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Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Trial

Primary Purpose

Spondyloarthropathy

Status
Completed
Phase
Phase 4
Locations
Hong Kong
Study Type
Interventional
Intervention
golimumab
Pamidronate
Sponsored by
Tuen Mun Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spondyloarthropathy focused on measuring spondyloarthropathy, ankylosing spondylitis

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects greater than 18 years of age
  2. Fulfilling the latest classification criteria for axial spondyloarthropathy
  3. Active spondylitis as defined by a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of more than 4 despite treatment with non-steroid anti-inflammatory drugs for more than 3 months

Exclusion Criteria:

  1. Major surgery (including joint surgery) within 8 weeks prior to study entry
  2. History of treatment with anti-tumor necrosis factor agents or any investigational therapies within 12 months of study entry
  3. Immunization with a live/attenuated vaccine within 4 weeks prior to study entry
  4. Active current bacterial, viral, fungal, mycobacterial or other infections at study entry
  5. Chronic hepatitis B or hepatitis C carriers
  6. History of malignancies, including solid tumors and hemic malignancies
  7. History of congestive heart failure
  8. History of demyelinating disorders
  9. History of peripheral neuropathy
  10. Pregnant women or lactating mothers
  11. Baseline liver parenchymal enzymes elevated to more than 2 times normal
  12. Absolute lymphocyte count less than 500/mm3
  13. Serum creatinine level of more than 200umol/L

Sites / Locations

  • Tuen Mun Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

golimumab

pamidronate

Arm Description

golimumab 50mg subcutaneous every 4 weeks

Pamidronate (60mg) intravenously every 4 weeks

Outcomes

Primary Outcome Measures

Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response response
Proportion of patients who achieve the Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response

Secondary Outcome Measures

Changes in MRI spinal inflammation scores
Changes in MRI spinal inflammation scores

Full Information

First Posted
October 29, 2012
Last Updated
May 11, 2015
Sponsor
Tuen Mun Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01718951
Brief Title
Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Trial
Official Title
Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
August 2012 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
October 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tuen Mun Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare the efficacy of golimumab with pamidronate in the treatment of axial spondyloarthropathy
Detailed Description
To compare the efficacy of golimumab with pamidronate in the treatment of non-radiological axial spondyloarthropathy

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spondyloarthropathy
Keywords
spondyloarthropathy, ankylosing spondylitis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
golimumab
Arm Type
Active Comparator
Arm Description
golimumab 50mg subcutaneous every 4 weeks
Arm Title
pamidronate
Arm Type
Active Comparator
Arm Description
Pamidronate (60mg) intravenously every 4 weeks
Intervention Type
Drug
Intervention Name(s)
golimumab
Other Intervention Name(s)
Simponi
Intervention Description
golimumab
Intervention Type
Drug
Intervention Name(s)
Pamidronate
Other Intervention Name(s)
Aridia
Intervention Description
pamidronate
Primary Outcome Measure Information:
Title
Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response response
Description
Proportion of patients who achieve the Assessment of SpondyloArthritis international Society criteria (ASAS)-20 response
Time Frame
week 48
Secondary Outcome Measure Information:
Title
Changes in MRI spinal inflammation scores
Description
Changes in MRI spinal inflammation scores
Time Frame
week 24 and 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects greater than 18 years of age Fulfilling the latest classification criteria for axial spondyloarthropathy Active spondylitis as defined by a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score of more than 4 despite treatment with non-steroid anti-inflammatory drugs for more than 3 months Exclusion Criteria: Major surgery (including joint surgery) within 8 weeks prior to study entry History of treatment with anti-tumor necrosis factor agents or any investigational therapies within 12 months of study entry Immunization with a live/attenuated vaccine within 4 weeks prior to study entry Active current bacterial, viral, fungal, mycobacterial or other infections at study entry Chronic hepatitis B or hepatitis C carriers History of malignancies, including solid tumors and hemic malignancies History of congestive heart failure History of demyelinating disorders History of peripheral neuropathy Pregnant women or lactating mothers Baseline liver parenchymal enzymes elevated to more than 2 times normal Absolute lymphocyte count less than 500/mm3 Serum creatinine level of more than 200umol/L
Facility Information:
Facility Name
Tuen Mun Hospital
City
Hong Kong
Country
Hong Kong

12. IPD Sharing Statement

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Golimumab Versus Pamidronate for the Treatment of Axial Spondyloarthropathy: a 48-week Trial

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