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This was an open-label, Phase 2 study designed to obtain user experience data (Phase A) and injection time data (Phase B) in experienced adalimumab patients injected with the Physiolis pre-filled syringe and autoinjector used to administer adalimumab.
This was a Phase 2, open-label study consisting of 2 study phases with a total of 3 study visits, each visit occurring 2 weeks apart from each other. Phase A (User Experience) was a randomized, 2-period, cross-over phase in which single subcutaneous (SC) dose injections were administered using either the Physiolis autoinjector and current autoinjector or the Physiolis syringe and current syringe in a 1:1 ratio. Phase B (Injection Time) was a randomized, single-visit, parallel-arm phase, with injection into a test tube, and one SC injection given to participants using the Physiolis autoinjector or current autoinjector administered at 2 different temperature ranges (2° to 8°C [storage temperature] and 20° to 27°C [room temperature]). If a participant only completed Visit 1 and Visit 2, then the participant was to be replaced for Visit 3. If the participant only completed Visit 1, the participant was to be replaced for all study visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Current/Physiolis Syringe | Experimental | Self-injection using current syringe at Week 0 (Visit 1), self-injection using Physiolis syringe at Week 2 (Visit 2) (Phase A) |
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| Physiolis/Current Syringe | Experimental | Self-injection using Physiolis syringe at Week 0 (Visit 1), self-injection using current syringe at Week 2 (Visit 2) (Phase A) |
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| Current/Physiolis Autoinjector | Experimental | Self-injection using current autoinjector at Week 0 (Visit 1), self-injection using Physiolis autoinjector at Week 2 (Visit 2) (Phase A) |
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| Physiolis/Current Autoinjector | Experimental | Self-injection using Physiolis autoinjector at Week 0 (Visit 1), self-injection using current autoinjector at Week 2 (Visit 2) (Phase A) |
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| Physiolis Autoinjector at 2° to 8°C |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adalimumab delivered in current syringe | Device | Pre-filled currently approved glass syringe containing 40 mg/0.8 mL adalimumab to be injected subcutaneously |
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| Measure | Description | Time Frame |
|---|---|---|
| Participants' Overall Satisfaction With the Drug Administration Experience Using the Physiolis Syringe/Autoinjector in Comparison to the Current Syringe/Autoinjector | Participant's overall satisfaction of the injection was collected on a 10-cm visual analog scale (VAS) completed by participants immediately after self-injection. 0 = extremely unsatisfied, 10 = extremely satisfied. | Phase A (Week 0 and Week 2) |
| Injection Duration for the Physiolis Autoinjector at Room Temperature (20° to 27°C) and at Storage Temperature (2° to 8°C) Compared to the Current Autoinjector Ejection Time Specification of Not More Than 10 Seconds | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). | Phase B (Week 4) |
| Measure | Description | Time Frame |
|---|---|---|
| Injection Duration for the Current Autoinjector Compared to the Physiolis Autoinjector | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrew Payne, PhD | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site Reference ID/Investigator# 27144 | Victorville | California | 92395 | United States | ||
| Site Reference ID/Investigator# 27153 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29035675 | Background | Li Z, Easton R. Practical considerations in clinical strategy to support the development of injectable drug-device combination products for biologics. MAbs. 2018 Jan;10(1):18-33. doi: 10.1080/19420862.2017.1392424. Epub 2017 Nov 7. |
| Label | URL |
|---|---|
| Related Info | View source |
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One participant withdrew after Phase A and was replaced with a new participant prior to Phase B. Participants were re-randomized for Phase B.
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| ID | Title | Description |
|---|---|---|
| FG000 | Current Syringe First, Then Physiolis Syringe | Self-injection using current syringe at Week 0 (Visit 1), self-injection using Physiolis syringe at Week 2 (Visit 2) (Phase A) |
| FG001 | Physiolis Syringe First, Then Current Syringe |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Phase A (User Experience), Weeks 0 and 2 |
|
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Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at storage temperature (2° to 8°C) (Phase B) |
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| Current Autoinjector 2° to 8°C | Experimental | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at storage temperature (2° to 8°C) (Phase B) |
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| Physiolis Autoinjector 20° to 27°C | Experimental | Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at room temperature (20° to 27°C) (Phase B) |
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| Current Autoinjector 20° to 27°C | Experimental | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at room temperature (20° to 27°C) (Phase B) |
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| Adalimumab delivered in Physiolis syringe | Device | Pre-filled Physiolis glass syringe containing 40 mg/0.8 mL adalimumab to be injected subcutaneously |
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| Adalimumab delivered in current autoinjector | Device | Pre-filled currently approved autoinjector containing 40 mg/0.8mL adalimumab to be injected subcutaneously |
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| Adalimumab delivered in Physiolis autoinjector | Device | Pre-filled Physiolis autoinjector containing 40 mg/0.8 mL adalimumab to be injected subcutaneously |
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| Phase B (Week 4) |
| Injection Duration for the Current Autoinjector When Administered at Room Temperature (20° to 27°C) Versus the Storage Temperature (2° to 8°C) | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). | Phase B (Week 4) |
| Tampa |
| Florida |
| 33614 |
| United States |
| Site Reference ID/Investigator# 27150 | Passaic | New Jersey | 07055 | United States |
| Site Reference ID/Investigator# 27143 | Duncansville | Pennsylvania | 16635 | United States |
| Site Reference ID/Investigator# 27145 | Wyomissing | Pennsylvania | 19610 | United States |
| Site Reference ID/Investigator# 27142 | Charleston | South Carolina | 29406 | United States |
| Site Reference ID/Investigator# 27151 | Jackson | Tennessee | 38305 | United States |
| Site Reference ID/Investigator# 27152 | Dallas | Texas | 75231 | United States |
| Site Reference ID/Investigator# 27147 | Houston | Texas | 77074 | United States |
| Site Reference ID/Investigator# 27155 | Tyler | Texas | 75701 | United States |
Self-injection using Physiolis syringe at Week 0 (Visit 1), self-injection using current syringe at Week 2 (Visit 2) (Phase A)
| FG002 | Current Autoinjector First, Then Physiolis Autoinjector | Self-injection using current autoinjector at Week 0 (Visit 1), self-injection using Physiolis autoinjector at Week 2 (Visit 2) (Phase A) |
| FG003 | Physiolis Autoinjector First, Then Current Autoinjector | Self-injection using Physiolis autoinjector at Week 0 (Visit 1), self-injection using current autoinjector at Week 2 (Visit 2) (Phase A) |
| FG004 | Physiolis Autoinjector at 2° to 8°C | Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at storage temperature (2° to 8°C) (Phase B) |
| FG005 | Current Autoinjector 2° to 8°C | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at storage temperature (2° to 8°C) (Phase B) |
| FG006 | Physiolis Autoinjector 20° to 27°C | Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at room temperature (20° to 27°C) (Phase B) |
| FG007 | Current Autoinjector 20° to 27°C | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at room temperature (20° to 27°C) (Phase B) |
| COMPLETED |
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| NOT COMPLETED |
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| Phase B (Injection Time), Week 4 |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Includes participants from Phases A and B of the study |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | Participants' Overall Satisfaction With the Drug Administration Experience Using the Physiolis Syringe/Autoinjector in Comparison to the Current Syringe/Autoinjector | Participant's overall satisfaction of the injection was collected on a 10-cm visual analog scale (VAS) completed by participants immediately after self-injection. 0 = extremely unsatisfied, 10 = extremely satisfied. | Posted | Mean | Standard Deviation | cm | Phase A (Week 0 and Week 2) |
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| Primary | Injection Duration for the Physiolis Autoinjector at Room Temperature (20° to 27°C) and at Storage Temperature (2° to 8°C) Compared to the Current Autoinjector Ejection Time Specification of Not More Than 10 Seconds | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). | Posted | Mean | 90% Confidence Interval | seconds | Phase B (Week 4) |
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| Secondary | Injection Duration for the Current Autoinjector Compared to the Physiolis Autoinjector | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). | Posted | Mean | 90% Confidence Interval | seconds | Phase B (Week 4) |
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| Secondary | Injection Duration for the Current Autoinjector When Administered at Room Temperature (20° to 27°C) Versus the Storage Temperature (2° to 8°C) | A health care provider administered the injection to the participant, while another recorded the time elapsed during the injection (from the time of autoinjector activation, signaled by the audible "click," until the yellow indicator stopped moving in the autoinjector view window). Injections were administered immediately following removal from the refrigerator (2° to 8°C) or after at least 30 minutes, but no more than 45 minutes, following removal from the refrigerator for the product to reach room temperature (20° to 27°C). | Posted | Mean | 90% Confidence Interval | seconds | Phase B (Week 4) |
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Adverse events were collected from the time of study drug administration until 70 days following the last treatment. Serious adverse events were collected from the time the participant signed the informed consent.
Those participants that continued on adalimumab therapy after the end of the study were not required to complete the 70-day follow-up.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Current Syringe | Self-injection using current syringe at Week 0 (Visit 1) or Week 2 (Visit 2) (Phase A) | 0 | 40 | 3 | 40 | ||
| EG001 | Physiolis Syringe | Self-injection using Physiolis syringe at Week 0 (Visit 1) or Week 2 (Visit 2) (Phase A) | 0 | 42 | 0 | 42 | ||
| EG002 | Current Autoinjector | Self-injection using current autoinjector at Week 0 (Visit 1) or Week 2 (Visit 2) (Phase A) | 0 | 42 | 3 | 42 | ||
| EG003 | Physiolis Autoinjector | Self-injection using Physiolis autoinjector at Week 0 or Week 2 (Visit 2) (Phase A) | 0 | 41 | 4 | 41 | ||
| EG004 | Physiolis Autoinjector at 2° to 8°C | Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at storage temperature (2° to 8°C) (Phase B) | 0 | 18 | 0 | 18 | ||
| EG005 | Current Autoinjector 2° to 8°C | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at storage temperature (2° to 8°C) (Phase B) | 0 | 27 | 1 | 27 | ||
| EG006 | Physiolis Autoinjector 20° to 27°C | Injection performed by health care provider at Week 4 (Visit 3) using Physiolis autoinjector at room temperature (20° to 27°C) (Phase B) | 0 | 16 | 0 | 16 | ||
| EG007 | Current Autoinjector 20° to 27°C | Injection performed by health care provider at Week 4 (Visit 3) using current autoinjector at room temperature (20° to 27°C) (Phase B) | 0 | 20 | 0 | 20 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 13.0 | Systematic Assessment |
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| Injection site reaction | General disorders | MedDRA 13.0 | Systematic Assessment |
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| Odema | General disorders | MedDRA 13.0 | Systematic Assessment |
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| Odema peripheral | General disorders | MedDRA 13.0 | Systematic Assessment |
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| Swelling | General disorders | MedDRA 13.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 13.0 | Systematic Assessment |
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| Arthropod bite | Injury, poisoning and procedural complications | MedDRA 13.0 | Systematic Assessment |
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| Vitamin D decreased | Investigations | MedDRA 13.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Pruritis | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Psoriasis | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 13.0 | Systematic Assessment |
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| Hypoaesthesia | Nervous system disorders | MedDRA 13.0 | Systematic Assessment |
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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 |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D001168 | Arthritis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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