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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-000525-31 | EudraCT Number |
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The purpose of this study is to compare the effectiveness and safety of ABP 501 against adalimumab (HUMIRA®) in adults with moderate to severe rheumatoid arthritis (RA) who have an inadequate response to methotrexate (MTX).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ABP 501 | Experimental | Participants received ABP 501 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
|
| Adalimumab | Active Comparator | Participants received adalimumab 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ABP 501 | Biological | Solution for subcutaneous injection in pre-filled syringe |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With an American College of Rheumatology (ACR) 20 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Baseline and Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Disease Activity Score 28-C-reactive Protein (DAS28-CRP) | The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables:
The DAS28-CRP score ranges from approximately zero to ten. Higher DAS28-CRP scores indicate higher disease activity. A repeated measures analysis with the DAS28-CRP change from baseline as the response and the stratification variables, visit, treatment, treatment-by-visit interaction and the baseline DAS28-CRP measurement as predictors in the model was performed. |
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Inclusion Criteria:
Exclusion Criteria:
Other Inclusion/Exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Victorville | California | 92395 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33263165 | Derived | Huizinga TWJ, Torii Y, Muniz R. Adalimumab Biosimilars in the Treatment of Rheumatoid Arthritis: A Systematic Review of the Evidence for Biosimilarity. Rheumatol Ther. 2021 Mar;8(1):41-61. doi: 10.1007/s40744-020-00259-8. Epub 2020 Dec 1. | |
| 28584187 | Derived | Cohen S, Genovese MC, Choy E, Perez-Ruiz F, Matsumoto A, Pavelka K, Pablos JL, Rizzo W, Hrycaj P, Zhang N, Shergy W, Kaur P. Efficacy and safety of the biosimilar ABP 501 compared with adalimumab in patients with moderate to severe rheumatoid arthritis: a randomised, double-blind, phase III equivalence study. Ann Rheum Dis. 2017 Oct;76(10):1679-1687. doi: 10.1136/annrheumdis-2016-210459. Epub 2017 Jun 5. |
| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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Participants were randomized 1:1 to receive either ABP 501 or adalimumab at 40 mg every 2 weeks for 22 weeks. Randomization was stratified by geographic region and prior biologic use for rheumatoid arthritis (capped at 40% of the study population).
This study was conducted at 92 centers in 12 countries in Europe, North America and Latin America.
The first participant enrolled on 24 October 2013 and the last participant enrolled on 26 May 2014.
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| ID | Title | Description |
|---|---|---|
| FG000 | ABP 501 | Participants received ABP 501 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
| FG001 | Adalimumab | Participants received adalimumab 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Adalimumab | Biological | Solution for subcutaneous injection in pre-filled syringe |
|
|
| Baseline and weeks 2, 4, 8, 12, 18, and 24 |
| Percentage of Participants With an ACR20 Response at Week 2 and Week 8 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Baseline, week 2 and week 8 |
| Percentage of Participants With an ACR50 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Baseline and week 24 |
| Percentage of Participants With an ACR70 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Baseline and Week 24 |
| Number of Participants With Adverse Events | Adverse events (AEs) were graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale: 1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal. A treatment-related AE is defined as an event where the answer to the question "is there a reasonable possibility that the event may have been caused by the Investigational Medicinal Product" was yes. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria:
| From the time of first treatment up to 28 days following the last dose of study treatment; 26 weeks. |
| Percentage of Participants Who Developed Antibodies to ABP 501 or Adalimumab | Two validated assays were used to detect the presence of anti-drug antibodies. Samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect anti-drug antibodies (ADA) against ABP 501 and adalimumab (Binding Antibody Assay). Samples confirmed to be positive for binding antibodies were subsequently tested in a non-cell based bioassay to determine neutralizing activity against ABP 501 or adalimumab (Neutralizing Antibody Assay). Developing antibody incidence is defined as a negative or no antibody result at baseline and a positive antibody result at a post-baseline time point. | Up to week 26 |
| Jupiter |
| Florida |
| 33458 |
| United States |
| Research Site | Sandy Springs | Georgia | 30328 | United States |
| Research Site | Lansing | Michigan | 48910 | United States |
| Research Site | Middleburg Heights | Ohio | 44130 | United States |
| Research Site | Winnipeg | Manitoba | R3A 1M3 | Canada |
| Research Site | Hattingen | North Rhine-Westphalia | 45525 | Germany |
| Research Site | Barnsley | England | S75 2EP | United Kingdom |
| Research Site | North Shields | England | NE29 8NH | United Kingdom |
| Research Site | Suffolk | England | IP4 5PD | United Kingdom |
| Research Site | Cardiff | Wales | CF14 4XN | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
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The full analysis set (all randomized participants)
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| ID | Title | Description |
|---|---|---|
| BG000 | ABP 501 | Participants received ABP 501 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
| BG001 | Adalimumab | Participants received adalimumab 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Number | participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | participants |
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| Ethnicity | Number | participants |
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| Geographic Region | Number | participants |
| ||||||||||||||||
| Prior Biological Use for Rheumatoid Arthritis (RA) | Number | participants |
| ||||||||||||||||
| Duration of RA | Mean | Standard Deviation | years |
| |||||||||||||||
| Swollen Joint Count | Sixty-six joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination. | Mean | Standard Deviation | swollen joints |
| ||||||||||||||
| Tender Joint Count | Sixty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination. | Mean | Standard Deviation | tender joints |
| ||||||||||||||
| Subject Global Health Assessment | The participant's overall assessment of their disease activity in the past week on a 0 to 10 horizontal scale. The left-hand extreme of the scale was described as "no RA activity at all" (symptom-free and no arthritis symptoms; score = 0) and the right-hand extreme as "worst RA activity imaginable" (maximum arthritis disease activity; score = 10). | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Investigator Global Health Assessment | The Investigator's assessment of the participant's current disease activity on a 0 to 10 horizontal scale. The left-hand extreme of the scale was described as "no activity at all" (symptom-free and no arthritis symptoms; score = 0) and the right-hand extreme as "worst activity imaginable" (maximum arthritis disease activity; score = 10). | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Subject's Assessment of Disease Related Pain | The participant's assessment of their current level of pain on a 100 mm horizontal visual analogue scale (VAS). The left-hand extreme of the line was described as "no pain at all" (score = 0) and the right-hand extreme as "worst pain imaginable" (score = 100). | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Health Assessment Questionnaire-Disability Index (HAQ-DI) | The HAQ-DI questionnaire asks participants to rate their level of difficulty on daily activities as well as their use of aids, devices, or help from another person for these activities and disabilities. Responses are scored from 0 indicating no difficulty to 3 indicating inability to perform a task in that area. The overall score is the average of each of the 8 category scores and ranges from 0 (no disability) to 3 (very severe, high-dependency disability). Data are available for 263 and 261 participants in each group respectively. | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| C-reactive Protein | Mean | Standard Deviation | mg/L |
| |||||||||||||||
| Disease Activity Score 28-C-Reactive Protein (DAS28-CRP) | The DAS28-CRP is a composite score to measure disease activity in patients with RA, derived from the following variables:
DAS28-CRP scores range from approximately zero to ten. Higher scores indicate higher disease activity. Data are available for 264 and 261 participants in each group respectively. | Mean | Standard Deviation | units on a scale |
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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 | Percentage of Participants With an American College of Rheumatology (ACR) 20 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| The full analysis set (all randomized participants); missing values were imputed using the last observation carried forward (LOCF) method for participants with at least 1 postbaseline value. | Posted | Number | percentage of participants | Baseline and Week 24 |
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| Secondary | Change From Baseline in Disease Activity Score 28-C-reactive Protein (DAS28-CRP) | The DAS28-CRP is a composite score to measure disease activity in patients with rheumatoid arthritis, derived from the following variables:
The DAS28-CRP score ranges from approximately zero to ten. Higher DAS28-CRP scores indicate higher disease activity. A repeated measures analysis with the DAS28-CRP change from baseline as the response and the stratification variables, visit, treatment, treatment-by-visit interaction and the baseline DAS28-CRP measurement as predictors in the model was performed. | Full analysis set with available data at each time point | Posted | Least Squares Mean | Standard Deviation | units on a scale | Baseline and weeks 2, 4, 8, 12, 18, and 24 |
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| Secondary | Percentage of Participants With an ACR20 Response at Week 2 and Week 8 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Full analysis set; LOCF imputation was used for participants with at least 1 postbaseline value (indicated by n). | Posted | Number | percentage of participants | Baseline, week 2 and week 8 |
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| Secondary | Percentage of Participants With an ACR50 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Full analysis set with available data at week 24 | Posted | Number | percentage of participants | Baseline and week 24 |
|
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| Secondary | Percentage of Participants With an ACR70 Response at Week 24 | A participant was a responder if the following 3 criteria for improvement from Baseline were met:
| Full analysis set with available data at week 24 | Posted | Number | percentage of participants | Baseline and Week 24 |
|
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| Secondary | Number of Participants With Adverse Events | Adverse events (AEs) were graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 according to the following scale: 1 = mild; 2 = moderate; 3 = severe; 4 = life-threatening; 5 = fatal. A treatment-related AE is defined as an event where the answer to the question "is there a reasonable possibility that the event may have been caused by the Investigational Medicinal Product" was yes. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria:
| The safety analysis set (all participants who received at least 1 dose of study drug) | Posted | Number | participants | From the time of first treatment up to 28 days following the last dose of study treatment; 26 weeks. |
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| Secondary | Percentage of Participants Who Developed Antibodies to ABP 501 or Adalimumab | Two validated assays were used to detect the presence of anti-drug antibodies. Samples were first tested in an electrochemiluminescence (ECL)-based bridging immunoassay to detect anti-drug antibodies (ADA) against ABP 501 and adalimumab (Binding Antibody Assay). Samples confirmed to be positive for binding antibodies were subsequently tested in a non-cell based bioassay to determine neutralizing activity against ABP 501 or adalimumab (Neutralizing Antibody Assay). Developing antibody incidence is defined as a negative or no antibody result at baseline and a positive antibody result at a post-baseline time point. | Participants with at least 1 evaluable antibody test result (to either ABP 501 or adalimumab) | Posted | Number | percentage of participants | Up to week 26 |
|
|
From the time of first treatment but on or within 28 days following the last dose of study treatment; 26 weeks.
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
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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 | ABP 501 | Participants received ABP 501 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. | 10 | 264 | 17 | 264 | ||
| EG001 | Adalimumab | Participants received adalimumab 40 mg subcutaneously on day 1 and every 2 weeks thereafter until week 22. | 13 | 262 | 19 | 262 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA 17.1 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA 17.1 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 17.1 | Systematic Assessment |
| |
| Cardiopulmonary failure | Cardiac disorders | MedDRA 17.1 | Systematic Assessment |
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| Myocardial infarction | Cardiac disorders | MedDRA 17.1 | Systematic Assessment |
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| Wolff-Parkinson-White syndrome | Cardiac disorders | MedDRA 17.1 | Systematic Assessment |
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| Enterocolitis | Gastrointestinal disorders | MedDRA 17.1 | Systematic Assessment |
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| Large intestinal obstruction | Gastrointestinal disorders | MedDRA 17.1 | Systematic Assessment |
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| Corneal graft rejection | Immune system disorders | MedDRA 17.1 | Systematic Assessment |
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| Hypersensitivity | Immune system disorders | MedDRA 17.1 | Systematic Assessment |
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| Appendicitis perforated | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Arthritis bacterial | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Peritoneal abscess | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Pneumonia fungal | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 17.1 | Systematic Assessment |
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| Meniscus injury | Injury, poisoning and procedural complications | MedDRA 17.1 | Systematic Assessment |
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| Thoracic vertebral fracture | Injury, poisoning and procedural complications | MedDRA 17.1 | Systematic Assessment |
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| Foot deformity | Musculoskeletal and connective tissue disorders | MedDRA 17.1 | Systematic Assessment |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 17.1 | Systematic Assessment |
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| Pseudarthrosis | Musculoskeletal and connective tissue disorders | MedDRA 17.1 | Systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA 17.1 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 17.1 | Systematic Assessment |
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| Venous thrombosis limb | Vascular disorders | MedDRA 17.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA 17.1 | Systematic Assessment |
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The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Amgen Inc. | 866-572-6436 |
| 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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| ID | Term |
|---|---|
| C000630676 | ABP 501 |
| D000068879 | Adalimumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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| ≥ 65 years |
|
| Male |
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| Black or African American |
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| Asian |
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| American Indian or Alaska Native |
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| Native Hawaiian or Other Pacific Islander |
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| Other |
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| Not Hispanic or Latino |
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| Not Allowed to Collect |
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| Western Europe |
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| North America |
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| Latin America |
|
| No |
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| Participants |
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| Participants |
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| Participants |
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