A Study of the Safety and Efficacy of Intravenous CNTO 148 (Golimumab) in Patients With Active Rheumatoid Arthritis Despite Methotrexate Therapy

The primary purpose of this study is to assess the clinical effectiveness and safety of intravenous (IV- injection directly into the vein) golimumab infusions every 12 weeks in patients with active rheumatoid arthritis (RA) despite current MTX treatment. The secondary objectives of this study are to evaluate the effects on physical function, quality of life, and the pharmacological features of golimumab in subjects with active RA.

Official Title

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Golimumab, a Fully Human Anti-TNFa Monoclonal Antibody, Administered Intravenously, in Subjects With Active Rheumatoid Arthritis Despite Methotrexate Therapy

Conditions

Rheumatoid Arthritis

Study Type

Interventional

Study Design

Treatment, Randomized, Double-Blind, Placebo Control, Crossover Assignment, Safety/Efficacy Study

Further Details

Primary Outcome Measures:

• A comparison of the proportion of patients who achieve an ACR 50 response at Week 14 between subjects receiving golimumab and those receiving placebo.

Secondary Outcome Measures:

• The proportion of patients who achieve an ACR 50 response at Week 24
• The proportion of patients who achieve an ACR 20 response at Week 14
• The proportion of patients with moderate or good response in DAS28 using CRP at Week 14.

Study Start

August 2006

Eligibility & Criteria

• Ages Eligible for Study: 18 Years and above
• Genders Eligible for Study: Both

Inclusion Criteria:

• Have a diagnosis of active RA (according to the revised 1987 criteria of the ARA(American Rheumatism Association)
• Arnett et al, 1988) with at least 4 swollen and 4 tender joints for at least 3 months prior to screening
• Have been treated with and tolerated MTX at a dose of at least 15 mg/week for at least 3 months prior to screening, and have been on a stable MTX dose of >=15 mg/week and <= 25 mg/week for at least 4 weeks prior to screening
• If using non steroidal anti-inflammatory agents (such as naproxen) or other pain relievers for RA, must be on a stable dose for at least 2 weeks prior to the first administration of study agent
• If using oral corticosteroids, must be on a stable dose equivalent to <=10 mg of prednisone/day for at least 2 weeks prior to first administration of study agent. If currently not using corticosteroids, the subject must have not received oral corticosteroids for at least 2 weeks prior to first administration of study agent
• Have no signs or symptoms suggestive of active TB upon medical history and/or physical examination and chest x-ray

Exclusion Criteria:

• No known hypersensitivity (severe allergy) to human immunoglobulin proteins or other components of golimumab
• No known clinically serious adverse reaction to a biologic anti-TNF agent
• No known history of latent or active granulomatous infection, including tuberculosis, histoplasmosis, or coccidioidomycosis, prior to screening
• No current signs or symptoms of severe, progressive, or uncontrolled kidney, liver, blood, gastrointestinal, glandular, lung, heart, nervous system, psychiatric, or brain disease
• No history of, or concurrent, congestive heart failure (CHF), including medically controlled, asymptomatic CHF
• No known cancer or history of cancer within the previous 5 years (with the exception of a nonmelanoma skin cancer that has been treated with no evidence of recurrence)

Total Enrolment

625

Contact Details

• Perth, 6979, Australia; Recruiting
• Woodville, 5011, Australia; Recruiting
• Fitzroy, 3065, Australia; Not yet recruiting
• Maroochydore, 4558, Australia; Recruiting
• Heidleberg, 3084, Australia; Not yet recruiting
• Melbourne, 3144, Australia; Recruiting

Click here to find out how to participate, or email: info1@veritasmedicine.com, for more information.