Study in Rheumatoid Arthritis for Subjects Who Completed Preceding Study M13-390 With Adalimumab

Study Overview
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Brief Summary
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A Phase 2b, open-label extension (OLE) study in rheumatoid arthritis (RA) patients designed to collect long-term safety, tolerability, efficacy, and immunogenicity data of the proposed new adalimumab formulation.

Detailed Description
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All participants who completed Study NCT01712178 had an opportunity to enroll into the study and to receive the new adalimumab formulation at a dose of 40 mg every other week (eow) for an additional 24 weeks.

Official Title
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A Phase 2b, Multicenter, Open-Label Study in Rheumatoid Arthritis Subjects Who Completed Preceding Study M13-390 With Adalimumab

Conditions
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Rheumatoid Arthritis

Intervention / Treatment
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* Biological: New formulation adalimumab


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject has completed the preceding Study M13-390 for rheumatoid arthritis and has not developed any discontinuation criteria from that study. If female, subject is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy and/or hysterectomy) or is of childbearing potential and is practicing an approved method of birth control throughout the study and for 150 days after last dose of study drug. Examples of approved methods of birth control include the following (see local informed consent for more detail): Condoms, sponge, foams, jellies, diaphragm or intrauterine device (IUD); Hormonal contraceptives for 90 days prior to study drug administration; A vasectomized partner. Subjects must be able and willing to self-administer subcutaneous (SC) injections or have a qualified person available to administer SC injections. Subject is judged to be in good general health as determined by the Principal Investigator based upon the results of medical history, physical examination, laboratory profile performed at Baseline. Subjects must be able and willing to provide written informed consent and to comply with the requirements of this study protocol. Exclusion Criteria: Ongoing infections at Week 0 that have NOT been successfully treated. Subjects with ongoing infections undergoing treatment may be enrolled BUT NOT dosed until the infection has been successfully treated. Subject currently uses or plans to use anti-retroviral therapy at any time during the study. Subject plans to use any live vaccine during the study. Positive pregnancy test at Baseline (Week 0). Subject is considered by the investigator, for any reason, to be an unsuitable candidate for the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: New formulation of adalimumab 40 mg every other week<br>New formulation adalimumab 40 mg every other week | Biological: New formulation adalimumab<br>* New formulation adalimumab 40 mg every other week<br>* Other names: Humira;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Change From Baseline in Disease Activity Score 28 (DAS28) at Weeks 36 and 48 | The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, C-reactive protein, and general health are included in the DAS28 score. Scores on the DAS28 range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission. | Baseline (Study NCT01712178 Week 0 Visit), Weeks 36 and 48 | 
| Percentage of Participants With an American College of Rheumatology (ACR) 20 Response at Weeks 36 and 48 | American College of Rheumatology 20% (ACR20) response. A participant is a responder if the following 3 criteria for improvement from baseline are met: ≥ 20% improvement in tender joint count; ≥ 20% improvement in swollen joint count; and ≥ 20% improvement in at least 3 of the 5 following parameters: Physician global assessment of disease activity Patient global assessment of disease activity Patient assessment of pain Disability Index of the Health Assessment CRP (Acute phase reactant (Erythrocyte sedimentation rate/C-reactive protein)) | Baseline (Study NCT01712178 Week 0 Visit), Weeks 36 and 48 | 
| Percentage of Participants With an American College of Rheumatology (ACR) 50 Response at Weeks 36 and 48 | American College of Rheumatology 50% (ACR50) response. A participant is a responder if the following 3 criteria for improvement from baseline are met: ≥ 50% improvement in tender joint count; ≥ 50% improvement in swollen joint count; and ≥ 50% improvement in at least 3 of the 5 following parameters: Physician global assessment of disease activity Patient global assessment of disease activity Patient assessment of pain Disability Index of the Health Assessment CRP (Acute phase reactant (Erythrocyte sedimentation rate/C-reactive protein)) | Baseline (Study NCT01712178 Week 0 Visit), Weeks 36 and 48 | 
| Mean Change From Baseline in Health Assessment Questionnaire (HAQ-DI) at Weeks 36 and 48 | The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a patient-reported questionnaire specific for rheumatoid arthritis. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where zero represents no disability and three very severe, high-dependency disability. The minimal clinically important difference (MCID) defined for the HAQ-DI is 0.22. HAQ remission indicating normal physical function is defined by HAQ-DI < 0.5. | Baseline (Study NCT01712178 Week 0 Visit), Weeks 36 and 48 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Participants Positive for Anti-adalimumab Antibody | Percentage of participants with anti-adalimumab antibody | Week 24 through Week 48 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rheumatoid Arthritis