N/A
N=1,968
Special Investigation in Patients With Rheumatoid Arthritis (Working Productivity Activity Impairment)
Rheumatoid Arthritis
Bottom Line
View on ClinicalTrials.gov: NCT01346488 ↗Enrolled (actual)
1,968
Serious AEs
5.2%
Results posted
Mar 2017
Primary outcome: Primary: Change From Baseline in Work Productivity and Activity Impairment-Rheumatoid Arthritis (WPAI-RA) Questionnaire: Mean Percentage of Work Time Missed (Absenteeism) — 7.23; 3.80; 3.73; 3.85 percentage of work time missed — p=< 0.0001
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- —
- Age
- Pediatric, Adult, Older Adult · 15+ yrs
- Sex
- All
- Sponsor
- AbbVie (prior sponsor, Abbott)
- Primary completion
- Jan 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Work Productivity and Activity Impairment-Rheumatoid Arthritis (WPAI-RA) Questionnaire: Mean Percentage of Work Time Missed (Absenteeism) |
7.23; 3.80; 3.73; 3.85; 4.48; 1.25 | < 0.0001 sig |
| PRIMARY Change From Baseline in WPAI Questionnaire: Mean Percentage of Impairment While Working Due to RA (Presenteeism) |
39.60; 17.18; 20.20; 22.18; 23.32; 7.64 | < 0.0001 sig |
| PRIMARY Change From Baseline in WPAI Questionnaire: Mean Percentage of Overall Work Productivity Impairment (OWPI) Due to RA |
41.06; 17.08; 20.83; 22.31; 24.40; 6.30 | <0.0001 sig |
| PRIMARY Change From Baseline in WPAI Questionnaire: Mean Percentage of Activity Impairment Due to RA |
48.42; 19.42; 23.30; 25.53; 26.33; 11.42 | < 0.0001 sig |
| PRIMARY Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score |
0.93; 0.34; 0.41; 0.42; 0.44; 0.21 | < 0.0001 sig |
| PRIMARY Number of Participants Per Category of the HAQ-DI |
326; 253; 416; 411; 189; 135 | <0.0001 sig |
| SECONDARY Change From Baseline in Disease Activity Score 28-4 C-Reactive Protein (DAS 28-4 CRP) |
4.20; 1.55; 1.81; 1.91; 2.01; 0.91 | < 0.0001 sig |
| SECONDARY Number of Participants Per Category of the DAS28-4 CRP |
402; 911; 199; 177; 65; 356 | < 0.0001 sig |
| SECONDARY Change From Baseline in DAS28-4 Erythrocyte Sedimentation Rate (ESR) |
4.76; 1.61; 1.91; 2.01; 2.08; 0.97 | < 0.0001 sig |
| SECONDARY Number of Participants Per Category of the DAS28-4 ESR |
564; 662; 101; 76; 113; 437 | < 0.0001 sig |
| SECONDARY Change From Baseline in Clinical Disease Activity Index (CDAI) |
21.44; 11.98; 13.93; 14.26; 14.63; 8.00 | < 0.0001 sig |
| SECONDARY Number of Participants Per Category of the CDAI |
677; 749; 249; 21; 128; 374 | < 0.0001 sig |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions Questionnaire (EQ-5D) Summary Index Score |
0.6295; -0.1112; -0.1380; -0.1574; -0.1541; -0.0597 | < 0.0001 sig |
| SECONDARY Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), and Deaths |
475; 103; 5 | — |
| SECONDARY Number of Participants With Adverse Drug Reactions |
451 | — |
Summary
This is a single-arm, multi-center, prospective cohort study (post-marketing observational study). The observation period for each participant is 48 weeks.
This study is designed to provide additional data on treatment effects of adalimumab during 48 weeks of treatment in patients with RA under conditions of routine rheumatology care. Course of work productivity and work ability, the course of health-related quality of life, and changes in functionality during 48 weeks treatment with adalimumab are to be documented.
Eligibility Criteria
Inclusion Criteria
RA patients treated with adalimumab who satisfied the following conditions:
- Paid worker (PW) RA patients who are engaged in paid work for more than 35 hours per week
- Home worker (HW)
- Category 1 unpaid workers; RA patients who are engaged in paid work for less than 35 hours per week
- Category 2 unpaid workers; RA patients who perform basic activities of daily life (household duties, shopping, child caring, exercise, study, etc.) other than PW
Exclusion Criteria
- RA patients showing lowered basic activities of daily life, such as hospitalization and being bedridden
- RA patients with a history of previous treatment with adalimumab
Data sourced from ClinicalTrials.gov (NCT01346488). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.