search
Back to results

A Study of Adalimumab in Japanese Subjects With Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
Double-blind adalimumab
Double-blind Placebo
Open-label Adalimumab
Open-labelAdalimumabRescue
Sponsored by
Abbott
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria

  • Rheumatoid arthritis based on the American College of Rheumatology criteria
  • Methotrexate or leflunomide naïve
  • Disease duration less than or equal to 2 years from diagnosis

Exclusion Criteria

  • History of acute inflammatory joint disease of different origin from rheumatoid arthritis, cancer, lymphoma, leukemia or lymphoproliferative disease, active TB, HIV
  • Previously received anti-TNF therapy anti-IL-6 receptor antibody, CTLA4-Ig, anti-CD20 antibody, cyclophosphamide, cyclosporine, azathioprine, or tacrolimus
  • Joint surgery involving joints to be assessed within 8 weeks prior to Screening

Sites / Locations

  • Site Reference ID/Investigator# 46861
  • Site Reference ID/Investigator# 46919
  • Site Reference ID/Investigator# 46805
  • Site Reference ID/Investigator# 46806
  • Site Reference ID/Investigator# 46880
  • Site Reference ID/Investigator# 46881
  • Site Reference ID/Investigator# 46890
  • Site Reference ID/Investigator# 46902
  • Site Reference ID/Investigator# 46903
  • Site Reference ID/Investigator# 46904
  • Site Reference ID/Investigator# 46856
  • Site Reference ID/Investigator# 46944
  • Site Reference ID/Investigator# 46893
  • Site Reference ID/Investigator# 46894
  • Site Reference ID/Investigator# 12161
  • Site Reference ID/Investigator# 46916
  • Site Reference ID/Investigator# 46918
  • Site Reference ID/Investigator# 46865
  • Site Reference ID/Investigator# 46871
  • Site Reference ID/Investigator# 46801
  • Site Reference ID/Investigator# 46925
  • Site Reference ID/Investigator# 46800
  • Site Reference ID/Investigator# 46873
  • Site Reference ID/Investigator# 46874
  • Site Reference ID/Investigator# 46845
  • Site Reference ID/Investigator# 46899
  • Site Reference ID/Investigator# 46901
  • Site Reference ID/Investigator# 46851
  • Site Reference ID/Investigator# 46852
  • Site Reference ID/Investigator# 46802
  • Site Reference ID/Investigator# 46900
  • Site Reference ID/Investigator# 46875
  • Site Reference ID/Investigator# 46870
  • Site Reference ID/Investigator# 46872
  • Site Reference ID/Investigator# 46912
  • Site Reference ID/Investigator# 46864
  • Site Reference ID/Investigator# 46943
  • Site Reference ID/Investigator# 46898
  • Site Reference ID/Investigator# 46915
  • Site Reference ID/Investigator# 46853
  • Site Reference ID/Investigator# 46855
  • Site Reference ID/Investigator# 46909
  • Site Reference ID/Investigator# 46910
  • Site Reference ID/Investigator# 46911
  • Site Reference ID/Investigator# 46858
  • Site Reference ID/Investigator# 46860
  • Site Reference ID/Investigator# 46877
  • Site Reference ID/Investigator# 46885
  • Site Reference ID/Investigator# 46848
  • Site Reference ID/Investigator# 46906
  • Site Reference ID/Investigator# 46914
  • Site Reference ID/Investigator# 46869
  • Site Reference ID/Investigator# 46886
  • Site Reference ID/Investigator# 46887
  • Site Reference ID/Investigator# 46892
  • Site Reference ID/Investigator# 46876
  • Site Reference ID/Investigator# 46946
  • Site Reference ID/Investigator# 46947
  • Site Reference ID/Investigator# 46842
  • Site Reference ID/Investigator# 46846
  • Site Reference ID/Investigator# 46803
  • Site Reference ID/Investigator# 46804
  • Site Reference ID/Investigator# 46878
  • Site Reference ID/Investigator# 46879
  • Site Reference ID/Investigator# 46917
  • Site Reference ID/Investigator# 46942
  • Site Reference ID/Investigator# 46854
  • Site Reference ID/Investigator# 46857
  • Site Reference ID/Investigator# 46859
  • Site Reference ID/Investigator# 46895
  • Site Reference ID/Investigator# 46843
  • Site Reference ID/Investigator# 46844
  • Site Reference ID/Investigator# 46850
  • Site Reference ID/Investigator# 46882
  • Site Reference ID/Investigator# 46883
  • Site Reference ID/Investigator# 46884
  • Site Reference ID/Investigator# 46888
  • Site Reference ID/Investigator# 46889
  • Site Reference ID/Investigator# 46891
  • Site Reference ID/Investigator# 46896
  • Site Reference ID/Investigator# 46849
  • Site Reference ID/Investigator# 46907
  • Site Reference ID/Investigator# 46862
  • Site Reference ID/Investigator# 46866
  • Site Reference ID/Investigator# 46926
  • Site Reference ID/Investigator# 46863
  • Site Reference ID/Investigator# 46897
  • Site Reference ID/Investigator# 46905

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

DB Placebo

DB adalimumab

DB Adalimumab/OL Adalimumab

DB Placebo/OL Adalimumab

DB Adalimumab/RE OL Adalimumab

DB Placebo/RE OL Adalimumab

Arm Description

Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.

Participants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.

Participants received double-blind adalimumab administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.

Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.

Participants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.

Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.

Outcomes

Primary Outcome Measures

Change From Baseline in Modified Total Sharp X-Ray Score at Week 26
Modified Total Sharp Score (mTSS) is a measure of joint health, used in evaluation of inhibition of radiographic progression of disease. Digitized X-rays of hands and feet were obtained then scored in a blinded manner: for erosions (0 [no damage] to 5 [complete collapse or total destruction of joint]) and for joint space narrowing (0 [no damage] to 4 [complete luxation of joint]). Scores were added, giving total mTSS (0 [normal] to 380 [maximal disease]). Large positive change in mTSS indicates disease progression; small positive/no change indicates slowing/halting of disease progression.

Secondary Outcome Measures

Number of Participants Meeting ACR20 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Patients were ACR20 responders if they had: >= 20% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=20% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Number of Participants Meeting ACR50 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Patients were ACR50 responders if they had: >= 50% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=50% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Number of Participants Meeting ACR70 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Patients were ACR70 responders if they had: >= 70% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=70% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Change From Baseline in Disease Activity Score (DAS28[ESR]) at Week 26
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity.
Number of Participants Achieving Clinical Remission, Defined by Disease Activity Score (DAS28[ESR]) <2.6, at Week 26
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity. DAS28(ESR) score <2.6 was defined as clinical remission of disease.
Number of Participants Who Reported Any Adverse Event (Serious or Non-serious) on Double-blind Study Drug Through Week 26
Adverse events were collected at designated study visits for all participants who were randomized and received at least 1 dose of study drug. The number of participants who experienced any adverse event (serious or non-serious) while receiving double-blind study drug is summarized. See the Reported Adverse Event section for details.
Change From Baseline in Modified Total Sharp X-Ray Score at Week 52
Modified Total Sharp Score (mTSS) is a measure of joint health, used in evaluation of inhibition of radiographic progression of disease. Digitized X-rays of hands and feet were obtained then scored in a blinded manner: for erosions (0 [no damage] to 5 [complete collapse or total destruction of joint]) and for joint space narrowing (0 [no damage] to 4 [complete luxation of joint]). Scores were added, giving total mTSS score (0 [normal] to 380 [maximal disease]). Large positive change in mTSS indicates diseae progression; small positive/no change indicates slowing/halting of disease progression.
Number of Participants Meeting ACR20 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Patients were ACR20 responders if they had: >=20% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=20% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Number of Participants Meeting ACR50 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Patients were ACR50 responders if they had: >=50% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=50% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Number of Participants Meeting ACR70 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Patients were ACR70 responders if they had: >=70% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=70% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Change From Baseline in Disease Activity Score (DAS28[ESR]) at Week 52
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity.
Number of Participants Achieving Clinical Remission, Defined by Disease Activity Score (DAS28[ESR]) <2.6, at Week 52
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity. DAS28(ESR) score <2.6 was defined as clinical remission of disease.
Number of Participants Who Reported Any Adverse Event (Serious or Non-serious) While Receiving Adalimumab Through Week 52
Adverse events were collected at designated study visits for all participants who were randomized and received at least 1 dose of adalimumab. The number of participants who experienced any adverse event (serious or non-serious) while receiving any adalimumab during the study (double-blind adalimumab and/or open-label) is summarized. See the Reported Adverse Event section for details.

Full Information

First Posted
March 26, 2009
Last Updated
August 1, 2012
Sponsor
Abbott
Collaborators
Eisai Co., Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT00870467
Brief Title
A Study of Adalimumab in Japanese Subjects With Rheumatoid Arthritis
Official Title
A Phase 3 Multi-Center, Randomized, Double-Blind, Parallel Group, Placebo-Controlled Study Comparing Adalimumab and Placebo in Adult Japanese Subjects With Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
March 2009 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
August 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott
Collaborators
Eisai Co., Ltd.

4. Oversight

5. Study Description

Brief Summary
To evaluate the potential of adalimumab to inhibit radiographic progression in joint destruction compared with placebo in adult Japanese subjects with recent onset of rheumatoid arthritis.
Detailed Description
This was a Phase 3 multicenter, randomized, double-blind, parallel group, placebo-controlled study designed to evaluate the inhibition of radiographic progression by adalimumab compared with placebo in adult Japanese patients with early rheumatoid arthritis (RA) who had not been previously treated with methotrexate (MTX). Eligible participants were randomized 1:1 to receive either a subcutaneous injection of adalimumab 40 mg or matching placebo every other week (eow) during the 26-week double-blind phase. All participants also received 6 mg to 8 mg MTX weekly as basal treatment for their disease. Participants who experienced an increase in disease activity (more than 20% increase in tender joint count and swollen joint count) at Week 12, 16, or 20 compared with Baseline after having increased MTX dose to 8 mg per week for at least 4 weeks were discontinued from the double-blind phase and were eligible to receive open-label adalimumab 40 mg eow as rescue treatment. Participants who completed the 26 weeks of treatment (either double-blind study drug [adalimumab or placebo] treatment or open-label adalimumab treatment) were eligible to enter the 26-week open-label phase in which they received adalimumab 40 mg eow. Efficacy and safety assessments were performed at Baseline and at designated study visits.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
334 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DB Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
Arm Title
DB adalimumab
Arm Type
Experimental
Arm Description
Participants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
Arm Title
DB Adalimumab/OL Adalimumab
Arm Type
Experimental
Arm Description
Participants received double-blind adalimumab administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
Arm Title
DB Placebo/OL Adalimumab
Arm Type
Experimental
Arm Description
Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
Arm Title
DB Adalimumab/RE OL Adalimumab
Arm Type
Experimental
Arm Description
Participants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
Arm Title
DB Placebo/RE OL Adalimumab
Arm Type
Experimental
Arm Description
Participants received double-blind placebo administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
Intervention Type
Biological
Intervention Name(s)
Double-blind adalimumab
Other Intervention Name(s)
ABT-D2E7, adalimumab, Humira
Intervention Description
Double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow)
Intervention Type
Drug
Intervention Name(s)
Double-blind Placebo
Other Intervention Name(s)
Placebo
Intervention Description
Double-blind adalimumab-matching placebo administered subcutaneously (SC)every other week (eow)
Intervention Type
Biological
Intervention Name(s)
Open-label Adalimumab
Other Intervention Name(s)
ABT-D2E7, adalimumab, Humira
Intervention Description
Open-label adalimumab 40 mg administered subcutaneously (SC) every other week (eow) after completion of the first 26 weeks in the study
Intervention Type
Biological
Intervention Name(s)
Open-labelAdalimumabRescue
Other Intervention Name(s)
ABT-D2E7, adalimumab, Humira
Intervention Description
Open-label adalimumab 40 mg administered subcutaneously (SC) every other week (eow) as rescue treatment to complete the first 26 weeks in the study- dependent on participant eligibility (increase in disease activity), applies to Weeks 12 to 26
Primary Outcome Measure Information:
Title
Change From Baseline in Modified Total Sharp X-Ray Score at Week 26
Description
Modified Total Sharp Score (mTSS) is a measure of joint health, used in evaluation of inhibition of radiographic progression of disease. Digitized X-rays of hands and feet were obtained then scored in a blinded manner: for erosions (0 [no damage] to 5 [complete collapse or total destruction of joint]) and for joint space narrowing (0 [no damage] to 4 [complete luxation of joint]). Scores were added, giving total mTSS (0 [normal] to 380 [maximal disease]). Large positive change in mTSS indicates disease progression; small positive/no change indicates slowing/halting of disease progression.
Time Frame
Baseline, Week 26
Secondary Outcome Measure Information:
Title
Number of Participants Meeting ACR20 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Description
Patients were ACR20 responders if they had: >= 20% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=20% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Time Frame
Week 26
Title
Number of Participants Meeting ACR50 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Description
Patients were ACR50 responders if they had: >= 50% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=50% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Time Frame
Week 26
Title
Number of Participants Meeting ACR70 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Description
Patients were ACR70 responders if they had: >= 70% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=70% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and acute phase reactant C-reactive protein. Patients who discontinued or switched to open-label adalimumab prior to Week 26 were considered non-responders.
Time Frame
Week 26
Title
Change From Baseline in Disease Activity Score (DAS28[ESR]) at Week 26
Description
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity.
Time Frame
Baseline, Week 26
Title
Number of Participants Achieving Clinical Remission, Defined by Disease Activity Score (DAS28[ESR]) <2.6, at Week 26
Description
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity. DAS28(ESR) score <2.6 was defined as clinical remission of disease.
Time Frame
Week 26
Title
Number of Participants Who Reported Any Adverse Event (Serious or Non-serious) on Double-blind Study Drug Through Week 26
Description
Adverse events were collected at designated study visits for all participants who were randomized and received at least 1 dose of study drug. The number of participants who experienced any adverse event (serious or non-serious) while receiving double-blind study drug is summarized. See the Reported Adverse Event section for details.
Time Frame
Through Week 26
Title
Change From Baseline in Modified Total Sharp X-Ray Score at Week 52
Description
Modified Total Sharp Score (mTSS) is a measure of joint health, used in evaluation of inhibition of radiographic progression of disease. Digitized X-rays of hands and feet were obtained then scored in a blinded manner: for erosions (0 [no damage] to 5 [complete collapse or total destruction of joint]) and for joint space narrowing (0 [no damage] to 4 [complete luxation of joint]). Scores were added, giving total mTSS score (0 [normal] to 380 [maximal disease]). Large positive change in mTSS indicates diseae progression; small positive/no change indicates slowing/halting of disease progression.
Time Frame
Baseline, Week 52
Title
Number of Participants Meeting ACR20 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Description
Patients were ACR20 responders if they had: >=20% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=20% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Time Frame
Week 52
Title
Number of Participants Meeting ACR50 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Description
Patients were ACR50 responders if they had: >=50% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=50% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Time Frame
Week 52
Title
Number of Participants Meeting ACR70 Response Criteria at Week 52 (ACR: American College of Rheumatology)
Description
Patients were ACR70 responders if they had: >=70% improvement in both tender joint count (68 joints) and in swollen joint count (66 joints) plus >=70% improvement in at least 3 of the 5 remaining ACR core measures: patient's assessment of pain; patient's global assessment of disease activity; physician's global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire (HAQ); and acute phase reactant C-reactive protein.
Time Frame
Week 52
Title
Change From Baseline in Disease Activity Score (DAS28[ESR]) at Week 52
Description
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity.
Time Frame
Baseline, Week 52
Title
Number of Participants Achieving Clinical Remission, Defined by Disease Activity Score (DAS28[ESR]) <2.6, at Week 52
Description
Disease Activity Score (DAS28) is a combined index used to measure disease activity in patients with rheumatoid arthritis. Calculation of the DAS28 score used the tender joint count (28 joints), swollen joint count (28 joints), patient's global assessment of disease activity, and the erythrocyte sedimentation rate. DAS28(ESR) scores range from 0 (no disease activity) to 9 (maximal disease activity); decrease is indicative of improvement in disease activity. DAS28(ESR) score <2.6 was defined as clinical remission of disease.
Time Frame
Week 52
Title
Number of Participants Who Reported Any Adverse Event (Serious or Non-serious) While Receiving Adalimumab Through Week 52
Description
Adverse events were collected at designated study visits for all participants who were randomized and received at least 1 dose of adalimumab. The number of participants who experienced any adverse event (serious or non-serious) while receiving any adalimumab during the study (double-blind adalimumab and/or open-label) is summarized. See the Reported Adverse Event section for details.
Time Frame
Through Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Rheumatoid arthritis based on the American College of Rheumatology criteria Methotrexate or leflunomide naïve Disease duration less than or equal to 2 years from diagnosis Exclusion Criteria History of acute inflammatory joint disease of different origin from rheumatoid arthritis, cancer, lymphoma, leukemia or lymphoproliferative disease, active TB, HIV Previously received anti-TNF therapy anti-IL-6 receptor antibody, CTLA4-Ig, anti-CD20 antibody, cyclophosphamide, cyclosporine, azathioprine, or tacrolimus Joint surgery involving joints to be assessed within 8 weeks prior to Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hiroshi Ukai, BS
Organizational Affiliation
Abbott Japan Co.,Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 46861
City
Anjo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46919
City
Aomori
Country
Japan
Facility Name
Site Reference ID/Investigator# 46805
City
Chiba
Country
Japan
Facility Name
Site Reference ID/Investigator# 46806
City
Chiba
Country
Japan
Facility Name
Site Reference ID/Investigator# 46880
City
Chiba
Country
Japan
Facility Name
Site Reference ID/Investigator# 46881
City
Chiba
Country
Japan
Facility Name
Site Reference ID/Investigator# 46890
City
Fuchu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46902
City
Fukuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46903
City
Fukuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46904
City
Fukuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46856
City
Gifu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46944
City
Gunma
Country
Japan
Facility Name
Site Reference ID/Investigator# 46893
City
Hiroshima
Country
Japan
Facility Name
Site Reference ID/Investigator# 46894
City
Hiroshima
Country
Japan
Facility Name
Site Reference ID/Investigator# 12161
City
Hokkaido
Country
Japan
Facility Name
Site Reference ID/Investigator# 46916
City
Hokkaido
Country
Japan
Facility Name
Site Reference ID/Investigator# 46918
City
Hokkaido
Country
Japan
Facility Name
Site Reference ID/Investigator# 46865
City
Hyogo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46871
City
Hyogo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46801
City
Ibaraki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46925
City
Ibaraki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46800
City
Iwate
Country
Japan
Facility Name
Site Reference ID/Investigator# 46873
City
Kagoshima
Country
Japan
Facility Name
Site Reference ID/Investigator# 46874
City
Kagoshima
Country
Japan
Facility Name
Site Reference ID/Investigator# 46845
City
Kanagawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46899
City
Kanagawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46901
City
Kanagawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46851
City
Kanazawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46852
City
Kanazawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46802
City
Kawagoe
Country
Japan
Facility Name
Site Reference ID/Investigator# 46900
City
Kawasaki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46875
City
Kirishima
Country
Japan
Facility Name
Site Reference ID/Investigator# 46870
City
Kitakyushu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46872
City
Kumamoto
Country
Japan
Facility Name
Site Reference ID/Investigator# 46912
City
Kumamoto
Country
Japan
Facility Name
Site Reference ID/Investigator# 46864
City
Kyoto
Country
Japan
Facility Name
Site Reference ID/Investigator# 46943
City
Maebashi
Country
Japan
Facility Name
Site Reference ID/Investigator# 46898
City
Matsuyama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46915
City
Miyazaki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46853
City
Nagano
Country
Japan
Facility Name
Site Reference ID/Investigator# 46855
City
Nagano
Country
Japan
Facility Name
Site Reference ID/Investigator# 46909
City
Nagasaki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46910
City
Nagasaki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46911
City
Nagasaki
Country
Japan
Facility Name
Site Reference ID/Investigator# 46858
City
Nagoya
Country
Japan
Facility Name
Site Reference ID/Investigator# 46860
City
Nagoya
Country
Japan
Facility Name
Site Reference ID/Investigator# 46877
City
Nara
Country
Japan
Facility Name
Site Reference ID/Investigator# 46885
City
Nara
Country
Japan
Facility Name
Site Reference ID/Investigator# 46848
City
Niigata
Country
Japan
Facility Name
Site Reference ID/Investigator# 46906
City
Niigata
Country
Japan
Facility Name
Site Reference ID/Investigator# 46914
City
Oita
Country
Japan
Facility Name
Site Reference ID/Investigator# 46869
City
Okayama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46886
City
Okayama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46887
City
Okayama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46892
City
Okayama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46876
City
Okinawa
Country
Japan
Facility Name
Site Reference ID/Investigator# 46946
City
Osaka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46947
City
Osaka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46842
City
Rifu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46846
City
Sagamihara
Country
Japan
Facility Name
Site Reference ID/Investigator# 46803
City
Saitama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46804
City
Saitama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46878
City
Saitama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46879
City
Saitama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46917
City
Sapporo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46942
City
Shimotsuke
Country
Japan
Facility Name
Site Reference ID/Investigator# 46854
City
Shizuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46857
City
Shizuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46859
City
Shizuoka
Country
Japan
Facility Name
Site Reference ID/Investigator# 46895
City
Takamatsu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46843
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46844
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46850
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46882
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46883
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46884
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46888
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46889
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46891
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46896
City
Tokyo
Country
Japan
Facility Name
Site Reference ID/Investigator# 46849
City
Toyama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46907
City
Toyama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46862
City
Toyoake
Country
Japan
Facility Name
Site Reference ID/Investigator# 46866
City
Toyohashi
Country
Japan
Facility Name
Site Reference ID/Investigator# 46926
City
Tsukuba
Country
Japan
Facility Name
Site Reference ID/Investigator# 46863
City
Tsu
Country
Japan
Facility Name
Site Reference ID/Investigator# 46897
City
Yokohama
Country
Japan
Facility Name
Site Reference ID/Investigator# 46905
City
Yokohama
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
27338778
Citation
Burmester GR, Landewe R, Genovese MC, Friedman AW, Pfeifer ND, Varothai NA, Lacerda AP. Adalimumab long-term safety: infections, vaccination response and pregnancy outcomes in patients with rheumatoid arthritis. Ann Rheum Dis. 2017 Feb;76(2):414-417. doi: 10.1136/annrheumdis-2016-209322. Epub 2016 Jun 23.
Results Reference
derived
PubMed Identifier
24441150
Citation
Yamanaka H, Ishiguro N, Takeuchi T, Miyasaka N, Mukai M, Matsubara T, Uchida S, Akama H, Kupper H, Arora V, Tanaka Y. Recovery of clinical but not radiographic outcomes by the delayed addition of adalimumab to methotrexate-treated Japanese patients with early rheumatoid arthritis: 52-week results of the HOPEFUL-1 trial. Rheumatology (Oxford). 2014 May;53(5):904-13. doi: 10.1093/rheumatology/ket465. Epub 2014 Jan 17.
Results Reference
derived

Learn more about this trial

A Study of Adalimumab in Japanese Subjects With Rheumatoid Arthritis

We'll reach out to this number within 24 hrs