Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2010-020744-35 | 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 disease modifying anti-rheumatic drug (DMARD) 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. BID = twice daily, CRP = C-reactive protein, DMARD = disease-modifying anti-rheumatic drug, PO = orally, QD = once a day. | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| 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. BID = twice daily, CRP = C-reactive protein, DMARD = Disease-modifying anti-rheumatic drug, PO = orally, QD = once a day. |
Not provided
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 | Birmingham | Alabama | United States | |||
| Research Site |
Not provided
| Label | URL |
|---|---|
| Related Info | View source |
| Related Info | View source |
| Related Info |
Not provided
A total of 719 patients failed screening.
A total of 1632 patients were enrolled: 308, 300 & 305 were randomised to Groups A, B & C, respectively (308, 298 & 302 received at least 1 dose of investigational product).
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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, Comparison Between Fostamatinib and Placebo at 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. 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, Comparison Between Fostamatinib and Placebo at 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. 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. Mean refers to change at Week 24. | Baseline and 24 weeks |
| Proportion of Patients Achieving DAS28-CRP <2.6 at Week 12, Comparison Between Fostamatinib and Placebo | 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, Comparison Between Fostamatinib and Placebo | 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 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. BID = twice daily, 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 then calculated by summing the category 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 a higher score indicating greater disability. The HAQ-DI response is a reduction from baseline in HAQ-DI score 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 |
| 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 were excluded from the analysis. ANCOVA = analysis of covariance, BID = twice daily, IP = investigational product, 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 quality of life. Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional and Mental Health) are derived and normalised to a scale of 0-100. Physical and mental component scores (PCS and MCS) are derived by multiplying each of these 8 scores by a constant, summing them and standardising against a population with mean of 50+/- 10. Higher scores represent a better quality of life. Mean changes from baseline score are presented 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 drugs, PO = orally, QD = once a day. | 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 quality of life. Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional and Mental Health) are derived and normalised to a scale of 0-100. Physical and mental component scores (PCS and MCS) are derived by multiplying each of these 8 scores by a constant, summing them and standardising against a population with mean of 50+/- 10. Higher scores represent a better quality of life. Mean changes from baseline score are presented 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 drugs, PO = orally, QD = once a day. | Baseline and 24 weeks |
| Glendale |
| Arizona |
| United States |
| Research Site | Mesa | Arizona | United States |
| Research Site | Phoenix | Arizona | United States |
| Research Site | Scottsdale | Arizona | United States |
| Research Site | Tucson | Arizona | United States |
| Research Site | Hot Springs | Arkansas | United States |
| Research Site | Huntington Beach | California | United States |
| Research Site | Torrance | California | United States |
| Research Site | Trumbull | Connecticut | United States |
| Research Site | Washington D.C. | District of Columbia | United States |
| Research Site | Boca Raton | Florida | United States |
| Research Site | Brandon | Florida | United States |
| Research Site | Jacksonville | Florida | United States |
| Research Site | Miami | Florida | United States |
| Research Site | Orlando | Florida | United States |
| Research Site | Tampa | Florida | United States |
| Research Site | Venice | Florida | United States |
| Research Site | Zephyrhills | Florida | United States |
| Research Site | Canton | Georgia | United States |
| Research Site | Decatur | Georgia | United States |
| Research Site | Macon | Georgia | United States |
| Research Site | Boise | Idaho | United States |
| Research Site | South Bend | Indiana | United States |
| Research Site | Elizabethtown | Kentucky | United States |
| Research Site | Crofton | Maryland | United States |
| Research Site | Cumberland | Maryland | United States |
| Research Site | Hagerstown | Maryland | United States |
| Research Site | Kalamazoo | Michigan | United States |
| Research Site | Flowood | Mississippi | United States |
| Research Site | St Louis | Missouri | United States |
| Research Site | Kalispell | Montana | United States |
| Research Site | Omaha | Nebraska | United States |
| Research Site | Manalapan | New Jersey | United States |
| Research Site | Las Cruces | New Mexico | United States |
| Research Site | Brooklyn | New York | United States |
| Research Site | Rochester | New York | United States |
| Research Site | Roslyn | New York | United States |
| Research Site | Syracuse | New York | United States |
| Research Site | Charlotte | North Carolina | United States |
| Research Site | Durham | North Carolina | United States |
| Research Site | Dayton | Ohio | United States |
| Research Site | Duncansville | Pennsylvania | United States |
| Research Site | Philadelphia | Pennsylvania | United States |
| Research Site | West Reading | Pennsylvania | United States |
| Research Site | Greenville | South Carolina | United States |
| Research Site | Orangeburg | South Carolina | United States |
| Research Site | Memphis | Tennessee | United States |
| Research Site | Amarillo | Texas | United States |
| Research Site | Austin | Texas | United States |
| Research Site | Dallas | Texas | United States |
| Research Site | Houston | Texas | United States |
| Research Site | Lubbock | Texas | United States |
| Research Site | Mesquite | Texas | United States |
| Research Site | San Antonio | Texas | United States |
| Research Site | Chesapeake | Virginia | United States |
| Research Site | Tacoma | Washington | United States |
| Research Site | Edmonton | Alberta | Canada |
| Research Site | Winnipeg | Manitoba | Canada |
| Research Site | Bowmanville | Ontario | Canada |
| Research Site | Hamilton | Ontario | Canada |
| Research Site | Mississauga | Ontario | Canada |
| Research Site | Ottawa | Ontario | Canada |
| Research Site | Toronto | Ontario | Canada |
| Research Site | Montreal | Quebec | Canada |
| Research Site | Québec | Quebec | Canada |
| Research Site | Trois-Rivières | Quebec | Canada |
| Research Site | Reading | Canada |
| Research Site | Brno | Czechia |
| Research Site | Bruntál | Czechia |
| Research Site | Česká Lípa | Czechia |
| Research Site | České Budějovice | Czechia |
| Research Site | Hlučín | Czechia |
| Research Site | Liberec | Czechia |
| Research Site | Ostrava - Trebovice | Czechia |
| Research Site | Prague | Czechia |
| Research Site | Sokolov | Czechia |
| Research Site | Terezín | Czechia |
| Research Site | Zlín | Czechia |
| Research Site | Erlangen | Germany |
| Research Site | Hamburg | Germany |
| Research Site | München | Germany |
| Research Site | Hyderabad | Andhra Pradesh | India |
| Research Site | Ahmedabad | Gujarat | India |
| Research Site | Gandhinagar | Gujarat | India |
| Research Site | Vadodara | Gujarat | India |
| Research Site | Bangalore | Karnataka | India |
| Research Site | Mangalore | Karnataka | India |
| Research Site | Mumbai | Maharashtra | India |
| Research Site | Pune | Maharashtra | India |
| Research Site | Coimbatore | Tamil Nadu | India |
| Research Site | Madurai | Tamil Nadu | India |
| Research Site | Lucknow | India |
| Research Site | Ashkelon | Israel |
| Research Site | Beer Yaakov | Israel |
| Research Site | Haifa | Israel |
| Research Site | Kfar Saba | Israel |
| Research Site | Petah Tikva | Israel |
| Research Site | Ramat Gan | Israel |
| Research Site | Rehovot | Israel |
| Research Site | Tel Aviv | Israel |
| Research Site | Iesi | AN | Italy |
| Research Site | Legnano | MI | Italy |
| Research Site | Udine | UD | Italy |
| Research Site | Varese | VA | Italy |
| Research Site | Liepāja | Latvia |
| Research Site | Riga | Latvia |
| Research Site | Valmiera | Latvia |
| Research Site | Kaunas | Lithuania |
| Research Site | Klaipėda | Lithuania |
| Research Site | Šiauliai | Lithuania |
| Research Site | Aveiro | Portugal |
| Research Site | Lisbon | Portugal |
| Research Site | Porto | Portugal |
| Research Site | Baia Mare | Romania |
| Research Site | Brailari | Romania |
| Research Site | Bucharest | Romania |
| Research Site | Ploieşti | Romania |
| Research Site | Belgrade | Serbia |
| Research Site | Kragujevac | Serbia |
| Research Site | Niška Banja | Serbia |
| Research Site | Novi Sad | Serbia |
| Research Site | Kempron Park | Gauteng | South Africa |
| Research Site | Pretoria | Gauteng | South Africa |
| Research Site | Durban | Kz-natal | South Africa |
| Research Site | Cape Town | W Cape | South Africa |
| Research Site | Port Elizabeth | South Africa |
| Research Site | Stellenbosch | South Africa |
| Research Site | La Laguna (tenerife) | Canary Islands | Spain |
| Research Site | Mérida | Extremadura | Spain |
| Research Site | Barcelona | Spain |
| Research Site | Getafe | Spain |
| Research Site | Kharkiv | Ukraine |
| Research Site | Kyiv | Ukraine |
| Research Site | Lutsk | Ukraine |
| Research Site | Lviv | Ukraine |
| Research Site | Simferopol | Ukraine |
| Research Site | Vinnytsia | Ukraine |
| Research Site | Zaporizhzhya | Ukraine |
| Research Site | Zaporyzhzhya | Ukraine |
| Research Site | Maidstone | Kent | United Kingdom |
| Research Site | Eastbourne | Sussex | United Kingdom |
| Research Site | Solihull | West Midlands | United Kingdom |
| Research Site | Basingstoke | United Kingdom |
| Research Site | Cambridge | United Kingdom |
| Research Site | London | United Kingdom |
| Research Site | Newcastle upon Tyne | United Kingdom |
| Research Site | Stoke-on-Trent | United Kingdom |
| Research Site | Swindon | United Kingdom |
| View source |
| 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 |
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| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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. 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 |
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| Secondary | 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. 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 | 1 week |
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| Secondary | Proportion of Patients Achieving ACR50, Comparison Between Fostamatinib and Placebo at 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. 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 |
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| Secondary | Proportion of Patients Achieving ACR70, Comparison Between Fostamatinib and Placebo at 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. 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 |
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| 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. 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 | Baseline and 24 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Patients Achieving DAS28-CRP <2.6 at Week 12, Comparison Between Fostamatinib and Placebo | 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, Comparison Between Fostamatinib and Placebo | 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 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. BID = twice daily, 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 |
|
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| 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 then calculated by summing the category 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 a higher score indicating greater disability. The HAQ-DI response is a reduction from baseline in HAQ-DI score 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 | 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 were excluded from the analysis. ANCOVA = analysis of covariance, BID = twice daily, IP = investigational product, QD = once a day. | The full analysis set includes patients who received at least 1 dose of IP. Patients were analysed by randomised treatment in accordance with the intention to treat principle. Measurements at 2 timepoints are required 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 | 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 quality of life. Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional and Mental Health) are derived and normalised to a scale of 0-100. Physical and mental component scores (PCS and MCS) are derived by multiplying each of these 8 scores by a constant, summing them and standardising against a population with mean of 50+/- 10. Higher scores represent a better quality of life. Mean changes from baseline score are presented 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 drugs, 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 | 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 quality of life. Scores for 8 sub-domains (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Function, Role-Emotional and Mental Health) are derived and normalised to a scale of 0-100. Physical and mental component scores (PCS and MCS) are derived by multiplying each of these 8 scores by a constant, summing them and standardising against a population with mean of 50+/- 10. Higher scores represent a better quality of life. Mean changes from baseline score are presented 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 drugs, 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 | 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. 11 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 | 30 | 308 | 170 | 308 | ||
| EG001 | FOSTA 100 MG BID (4 WKS) THEN 150 MG QD | Dosing Group B | 25 | 298 | 152 | 298 | ||
| EG002 | PLACEBO (24 WKS) THEN FOSTA 100 MG BID - FOSTA Period | Dosing Group C | 10 | 302 | 42 | 302 | ||
| EG003 | PLACEBO (24 WKS) THEN FOSTA 100 MG BID - Placebo Period | 10 | 302 | 77 | 302 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| LEUKOPENIA | Blood and lymphatic system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ANGINA PECTORIS | 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 ARREST | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| LEFT VENTRICULAR FAILURE | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MYOCARDIAL INFARCTION | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VENTRICULAR FIBRILLATION | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MACULAR HOLE | Eye disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COLITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| COLITIS ULCERATIVE | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DIARRHOEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| GASTRITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| GASTRITIS EROSIVE | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| GASTRITIS HAEMORRHAGIC | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| LOWER GASTROINTESTINAL HAEMORRHAGE | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OESOPHAGITIS ULCERATIVE | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PANCREATITIS CHRONIC | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| STOMATITIS | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| VOMITING | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NON-CARDIAC CHEST PAIN | General disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHOLECYSTITIS ACUTE | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CHOLELITHIASIS | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HEPATOCELLULAR INJURY | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NON-ALCOHOLIC STEATOHEPATITIS | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ACUTE SINUSITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ARTHRITIS BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ATYPICAL PNEUMONIA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BRONCHITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BRONCHITIS BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BRONCHITIS VIRAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| BURSITIS INFECTIVE | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| DENGUE FEVER | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| DEVICE RELATED INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ENTEROCOLITIS BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| ESCHERICHIA INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROENTERITIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROENTERITIS BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| GASTROINTESTINAL BACTERIAL INFECTION | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| HERPES SIMPLEX | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| INFLUENZA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PNEUMOCOCCAL SEPSIS | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PNEUMONIA | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| PNEUMONIA STREPTOCOCCAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| URINARY TRACT INFECTION BACTERIAL | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
| |
| CLAVICLE FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| FEMORAL NECK 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 |
| |
| OVERDOSE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| ULNA FRACTURE | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
| |
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| ASPARTATE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| BLOOD CREATINE PHOSPHOKINASE INCREASED | Investigations | MedDRA 15.1 | Systematic Assessment |
| |
| HYPOCALCAEMIA | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
| |
| HYPOKALAEMIA | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
| |
| OBESITY | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MYOSITIS | 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 |
| |
| BONE NEOPLASM MALIGNANT | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| METASTASES TO CENTRAL NERVOUS SYSTEM | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| METASTATIC BRONCHIAL CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| PARATHYROID TUMOUR BENIGN | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| RENAL ONCOCYTOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| SQUAMOUS CELL CARCINOMA OF SKIN | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.1 | Systematic Assessment |
| |
| CAROTID ARTERY STENOSIS | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| CONVULSION | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| LUMBAR RADICULOPATHY | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| SYNCOPE | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ANXIETY | Psychiatric disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RENAL FAILURE ACUTE | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| URINARY RETENTION | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ENDOMETRIOSIS | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MENORRHAGIA | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| UTERINE HAEMORRHAGE | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| UTERINE POLYP | Reproductive system and breast disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ACUTE RESPIRATORY DISTRESS SYNDROME | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ALLERGIC BRONCHITIS | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| ASTHMA | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PULMONARY EMBOLISM | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| PULMONARY TOXICITY | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| RESPIRATORY FAILURE | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| DEEP VEIN THROMBOSIS | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
| |
| MALIGNANT HYPERTENSION | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| DIARRHOEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NAUSEA | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
| |
| NASOPHARYNGITIS | 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 |
| |
| 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
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dave Goldstraw | AstraZeneca Pharmaceuticals | +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 |
|
|
|
| Counts |
|---|
| Participants |
|
|
|
| Counts |
|---|
| Participants |
|
|
|
Dosing Group C
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Participants |
|
|
|
Dosing Group C |
|
|
|
Dosing Group C |
|
|
|
| PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO |
Dosing Group C |
|
|
|
| PLACEBO (24 WKS) THEN FOSTA 100 MG BID PO |
Dosing Group C |
|
|
|