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This study is designed to evaluate RLHFs concerning administration of the tocilizumab autoinjector AI-1000 G2 in adults with rheumatoid arthritis (RA) who have been receiving subcutaneous (SC) tocilizumab using the commercially available prefilled syringe and needle safety device (PFS-NSD). The study will enroll participants with RA, a subset of whom will be assigned to perform self-injection with the AI-1000 G2. Enrolled caregivers (CGs) and healthcare professionals (HCPs) will administer the AI-1000 G2 injection to the remaining study participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caregivers | Experimental | CGs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation. |
|
| Healthcare Professionals | Experimental | HCPs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation. |
|
| RA Group 1 (Self-Administration) | Experimental | Participants with RA will perform self-injection of SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation. |
|
| RA Group 2 (Administration by CG) | Other | CGs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI-1000 G2 | Device | Tocilizumab will be administered using the AI-1000 G2. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During First Unassisted Use | Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the first unassisted use (Day 14) was reported. | Day 14 |
| Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During Second Unassisted Use | Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the second unassisted use (Day 28) was reported. | Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Successfully Performed Ancillary Tasks During First and Second Unassisted Use | Ancillary tasks included those tasks where the potential harm resulting from use error would be minor in severity, or the resultant harms were estimated to occur at sufficiently low levels. Ancillary tasks included the following: wash hands; clean the injection site with alcohol swab; wait for the alcohol to dry; dispose of the autoinjector cap; inspect full dose delivered after use; dispose of the autoinjector; and treatment of injection site after injection. The percentage of participants who succesffully performed ancillary tasks during the first (Day 14) and second unassisted use (Day 28) was reported. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arizona Arthritis and Rheuma | Mesa | Arizona | 85202 | United States | ||
| Valerius Medical Group & Research Ctr of Greater Long Beach |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31043095 | Derived | Fettner S, Mela C, Wildenhahn F, Tavanti M, Wells C, Douglass W, Mallalieu NL. Evidence of bioequivalence and positive patient user handling of a tocilizumab autoinjector. Expert Opin Drug Deliv. 2019 May;16(5):551-561. doi: 10.1080/17425247.2019.1604678. Epub 2019 May 2. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Caregivers | Caregivers (CGs) performed injection of 162 milligrams (mg) subcutaneous (SC) tocilizumab to a subset of participants with rheumatoid arthritis (RA) using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| FG001 | Healthcare Professionals | Healthcare professionals (HCPs) performed injection of 162 mg SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| FG002 | RA Group 1 (Self-Administration) | Participants with RA performed self-injection of 162 mg SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| FG003 | RA Group 2 (Administration by CG) | CGs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| FG004 | RA Group 3 (Administration by HCP) | HCPs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visit 1 (Day 0) was performed by the study nurse. Visits 2 and 3 (Days 14 and 28) were conducted by the HCP for use/performance evaluation. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety Population: All participants who received (or in the case of CGs and HCPs, administered) at least one dose of study drug.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Caregivers | CGs performed injection of 162 mg SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| BG001 | Healthcare Professionals |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 | Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During First Unassisted Use | Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the first unassisted use (Day 14) was reported. | Safety Population; only those who performed the administration task(s) on Day 14 were included because the endpoint was not applicable to non-injecting participants. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Number | percentage of participants | Day 14 |
Days 0-28
Safety Population; only participants with RA were assessed for adverse events. CGs and HCPs were not included in the analysis.
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 | RA Group 1 (Self-Administration) | Participants with RA performed self-injection of 162 mg SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA v19.0 | Non-systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Communications | Hoffmann-La Roche | 800-821-8590 | genentech@druginfo.com |
Not provided
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C502936 | tocilizumab |
Not provided
Not provided
Not provided
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| RA Group 3 (Administration by HCP) | Other | HCPs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visit 1 (Day 0) will be performed by the study nurse. Visits 2 and 3 (Days 14 and 28) will be conducted by the HCP for use/performance evaluation. |
|
| Tocilizumab | Drug | Participants will receive three doses of SC tocilizumab using the AI-1000 G2 device at Visits 1, 2, and 3 (Days 0, 14, and 28). The dose will remain at 162 milligrams (mg) unless changes are required per protocol for safety or efficacy reasons. |
|
|
| Days 14, 28 |
| Visual Analog Scale (VAS) Score for Injection Pain Among Participants With RA | Injection pain was assessed on a continuous 100-millimeter (mm) VAS, where 0 mm represents "no pain" and 100 mm represents "unbearable pain". The mean VAS response at each assessment timepoint was reported among participants with RA. | 0 and 15 minutes after injection on Days 0, 14, 28 |
| Percentage of Participants by Response to Categorical Scale of Injection Pain Among Participants With RA | Injection pain was assessed on a categorical 6-point Likert scale, ranging from "no pain" to "severe and intolerable". The percentage of participants was reported by response at each assessment timepoint among participants with RA. | 0 and 15 minutes after injection on Days 0, 14, 28 |
| Percentage of Participants by Response to Device Satisfaction Questionnaire | Device satisfaction was assessed using twelve questions on a categorical 5-point Likert scale, ranging from "strongly agree" to "strongly disagree". Question (Q) 1 (felt the autoinjection was easy to use), Q2 (felt comfortable while using the autoinjector), Q3 (felt the autoinjector was easy to hold), Q4 (able to tell when injection had completed), Q5 (felt he/she can inject properly with the autoinjector), Q6 (felt he/she had control over the injection process), Q7 (felt confident that he/she injected successfully), Q8 (felt it is easy to dispose of the autoinjector), Q9 (autoinjector would help to manage his/her injection schedule), Q10 (liked the look/feel of the autoinjector), Q11 (would recommend the autoinjector to someone else who needed to inject), Q12 (would continue having injections with the autoinjector). The percentage of participants was reported by response at each assessment among participants with RA, CGs, and HCPs. | Days 0, 14, 28 |
| Tender Joint Count (TJC) Among Participants With RA | Sixty-eight joints were assessed for tenderness among participants with RA. The number of tender joints at Baseline was reported. | Baseline (Day 0) |
| Swollen Joint Count (SJC) Among Participants With RA | Sixty-six joints were assessed for swelling among participants with RA. The number of swollen joints at Baseline was reported. | Baseline (Day 0) |
| Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Among Participants With RA | Ability to perform daily living activities was assessed across eight component sets including dressing/grooming, arising, eating, walking, hygiene, reach, grip, and common activities. Twenty questions were scored on a 4-point Likert scale from 0 meaning "without any difficulty" to 3 meaning "unable to do". The overall score was computed as the sum of domain scores divided by the number of domains answered. Therefore, the score range for HAQ-DI was the same as that of the individual questions, that is, from 0 to 3, where 0 indicates "least difficulty" and 3 indicates "extreme difficulty". The mean change from baseline in HAQ-DI at each assessment was reported among participants with RA. | Days 0, 14, 28 |
| Los Alamitos |
| California |
| 90720 |
| United States |
| Pacific Arthritis Ctr Med Grp | Santa Maria | California | 93454 | United States |
| Bluegrass Comm Research, Inc. | Lexington | Kentucky | 40515 | United States |
| Oklahoma Center For Arthritis Therapy & Research | Tulsa | Oklahoma | 74104 | United States |
| Altoona Center For Clinical Research | Duncansville | Pennsylvania | 16635 | United States |
| Advanced Rheumatology & Arthritis Research Center | Wexford | Pennsylvania | 15090 | United States |
| Metroplex Clinical Research | Dallas | Texas | 75231 | United States |
| Protocol Deviation |
|
| Adverse Event |
|
HCPs performed injection of 162 mg SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| BG002 | RA Group 1 (Self-Administration) | Participants with RA performed self-injection of 162 mg SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| BG003 | RA Group 2 (Administration by CG) | CGs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| BG004 | RA Group 3 (Administration by HCP) | HCPs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visit 1 (Day 0) was performed by the study nurse. Visits 2 and 3 (Days 14 and 28) were conducted by the HCP for use/performance evaluation. |
| BG005 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | RA Group 1 (Self-Administration) | Participants with RA performed self-injection of 162 mg SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| OG001 | Caregivers | CGs performed injection of 162 mg SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
| OG002 | Healthcare Professionals | HCPs performed injection of 162 mg SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. |
|
|
| Primary | Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During Second Unassisted Use | Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the second unassisted use (Day 28) was reported. | Safety Population; only those who performed the administration task(s) on Day 28 were included because the endpoint was not applicable to non-injecting participants. | Posted | Number | percentage of participants | Day 28 |
|
|
|
| Secondary | Percentage of Participants Who Successfully Performed Ancillary Tasks During First and Second Unassisted Use | Ancillary tasks included those tasks where the potential harm resulting from use error would be minor in severity, or the resultant harms were estimated to occur at sufficiently low levels. Ancillary tasks included the following: wash hands; clean the injection site with alcohol swab; wait for the alcohol to dry; dispose of the autoinjector cap; inspect full dose delivered after use; dispose of the autoinjector; and treatment of injection site after injection. The percentage of participants who succesffully performed ancillary tasks during the first (Day 14) and second unassisted use (Day 28) was reported. | Safety Population; only those who performed the administration task(s) were included because the endpoint was not applicable to non-injecting participants. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Number | percentage of participants | Days 14, 28 |
|
|
|
| Secondary | Visual Analog Scale (VAS) Score for Injection Pain Among Participants With RA | Injection pain was assessed on a continuous 100-millimeter (mm) VAS, where 0 mm represents "no pain" and 100 mm represents "unbearable pain". The mean VAS response at each assessment timepoint was reported among participants with RA. | Safety Population; only participants with RA were included because the endpoint was not applicable to CGs and HCPs. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Mean | Standard Deviation | mm | 0 and 15 minutes after injection on Days 0, 14, 28 |
|
|
|
| Secondary | Percentage of Participants by Response to Categorical Scale of Injection Pain Among Participants With RA | Injection pain was assessed on a categorical 6-point Likert scale, ranging from "no pain" to "severe and intolerable". The percentage of participants was reported by response at each assessment timepoint among participants with RA. | Safety Population; only participants with RA were included because the endpoint was not applicable to CGs and HCPs. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Number | percentage of participants | 0 and 15 minutes after injection on Days 0, 14, 28 |
|
|
|
| Secondary | Percentage of Participants by Response to Device Satisfaction Questionnaire | Device satisfaction was assessed using twelve questions on a categorical 5-point Likert scale, ranging from "strongly agree" to "strongly disagree". Question (Q) 1 (felt the autoinjection was easy to use), Q2 (felt comfortable while using the autoinjector), Q3 (felt the autoinjector was easy to hold), Q4 (able to tell when injection had completed), Q5 (felt he/she can inject properly with the autoinjector), Q6 (felt he/she had control over the injection process), Q7 (felt confident that he/she injected successfully), Q8 (felt it is easy to dispose of the autoinjector), Q9 (autoinjector would help to manage his/her injection schedule), Q10 (liked the look/feel of the autoinjector), Q11 (would recommend the autoinjector to someone else who needed to inject), Q12 (would continue having injections with the autoinjector). The percentage of participants was reported by response at each assessment among participants with RA, CGs, and HCPs. | Safety Population. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Number | percentage of participants | Days 0, 14, 28 |
|
|
|
| Secondary | Tender Joint Count (TJC) Among Participants With RA | Sixty-eight joints were assessed for tenderness among participants with RA. The number of tender joints at Baseline was reported. | Safety Population; only participants with RA were included because the endpoint was not applicable to CGs and HCPs. | Posted | Mean | Standard Deviation | tender joints | Baseline (Day 0) |
|
|
|
| Secondary | Swollen Joint Count (SJC) Among Participants With RA | Sixty-six joints were assessed for swelling among participants with RA. The number of swollen joints at Baseline was reported. | Safety Population; only participants with RA were included because the endpoint was not applicable to CGs and HCPs. | Posted | Mean | Standard Deviation | swollen joints | Baseline (Day 0) |
|
|
|
| Secondary | Change From Baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI) Among Participants With RA | Ability to perform daily living activities was assessed across eight component sets including dressing/grooming, arising, eating, walking, hygiene, reach, grip, and common activities. Twenty questions were scored on a 4-point Likert scale from 0 meaning "without any difficulty" to 3 meaning "unable to do". The overall score was computed as the sum of domain scores divided by the number of domains answered. Therefore, the score range for HAQ-DI was the same as that of the individual questions, that is, from 0 to 3, where 0 indicates "least difficulty" and 3 indicates "extreme difficulty". The mean change from baseline in HAQ-DI at each assessment was reported among participants with RA. | Safety Population; only participants with RA were included because the endpoint was not applicable to CGs and HCPs. Here, "n" refers to number evaluable for the specified assessment, respectively. | Posted | Mean | Standard Deviation | units on a scale | Days 0, 14, 28 |
|
|
|
| 0 |
| 18 |
| 4 |
| 18 |
| EG001 | RA Group 2 (Administration by CG) | CGs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) was conducted for administration training, while Visits 2 and 3 (Days 14 and 28) were conducted for use/performance evaluation. | 0 | 17 | 4 | 17 |
| EG002 | RA Group 3 (Administration by HCP) | HCPs performed injection of 162 mg SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs were to be professionally qualified to deliver SC injections, no administration training was provided. Visit 1 (Day 0) was performed by the study nurse. Visits 2 and 3 (Days 14 and 28) were conducted by the HCP for use/performance evaluation. | 0 | 19 | 3 | 19 |
| Diarrhoea | Gastrointestinal disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Pancreatitis | Gastrointestinal disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Injection site bruising | General disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Injection site pruritus | General disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Hypersensitivity | Immune system disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA v19.0 | Non-systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA v19.0 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Rheumatoid arthritis | Musculoskeletal and connective tissue disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA v19.0 | Non-systematic Assessment |
|
| Emphysema | Respiratory, thoracic and mediastinal disorders | MedDRA v19.0 | Non-systematic Assessment |
|
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/ or the publication be postponed in order to protect the Sponsor's intellectual property rights.
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
|
| Start injection |
|
| Hold until complete dose delivered |
|
| Release activation button |
|
| Check expiry date |
|
| Inspect device prior to use |
|
| Inspect medication prior to use |
|
| D28, wash hands |
|
|
| D14, clean/swab injection site |
|
|
| D28, clean/swab injection site |
|
|
| D14, wait for alcohol to dry |
|
|
| D28, wait for alcohol to dry |
|
|
| D14, dispose of device cap |
|
|
| D28, dispose of device cap |
|
|
| D14, inspect full dose delivered |
|
|
| D28, inspect full dose delivered |
|
|
| D14, dispose of device |
|
|
| D28, dispose of device |
|
|
| D14, treatment of site post injection |
|
|
| D28, treatment of site post injection |
|
|
| D0, 15min |
|
|
| D14, 0min |
|
|
| D14, 15min |
|
|
| D28, 0min |
|
|
| D28, 15min |
|
|
| D0, 0min, minimal but tolerable |
|
|
| D0, 0min, mild but tolerable |
|
|
| D0, 0min, moderate but tolerable |
|
|
| D0, 0min, moderate-severe/tolerable |
|
|
| D0, 0min, severe and intolerable |
|
|
| D0, 15min, no pain |
|
|
| D0, 15min, minimal but tolerable |
|
|
| D0, 15min, mild but tolerable |
|
|
| D0, 15min, moderate but tolerable |
|
|
| D0, 15min, moderate-severe/tolerable |
|
|
| D0, 15min, severe and intolerable |
|
|
| D14, 0min, no pain |
|
|
| D14, 0min, minimal but tolerable |
|
|
| D14, 0min, mild but tolerable |
|
|
| D14, 0min, moderate but tolerable |
|
|
| D14, 0min, moderate-severe/tolerable |
|
|
| D14, 0min, severe and intolerable |
|
|
| D14, 15min, no pain |
|
|
| D14, 15min, minimal but tolerable |
|
|
| D14, 15min, mild but tolerable |
|
|
| D14, 15min, moderate but tolerable |
|
|
| D14, 15min, moderate-severe/tolerable |
|
|
| D14, 15min, severe and intolerable |
|
|
| D28, 0min, no pain |
|
|
| D28, 0min, minimal but tolerable |
|
|
| D28, 0min, mild but tolerable |
|
|
| D28, 0min, moderate but tolerable |
|
|
| D28, 0min, moderate-severe/tolerable |
|
|
| D28, 0min, severe and intolerable |
|
|
| D28, 15min, no pain |
|
|
| D28, 15min, minimal but tolerable |
|
|
| D28, 15min, mild but tolerable |
|
|
| D28, 15min, moderate but tolerable |
|
|
| D28, 15min, moderate-severe/tolerable |
|
|
| D28, 15min, severe and intolerable |
|
|
|
| Q1, D0, disagree |
|
|
| Q1, D0, neutral |
|
|
| Q1, D0, agree |
|
|
| Q1, D0, strongly agree |
|
|
| Q1, D14, strongly disagree |
|
|
| Q1, D14, disagree |
|
|
| Q1, D14, neutral |
|
|
| Q1, D14, agree |
|
|
| Q1, D14, strongly agree |
|
|
| Q1, D28, strongly disagree |
|
|
| Q1, D28, disagree |
|
|
| Q1, D28, neutral |
|
|
| Q1, D28, agree |
|
|
| Q1, D28, strongly agree |
|
|
| Q2, D0, strongly disagree |
|
|
| Q2, D0, disagree |
|
|
| Q2, D0, neutral |
|
|
| Q2, D0, agree |
|
|
| Q2, D0, strongly agree |
|
|
| Q2, D14, strongly disagree |
|
|
| Q2, D14, disagree |
|
|
| Q2, D14, neutral |
|
|
| Q2, D14, agree |
|
|
| Q2, D14, strongly agree |
|
|
| Q2, D28, strongly disagree |
|
|
| Q2, D28, disagree |
|
|
| Q2, D28, neutral |
|
|
| Q2, D28, agree |
|
|
| Q2, D28, strongly agree |
|
|
| Q3, D0, strongly disagree |
|
|
| Q3, D0, disagree |
|
|
| Q3, D0, neutral |
|
|
| Q3, D0, agree |
|
|
| Q3, D0, strongly agree |
|
|
| Q3, D14, strongly disagree |
|
|
| Q3, D14, disagree |
|
|
| Q3, D14, neutral |
|
|
| Q3, D14, agree |
|
|
| Q3, D14, strongly agree |
|
|
| Q3, D28, strongly disagree |
|
|
| Q3, D28, disagree |
|
|
| Q3, D28, neutral |
|
|
| Q3, D28, agree |
|
|
| Q3, D28, strongly agree |
|
|
| Q4, D0, strongly disagree |
|
|
| Q4, D0, disagree |
|
|
| Q4, D0, neutral |
|
|
| Q4, D0, agree |
|
|
| Q4, D0, strongly agree |
|
|
| Q4, D14, strongly disagree |
|
|
| Q4, D14, disagree |
|
|
| Q4, D14, neutral |
|
|
| Q4, D14, agree |
|
|
| Q4, D14, strongly agree |
|
|
| Q4, D28, strongly disagree |
|
|
| Q4, D28, disagree |
|
|
| Q4, D28, neutral |
|
|
| Q4, D28, agree |
|
|
| Q4, D28, strongly agree |
|
|
| Q5, D0, strongly disagree |
|
|
| Q5, D0, disagree |
|
|
| Q5, D0, neutral |
|
|
| Q5, D0, agree |
|
|
| Q5, D0, strongly agree |
|
|
| Q5, D14, strongly disagree |
|
|
| Q5, D14, disagree |
|
|
| Q5, D14, neutral |
|
|
| Q5, D14, agree |
|
|
| Q5, D14, strongly agree |
|
|
| Q5, D28, strongly disagree |
|
|
| Q5, D28, disagree |
|
|
| Q5, D28, neutral |
|
|
| Q5, D28, agree |
|
|
| Q5, D28, strongly agree |
|
|
| Q6, D0, strongly disagree |
|
|
| Q6, D0, disagree |
|
|
| Q6, D0, neutral |
|
|
| Q6, D0, agree |
|
|
| Q6, D0, strongly agree |
|
|
| Q6, D14, strongly disagree |
|
|
| Q6, D14, disagree |
|
|
| Q6, D14, neutral |
|
|
| Q6, D14, agree |
|
|
| Q6, D14, strongly agree |
|
|
| Q6, D28, strongly disagree |
|
|
| Q6, D28, disagree |
|
|
| Q6, D28, neutral |
|
|
| Q6, D28, agree |
|
|
| Q6, D28, strongly agree |
|
|
| Q7, D0, strongly disagree |
|
|
| Q7, D0, disagree |
|
|
| Q7, D0, neutral |
|
|
| Q7, D0, agree |
|
|
| Q7, D0, strongly agree |
|
|
| Q7, D14, strongly disagree |
|
|
| Q7, D14, disagree |
|
|
| Q7, D14, neutral |
|
|
| Q7, D14, agree |
|
|
| Q7, D14, strongly agree |
|
|
| Q7, D28, strongly disagree |
|
|
| Q7, D28, disagree |
|
|
| Q7, D28, neutral |
|
|
| Q7, D28, agree |
|
|
| Q7, D28, strongly agree |
|
|
| Q8, D0, strongly disagree |
|
|
| Q8, D0, disagree |
|
|
| Q8, D0, neutral |
|
|
| Q8, D0, agree |
|
|
| Q8, D0, strongly agree |
|
|
| Q8, D14, strongly disagree |
|
|
| Q8, D14, disagree |
|
|
| Q8, D14, neutral |
|
|
| Q8, D14, agree |
|
|
| Q8, D14, strongly agree |
|
|
| Q8, D28, strongly disagree |
|
|
| Q8, D28, disagree |
|
|
| Q8, D28, neutral |
|
|
| Q8, D28, agree |
|
|
| Q8, D28, strongly agree |
|
|
| Q9, D0, strongly disagree |
|
|
| Q9, D0, disagree |
|
|
| Q9, D0, neutral |
|
|
| Q9, D0, agree |
|
|
| Q9, D0, strongly agree |
|
|
| Q9, D14, strongly disagree |
|
|
| Q9, D14, disagree (n=17,0,0,16,17) |
|
|
| Q9, D14, neutral |
|
|
| Q9, D14, agree |
|
|
| Q9, D14, strongly agree |
|
|
| Q9, D28, strongly disagree |
|
|
| Q9, D28, disagree |
|
|
| Q9, D28, neutral |
|
|
| Q9, D28, agree |
|
|
| Q9, D28, strongly agree |
|
|
| Q10, D0, strongly disagree |
|
|
| Q10, D0, disagree |
|
|
| Q10, D0, neutral |
|
|
| Q10, D0, agree |
|
|
| Q10, D0, strongly agree |
|
|
| Q10, D14, strongly disagree |
|
|
| Q10, D14, disagree |
|
|
| Q10, D14, neutral |
|
|
| Q10, D14, agree |
|
|
| Q10, D14, strongly agree |
|
|
| Q10, D28, strongly disagree |
|
|
| Q10, D28, disagree |
|
|
| Q10, D28, neutral |
|
|
| Q10, D28, agree |
|
|
| Q10, D28, strongly agree |
|
|
| Q11, D0, strongly disagree |
|
|
| Q11, D0, disagree |
|
|
| Q11, D0, neutral |
|
|
| Q11, D0, agree |
|
|
| Q11, D0, strongly agree |
|
|
| Q11, D14, strongly disagree |
|
|
| Q11, D14, disagree |
|
|
| Q11, D14, neutral |
|
|
| Q11, D14, agree |
|
|
| Q11, D14, strongly agree |
|
|
| Q11, D28, strongly disagree |
|
|
| Q11, D28, disagree |
|
|
| Q11, D28, neutral |
|
|
| Q11, D28, agree |
|
|
| Q11, D28, strongly agree |
|
|
| Q12, D0, strongly disagree |
|
|
| Q12, D0, disagree |
|
|
| Q12, D0, neutral |
|
|
| Q12, D0, agree |
|
|
| Q12, D0, strongly agree |
|
|
| Q12, D14, strongly disagree |
|
|
| Q12, D14, disagree |
|
|
| Q12, D14, neutral |
|
|
| Q12, D14, agree |
|
|
| Q12, D14, strongly agree |
|
|
| Q12, D28, strongly disagree |
|
|
| Q12, D28, disagree |
|
|
| Q12, D28, neutral |
|
|
| Q12, D28, agree |
|
|
| Q12, D28, strongly agree |
|
|
| Change at D14 |
|
|
| Change at D28 |
|
|