A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL) (CONTROL)
Psoriatic Arthritis
About this trial
This is an interventional treatment trial for Psoriatic Arthritis focused on measuring Psoriatic Arthritis
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
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
Active Comparator
Experimental
Active Comparator
Active Comparator
Experimental
Experimental
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
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