurological, metabolic or any other disease that may affect his/her participation in this study. This should be decided by the opinion of the investigator.
- All females of childbearing potential must use appropriate contraception, be postmenopausal or surgically sterile. A urine pregnancy-test beta-human chorion gonadotropin (Beta-HCG) will be performed at screening and has to be negative.
- Subject is pregnant or a breastfeeding woman
- Liver disease or liver injury as indicated by abnormal liver function tests such as Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), gammaglutamyl transpeptidase (GGT), alkaline phosphatase, or serum bilirubin. The Investigator should be guided by the following criteria: Any single parameter may not exceed 2 x upper limit of normal (ULN).
- A single parameter elevated up to and including 2 x ULN should be rechecked once more if elevation levels are found clinically relevant according to the physician, at least prior to enrolment.
- \- Patient is, in the opinion of the investigator, unable to comply with the requirements of the study protocol or is unsuitable for the study for any reason.
Key Trial Info
Start Date :
August 1 2013
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 1 2018
Estimated Enrollment :
51 Patients enrolled
Trial Details
Trial ID
NCT01871649
Start Date
August 1 2013
End Date
November 1 2018
Last Update
November 26 2018
Active Locations (2)
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1
Reade
Amsterdam, North Holland, Netherlands, 1056 AB
2
Academic Medical Center/University of Amsterdam
Amsterdam, North Holland, Netherlands, 1105 AZ