Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2009-010643-14 | EudraCT Number |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study will evaluate how well adalimumab works in the short and long term in patients with axial spondyloarthritis who are not diagnosed as having either ankylosing spondylitis or psoriatic arthritis.
This is a Phase 3, placebo-controlled, double-blind randomized study with an open-label phase designed to evaluate the efficacy and safety of adalimumab 40 mg administered every other week in adult patients with active axial spondyloarthritis (SpA) who are not diagnosed with ankylosing spondylitis, psoriasis, or psoriatic arthritis and who have had an inadequate response or intolerance to one or more nonsteroidal anti-inflammatory drugs (NSAIDs) or had a contraindication to NSAIDs. Participants receive adalimumab or placebo for 12 weeks during the double-blind phase of the study. Following the double-blind phase, all remaining participants enter the open-label phase of the study in which they receive open-label adalimumab for up to 144 weeks. Efficacy endpoints include the Assessment of Spondyloarthritis International Society (ASAS) response criteria for patients with SpA. These response criteria were used to determine participants who were responders. ASAS response involves evaluations in the following 4 domains: participant's global assessment of disease activity, pain, function, and inflammation. The patient's global assessment of disease activity score is assessed using a 100 millimeter (mm) visual analog scale (VAS; 0 for no disease activity to 100 for severe disease activity). Pain is represented as a total back pain score and is assessed using a 100 mm VAS (0 for no pain to 100 for most severe pain). Function score is represented as the Bath Ankylosing Spondylitis (AS) Functional Index (BASFI) 100 mm VAS score (average of the ability to perform 10 activities, each scored as 0 for easy to 100 for impossible). Inflammation is determined using the morning stiffness overall level score (0 for none to 10 for very severe) and duration score (0 for 0 hours to 10 for ≥ 2 hours) of the Bath AS Disease Activity Index (BASDAI) (mean of these items #5 and #6 scores). In addition, the BASDAI is used as an efficacy endpoint. The BASDAI is used by the participant to assess his/her disease activity. Using VAS scales, the participant answers 6 questions pertaining to symptoms experienced over the past week. For 5 questions (levels of: fatigue/tiredness; AS neck, back, or hip pain; pain/swelling; discomfort at areas tender to touch or pressure; and morning stiffness), the response scale is 0 (none) to 10 (very severe). For 1 question (duration of morning stiffness), the response scale is 0 (0 hours) to 10 (≥ 2 or more hours).
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adalimumab | Experimental |
| |
| Placebo | Placebo Comparator |
| |
| Open-label Adalimumab | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adalimumab | Biological | 40 mg every other week up to Week 12 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Achieving an Assessment of Spondyloarthritis International Society (ASAS) 40 Response | ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 20 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of > 0 units on a scale from 0 to 100) in the potential remaining domain:
| Baseline and Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Achieving an Assessment of Spondyloarthritis International Society (ASAS) 20 Response | ASAS20 response was defined as improvement of ≥ 20% relative to Baseline and absolute improvement of ≥ 10 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a change for the worse of ≥ 20% and net worsening of ≥ 10 units) in the potential remaining domain:
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting Adverse Events | Adverse events were collected at designated study visits for all participants who received at least 1 dose of study drug. The number of participants experiencing any adverse event (serious and non-serious) is summarized. | Through Week 12 |
| Number of Participants With Blood Hematology or Chemistry Values Common Toxicity Criteria Grade ≥ 3 |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Aileen L Pangan, MD | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site Reference ID/Investigator# 21250 | Birmingham | Alabama | 35205 | United States | ||
| Site Reference ID/Investigator# 21249 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29587851 | Derived | van der Heijde D, Sieper J, Maksymowych WP, Lambert RG, Chen S, Hojnik M, Anderson JK, Pangan AL. Clinical and MRI remission in patients with nonradiographic axial spondyloarthritis who received long-term open-label adalimumab treatment: 3-year results of the ABILITY-1 trial. Arthritis Res Ther. 2018 Mar 27;20(1):61. doi: 10.1186/s13075-018-1556-5. | |
| 24574227 |
| Label | URL |
|---|---|
| Related Info | View source |
Not provided
A total of 192 participants were enrolled at 37 study sites in Australia, Belgium, Canada, the Czech Republic, France, Germany, the Netherlands, Spain, the United Kingdom, and the US. Due to Investigator non-compliance with protocol requirements, 1 study site was closed; the 7 participants enrolled at this site were excluded from efficacy analyses.
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received placebo every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period. |
| FG001 | Adalimumab |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Double-blind Treatment Period |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Placebo | Biological | Placebo every other week up to Week 12 |
|
| Open-label Adalimumab | Biological | 40 mg every other week, Week 12 through Week 156 |
|
|
| Baseline and Week 12 |
| Number of Participants Achieving a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) 50 Response | The Bath Ankylosing Spondylitis (AS) Disease Activity Index assesses disease activity by asking the participant to answer 6 questions (each on a 10 cm VAS) pertaining to symptoms experienced for the past week. For 5 questions (level of fatigue/tiredness, level of AS neck, back or hip pain, level of pain/swelling in joints, other than neck, back or hips, level of discomfort from any areas tender to touch or pressure, and level of morning stiffness), the response is from 0 (none) to 10 (very severe); for Question 6 (duration of morning stiffness), the response is from 0 (0 hours) to 10 (≥ 2 hours). The overall BASDAI score ranges from 0 to 10 cm. Lower scores indicate less disease activity. BASDAI50 is a 50% improvement from Baseline in BASDAI score. | Baseline and Week 12 |
| Change From Baseline in Short Form-36 (SF-36) Physical Component Summary Score | The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life. The SF-36 consists of 36 questions in 8 domains (limitations in physical functioning due to health problems; limitations in usual role because of physical health problems; bodily pain; general health perceptions; vitality; limitations in social functioning because of physical or emotional problems; limitations in usual role due to emotional problems; and general mental health). Two component scores can be summarized: physical and mental; domains 1-4 comprise the physical component summary of the SF-36. A transformed summary score is calculated ranging from 0 to 100 where higher scores indicate a higher level of functioning. A positive change from Baseline score indicates an improvement. | Baseline and Week 12 |
| Number of Participants Achieving ASAS Partial Remission | ASAS partial remission is an absolute score of < 20 units on a 0 to 100 scale for each of the four following domains:
| Week 12 |
| Number of Participants Achieving an ASAS5/6 Response | ASAS5/6 response is a 20% improvement in five out of the following six domains:
| Baseline and Week 12 |
| Change From Baseline in Disability Index of Health Assessment Questionnaire Modified for the Spondyloarthropathies (HAQ-S) | Health Assessment Questionnaire modified for spondyloarthropathies (HAQ-S) is a self-reported measure to assess the physical function and health-related quality of life. The Disability Index (DI) of HAQ-S is calculated as the mean of the following 8 category scores (range: 0 [without any difficulty] to 3 [unable to do]): Dressing and Grooming, Rising, Eating, Walking, Hygiene, Reach, Grip, and Activities. Five additional items in the functional status measure were included in the HAQ-S, including carrying heavy packages, sitting for long periods, able to work at a flat topped table, and (if the participant had a driver's license or a car) able to look in the rear view mirror and able to turn head to drive in reverse. The overall score ranges from 0 (no disability) to 3 (three very severe, high-dependency disability). Negative mean changes from Baseline in the overall score indicate improvement. | Baseline and Week 12 |
| Change From Baseline in High-Sensitivity C-Reactive Protein (hsCRP) | C-reactive protein (CRP) is considered an efficacy variable for the axial spondyloarthritis indication. It is a general marker of inflammation that is sensitive to acute changes in inflammatory response. Higher levels indicate more inflammation. | Baseline and Week 12 |
| Change From Baseline in Spondyloarthritis Research Consortium of Canada (SPARCC) Magnetic Resonance Imaging (MRI) Score for Sacroiliac Joints | Six consecutive sacroiliac (SI) joint image coronal slices representing the largest proportion of the synovial compartment of the SI joints were assessed for edema, intensity and depth of edema using SPARCC scoring. Each SI joint (left and right) was divided into quadrants for a total of 8 SI scoring locations. Each quadrant was scored for the presence (1) or absence (0) of edema; the maximum score is 8 per slice and maximum score for 6 SI joint slices is 48. Intensity of edema: A score of 1 was assigned for each SI joint (left and right) if an intense signal was seen in any quadrant of that joint for each slice. The maximum score is 2 per slice and 12 for 6 slices. A lesion was graded as deep (score of 1) if there was homogeneous and unequivocal increase in signal extending over a depth of at least 1 cm from the articular surface of the SI joint in any quadrant. The maximum score per slice is 2 and for 6 slices 12. The total maximum score for all SI joints across 6 slices is 72. | Baseline and Week 12 |
| Change From Baseline in SPARCC MRI Score for the Spine | Six discovertebral units (DVU) representing the 6 most abnormal DVUs, and 3 consecutive sagittal slices at each DVU representing the most abnormal slices for that DVU were selected for scoring. Each DVU was divided into 4 quadrants and scored for the presence (1) or absence (0) of edema. The maximum score is 12 per DVU. The maximum score is 72 for 6 DVUs. If edema was present in at least 1 quadrant of a DVU slice, it was scored for intensity and depth of the edema representing that slice: A score of 1 was assigned if an intense signal was seen in any quadrant on a DVU slice. The maximum score for intensity per slice is 1, per DVU is 3 and for 6 DVUs is 18. A lesion was graded as deep (score of 1) if there was homogeneous and unequivocal increase in signal extending over a depth of at least 1 cm from the surface of the endplate in any quadrant. The maximum score per slice is 1, for a DVU is 3 and for 6 DVUs is 18. The total maximum SPARCC score for all 6 DVUs is 108. | Baseline and Week 12 |
Blood was collected for analysis at designated study visits; hematology and chemistry results were provided by a central laboratory. The number of participants with an abnormal laboratory result (higher then upper normal limit or lower than lower normal limit) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. |
| Through Week 12 |
| Number of Participants Achieving an ASAS20 Response During the Open-label Period | ASAS20 response was defined as improvement of ≥ 20% relative to Baseline and absolute improvement of ≥ 10 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a change for the worse of ≥ 20% and net worsening of ≥ 10 units) in the potential remaining domain:
| Baseline and Weeks 52, 104, and 156 |
| Number of Participants Achieving an ASAS40 Response During the Open-label Period | ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 20 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of > 0 units on a scale of 0 to 100) in the potential remaining domain:
| Baseline and Weeks 52, 104, and 156 |
| Number of Participants Achieving a BASDAI50 Response During the Open-label Period | The Bath Ankylosing Spondylitis (AS) Disease Activity Index assesses disease activity by asking the participant to answer 6 questions (each on a 10 cm VAS) pertaining to symptoms experienced for the past week. For 5 questions (level of fatigue/tiredness, level of AS neck, back or hip pain, level of pain/swelling in joints, other than neck, back or hips, level of discomfort from any areas tender to touch or pressure, and level of morning stiffness), the response is from 0 (none) to 10 (very severe); for Question 6 (duration of morning stiffness), the response is from 0 (0 hours) to 10 (≥ 2 hours). The overall BASDAI score ranges from 0 to 10 cm. Lower scores indicate less disease activity. BASDAI50 is a 50% improvement from Baseline in BASDAI score. | Baseline and Weeks 52, 104, and 156 |
| Colorado Springs |
| Colorado |
| 80910 |
| United States |
| Site Reference ID/Investigator# 21245 | Denver | Colorado | 80230 | United States |
| Site Reference ID/Investigator# 21246 | Wheaton | Maryland | 20902 | United States |
| Site Reference ID/Investigator# 26582 | Duncansville | Pennsylvania | 16635 | United States |
| Site Reference ID/Investigator# 21241 | Wyomissing | Pennsylvania | 19610 | United States |
| Site Reference ID/Investigator# 21243 | Dallas | Texas | 75231 | United States |
| Site Reference ID/Investigator# 21248 | Houston | Texas | 77030 | United States |
| Site Reference ID/Investigator# 21247 | Seattle | Washington | 98122 | United States |
| Site Reference ID/Investigator# 22342 | Brisbane | 4102 | Australia |
| Site Reference ID/Investigator# 21223 | Kogarah | 2217 | Australia |
| Site Reference ID/Investigator# 21222 | Maroochydore | 4558 | Australia |
| Site Reference ID/Investigator# 21225 | Genk | 3600 | Belgium |
| Site Reference ID/Investigator# 21224 | Ghent | 9000 | Belgium |
| Site Reference ID/Investigator# 26544 | Gilly | 6060 | Belgium |
| Site Reference ID/Investigator# 27382 | Merksem | 2170 | Belgium |
| Site Reference ID/Investigator# 21229 | Edmonton | T6G 2S2 | Canada |
| Site Reference ID/Investigator# 21226 | Sainte-Foy, Quebec | G1W 4R4 | Canada |
| Site Reference ID/Investigator# 21227 | St. John's | A1C 5B8 | Canada |
| Site Reference ID/Investigator# 21228 | Toronto | M5T 2S8 | Canada |
| Site Reference ID/Investigator# 21231 | Brno | 65691 | Czechia |
| Site Reference ID/Investigator# 26882 | Pardubice | 530 02 | Czechia |
| Site Reference ID/Investigator# 21230 | Prague | 128 50 | Czechia |
| Site Reference ID/Investigator# 26883 | Uherské Hradiště | 686 01 | Czechia |
| Site Reference ID/Investigator# 21263 | Boulogne-Billancourt | 92100 | France |
| Site Reference ID/Investigator# 21262 | Chambray-les-Tour | 37170 | France |
| Site Reference ID/Investigator# 21261 | Orléans | 45067 | France |
| Site Reference ID/Investigator# 22343 | Paris | 75679 | France |
| Site Reference ID/Investigator# 21266 | Berlin | 12200 | Germany |
| Site Reference ID/Investigator# 21267 | Erlangen | 91054 | Germany |
| Site Reference ID/Investigator# 21264 | Herne | 44652 | Germany |
| Site Reference ID/Investigator# 21265 | Munich | 80336 | Germany |
| Site Reference ID/Investigator# 21285 | Amsterdam | 1105 AZ | Netherlands |
| Site Reference ID/Investigator# 21284 | Leiden | 2333 ZA | Netherlands |
| Site Reference ID/Investigator# 21282 | A Coruña | 15006 | Spain |
| Site Reference ID/Investigator# 21283 | Barcelona | 08907 | Spain |
| Site Reference ID/Investigator# 21281 | Córdoba | 14004 | Spain |
| Site Reference ID/Investigator# 21289 | Newcastle upon Tyne | NE7 7DN | United Kingdom |
| van der Heijde D, Sieper J, Maksymowych WP, Brown MA, Lambert RG, Rathmann SS, Pangan AL. Spinal inflammation in the absence of sacroiliac joint inflammation on magnetic resonance imaging in patients with active nonradiographic axial spondyloarthritis. Arthritis Rheumatol. 2014 Mar;66(3):667-73. doi: 10.1002/art.38283. |
| 22772328 | Derived | Sieper J, van der Heijde D, Dougados M, Mease PJ, Maksymowych WP, Brown MA, Arora V, Pangan AL. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomised placebo-controlled trial (ABILITY-1). Ann Rheum Dis. 2013 Jun;72(6):815-22. doi: 10.1136/annrheumdis-2012-201766. Epub 2012 Jul 7. |
Participants received adalimumab 40 mg subcutaneously every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Open-label Treatment Period |
|
|
Full analysis set, defined as all participants who received at least one dose of blinded study drug excluding seven participants from one site due to investigator non-compliance.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received placebo every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period. |
| BG001 | Double-blind Adalimumab | Participants received adalimumab 40 mg subcutaneously every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Achieving an Assessment of Spondyloarthritis International Society (ASAS) 40 Response | ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 20 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of > 0 units on a scale from 0 to 100) in the potential remaining domain:
| Full analysis set. Participants with missing data at Week 12 were counted as non-responders (non-responder imputation). | Posted | Number | participants | Baseline and Week 12 |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Achieving an Assessment of Spondyloarthritis International Society (ASAS) 20 Response | ASAS20 response was defined as improvement of ≥ 20% relative to Baseline and absolute improvement of ≥ 10 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a change for the worse of ≥ 20% and net worsening of ≥ 10 units) in the potential remaining domain:
| Full analysis set; Non-responder imputation performed. | Posted | Number | participants | Baseline and Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Achieving a Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) 50 Response | The Bath Ankylosing Spondylitis (AS) Disease Activity Index assesses disease activity by asking the participant to answer 6 questions (each on a 10 cm VAS) pertaining to symptoms experienced for the past week. For 5 questions (level of fatigue/tiredness, level of AS neck, back or hip pain, level of pain/swelling in joints, other than neck, back or hips, level of discomfort from any areas tender to touch or pressure, and level of morning stiffness), the response is from 0 (none) to 10 (very severe); for Question 6 (duration of morning stiffness), the response is from 0 (0 hours) to 10 (≥ 2 hours). The overall BASDAI score ranges from 0 to 10 cm. Lower scores indicate less disease activity. BASDAI50 is a 50% improvement from Baseline in BASDAI score. | Full analysis set; Non-responder imputation performed. | Posted | Number | participants | Baseline and Week 12 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Short Form-36 (SF-36) Physical Component Summary Score | The Medical Outcome Study Short Form 36-Item Health Survey, Version 2 (SF-36) is a self-administered instrument that measures the impact of disease on overall quality of life. The SF-36 consists of 36 questions in 8 domains (limitations in physical functioning due to health problems; limitations in usual role because of physical health problems; bodily pain; general health perceptions; vitality; limitations in social functioning because of physical or emotional problems; limitations in usual role due to emotional problems; and general mental health). Two component scores can be summarized: physical and mental; domains 1-4 comprise the physical component summary of the SF-36. A transformed summary score is calculated ranging from 0 to 100 where higher scores indicate a higher level of functioning. A positive change from Baseline score indicates an improvement. | Full analysis set with available data | Posted | Mean | Standard Deviation | units on a scale | Baseline and Week 12 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Achieving ASAS Partial Remission | ASAS partial remission is an absolute score of < 20 units on a 0 to 100 scale for each of the four following domains:
| Full analysis set; Non-responder imputation performed. | Posted | Number | participants | Week 12 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants Reporting Adverse Events | Adverse events were collected at designated study visits for all participants who received at least 1 dose of study drug. The number of participants experiencing any adverse event (serious and non-serious) is summarized. | All participants who received at least 1 dose of study drug. For the double-blind phase of the study, adverse events are reported through Week 12. | Posted | Number | participants | Through Week 12 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants With Blood Hematology or Chemistry Values Common Toxicity Criteria Grade ≥ 3 | Blood was collected for analysis at designated study visits; hematology and chemistry results were provided by a central laboratory. The number of participants with an abnormal laboratory result (higher then upper normal limit or lower than lower normal limit) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. | All participants who received at least 1 dose of study drug. Results for the double-blind phase phase of the study are reported through Week 12. | Posted | Number | participants | Through Week 12 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Participants Achieving an ASAS5/6 Response | ASAS5/6 response is a 20% improvement in five out of the following six domains:
| Full analysis set; Non-responder imputation performed. | Posted | Number | participants | Baseline and Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Disability Index of Health Assessment Questionnaire Modified for the Spondyloarthropathies (HAQ-S) | Health Assessment Questionnaire modified for spondyloarthropathies (HAQ-S) is a self-reported measure to assess the physical function and health-related quality of life. The Disability Index (DI) of HAQ-S is calculated as the mean of the following 8 category scores (range: 0 [without any difficulty] to 3 [unable to do]): Dressing and Grooming, Rising, Eating, Walking, Hygiene, Reach, Grip, and Activities. Five additional items in the functional status measure were included in the HAQ-S, including carrying heavy packages, sitting for long periods, able to work at a flat topped table, and (if the participant had a driver's license or a car) able to look in the rear view mirror and able to turn head to drive in reverse. The overall score ranges from 0 (no disability) to 3 (three very severe, high-dependency disability). Negative mean changes from Baseline in the overall score indicate improvement. | Full analysis set; participants with non-missing Baseline and at least one non-missing post-baseline values were included. Last observation carried forward was used. | Posted | Mean | Standard Deviation | units on a scale | Baseline and Week 12 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in High-Sensitivity C-Reactive Protein (hsCRP) | C-reactive protein (CRP) is considered an efficacy variable for the axial spondyloarthritis indication. It is a general marker of inflammation that is sensitive to acute changes in inflammatory response. Higher levels indicate more inflammation. | Full analysis set; participants with non-missing Baseline and at least one non-missing post-baseline value were included. Last observation carried forward was used. | Posted | Mean | Standard Deviation | mg/L | Baseline and Week 12 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Spondyloarthritis Research Consortium of Canada (SPARCC) Magnetic Resonance Imaging (MRI) Score for Sacroiliac Joints | Six consecutive sacroiliac (SI) joint image coronal slices representing the largest proportion of the synovial compartment of the SI joints were assessed for edema, intensity and depth of edema using SPARCC scoring. Each SI joint (left and right) was divided into quadrants for a total of 8 SI scoring locations. Each quadrant was scored for the presence (1) or absence (0) of edema; the maximum score is 8 per slice and maximum score for 6 SI joint slices is 48. Intensity of edema: A score of 1 was assigned for each SI joint (left and right) if an intense signal was seen in any quadrant of that joint for each slice. The maximum score is 2 per slice and 12 for 6 slices. A lesion was graded as deep (score of 1) if there was homogeneous and unequivocal increase in signal extending over a depth of at least 1 cm from the articular surface of the SI joint in any quadrant. The maximum score per slice is 2 and for 6 slices 12. The total maximum score for all SI joints across 6 slices is 72. | Full analysis set; participants with non-missing Baseline and non-missing post-baseline value were included. | Posted | Mean | Standard Deviation | units on a scale | Baseline and Week 12 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in SPARCC MRI Score for the Spine | Six discovertebral units (DVU) representing the 6 most abnormal DVUs, and 3 consecutive sagittal slices at each DVU representing the most abnormal slices for that DVU were selected for scoring. Each DVU was divided into 4 quadrants and scored for the presence (1) or absence (0) of edema. The maximum score is 12 per DVU. The maximum score is 72 for 6 DVUs. If edema was present in at least 1 quadrant of a DVU slice, it was scored for intensity and depth of the edema representing that slice: A score of 1 was assigned if an intense signal was seen in any quadrant on a DVU slice. The maximum score for intensity per slice is 1, per DVU is 3 and for 6 DVUs is 18. A lesion was graded as deep (score of 1) if there was homogeneous and unequivocal increase in signal extending over a depth of at least 1 cm from the surface of the endplate in any quadrant. The maximum score per slice is 1, for a DVU is 3 and for 6 DVUs is 18. The total maximum SPARCC score for all 6 DVUs is 108. | Full analysis set; participants with non-missing Baseline and non-missing post-baseline value were included. | Posted | Mean | Standard Deviation | units on a scale | Baseline and Week 12 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants Achieving an ASAS20 Response During the Open-label Period | ASAS20 response was defined as improvement of ≥ 20% relative to Baseline and absolute improvement of ≥ 10 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a change for the worse of ≥ 20% and net worsening of ≥ 10 units) in the potential remaining domain:
| Full analysis set participants with available data at each time point (as indicated by N) | Posted | Number | participants | Baseline and Weeks 52, 104, and 156 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants Achieving an ASAS40 Response During the Open-label Period | ASAS40 response was defined as improvement of ≥ 40% relative to Baseline and absolute improvement of ≥ 20 units (on a scale from 0 to 100) in ≥ 3 of the following 4 domains with no deterioration (defined as a net worsening of > 0 units on a scale of 0 to 100) in the potential remaining domain:
| Full analysis set participants with available data at each time point (indicated by N) | Posted | Number | participants | Baseline and Weeks 52, 104, and 156 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Participants Achieving a BASDAI50 Response During the Open-label Period | The Bath Ankylosing Spondylitis (AS) Disease Activity Index assesses disease activity by asking the participant to answer 6 questions (each on a 10 cm VAS) pertaining to symptoms experienced for the past week. For 5 questions (level of fatigue/tiredness, level of AS neck, back or hip pain, level of pain/swelling in joints, other than neck, back or hips, level of discomfort from any areas tender to touch or pressure, and level of morning stiffness), the response is from 0 (none) to 10 (very severe); for Question 6 (duration of morning stiffness), the response is from 0 (0 hours) to 10 (≥ 2 hours). The overall BASDAI score ranges from 0 to 10 cm. Lower scores indicate less disease activity. BASDAI50 is a 50% improvement from Baseline in BASDAI score. | Full analysis set participants with available data at each time point (indicated by N) | Posted | Number | participants | Baseline and Weeks 52, 104, and 156 |
|
Twelve weeks during the double blind period and up to Week 156 during the open-label period.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Double-blind Placebo | Participants received placebo every other week for 12 weeks during the double-blind period. | 1 | 97 | 32 | 97 | ||
| EG001 | Double-blind Adalimumab | Participants received adalimumab 40 mg subcutaneously every other week for 12 weeks during the double-blind period. | 3 | 95 | 42 | 95 | ||
| EG002 | Any Adalimumab | Participants who received any dose of adalimumab during the 12-week double-blind period or during the 144-week open-label period. | 33 | 190 | 152 | 190 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| CARDIOPULMONARY FAILURE | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VERTIGO | Ear and labyrinth disorders | MedDRA 15.1 | Systematic Assessment |
| |
| GOITRE | Endocrine disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MACULAR DEGENERATION | Eye disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OSCILLOPSIA | Eye disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ABDOMINAL PAIN LOWER | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| STOMATITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHEST PAIN | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHILLS | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NON-CARDIAC CHEST PAIN | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PYREXIA | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHOLECYSTITIS | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HEPATITIS ACUTE | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BURSITIS INFECTIVE | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| CELLULITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| DISSEMINATED TUBERCULOSIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| DIVERTICULITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PILONIDAL CYST | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| POSTOPERATIVE WOUND INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SINUSITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| TONSILLITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| FALL | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| INCISIONAL HERNIA | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| LACERATION | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| PROCEDURAL PAIN | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| INTERVERTEBRAL DISC PROTRUSION | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| LUPUS-LIKE SYNDROME | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OSTEOARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PERIARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| TENDON CALCIFICATION | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DIZZINESS | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MIGRAINE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ABORTION SPONTANEOUS | Pregnancy, puerperium and perinatal conditions | MedDRA 15.1 | Systematic Assessment |
| |
| COMPLETED SUICIDE | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SUICIDE ATTEMPT | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BREAST DYSPLASIA | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MENORRHAGIA | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VAGINAL PROLAPSE | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RASH | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ABORTION INDUCED | Surgical and medical procedures | MedDRA 15.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| CONJUNCTIVITIS | Eye disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CONSTIPATION | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ASTHENIA | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| FATIGUE | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| INJECTION SITE ERYTHEMA | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| INJECTION SITE PAIN | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| INJECTION SITE REACTION | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PYREXIA | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BRONCHITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| CYSTITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROENTERITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| INFLUENZA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| NASOPHARYNGITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ORAL HERPES | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PHARYNGITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| RHINITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SINUSITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| TONSILLITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| URINARY TRACT INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| VAGINAL INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| VULVOVAGINAL MYCOTIC INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| CONTUSION | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| FALL | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| HYPERCHOLESTEROLAEMIA | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ARTHRALGIA | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BURSITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MUSCLE SPASMS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MYALGIA | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SPONDYLITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SPONDYLOARTHROPATHY | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SYNOVIAL CYST | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| TENDONITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ANXIETY | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DEPRESSION | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OROPHARYNGEAL PAIN | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RASH | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HYPERTENSION | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
|
AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | AbbVie (prior sponsor, Abbott) | 800-633-9110 |
| ID | Term |
|---|---|
| D000089183 | Axial Spondyloarthritis |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D000844 | Ankylosis |
| D007592 | Joint Diseases |
| D001168 | Arthritis |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068879 | Adalimumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
Not provided
Not provided
| Lack of Efficacy |
|
| Pregnancy |
|
| Exclusion Criteria |
|
| Site Closure |
|
| Male |
|
|
|
|
| Counts |
|---|
| Participants |
|
|
|
| Units | Counts |
|---|
| Participants |
|
|
|
| Participants |
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
|
|
Double-blind adalimumab 40 mg subcutaneously every other week for 12 weeks
|
|
|
|
|
|
Participants received adalimumab 40 mg subcutaneously every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period.
|
|
Participants received adalimumab 40 mg subcutaneously every other week for 12 weeks during the double-blind period and then received adalimumab 40 mg subcutaneously every other week for up to 144 weeks during the open-label period.
|
|
|
|