Efficacy, Safety, and Tolerability Study of Apremilast to Treat Early Oligoarticular Psoriatic Arthritis. (FOREMOST)
Arthritis, Psoriatic
About this trial
This is an interventional treatment trial for Arthritis, Psoriatic focused on measuring Oligoarthritis, PsA, Apremilast, Oral tablet, Background therapy, Standard of care
Eligibility Criteria
Inclusion Criteria:
- ≥ 18 yrs, male or female subject
- Subjects must have signs and symptoms of PsA ≤5 years duration at the time of the Screening Visit
- SJC AND TJC must be >1 and ≤ 4
- For all regions, the local Regulatory Label for treatment with apremilast must be followed.
- Stable doses of protocol-allowed PsA medications
- General good health (except for psoriatic arthritis) as judged by the Investigator, based on medical history, physical examination, and clinical laboratories. (Note: The definition of good health means a subject does not have uncontrolled significant comorbid conditions).
- Comply with protocol-required contraception measures
- Subject meets the Classification Criteria for Psoriatic Arthritis [CASPAR] Criteria for PsA at the Screening visit
Exclusion Criteria:
- Prior use of >2 csDMARD to treat PsA
- Prior exposure to a JAK-inhibitor and/or a biologic DMARD.
- Use of intra-articular (IA) or intra-muscular (IM) glucocorticoid injection within 8 weeks before the Baseline Visit.
- Use of leflunomide within 12 weeks of randomization. Subjects who stopped leflunomide and completed 11 days of treatment with cholestyramine (8 g, 3 x daily) prior to the Baseline Visit may enter the study.
- Prior use of cyclosporine.
- Prior treatment with apremilast, or participation in a clinical study, involving apremilast.
- Use of any investigational drug within 4 weeks of the Baseline Visit, or 5 pharmacokinetic/pharmacodynamic half-lives, if known (whichever is longer).
Sites / Locations
- Arizona Arthritis and Rheumatology Research, PLLC
- Covina Arthritis Clinic
- Encino Research Center
- Providence Medical Foundation
- Rheumatology Center of San Diego PC
- East Bay Rheumatology Medical
- Millennium Clinical Trials
- Robin K Dore MD Inc
- Inland Rheumatology Clinical Trials Inc
- Denver Arthritis Clinic PC
- Arthritis and Rheumatic Disease Specialties
- Clinical Research of West Florida, Inc
- Center for Rheumatology, Immunology, and Arthritis
- University of Florida College of Medicine
- Integral Rheumatology and Immunology Specialists
- Florida Center For Dermatology
- Clinical Research of West Florida Inc
- Carol and Frank Morsani Center for Advanced Health Care
- Baycare Medical Group Inc
- North Georgia Rheumatology Group PC
- RC Rsearch Inc
- OrthoIllinois
- Graves Gilbert Clinic
- Clinical Trials Management LLC
- Klein and Associates MD, PA - Cumberland
- Klein and Associates MD PA
- Clinical Pharmacology Study Group
- Advanced Rheumatology PC
- Arthritis and Rheumatology Center of Michigan
- Clinical Research Institute of Michigan
- Saint Paul Rheumatology PA
- Arthritis, Rheumatic, and Back Disease Associates
- New York University Langone Medical Center
- University of Rochester
- Joint and Muscle Research Institute
- University Hospitals Cleveland Medical Center
- Paramount Medical Research and Consulting LLC
- Arthritis and Osteoporosis Center of Southwest Ohio
- Health Research of Oklahoma
- Altoona Center for Clinical Research
- Arthritis Group
- Rhode Island Hospital
- Piedmont Arthritis Clinic
- West Tennessee Research Institute, LLC
- Accurate Clinical Research Incorporated Baytown
- Precision Comprehensive Clinical Research Solutions
- Texas Arthritis Center PA
- West Texas Clinical Research
- Advanced Rheumatology of Houston
- Center for Clinical Studies
- Seattle Rheumatology Associates
- Rheumatology and Pulmonary Clinic
- West Virginia Research Institute
- West Virginia Research Institute
- Universitaetsklinikum Allgemeines Krankenhaus Wien Universitaetsklinik fur Innere Medizin I
- Krankenhaus Hietzing
- Centre Hospitalier Universitaire Brugmann
- Hopital Erasme
- Universitair Ziekenhuis Leuven
- Ziekenhuis Netwerk Antwerpen Jan Palfijn
- Manitoba Clinic
- Ottawa Hospital
- Toronto Western Hospital
- Dr. Sabeen Anwar Medicine Professional Corporation
- Institut de Rhumatologie de Montreal
- Centre Hospitalier Regional dOrleans
- Hopital Lariboisiere
- Assistance Publique- Hopitaux de Paris AP-HP
- CH Toulouse Hopital Pierre-Paul Riquet
- Praxis fur Rheumatologie - Amberg
- Kerckhoff-Klinik gGmbH
- Charité Campus Mitte
- Universitaetsklinikum Duesseldorf
- Service Rheuma Erfurt
- Klinikum der Johann Wolfgang Goethe-Universitaet Frankfurt/Main
- Universitatsklinikum Freiburg
- Rheumazentrum Ruhrgebiet
- Universitaetsklinikum Tuebingen
- AO Ospedale Policlinico Consorziale Di Bari
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
- Universita degli studi Messina
- IRCCS Ospedale San Raffaele
- Azienda Ospedaliera Universitaria Federico II
- Policlinico San Matteo Universita Di Pavia
- Azienda Ospedaliera Universitaria Pisana
- Fondazione Policlinico Tor Vergata
- Humanitas Research Hospital Humanitas Mirasole
- Azienda Ospedaliera Universitaria Integrata di Verona Ospedale G B Rossi Borgo Roma
- Medisch Spectrum Twente
- Erasmus Medisch Centrum
- Kazan State Medical University
- Kursk Regional Clinical Hospital
- Research Institute of Rheumatology named after V.A.Nasonova
- Moscow Regional Research Institute n.a. Vladimirsky
- Research Institute of Clinical and Experimental Lymphology
- Republican Hospital na VA Baranov
- Municipal Budgetary Healthcare Institution City Emergency Hospital
- Medical Center Sanavita
- Mechnikov North-Western State Medical University
- Tomsk Regional Clinical Hospital
- Hospital Universitario de Cruces
- Hospital Galdakao-Usansolo
- Hospital Universitario Insular de Gran Canaria
- Hospital Universitario Ramon y Cajal
- Hospital Universitario La Paz
- Hospital de Merida
- Royal Berkshire Hospital
- Eastbourne District General Hospital
- Western General Hospital
- Kings College Hospital
- Luton and Dunstable University Hosptial
- Torbay Hospital
- Royal Cornwall Hospitals Trust
- Wolverhampton Road
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Apremilast 30 mg twice daily ± NSAIDs, ≤ 1 csDMARD
Placebo
Subjects will take ORAL tables of apremilast for up to 48 weeks (30 mg twice daily). Subjects may also receive stable doses of background therapy (standard or care) with NSAIDs, glucorticosteroids and 1 csDMARD as permitted by protocol. After wk. 24, subjects may change the dose /type of permitted Psoriatic Arthritis medications
Subjects will take placebo for up to 24 weeks (twice daily). Subjects may also receive stable doses of background therapy ( standard of care) with NSAIDs, glucocorticosteroids and 1 csDMARD as permitted by protocol. After wk 24, subjects may change the dose /type of permitted PsA medications.