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| ID | Type | Description | Link |
|---|---|---|---|
| 2010-020743-12 | EudraCT Number |
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The purpose of the study is to evaluate the effectiveness of two dosing regimens of fostamatinib compared to placebo, in patients with rheumatoid arthritis (RA) who are taking methotrexate but not responding. The study will last for 1 year.
Sub-study:
Full title: Optional Genetic Research
Date: 18 June 2010
Version: 1
Objectives: To collect and store, with appropriate consent ,DNA samples for future exploratory research into genes/genetic variation that may influence response (ie, absorption, distribution, metabolism and excretion, safety, tolerability and efficacy) to fostamatinib disodium and/or methotrexate; and/or susceptibility to, progression of and prognosis of RA
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dosing Regimen A | Experimental | Oral Treatment |
|
| Dosing Regimen B | Experimental | Oral Treatment |
|
| Dosing Regimen C | Placebo Comparator | Oral Treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fostamatinib | Drug | fostamatinib 100 mg twice daily |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Patients With ACR20 at Week 24, Comparison Between Fostamatinib and Placebo. | ACR20: American College of Rheumatology 20% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | 24 weeks |
| Change From Baseline to Week 24 in mTSS, Comparison Between Fostamatinib and Placebo. | mTSS: modified total Sharp score, a measure of structural progression based upon X-rays. Hand and foot joints are scored for erosions and joint space narrowing and the results summed to give a value between 0 and 448. A higher value represents more serious progression of the disease. After disregarding ineligible records, patients with 2 or more non-missing values have had missing data imputed via linear extrapolation/interpolation methods. Patients with only 1 result have been excluded from the analysis. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease-modifying anti-rheumatic drug, IP=investigational product, PO=orally, QD=once a day. | Baseline and 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| ACR20 - Proportion of Patients Achieving ACR20, Comparison Between Fostamatinib and Placebo at Week 1 | ACR20: American College of Rheumatology 20% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Neil MacKillop, MD PhD | AstraZeneca | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Anniston | Alabama | United States | |||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29669391 | Derived | Kjelgaard-Petersen CF, Platt A, Braddock M, Jenkins MA, Musa K, Graham E, Gantzel T, Slynn G, Weinblatt ME, Karsdal MA, Thudium CS, Bay-Jensen AC. Translational Biomarkers and Ex Vivo Models of Joint Tissues as a Tool for Drug Development in Rheumatoid Arthritis. Arthritis Rheumatol. 2018 Sep;70(9):1419-1428. doi: 10.1002/art.40527. Epub 2018 Jul 24. |
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A total of 552 patients failed screening.
A total of 1475 patients were enrolled: 311, 306 & 306 were randomised to Groups A, B & C, respectively (310, 304 & 304 received at least 1 dose of IP).
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| ID | Title | Description |
|---|---|---|
| FG000 | FOSTA 100 MG BID PO | Dosing Group A |
| FG001 | FOSTA 100 MG BID (4 WKS) THEN 150 MG QD PO | Dosing Group B |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| fostamatinib |
| Drug |
fostamatinib 100 mg twice daily/150 mg once daily |
|
| placebo, fostamatinib | Drug | Placebo for 24 weeks followed by fostamatinib 100 mg twice daily |
|
| 1 week |
| Proportion of Patients Achieving ACR50 up to Week 24 | ACR50: American College of Rheumatology 50% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | 24 weeks |
| Proportion of Patients Achieving ACR70 up to Week 24 | ACR70: American College of Rheumatology 70% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | 24 weeks |
| ACRn - Comparison Between Fostamatinib and Placebo at Week 24 | ACRn: American College of Rheumatology index of RA improvement, based on smallest percentage improvement in the count of swollen joints (out of 28 joints), count of tender joints (out of 28 joints), or in blood test measures of inflammation (such as CRP) or the physician or patient's own assessments of disease activity, pain and physical function. Scores are reported as a percentage improvement on a scale of -100 to +100, with larger values representing a better clinical outcome. BID=twice daily, CI=confidence interval, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day, RA=rheumatoid arthritis. Mean refers to change at Week 24. | 24 weeks |
| Proportion of Patients Achieving DAS28-CRP <2.6 at Week 12 | DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. A DAS28-CRP score of <2.6 is indicative of remission of RA symptoms. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | 12 weeks |
| Proportion of Patients Achieving DAS28-CRP <2.6 at Week 24 | DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. A DAS28-CRP score of <2.6 is indicative of remission of RA symptoms. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | 24 weeks |
| Proportion of Patients Achieving DAS28-CRP EULAR Response at Week 24 | Change in DAS28 was derived for each post baseline scheduled assessment and categorised using the European League Against Rheumatism (EULAR) response criteria. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DAS28=Disease Activity Score based on a 28-joint count, DMARD=disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | 24 weeks |
| HAQ-DI Response - Comparison of the Change (>=0.22) From Baseline Between Fostamatinib and Placebo at Week 24 | HAQ-DI: Health Assessment Questionnaire - Disability Index, a measure of physical function. The HAQ-DI score is calculated by summing scores from 8 sub-categories (ie, scores for patient ability in dressing and grooming, rising, eating, walking, hygiene, reach, grip and common daily activities) and dividing by the number of categories completed. The HAQ-DI score takes values between 0 and 3, with higher score indicating greater disability. HAQ-DI response: a reduction from baseline in HAQ-DI greater than or equal to the minimally important difference (0.22). BID=twice daily, DMARD=disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | Baseline and 24 weeks |
| SF-36 - Comparison of the Change in PCS From Baseline Between Fostamatinib and Placebo at Week 24 | SF-36: 36 item Short Form Health Survey, a measure of health-related QoL. Scores for 8 sub-domains (Physical Functioning, Role-physical, Bodily Pain, General Health, Vitality, Social Function, Role-emotional & Mental Health) are derived & normalised to a scale of 0-100. Physical Component Scores (PCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10. Higher scores represent a better QoL. Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease modifying antirheumatic drug, PO=orally, QD=once daily, QoL=quality of life. | Baseline and 24 weeks |
| SF-36 - Comparison of the Change in MCS From Baseline Between Fostamatinib and Placebo at Week 24 | SF-36: 36 item Short Form Health Survey, a measure of health-related QoL. Scores for 8 sub-domains (Physical Functioning, Role-physical, Bodily Pain, General Health, Vitality, Social Function, Role-emotional & Mental Health) are derived & normalised to a scale of 0-100. Mental Component Scores (MCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10. Higher scores represent a better QoL. Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease modifying antirheumatic drug, PO=orally, QD=once daily, QoL=quality of life. | Baseline and 24 weeks |
| Huntsville |
| Alabama |
| United States |
| Research Site | Tuscaloosa | Alabama | United States |
| Research Site | Tucson | Arizona | United States |
| Research Site | Huntington Beach | California | United States |
| Research Site | Long Beach | California | United States |
| Research Site | Santa Maria | California | United States |
| Research Site | Santa Monica | California | United States |
| Research Site | Colorado Springs | Colorado | United States |
| Research Site | Bridgeport | Connecticut | United States |
| Research Site | Lewes | Delaware | United States |
| Research Site | Daytona Beach | Florida | United States |
| Research Site | Ocala | Florida | United States |
| Research Site | Atlanta | Georgia | United States |
| Research Site | Marietta | Georgia | United States |
| Research Site | Idaho Falls | Idaho | United States |
| Research Site | Springfield | Illinois | United States |
| Research Site | Wichita | Kansas | United States |
| Research Site | Bowling Green | Kentucky | United States |
| Research Site | Flowood | Mississippi | United States |
| Research Site | Florissant | Missouri | United States |
| Research Site | Richmond Heights | Missouri | United States |
| Research Site | St Louis | Missouri | United States |
| Research Site | Kalispell | Montana | United States |
| Research Site | Albuquerque | New Mexico | United States |
| Research Site | Albany | New York | United States |
| Research Site | Brooklyn | New York | United States |
| Research Site | Olean | New York | United States |
| Research Site | Asheville | North Carolina | United States |
| Research Site | Greensboro | North Carolina | United States |
| Research Site | Perrysburg | Ohio | United States |
| Research Site | Lake Oswego | Oregon | United States |
| Research Site | Erie | Pennsylvania | United States |
| Research Site | Waxford | Pennsylvania | United States |
| Research Site | Charleston | South Carolina | United States |
| Research Site | Hixson | Tennessee | United States |
| Research Site | Memphis | Tennessee | United States |
| Research Site | Dallas | Texas | United States |
| Research Site | Houston | Texas | United States |
| Research Site | Mesquite | Texas | United States |
| Research Site | San Antonio | Texas | United States |
| Research Site | Reading | Berkshire | Argentina |
| Research Site | Buenos Aires | Buenos Aires F.D. | Argentina |
| Research Site | Ciudad Autonoma Bs As | CBA | Argentina |
| Research Site | Córdoba | CRD | Argentina |
| Research Site | San Juan | San Juan Province | Argentina |
| Research Site | Rosario | Santa Fe Province | Argentina |
| Research Site | San Miguel de Tucumán | TUC | Argentina |
| Research Site | Caba | Argentina |
| Research Site | Quilmes | Argentina |
| Research Site | Camperdown | New South Wales | Australia |
| Research Site | Cairns | Queensland | Australia |
| Research Site | Southport | Queensland | Australia |
| Research Site | Brussels | Belgium |
| Research Site | Yvoir | Belgium |
| Research Site | Vitória | Espírito Santo | Brazil |
| Research Site | Curitiba | Paraná | Brazil |
| Research Site | Recife | Pernambuco | Brazil |
| Research Site | São Paulo | São Paulo | Brazil |
| Research Site | Rio de Janeiro | Brazil |
| Research Site | Plovdiv | Bulgaria |
| Research Site | Sevlievo | Bulgaria |
| Research Site | Sofia | Bulgaria |
| Research Site | Veliko Tarnovo | Bulgaria |
| Research Site | Osorno | Los Lagos Region | Chile |
| Research Site | Santiago | Chile |
| Research Site | Pärnu | Estonia |
| Research Site | Tallinn | Estonia |
| Research Site | Tartu | Estonia |
| Research Site | Orléans | France |
| Research Site | Paris | France |
| Research Site | Balatonfüred | Hungary |
| Research Site | Békéscsaba | Hungary |
| Research Site | Budapest | Hungary |
| Research Site | Debrecen | Hungary |
| Research Site | Makó | Hungary |
| Research Site | Sopron | Hungary |
| Research Site | Szentes | Hungary |
| Research Site | Zalaegerszeg-pozva | Hungary |
| Research Site | Secunderabad | Andhra Pradesh | India |
| Research Site | Visakhapatnam | Andhra Pradesh | India |
| Research Site | Ahmedabad | Gujarat | India |
| Research Site | Bangalore | Karnataka | India |
| Research Site | Mangalore | Karnataka | India |
| Research Site | Udupi | Karnataka | India |
| Research Site | Nagpur | Maharshtra | India |
| Research Site | Lucknow | Uttar Pradesh | India |
| Research Site | Hyderabad | India |
| Research Site | Kolkata | India |
| Research Site | Chihuahua City | Chihuahua | Mexico |
| Research Site | Saltillo | Coahuila | Mexico |
| Research Site | Guadalajara | Jalisco | Mexico |
| Research Site | Mexico City | Mexico City | Mexico |
| Research Site | San Luis Potosi | Mexico | Mexico |
| Research Site | Monterrey | Nuevo León | Mexico |
| Research Site | Obrergon | Sonora | Mexico |
| Research Site | Mexicali | Mexico |
| Research Site | Arequipa | Arequipa | Peru |
| Research Site | Lima | Lima Province | Peru |
| Research Site | Pueblo Libre | Lima region | Peru |
| Research Site | Bytom | Poland |
| Research Site | Chełm Śląski | Poland |
| Research Site | Grodzisk Mazowiecki | Poland |
| Research Site | Katowice | Poland |
| Research Site | Krakow | Poland |
| Research Site | Warsaw | Poland |
| Research Site | Wroclaw | Poland |
| Research Site | Żyrardów | Poland |
| Research Site | Bratislava | Slovakia | Slovakia |
| Research Site | Žilina | Slovakia | Slovakia |
| Research Site | Poprad | Slovakia |
| Research Site | Rimavská Sobota | Slovakia |
| Research Site | Donetsk | Ukraine |
| Research Site | Ivano-Frankivsk | Ukraine |
| Research Site | Kharkiv | Ukraine |
| Research Site | Kiev | Ukraine |
| Research Site | Kyiv | Ukraine |
| Research Site | Lviv | Ukraine |
| Research Site | Odesa | Ukraine |
| Research Site | Vinnytsia | Ukraine |
| Research Site | Zaporyzhzhya | Ukraine |
| Research Site | Warrington | Cheshire | United Kingdom |
| Research Site | Christchurch | United Kingdom |
| Research Site | Ipswich | United Kingdom |
| Research Site | London | United Kingdom |
| Research Site | Metropolitan Borough of Wirral | United Kingdom |
| Research Site | Westcliff-on-the Sea | United Kingdom |
| FG002 |
| PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO |
Dosing Group C |
| Randomised But Did Not Receive Treatment |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | FOSTA 100 MG BID PO | Dosing Group A |
| BG001 | FOSTA 100 MG BID (4 WKS) THEN 150 MG QD PO | Dosing Group B |
| BG002 | PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO | Dosing Group C |
| BG003 | 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 |
| ||||||||||||||||
| Race/Ethnicity, Customized | Number | 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 | Proportion of Patients With ACR20 at Week 24, Comparison Between Fostamatinib and Placebo. | ACR20: American College of Rheumatology 20% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 24 weeks |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Change From Baseline to Week 24 in mTSS, Comparison Between Fostamatinib and Placebo. | mTSS: modified total Sharp score, a measure of structural progression based upon X-rays. Hand and foot joints are scored for erosions and joint space narrowing and the results summed to give a value between 0 and 448. A higher value represents more serious progression of the disease. After disregarding ineligible records, patients with 2 or more non-missing values have had missing data imputed via linear extrapolation/interpolation methods. Patients with only 1 result have been excluded from the analysis. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease-modifying anti-rheumatic drug, IP=investigational product, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of IP. Patients were analysed by randomised treatment. Measurements at 2 timepoints are required in order for a patient to be included in the analysis; therefore patients with only 1 result have been excluded from the analysis population. | Posted | Mean | Standard Deviation | Units on a scale | Baseline and 24 weeks |
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| Secondary | ACR20 - Proportion of Patients Achieving ACR20, Comparison Between Fostamatinib and Placebo at Week 1 | ACR20: American College of Rheumatology 20% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 1 week |
|
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| Secondary | Proportion of Patients Achieving ACR50 up to Week 24 | ACR50: American College of Rheumatology 50% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Patients Achieving ACR70 up to Week 24 | ACR70: American College of Rheumatology 70% response criteria, based on count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (such as CRP) and the physician and patient's own assessments of disease activity, pain and physical function. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | ACRn - Comparison Between Fostamatinib and Placebo at Week 24 | ACRn: American College of Rheumatology index of RA improvement, based on smallest percentage improvement in the count of swollen joints (out of 28 joints), count of tender joints (out of 28 joints), or in blood test measures of inflammation (such as CRP) or the physician or patient's own assessments of disease activity, pain and physical function. Scores are reported as a percentage improvement on a scale of -100 to +100, with larger values representing a better clinical outcome. BID=twice daily, CI=confidence interval, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, PO=orally, QD=once a day, RA=rheumatoid arthritis. Mean refers to change at Week 24. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Mean | Standard Deviation | Percentage improvement from baseline | 24 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Patients Achieving DAS28-CRP <2.6 at Week 12 | DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. A DAS28-CRP score of <2.6 is indicative of remission of RA symptoms. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 12 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Patients Achieving DAS28-CRP <2.6 at Week 24 | DAS28-CRP: Disease Activity Score based on a count of swollen and tender joints (out of 28 joints), blood test measures of inflammation (CRP) and the patient's own assessment. Scores can take any positive value with a lower value indicating a better clinical condition. A DAS28-CRP score of <2.6 is indicative of remission of RA symptoms. BID=twice daily, CRP=C-reactive protein, DMARD=Disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Patients Achieving DAS28-CRP EULAR Response at Week 24 | Change in DAS28 was derived for each post baseline scheduled assessment and categorised using the European League Against Rheumatism (EULAR) response criteria. Non-responder imputation has been applied by carrying the baseline observation forward. BID=twice daily, CRP=C-reactive protein, DAS28=Disease Activity Score based on a 28-joint count, DMARD=disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | HAQ-DI Response - Comparison of the Change (>=0.22) From Baseline Between Fostamatinib and Placebo at Week 24 | HAQ-DI: Health Assessment Questionnaire - Disability Index, a measure of physical function. The HAQ-DI score is calculated by summing scores from 8 sub-categories (ie, scores for patient ability in dressing and grooming, rising, eating, walking, hygiene, reach, grip and common daily activities) and dividing by the number of categories completed. The HAQ-DI score takes values between 0 and 3, with higher score indicating greater disability. HAQ-DI response: a reduction from baseline in HAQ-DI greater than or equal to the minimally important difference (0.22). BID=twice daily, DMARD=disease-modifying anti-rheumatic drug, OR=odds ratio, PO=orally, QD=once a day. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle. | Posted | Number | Percentage of responders | Baseline and 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | SF-36 - Comparison of the Change in PCS From Baseline Between Fostamatinib and Placebo at Week 24 | SF-36: 36 item Short Form Health Survey, a measure of health-related QoL. Scores for 8 sub-domains (Physical Functioning, Role-physical, Bodily Pain, General Health, Vitality, Social Function, Role-emotional & Mental Health) are derived & normalised to a scale of 0-100. Physical Component Scores (PCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10. Higher scores represent a better QoL. Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease modifying antirheumatic drug, PO=orally, QD=once daily, QoL=quality of life. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle | Posted | Mean | Standard Deviation | Units on a scale | Baseline and 24 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | SF-36 - Comparison of the Change in MCS From Baseline Between Fostamatinib and Placebo at Week 24 | SF-36: 36 item Short Form Health Survey, a measure of health-related QoL. Scores for 8 sub-domains (Physical Functioning, Role-physical, Bodily Pain, General Health, Vitality, Social Function, Role-emotional & Mental Health) are derived & normalised to a scale of 0-100. Mental Component Scores (MCS) are derived by multiplying each of these 8 scores by a constant, summing them & standardising against a population with mean of 50, standard deviation of 10. Higher scores represent a better QoL. Mean changes from baseline score are presented at each visit as increases from baseline (defined as post-baseline minus baseline); larger changes indicate a better clinical condition. ANCOVA=analysis of covariance, BID=twice daily, DMARD=disease modifying antirheumatic drug, PO=orally, QD=once daily, QoL=quality of life. | The full analysis set includes those patients who received at least 1 dose of investigational product. Patients were analysed by randomised treatment in accordance with the intention to treat principle | Posted | Mean | Standard Deviation | Units on a scale | Baseline and 24 weeks |
|
52 weeks
For placebo treated patients time frame includes both placebo (24 weeks) and fostamatinib (28 weeks) treatment. 5 SAEs occurred during the 24 week placebo treated period.
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 | FOSTA 100 MG BID | Dosing Group A | 24 | 310 | 169 | 310 | ||
| EG001 | FOSTA 100 MG BID (4 WKS) THEN 150 MG QD | Dosing Group B | 24 | 304 | 191 | 304 | ||
| EG002 | PLACEBO (24 WKS) THEN FOSTA 100 MG BID - FOSTA Period | Dosing Group C | 12 | 304 | 64 | 304 | ||
| EG003 | PLACEBO (24 WKS) THEN FOSTA 100 MG BID - Placebo Period | 5 | 304 | 80 | 304 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ANAEMIA | Blood and lymphatic system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ACUTE MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ATRIAL FIBRILLATION | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ATRIAL FLUTTER | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CARDIAC FAILURE | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CARDIAC FAILURE ACUTE | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CARDIOPULMONARY FAILURE | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHORIORETINOPATHY | Eye disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COLITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COLONIC OBSTRUCTION | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DUODENAL ULCER HAEMORRHAGE | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ATRIAL THROMBOSIS | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| GASTRITIS ATROPHIC | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PANCREATITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| REFLUX GASTRITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BILE DUCT OBSTRUCTION | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BILIARY COLIC | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHOLECYSTITIS | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHOLELITHIASIS | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ANAPHYLACTIC REACTION | Immune system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| APPENDICITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BACTERIAL DIARRHOEA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BRONCHITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| CELLULITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ESCHERICHIA URINARY TRACT INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROENTERITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROENTERITIS VIRAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PANCREATITIS VIRAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PNEUMONIA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PULMONARY TUBERCULOSIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SEPSIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| SEPTIC SHOCK | 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 |
| |
| ACCIDENTAL OVERDOSE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| CONTUSION | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| FEMORAL NECK FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| FEMUR FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| FIBULA FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| HIP FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| HUMERUS FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| SPINAL FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| TIBIA FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| DEHYDRATION | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
| |
| FOOT DEFORMITY | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OSTEOARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PATHOLOGICAL FRACTURE | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RHEUMATOID ARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SPONDYLOLISTHESIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SYSTEMIC LUPUS ERYTHEMATOSUS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| BASAL CELL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| GANGLIONEUROMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| GASTRIC CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| RENAL CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| THYROID CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| UTERINE LEIOMYOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| ISCHAEMIC STROKE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MULTIPLE SCLEROSIS | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| TRANSIENT GLOBAL AMNESIA | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ABORTION SPONTANEOUS | Pregnancy, puerperium and perinatal conditions | MedDRA 15.1 | Systematic Assessment |
| |
| CONFUSIONAL STATE | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CALCULUS URINARY | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NEPHROLITHIASIS | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RENAL ARTERY STENOSIS | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RENAL FAILURE ACUTE | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HAEMORRHAGIC OVARIAN CYST | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| METRORRHAGIA | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ACUTE RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DYSPNOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| INTERSTITIAL LUNG DISEASE | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ANGIOEDEMA | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VITILIGO | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CIRCULATORY COLLAPSE | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HYPOTENSION | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HYPOVOLAEMIC SHOCK | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PERIPHERAL ISCHAEMIA | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NASOPHARYNGITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| URINARY TRACT INFECTION BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| ASPARTATE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| BLOOD PRESSURE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RHEUMATOID ARTHRITIS | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HYPERTENSION | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dave Goldstraw | AstraZeneca | +44 (0)1625 512415 | dave.goldstraw@astrazeneca.com |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| 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 |
Not provided
Not provided
| ID | Term |
|---|---|
| C523665 | fostamatinib |
Not provided
Not provided
Not provided
| Male |
|
| Black or African American |
|
| Asian |
|
| American Indian or Alaska Native |
|
| Indian or Pakistani |
|
| Other |
|
| Non-responder imputation has been applied following premature withdrawal, or increased dose of methotrexate or any DMARD initiation, or for 8 weeks following receipt of any parenteral steroids, or for patients with no post baseline data. | Mantel Haenszel | Treatment difference in proportion of responders with a Mantel Haenszel approach stratified by pooled country. | 0.006 | Week 24 | Weighted difference in proportions | 0.10 | 2-Sided | 95 | 0.03 | 0.18 | No | Superiority or Other |
Dosing Group C |
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Dosing Group C
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Dosing Group C
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| PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO |
Dosing Group C |
|
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| PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO |
Dosing Group C |
|
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|