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A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL) (CONTROL)

Primary Purpose

Psoriatic Arthritis

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
methotrexate (MTX)
adalimumab (ADA)
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriatic Arthritis focused on measuring Psoriatic Arthritis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. PsA diagnosis established at least 4 weeks prior to the date of the Screening visit and confirmed by ClASsification of Psoriatic Arthritis (CASPAR) criteria
  2. Not in MDA at the time of screening
  3. Has 3 or more tender and 3 or more swollen joints
  4. Treated with methotrexate 15 mg (weekly) for at least 4 weeks

Exclusion Criteria:

  1. Contraindications to adalimumab therapy and/or known hypersensitivity to adalimumab or its excipients
  2. History of methotrexate intolerance/toxicity
  3. Medical conditions(s) precluding methotrexate dose increase above 15 mg
  4. Had prior exposure to any tumor necrosis factor (TNF) inhibitor, other mechanism of action biologic DMARD (bDMARD) or any systemic biologic agent in general

Sites / Locations

  • AZ Arthritis & Rheum Research /ID# 161796
  • LeJenue Research Associates /ID# 200093
  • Deerbrook Medical Associates /ID# 158655
  • Ochsner Clinic Foundation /ID# 155178
  • Clinical Pharmacology Study Gr /ID# 161057
  • Shores Rheumatology, PC /ID# 162697
  • Coastal Carolina Health Care /ID# 152088
  • PMG Research of Wilmington LLC /ID# 152089
  • Altoona Ctr Clinical Res /ID# 152087
  • Metroplex Clinical Research /ID# 162486
  • Swedish Medical Center /ID# 162051
  • West Virginia Research Inst /ID# 157815
  • Royal Prince Alfred Hospital /ID# 153144
  • Optimus Clinical Research Pty. /ID# 153145
  • Liverpool Hospital /ID# 153147
  • BJC Health /ID# 153875
  • Box Hill Hospital /ID# 153146
  • Hospital de Clinicas de Porto Alegre /ID# 152345
  • Faculdade de Medicina do ABC /ID# 152344
  • MHAT Trimontsium /ID# 152658
  • Diag Consult Ctr 17 Sofia EOOD /ID# 152657
  • Rheumatology Research Assoc /ID# 161600
  • Percuro Clinical Research, Ltd /ID# 161601
  • Manitoba Clinic /ID# 151939
  • St. Clare's Mercy Hospital /ID# 159680
  • The Waterside Clinic /ID# 151938
  • Adachi Medicine Prof. Corp /ID# 152575
  • Ctr. de Rheum de l'est du QC /ID# 151937
  • Groupe de Recherche en Maladies Osseuses /ID# 205693
  • Centro de Investigacion en Reumatologia y Especialidades Medicas- CIREEM SAS /ID# 151954
  • Riesgo de Fractura S.A - CAYRE /ID# 153817
  • San Vicente Fundacion /Id# 171324
  • Revmatolog s.r.o. /ID# 151753
  • Nuselská poliklinika, Revmatologie /ID# 151754
  • Universitaetsklinik Heidelberg /ID# 152229
  • Fachpraxis fuer Rheumatologie und Osteologie /ID# 203982
  • Univ Hosp Schleswig-Holstein, Campus Kiel, Klinik furer Innere Medizin /ID# 152231
  • CIRI GmbH /ID# 152228
  • Hamburger Rheuma I /ID# 164055
  • Universita di Catanzaro Magna Graecia /ID# 152013
  • Azienda Ospedaliera Policlinic /ID# 152011
  • A.O. Universitaria Senese /ID# 152012
  • McBk Sc /Id# 163089
  • Centrum Medyczne AMED /ID# 164047
  • SANUS Szpital Specjalistyczny /ID# 151988
  • ClinicMed Badurski i wspolnicy SJ /ID# 151987
  • Dr. Ramon L. Ortega-Colon, MD /ID# 152957
  • GCM Medical Group, PSC /ID# 152091
  • Hamad Hospital /ID# 152334
  • Corporac Sanitaria Parc Tauli /ID# 151759
  • Hospital Univ Germans Trias I Pujol /ID# 151760
  • Hospital Universitario Reina S /ID# 151761
  • Hospital Manises /ID# 162778
  • Hospital Univ Canarias /ID# 206489
  • Hospital de Viladecans /ID# 163875
  • Royal National Hosp for Rheuma /ID# 152767
  • Western General Hospital /ID# 155195
  • Altnagelvin Area Hospital /ID# 152766
  • Central Manchester University /ID# 152765
  • Lancashire Care NHS Foundation /ID# 152769

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Active Comparator

Experimental

Active Comparator

Active Comparator

Experimental

Experimental

Arm Label

Part 1: MTX Escalated Dose

Part 1: ADA + MTX

Part 2: MTX Escalated Dose

Part 2: ADA + MTX Escalated Dose

Part 2: ADA

Part 2: ADA ew + MTX

Arm Description

Methotrexate (MTX) escalated to 20 - 25 mg or highest tolerable dose every week (ew)

Adalimumab (ADA) 40 mg every other week (eow) in combination with MTX 15 mg ew

Participants achieving minimal disease activity (MDA) at Week 16 on MTX escalated to 20 -25 mg or highest tolerable dose ew, continued with the same MTX dose

Participants not achieving MDA at Week 16 on MTX escalated to 20 - 25 mg or highest tolerable dose ew, received ADA 40 mg eow in combination with MTX 20 - 25 mg or highest tolerable dose ew

Participants achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had MTX completely withdrawn at Week 16 and continued receiving ADA as monotherapy

Participants not achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had ADA escalated to 40 mg ew in combination with MTX 15 mg ew

Outcomes

Primary Outcome Measures

Percentage of Participants Achieving Minimal Disease Activity (MDA) (Non-responder Imputation [NRI]) (Part 1)
Minimal disease activity (MDA) for psoriatic arthritis (PsA) was defined as fulfilling at least 5 of the following 7 criteria: tender and swollen joint counts (TJC) ≤ 1 (out of TJC68 assessed in this study), swollen joint count (SJC) ≤ 1 (out of SJC66 assessed in this study), Psoriasis Area and Severity Index (PASI) ≤ 1 or body surface area (BSA) ≤ 3; Patient's assessment of pain visual analogue scale (VAS) ≤ 15, Patient's global assessment of disease activity (PtGA) VAS ≤ 20, Health Assessment Questionnaire Disability Index (HAQ-DI) score ≤ 0.5, and tender entheseal points ≤ 1 (out of 8 assessed in this study).

Secondary Outcome Measures

Change in Dermatology Life Quality Index (DLQI) Score From Baseline (Part 1)
The Dermatology Life Quality Index (DLQI) score is a measure of participant's quality of life (QOL) related to skin disease.The DLQI questionnaire consists of 10 questions concerning participants' perception of the impact of skin diseases on different aspects of their health related QOL over the last week. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. The range of possible DLQI scores is 0 to 30, with a score of 0 indicating no effect at all on a participant's life and a score of 30 indicating extremely large effect on participant's life. A decrease in DLQI score indicates improvement.
Change in Tender Dactylitic Digit Count From Baseline for Participants With Presence of Dactylitis at Baseline (Part 1)
Hands and feet bilaterally were assessed for the presence/absence of dactylitis and associated tenderness for participants with presence of dactylitis at baseline. The tender dactylitic digit count is equal to the number of swollen and painful digits (range 0 to 20). A decrease indicates improvement.
Change in Disease Activity Score 28 (DAS28)-C-reactive Protein (CRP) Score From Baseline (Part 1)
The Disease Activity Score 28 (DAS28) is a validated index of rheumatoid arthritis disease activity but is also used in PsA clinical trials. DAS28 is a composite score calculated using a mathematical formula based on the scores for these scales. DAS28 includes tender and swollen joint counts, PtGA, and acute phase reactant (CRP in this study). DAS28 scores range from 0 to 10, with higher scores indicating more disease activity. A larger negative change in the DAS28 score indicates greater improvement.
Change in Psoriatic Arthritis Impact of Disease Score (PsAID) Score From Baseline (Part 1)
Psoriatic Arthritis Impact of Disease Score (PsAID) was developed by an European League Against Rheumatism (EULAR) initiative and is a validated patient self-reported tool to assess the impact of PsA on the participant's life. The PsAID is a composite score calculated using a mathematical formula based on the scores for each component. PsAID-9 was developed for clinical trials and was used in this study. The PsAID-9 is calculated based on 9 Numerical rating scales (NRS) questions that include pain, fatigue, skin, work and/or leisure activities, function, discomfort, sleep, coping, and anxiety). Each NRS is assessed as a number between 0 and 10. PsAID scores range from 0 to 10, with higher scores indicating worse status. A larger negative change in the PsAID-9 score indicates greater improvement.
Percentage of Participants Achieving American College of Rheumatology (ACR) 20/50/70 Response (Part 1)
The ACR is a standard criteria originally developed to measure the effectiveness of various arthritis medications or treatments in clinical trials for RA, but is also widely used in PsA. The ACR measures improvement in tender joint count (TJC) or swollen joint count (SJC), and improvement in at least 3 of the following 5 parameters: Patient Global Assessment (PtGA), Physician's Global Assessment of Disease Activity (PhGA), physical function (using HAQ-DI) and acute phase reactant (using CRP). ACR 20/50/70 response is achieved if ≥ 20%/≥ 50%/≥ 70% improvement in tender joint count (TJC) or swollen joint count (SJC) as well as a ≥ 20%/≥ 50%/≥ 70% improvement in ≥ 3 of the other 5 parameters.
Change in Leeds Enthesitis Index (LEI) From Baseline (Part 1) for Participants With Presence of LEI at Baseline
The Leeds Enthesitis Index (LEI) is an enthesitis measure developed specifically for PsA and assesses the presence or absence of tenderness at the following 3 bilateral enthesial sites: medial femoral condyles, lateral epicondyles of the humerus, and Achilles tendon insertions for participants with presence of LEI at baseline.Tenderness on examination is recorded as either present (1) or absent (0) for each of the 6 sites, for an overall score range of 0 to 6. A decrease in LEI indicates improvement.
Percentage of Participants in MDA in Part 2 of the Study (Week 32)
MDA for PsA was defined as fulfilling at least 5 of the following 7 criteria: TJC ≤ 1 (out of TJC68 assessed in this study), SJC ≤ 1 (out of SJC66 assessed in this study), PASI ≤ 1 or BSA ≤ 3; Patient's assessment of pain VAS ≤ 15, PtGA VAS ≤ 20, HAQ-DI score ≤ 0.5, and tender entheseal points ≤ 1 (out of 8 assessed in this study).
Change in Psoriatic Arthritis Disease Activity Score (PASDAS) From Baseline (Part 1)
Psoriatic Arthritis Disease Activity Score (PASDAS) is a weighted disease activity measure developed specifically for PsA. It includes PhGA, PtGA, SF-36 PCS, SJC, TJC, Leeds enthesitis count, tender dactylitic count and hsCRP lab test. The PASDAS is a composite score calculated using a mathematical formula based on the scores for each component. The PASDAS is unitless, with a typical score range between 0 and 10. Smaller values on PASDAS indicate a better condition; a negative change from baseline indicates improvement. .
Change in Short Form Health Survey 36 (SF-36) Score From Baseline (Part 1)
The Short Form Health Survey 36 (SF-36) is a generic measure to assess participant's general health/well-being (health related quality of life); short version 2 (SF-36v2) was used. SF-36 determined participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 comprise physical component of the SF-36. Scores on each item were summed and averaged (PCS; range = 0-100). Items 5-8 comprise mental component of the SF-36. Scores on each item were summed and averaged (mental component score [MCS]; range = 0-100). Larger values on SF-36 indicate a better condition. A positive change from Baseline in either PCS or MCS indicates improvement.
Change in HAQ-DI Score From Baseline (Part 1)
The HAQ-DI is a standardized measure of physical function in arthritis. The HAQ-DI questionnaire contains 20 items divided into 8 domains that measure: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and common 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 0 represents no disability and 3 very severe, high-dependency disability. HAQ remission indicating normal physical function is defined by HAQ-DI score of < 0.5. Negative change from Baseline indicates improvement.
Percentage of Participants Achieving Psoriasis Area and Severity Index (PASI) 75/90/100 Response Among Participants With BSA Greater Than or Equal to 3% at Baseline (Part 1)
Psoriasis Area and Severity Index (PASI) provides a quantitative assessment of psoriasis lesional burden based on the amount of body surface area involved and the degree of severity of erythema, induration, and scale, weighted by body part. The score ranges from 0 to 72, with 0 indicating no psoriasis and 72 indicating very severe psoriasis. 75/90/100 denotes greater than or equal to 75%/90%/100% improvement in PASI score. A 100% reduction is considered complete clearance of psoriasis.
Change in Disease Activity in Psoriatic Arthritis Score (DAPSA) Score From Baseline (Part 1)
Disease Activity in Psoriatic Arthritis Score (DAPSA) score is a the sum of swollen joint count (66 joints), tender joint count (68 joints), CRP (mg/dL), Patient's Assessment of Pain (on a 10-unit VAS;0=no pain, 10=worst possible pain), and Patient's Global Assessment of Disease Activity (arthritis, on a 10-unit VAS; 0 to 100 centimeter [cm] VAS, 0=excellent and 10=poor). Change from baseline in DAPSA measures the change in disease activity, where a negative change indicates an improvement and a positive change indicates worsening of disease activity.

Full Information

First Posted
June 21, 2016
Last Updated
October 30, 2020
Sponsor
AbbVie
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1. Study Identification

Unique Protocol Identification Number
NCT02814175
Brief Title
A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)
Acronym
CONTROL
Official Title
A Phase 4 Open-label Randomized Controlled Study COmparing the Effectiveness of Adalimumab iNTROduction and Methotrexate Dose escaLation in Subjects With Psoriatic Arthritis (CONTROL)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
August 5, 2016 (Actual)
Primary Completion Date
September 23, 2019 (Actual)
Study Completion Date
March 19, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
An interventional Phase 4 open-label, randomized, controlled, parallel-group, multi-country study in participants with psoriatic arthritis (PsA) consisting of 2 parts: Part 1 (Day 1 up to Week 16) is designed to compare the achievement of minimal disease activity (MDA) between participants randomized to either adalimumab in combination with methotrexate (MTX) or MTX alone escalated to the highest recommended or tolerable dose; Part 2 (Week 16 through Week 32) is designed to evaluate the maintenance or achievement of MDA on 4 different treatment regimens using adalimumab and/or MTX, with participant allocation based on the initial randomized treatment and achievement of MDA in Part 1, and with rescue treatment option.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriatic Arthritis
Keywords
Psoriatic Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
246 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1: MTX Escalated Dose
Arm Type
Active Comparator
Arm Description
Methotrexate (MTX) escalated to 20 - 25 mg or highest tolerable dose every week (ew)
Arm Title
Part 1: ADA + MTX
Arm Type
Experimental
Arm Description
Adalimumab (ADA) 40 mg every other week (eow) in combination with MTX 15 mg ew
Arm Title
Part 2: MTX Escalated Dose
Arm Type
Active Comparator
Arm Description
Participants achieving minimal disease activity (MDA) at Week 16 on MTX escalated to 20 -25 mg or highest tolerable dose ew, continued with the same MTX dose
Arm Title
Part 2: ADA + MTX Escalated Dose
Arm Type
Active Comparator
Arm Description
Participants not achieving MDA at Week 16 on MTX escalated to 20 - 25 mg or highest tolerable dose ew, received ADA 40 mg eow in combination with MTX 20 - 25 mg or highest tolerable dose ew
Arm Title
Part 2: ADA
Arm Type
Experimental
Arm Description
Participants achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had MTX completely withdrawn at Week 16 and continued receiving ADA as monotherapy
Arm Title
Part 2: ADA ew + MTX
Arm Type
Experimental
Arm Description
Participants not achieving MDA at Week 16 on ADA 40 mg eow plus MTX 15 mg ew, had ADA escalated to 40 mg ew in combination with MTX 15 mg ew
Intervention Type
Drug
Intervention Name(s)
methotrexate (MTX)
Intervention Type
Biological
Intervention Name(s)
adalimumab (ADA)
Primary Outcome Measure Information:
Title
Percentage of Participants Achieving Minimal Disease Activity (MDA) (Non-responder Imputation [NRI]) (Part 1)
Description
Minimal disease activity (MDA) for psoriatic arthritis (PsA) was defined as fulfilling at least 5 of the following 7 criteria: tender and swollen joint counts (TJC) ≤ 1 (out of TJC68 assessed in this study), swollen joint count (SJC) ≤ 1 (out of SJC66 assessed in this study), Psoriasis Area and Severity Index (PASI) ≤ 1 or body surface area (BSA) ≤ 3; Patient's assessment of pain visual analogue scale (VAS) ≤ 15, Patient's global assessment of disease activity (PtGA) VAS ≤ 20, Health Assessment Questionnaire Disability Index (HAQ-DI) score ≤ 0.5, and tender entheseal points ≤ 1 (out of 8 assessed in this study).
Time Frame
Week 16
Secondary Outcome Measure Information:
Title
Change in Dermatology Life Quality Index (DLQI) Score From Baseline (Part 1)
Description
The Dermatology Life Quality Index (DLQI) score is a measure of participant's quality of life (QOL) related to skin disease.The DLQI questionnaire consists of 10 questions concerning participants' perception of the impact of skin diseases on different aspects of their health related QOL over the last week. The items of the DLQI encompass aspects such as symptoms and feelings, daily activities, leisure, work or school, personal relationships and the side effects of treatment. The range of possible DLQI scores is 0 to 30, with a score of 0 indicating no effect at all on a participant's life and a score of 30 indicating extremely large effect on participant's life. A decrease in DLQI score indicates improvement.
Time Frame
From Day 1 to Week 16
Title
Change in Tender Dactylitic Digit Count From Baseline for Participants With Presence of Dactylitis at Baseline (Part 1)
Description
Hands and feet bilaterally were assessed for the presence/absence of dactylitis and associated tenderness for participants with presence of dactylitis at baseline. The tender dactylitic digit count is equal to the number of swollen and painful digits (range 0 to 20). A decrease indicates improvement.
Time Frame
From Day 1 to Week 16
Title
Change in Disease Activity Score 28 (DAS28)-C-reactive Protein (CRP) Score From Baseline (Part 1)
Description
The Disease Activity Score 28 (DAS28) is a validated index of rheumatoid arthritis disease activity but is also used in PsA clinical trials. DAS28 is a composite score calculated using a mathematical formula based on the scores for these scales. DAS28 includes tender and swollen joint counts, PtGA, and acute phase reactant (CRP in this study). DAS28 scores range from 0 to 10, with higher scores indicating more disease activity. A larger negative change in the DAS28 score indicates greater improvement.
Time Frame
From Day 1 to Week 16
Title
Change in Psoriatic Arthritis Impact of Disease Score (PsAID) Score From Baseline (Part 1)
Description
Psoriatic Arthritis Impact of Disease Score (PsAID) was developed by an European League Against Rheumatism (EULAR) initiative and is a validated patient self-reported tool to assess the impact of PsA on the participant's life. The PsAID is a composite score calculated using a mathematical formula based on the scores for each component. PsAID-9 was developed for clinical trials and was used in this study. The PsAID-9 is calculated based on 9 Numerical rating scales (NRS) questions that include pain, fatigue, skin, work and/or leisure activities, function, discomfort, sleep, coping, and anxiety). Each NRS is assessed as a number between 0 and 10. PsAID scores range from 0 to 10, with higher scores indicating worse status. A larger negative change in the PsAID-9 score indicates greater improvement.
Time Frame
From Day 1 to Week 16
Title
Percentage of Participants Achieving American College of Rheumatology (ACR) 20/50/70 Response (Part 1)
Description
The ACR is a standard criteria originally developed to measure the effectiveness of various arthritis medications or treatments in clinical trials for RA, but is also widely used in PsA. The ACR measures improvement in tender joint count (TJC) or swollen joint count (SJC), and improvement in at least 3 of the following 5 parameters: Patient Global Assessment (PtGA), Physician's Global Assessment of Disease Activity (PhGA), physical function (using HAQ-DI) and acute phase reactant (using CRP). ACR 20/50/70 response is achieved if ≥ 20%/≥ 50%/≥ 70% improvement in tender joint count (TJC) or swollen joint count (SJC) as well as a ≥ 20%/≥ 50%/≥ 70% improvement in ≥ 3 of the other 5 parameters.
Time Frame
Week 16
Title
Change in Leeds Enthesitis Index (LEI) From Baseline (Part 1) for Participants With Presence of LEI at Baseline
Description
The Leeds Enthesitis Index (LEI) is an enthesitis measure developed specifically for PsA and assesses the presence or absence of tenderness at the following 3 bilateral enthesial sites: medial femoral condyles, lateral epicondyles of the humerus, and Achilles tendon insertions for participants with presence of LEI at baseline.Tenderness on examination is recorded as either present (1) or absent (0) for each of the 6 sites, for an overall score range of 0 to 6. A decrease in LEI indicates improvement.
Time Frame
From Day 1 to Week 16
Title
Percentage of Participants in MDA in Part 2 of the Study (Week 32)
Description
MDA for PsA was defined as fulfilling at least 5 of the following 7 criteria: TJC ≤ 1 (out of TJC68 assessed in this study), SJC ≤ 1 (out of SJC66 assessed in this study), PASI ≤ 1 or BSA ≤ 3; Patient's assessment of pain VAS ≤ 15, PtGA VAS ≤ 20, HAQ-DI score ≤ 0.5, and tender entheseal points ≤ 1 (out of 8 assessed in this study).
Time Frame
Week 32
Title
Change in Psoriatic Arthritis Disease Activity Score (PASDAS) From Baseline (Part 1)
Description
Psoriatic Arthritis Disease Activity Score (PASDAS) is a weighted disease activity measure developed specifically for PsA. It includes PhGA, PtGA, SF-36 PCS, SJC, TJC, Leeds enthesitis count, tender dactylitic count and hsCRP lab test. The PASDAS is a composite score calculated using a mathematical formula based on the scores for each component. The PASDAS is unitless, with a typical score range between 0 and 10. Smaller values on PASDAS indicate a better condition; a negative change from baseline indicates improvement. .
Time Frame
From Day 1 to week 16
Title
Change in Short Form Health Survey 36 (SF-36) Score From Baseline (Part 1)
Description
The Short Form Health Survey 36 (SF-36) is a generic measure to assess participant's general health/well-being (health related quality of life); short version 2 (SF-36v2) was used. SF-36 determined participants' overall quality of life by assessing 1) limitations in physical functioning due to health problems; 2) limitations in usual role because of physical health problems; 3) bodily pain; 4) general health perceptions; 5) vitality; 6) limitations in social functioning because of physical or emotional problems; 7) limitations in usual role due to emotional problems; and 8) general mental health. Items 1-4 comprise physical component of the SF-36. Scores on each item were summed and averaged (PCS; range = 0-100). Items 5-8 comprise mental component of the SF-36. Scores on each item were summed and averaged (mental component score [MCS]; range = 0-100). Larger values on SF-36 indicate a better condition. A positive change from Baseline in either PCS or MCS indicates improvement.
Time Frame
From Day 1 to Week 16
Title
Change in HAQ-DI Score From Baseline (Part 1)
Description
The HAQ-DI is a standardized measure of physical function in arthritis. The HAQ-DI questionnaire contains 20 items divided into 8 domains that measure: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and common 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 0 represents no disability and 3 very severe, high-dependency disability. HAQ remission indicating normal physical function is defined by HAQ-DI score of < 0.5. Negative change from Baseline indicates improvement.
Time Frame
From Day 1 to Week 16
Title
Percentage of Participants Achieving Psoriasis Area and Severity Index (PASI) 75/90/100 Response Among Participants With BSA Greater Than or Equal to 3% at Baseline (Part 1)
Description
Psoriasis Area and Severity Index (PASI) provides a quantitative assessment of psoriasis lesional burden based on the amount of body surface area involved and the degree of severity of erythema, induration, and scale, weighted by body part. The score ranges from 0 to 72, with 0 indicating no psoriasis and 72 indicating very severe psoriasis. 75/90/100 denotes greater than or equal to 75%/90%/100% improvement in PASI score. A 100% reduction is considered complete clearance of psoriasis.
Time Frame
Week 16
Title
Change in Disease Activity in Psoriatic Arthritis Score (DAPSA) Score From Baseline (Part 1)
Description
Disease Activity in Psoriatic Arthritis Score (DAPSA) score is a the sum of swollen joint count (66 joints), tender joint count (68 joints), CRP (mg/dL), Patient's Assessment of Pain (on a 10-unit VAS;0=no pain, 10=worst possible pain), and Patient's Global Assessment of Disease Activity (arthritis, on a 10-unit VAS; 0 to 100 centimeter [cm] VAS, 0=excellent and 10=poor). Change from baseline in DAPSA measures the change in disease activity, where a negative change indicates an improvement and a positive change indicates worsening of disease activity.
Time Frame
From Day 1 to Week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: PsA diagnosis established at least 4 weeks prior to the date of the Screening visit and confirmed by ClASsification of Psoriatic Arthritis (CASPAR) criteria Not in MDA at the time of screening Has 3 or more tender and 3 or more swollen joints Treated with methotrexate 15 mg (weekly) for at least 4 weeks Exclusion Criteria: Contraindications to adalimumab therapy and/or known hypersensitivity to adalimumab or its excipients History of methotrexate intolerance/toxicity Medical conditions(s) precluding methotrexate dose increase above 15 mg Had prior exposure to any tumor necrosis factor (TNF) inhibitor, other mechanism of action biologic DMARD (bDMARD) or any systemic biologic agent in general
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
AbbVie Inc.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
AZ Arthritis & Rheum Research /ID# 161796
City
Sun City
State/Province
Arizona
ZIP/Postal Code
85351
Country
United States
Facility Name
LeJenue Research Associates /ID# 200093
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
Facility Name
Deerbrook Medical Associates /ID# 158655
City
Vernon Hills
State/Province
Illinois
ZIP/Postal Code
60061
Country
United States
Facility Name
Ochsner Clinic Foundation /ID# 155178
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70836-6455
Country
United States
Facility Name
Clinical Pharmacology Study Gr /ID# 161057
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01605
Country
United States
Facility Name
Shores Rheumatology, PC /ID# 162697
City
Saint Clair Shores
State/Province
Michigan
ZIP/Postal Code
48081
Country
United States
Facility Name
Coastal Carolina Health Care /ID# 152088
City
New Bern
State/Province
North Carolina
ZIP/Postal Code
28562
Country
United States
Facility Name
PMG Research of Wilmington LLC /ID# 152089
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
Altoona Ctr Clinical Res /ID# 152087
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Metroplex Clinical Research /ID# 162486
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Swedish Medical Center /ID# 162051
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
West Virginia Research Inst /ID# 157815
City
South Charleston
State/Province
West Virginia
ZIP/Postal Code
25309
Country
United States
Facility Name
Royal Prince Alfred Hospital /ID# 153144
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
Facility Name
Optimus Clinical Research Pty. /ID# 153145
City
Kogarah
State/Province
New South Wales
ZIP/Postal Code
2217
Country
Australia
Facility Name
Liverpool Hospital /ID# 153147
City
Liverpool
State/Province
New South Wales
ZIP/Postal Code
2170
Country
Australia
Facility Name
BJC Health /ID# 153875
City
Paramatta
State/Province
New South Wales
ZIP/Postal Code
2150
Country
Australia
Facility Name
Box Hill Hospital /ID# 153146
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3128
Country
Australia
Facility Name
Hospital de Clinicas de Porto Alegre /ID# 152345
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90035-903
Country
Brazil
Facility Name
Faculdade de Medicina do ABC /ID# 152344
City
Santo André
State/Province
Sao Paulo
ZIP/Postal Code
09060-870
Country
Brazil
Facility Name
MHAT Trimontsium /ID# 152658
City
Plovdiv
ZIP/Postal Code
4000
Country
Bulgaria
Facility Name
Diag Consult Ctr 17 Sofia EOOD /ID# 152657
City
Sofia
ZIP/Postal Code
1505
Country
Bulgaria
Facility Name
Rheumatology Research Assoc /ID# 161600
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T5M 0H4
Country
Canada
Facility Name
Percuro Clinical Research, Ltd /ID# 161601
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8V 3M9
Country
Canada
Facility Name
Manitoba Clinic /ID# 151939
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3A 1M3
Country
Canada
Facility Name
St. Clare's Mercy Hospital /ID# 159680
City
St. John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1C 5B8
Country
Canada
Facility Name
The Waterside Clinic /ID# 151938
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M 6L2
Country
Canada
Facility Name
Adachi Medicine Prof. Corp /ID# 152575
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8N 1Y2
Country
Canada
Facility Name
Ctr. de Rheum de l'est du QC /ID# 151937
City
Rimouski
State/Province
Quebec
ZIP/Postal Code
G5L 8W1
Country
Canada
Facility Name
Groupe de Recherche en Maladies Osseuses /ID# 205693
City
Sainte-foy
State/Province
Quebec
ZIP/Postal Code
G1V 3M7
Country
Canada
Facility Name
Centro de Investigacion en Reumatologia y Especialidades Medicas- CIREEM SAS /ID# 151954
City
Bogota
State/Province
Cundinamarca
ZIP/Postal Code
110221
Country
Colombia
Facility Name
Riesgo de Fractura S.A - CAYRE /ID# 153817
City
Bogota
ZIP/Postal Code
111121
Country
Colombia
Facility Name
San Vicente Fundacion /Id# 171324
City
Medellin
ZIP/Postal Code
050034
Country
Colombia
Facility Name
Revmatolog s.r.o. /ID# 151753
City
Jihlava 1
State/Province
Jihlava
ZIP/Postal Code
586 01
Country
Czechia
Facility Name
Nuselská poliklinika, Revmatologie /ID# 151754
City
Prague 4
State/Province
Praha 4
ZIP/Postal Code
140 00
Country
Czechia
Facility Name
Universitaetsklinik Heidelberg /ID# 152229
City
Heidelberg
State/Province
Baden-Wuerttemberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Fachpraxis fuer Rheumatologie und Osteologie /ID# 203982
City
Bruchhausen-Vilsen
State/Province
Niedersachsen
ZIP/Postal Code
27305
Country
Germany
Facility Name
Univ Hosp Schleswig-Holstein, Campus Kiel, Klinik furer Innere Medizin /ID# 152231
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
CIRI GmbH /ID# 152228
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Facility Name
Hamburger Rheuma I /ID# 164055
City
Hamburg
ZIP/Postal Code
22391
Country
Germany
Facility Name
Universita di Catanzaro Magna Graecia /ID# 152013
City
Catanzaro
State/Province
Calabria
ZIP/Postal Code
88100
Country
Italy
Facility Name
Azienda Ospedaliera Policlinic /ID# 152011
City
Rome
ZIP/Postal Code
00161
Country
Italy
Facility Name
A.O. Universitaria Senese /ID# 152012
City
Siena
ZIP/Postal Code
53100
Country
Italy
Facility Name
McBk Sc /Id# 163089
City
Grodzisk Mazowiecki
State/Province
Mazowieckie
ZIP/Postal Code
05-825
Country
Poland
Facility Name
Centrum Medyczne AMED /ID# 164047
City
Warsaw
State/Province
Mazowieckie
ZIP/Postal Code
01-518
Country
Poland
Facility Name
SANUS Szpital Specjalistyczny /ID# 151988
City
Stalowa Wola
State/Province
Podkarpackie
ZIP/Postal Code
37-450
Country
Poland
Facility Name
ClinicMed Badurski i wspolnicy SJ /ID# 151987
City
Bialystok
ZIP/Postal Code
15-879
Country
Poland
Facility Name
Dr. Ramon L. Ortega-Colon, MD /ID# 152957
City
Carolina
ZIP/Postal Code
00983
Country
Puerto Rico
Facility Name
GCM Medical Group, PSC /ID# 152091
City
San Juan
ZIP/Postal Code
00917
Country
Puerto Rico
Facility Name
Hamad Hospital /ID# 152334
City
Doha
State/Province
Ad Dawhah
Country
Qatar
Facility Name
Corporac Sanitaria Parc Tauli /ID# 151759
City
Sabadell
State/Province
Barcelona
ZIP/Postal Code
08208
Country
Spain
Facility Name
Hospital Univ Germans Trias I Pujol /ID# 151760
City
Badalona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital Universitario Reina S /ID# 151761
City
Cordoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Hospital Manises /ID# 162778
City
Manises
ZIP/Postal Code
46940
Country
Spain
Facility Name
Hospital Univ Canarias /ID# 206489
City
Santa Cruz de Tenerife
ZIP/Postal Code
38320
Country
Spain
Facility Name
Hospital de Viladecans /ID# 163875
City
Viladecans
ZIP/Postal Code
8840
Country
Spain
Facility Name
Royal National Hosp for Rheuma /ID# 152767
City
Bath
ZIP/Postal Code
BA1 1RL
Country
United Kingdom
Facility Name
Western General Hospital /ID# 155195
City
Edinburgh
ZIP/Postal Code
EH4 2XU
Country
United Kingdom
Facility Name
Altnagelvin Area Hospital /ID# 152766
City
Londonderry
ZIP/Postal Code
BT47 6SB
Country
United Kingdom
Facility Name
Central Manchester University /ID# 152765
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Facility Name
Lancashire Care NHS Foundation /ID# 152769
City
Preston
ZIP/Postal Code
BT47 3EN
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD Sharing Time Frame
Data requests can be submitted at any time and the data will be accessible for 12 months, with possible extensions considered.
IPD Sharing Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information on the process, or to submit a request, visit the following link.
IPD Sharing URL
https://www.abbvie.com/our-science/clinical-trials/clinical-trials-data-and-information-sharing/data-and-information-sharing-with-qualified-researchers.html

Learn more about this trial

A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)

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