N/A
Completed N=1,754
Characterize Patients With Moderately Active Rheumatoid Arthritis (RA)
Source: ClinicalTrials.gov NCT01557322 ↗Enrolled (actual)
1,754
Serious AEs
34.8%
Results posted
Oct 2013
Primary outcomePrimary: Number of Participants With American College of Rheumatology (ACR) Criteria — 194; 1316; 179; 1133 participants — p=0.010
Summary
1. To assess the baseline (i.e. RA therapy initiation) characteristics in a real-world setting across two moderate RA cohorts: a Test Group of patients newly exposed to etanercept (Enbrel) therapy and a Control Group of patients with similar disease characteristics newly exposed to other, non-biologic therapies.
2. To assess the change over time (from baseline to the most recent follow-up) in the characteristics described at baseline in 2 British Society for Rheumatology Biologics Register (BSRBR) cohorts (i.e. moderate RA patients treated with Disease modifying anti-rheumatic drugs (DMARDs) alone versus moderate RA patients treated with Enbrel).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With American College of Rheumatology (ACR) Criteria |
194; 1316; 179; 1133; 160; 1123 | 0.010 sig |
| PRIMARY Number of Participants With Systemic Features |
45; 166; 7; 18; 17; 93 | <0.001 sig |
| PRIMARY Number of Participants With Prior Joint Replacement or Surgery |
31; 141; 29; 99; 21; 24 | <0.001 sig |
| PRIMARY Number of Participants With Chest X-Ray Prior to New Therapy |
183; 742 | <0.001 sig |
| PRIMARY Number of Participants With Comorbidities |
60; 488; 5; 115; 6; 73 | 0.381 |
| PRIMARY Body Mass Index (BMI) |
26.6; 27.2 | 0.188 |
| PRIMARY Blood Pressure (BP) |
134.3; 138.0; 79.4; 80.2 | 0.016 sig |
| PRIMARY Change From Baseline in Disease Activity Score Based on 28-joints Count (DAS28) at Month 60 |
4.6; 4.4; -1.67; -1.45 | <0.001 sig |
| PRIMARY Change From Baseline in Tender Joints Count (TJC) at Month 60 |
6.1; 4.8; NA; NA | <0.001 sig |
| PRIMARY Change From Baseline in Swollen Joints Count (SJC) at Month 60 |
6.0; 3.8; NA; NA | <0.001 sig |
| PRIMARY Change From Baseline in C-Reactive Protein (CRP) Level at Month 60 |
28.3; 23.1; NA; NA | 0.154 |
| PRIMARY Change From Baseline in Erythrocyte Sedimentation Rate (ESR) at Month 60 |
24.0; 26.3; NA; NA | 0.108 |
| PRIMARY Change From Baseline in Patient's Global Assessment (PtGA) of Disease Activity at Month 60 |
49.0; 46.7; NA; NA | 0.199 |
| PRIMARY Duration of Disease (Rheumatoid Arthritis) |
14.1; 10.2 | <0.001 sig |
| PRIMARY Time Since First Rheumatologist Visit |
13.1; 9.7 | <0.001 sig |
| PRIMARY Time Since Recalled Symptom Onset |
— | — |
| PRIMARY Number of Participants With Previous and Current Disease Modifying Anti-Rheumatic Drugs (DMARDs) |
65; 963; 7; 32; 0; 2 | <0.001 sig |
| PRIMARY Change From Baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) Score at Month 60 |
1.9; 1.5; NA; NA | <0.001 sig |
| PRIMARY Change From Baseline in 36-Item Short-Form Health Survey (SF-36) at Month 60 |
27.3; 29.8; 49.1; 49.2; 49.2; 49.0 | <0.001 sig |
| PRIMARY Change From Baseline in Euro Quality of Life - 5 Dimensions (EQ-5D) at Month 60 |
— | — |
| PRIMARY Time to Disease Worsening |
— | — |
| PRIMARY Time to Therapeutic Goal |
— | — |
| PRIMARY Change From Baseline in Pain Visual Analog Scale (VAS) Score at Month 60 |
— | — |
| PRIMARY Number of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Month 60 |
— | — |
| PRIMARY Number of Participants Achieving American College of Rheumatology 50% (ACR50) Response at Month 60 |
— | — |
| PRIMARY Number of Participants Achieving American College of Rheumatology 70% (ACR70) Response at Month 60 |
— | — |
| PRIMARY Number of Rheumatoid Arthritis (RA) Related Visits |
— | — |
| PRIMARY Direct and Indirect Cost of Rheumatoid Arthritis (RA) Treatment |
— | — |
Eligibility Criteria
Inclusion Criteria
The Test Group will be patients with rheumatoid arthritis, newly starting therapy with etanercept (Enbrel). Inclusion criteria for the exposed cohort subjects are:
- Patients aged 18 years and over at the time of diagnosis;
- Patients from the BSRBR with moderate RA as defined by a DAS28 (>3.2 and ≤5.1);
- Patients who have given informed consent for long term follow-up and access to all medical records;
- Patients initiating (i.e. at leats one treatment) treatment with etanercept (Enbrel) for RA.
The Control Group:
- Patients aged 18 years and over a the time of diagnosis;
- Patients from the BSRBR with moderate RA as defined by a DAS28 (>3.2 and ≤5.1);
- Patients who have given informed consent for long term follow-up and access to all medical records; Patients are receiving at least one traditional DMARD and have never been prescribed a biologic agent;
Exclusion Criteria
Per BSRBR registry since data is retropsectively being analyzed
Data sourced from ClinicalTrials.gov (NCT01557322). 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. Informational only — not medical advice.