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A Placebo-controlled Study With an Extension Examining the Safety and Efficacy of Alefacept in Psoriatic Arthritis

Primary Purpose

Psoriatic Arthritis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Alefacept
Methotrexate
Placebo
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriatic Arthritis focused on measuring Psoriatic arthritis, psoriasis, Alefacept

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Psoriatic arthritis
  • MTX treatment for 3 months prior to enrollment with continuing disease
  • Normal T-cell count

Exclusion Criteria:

  • Other types of psoriasis
  • History of malignancy or lymphoproliferative disorder
  • Serious infection or fever
  • Antibody positive for Hepatitis C, HIV or TB
  • Hepatic transaminases > 2X normal

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

Course A1

Course A2

Course B

Arm Description

Open-label extension

Outcomes

Primary Outcome Measures

Proportion of patients achieving a score in the assessment system of the American College of Rheumatology Core Set Measurements of ACR 20, ACR 50 and ACR 70

Secondary Outcome Measures

Proportion of patients achieving a score in the Psoriasis Area and Severity Index of PASI 75, PASI 50 and PASI 25
Proportion of patients achieving a classification in the Physician's Global Assessment (PGA) of clear/almost clear
Sharp -VanDen Heijde Modified Score of Joint Damage (X-ray)

Full Information

First Posted
April 14, 2008
Last Updated
September 17, 2014
Sponsor
Astellas Pharma Inc
Collaborators
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT00659412
Brief Title
A Placebo-controlled Study With an Extension Examining the Safety and Efficacy of Alefacept in Psoriatic Arthritis
Official Title
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Alefacept When Given in Combination With Methotrexate in Subjects With Psoriatic Arthritis With an Open-label Retreatment Course
Study Type
Interventional

2. Study Status

Record Verification Date
September 2014
Overall Recruitment Status
Completed
Study Start Date
September 2003 (undefined)
Primary Completion Date
March 2005 (Actual)
Study Completion Date
March 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc
Collaborators
Biogen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Randomized, double-blind, 24-week study of patients with psoriatic arthritis comparing alefacept + methotrexate (MTX) vs. placebo + MTX followed by a 24-week open-label extension with only alefacept + MTX treatment.
Detailed Description
Patients who completed the initial 24-week treatment course and met the inclusion and exclusion criteria for the 24 week open-label extension continued on their stable MTX dose and also received alefacept throughout this extension.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
185 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Course A1
Arm Type
Experimental
Arm Title
Course A2
Arm Type
Placebo Comparator
Arm Title
Course B
Arm Type
Experimental
Arm Description
Open-label extension
Intervention Type
Drug
Intervention Name(s)
Alefacept
Other Intervention Name(s)
Amevive, ASP0485
Intervention Description
Intramuscular
Intervention Type
Drug
Intervention Name(s)
Methotrexate
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intramuscular
Primary Outcome Measure Information:
Title
Proportion of patients achieving a score in the assessment system of the American College of Rheumatology Core Set Measurements of ACR 20, ACR 50 and ACR 70
Time Frame
12 Weeks and at any time
Secondary Outcome Measure Information:
Title
Proportion of patients achieving a score in the Psoriasis Area and Severity Index of PASI 75, PASI 50 and PASI 25
Time Frame
Each scheduled efficacy visit
Title
Proportion of patients achieving a classification in the Physician's Global Assessment (PGA) of clear/almost clear
Time Frame
Each scheduled efficacy visit
Title
Sharp -VanDen Heijde Modified Score of Joint Damage (X-ray)
Time Frame
Baseline, 24 Weeks and 48 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Psoriatic arthritis MTX treatment for 3 months prior to enrollment with continuing disease Normal T-cell count Exclusion Criteria: Other types of psoriasis History of malignancy or lymphoproliferative disorder Serious infection or fever Antibody positive for Hepatitis C, HIV or TB Hepatic transaminases > 2X normal
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Use Central Contact
Organizational Affiliation
Astellas Pharma US, Inc.
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
City
Wheaton
State/Province
Maryland
ZIP/Postal Code
20902
Country
United States
City
Lake Success
State/Province
New York
ZIP/Postal Code
11042
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8V 3P9
Country
Canada
City
St Johns
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1C 5B8
Country
Canada
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 4V2
Country
Canada
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y 3R7
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
K1N 5N1
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T 2S8
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L 1S6
Country
Canada
City
Berlin
ZIP/Postal Code
D-13125
Country
Germany
City
Frankfurt
ZIP/Postal Code
D-60590
Country
Germany
City
Goettingen
ZIP/Postal Code
D-37075
Country
Germany
City
Bialystok
ZIP/Postal Code
15-337
Country
Poland
City
Elblag
ZIP/Postal Code
82-300
Country
Poland
City
Kalisz
ZIP/Postal Code
62-800
Country
Poland
City
Krakow
ZIP/Postal Code
30-119
Country
Poland
City
Torun
ZIP/Postal Code
87-100
Country
Poland
City
Warszawa
ZIP/Postal Code
02-637
Country
Poland
City
Moscow
ZIP/Postal Code
107076
Country
Russian Federation
City
Moscow
ZIP/Postal Code
115522
Country
Russian Federation
City
N. Novgorod
ZIP/Postal Code
603600
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
190068
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
194044
Country
Russian Federation
City
Yaroslavl
ZIP/Postal Code
150003
Country
Russian Federation

12. IPD Sharing Statement

Citations:
PubMed Identifier
16646026
Citation
Mease PJ, Gladman DD, Keystone EC; Alefacept in Psoriatic Arthritis Study Group. Alefacept in combination with methotrexate for the treatment of psoriatic arthritis: results of a randomized, double-blind, placebo-controlled study. Arthritis Rheum. 2006 May;54(5):1638-45. doi: 10.1002/art.21870.
Results Reference
background
PubMed Identifier
19028407
Citation
Mease PJ, Reich K; Alefacept in Psoriatic Arthritis Study Group. Alefacept with methotrexate for treatment of psoriatic arthritis: open-label extension of a randomized, double-blind, placebo-controlled study. J Am Acad Dermatol. 2009 Mar;60(3):402-11. doi: 10.1016/j.jaad.2008.09.050. Epub 2008 Nov 25. Erratum In: J Am Acad Dermatol. 2009 Sep;61(3):507.
Results Reference
background
Links:
URL
http://www.clinicaltrials.jp/user/ctrSearch_e.jsp
Description
Link to Results on JAPIC - enter 140597 in the JapicCTI-RNo. field

Learn more about this trial

A Placebo-controlled Study With an Extension Examining the Safety and Efficacy of Alefacept in Psoriatic Arthritis

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