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OLE BSA Adalimumab+ MTX

Phase 3

Arthritis, Juvenile Idiopathic | Small molecule | Immunology |Abbott Laboratories|Last Updated: Aug 22, 2011

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment171

FDA Designations

No designations recorded

Clinical trial landscape

OLE BSA Adalimumab+ MTX · 1 trial · 1 indication

Phase 3 1
NCT00048542Study of Human Anti-TNF Monoclonal Antibody Adalimumab in Children With Polyarticular Juvenile Idiopathic Arthritis (JIA)Arthritis, Juvenile Idiopathic
COMPLETED171 Analytics
PHASE3COMPLETED
Study of Human Anti-TNF Monoclonal Antibody Adalimumab in Children With Polyarticular Juvenile Idiopathic Arthritis (JIA)
Arthritis, Juvenile IdiopathicUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Subjects in the Non-MTX Stratum With Disease Flare During the Double-Blind Phase
Week 16 to Week 48 (32 weeks)

The primary efficacy endpoint was the number of adalimumab-treated subjects in the non-MTX stratum with disease flare during the Double-Blind Phase compared with the number of placebo-treated subjects in the non-MTX stratum with disease flare during the double-blind phase. Subjects met the criteria for disease flare if they had 1) \>= 30% worsening in at least 3 of the 6 Juvenile Rheumatoid Arthritis (JRA) core set criteria and a minimum of 2 active joints, and 2) \>= 30% improvement in not more than 1 of the 6 JRA core set criteria.

Secondary Endpoints

Number of Subjects Meeting Pediatric American College of Rheumatology 30% (PedACR30) Response Criteria at the End of the Open-Label Lead-In Phase
Week 16
Number of Subjects in the MTX Stratum With Disease Flare During the Double-Blind Phase
Week 16 to Week 48 (32 Weeks)
Time to Onset of Disease Flare During the Double-Blind Phase in Subjects in the Non-MTX Stratum
Week 16 to Week 48 (32 weeks)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Double-Blind Adalimumab + MTXEXPERIMENTALSubjects who were inadequate responders to MTX and were adalimumab responders during the Open-Label Lead-In (OL-LI) phase received adalimumab plus concomitant MTX during the Double-Blind Phase. MTX-treated inadequate responders must have had active disease on MTX treatment for at least 3 months prior to screening.
Double-Blind Placebo + MTXPLACEBO_COMPARATORSubjects who were inadequate responders to MTX and were adalimumab responders during the Open-Label Lead-In (OL-LI) phase received placebo plus concomitant MTX during the Double-Blind Phase. MTX-treated inadequate responders must have had active disease on MTX treatment for at least 3 months prior to screening.
Double-Blind AdalimumabEXPERIMENTALSubjects in the non-methotrexate (MTX) stratum who were either naïve to MTX or withdrawn from MTX at least 2 weeks prior to study drug administration, and were adalimumab responders during the OL-LI phase, received adalimumab, but no concomitant MTX treatment, during the Double-Blind Phase.
Double-Blind PlaceboPLACEBO_COMPARATORSubjects in the non-methotrexate (MTX) stratum who were either naïve to MTX or withdrawn from MTX at least 2 weeks prior to study drug administration, and were adalimumab responders during the OL-LI phase, received placebo, but no concomitant MTX treatment, during the Double-Blind Phase.
OLE BSA Adalimumab + MTXEXPERIMENTALAll subjects received subcutaneous injections of 24 mg adalimumab per square meter of body surface area (BSA) up to a maximum of 40 mg total body dose every other week (eow), concomitantly with MTX treatment, during the Open-Label Extension (OLE) BSA Phase of the study.
OLE BSA AdalimumabEXPERIMENTALAll subjects received subcutaneous injections of 24 mg adalimumab per square meter of body surface area (BSA) up to a maximum of 40 mg total body dose every other week (eow), but not MTX treatment, during the Open-Label Extension (OLE) BSA Phase of the study.
OLE FD Adalimumab + MTXEXPERIMENTALSubjects received adalimumab concomitantly with MTX treatment during the Open-Label Extension (OLE) Fixed Dose (FD) Phase of the study in which only body weight (not BSA) determined dosing; subjects weighing less than 30 kg were dosed with 20 mg of adalimumab SC eow, and subjects weighing 30 kg or more were dosed with 40 mg of adalimumab SC eow.
OLE FD AdalimumabEXPERIMENTALSubjects received placebo without concomitant MTX treatment during the Open-Label Extension (OLE) Fixed Dose (FD) Phase of the study in which only body weight (not BSA) determined dosing; subjects weighing less than 30 kg were dosed with 20 mg of adalimumab SC eow, and subjects weighing 30 kg or more were dosed with 40 mg of adalimumab SC eow.

Interventions

NameTypeDescription
Double-Blind Adalimumab/Placebo + MTXBIOLOGICALSubcutaneous injection of 24 mg adalimumab or placebo per square meter of body surface area (BSA) every other week (eow) concomitantly with MTX treatment for 32 weeks during the Double-Blind phase. Total body dose of adalimumab was not to exceed 40 mg.
Double-Blind Adalimumab/PlaceboBIOLOGICALSubcutaneous injection of 24 mg adalimumab or placebo per square meter of body surface area (BSA) every other week (eow) without MTX treatment for 32 weeks during the Double-Blind Phase. Total body dose of adalimumab was not to exceed 40 mg.
OLE BSA Adalimumab +/- MTXDRUGComparison of subcutaneous injection of 24 mg adalimumab per square meter of body surface area (BSA) every other week (eow) either with or without concomitant MTX treatment for a minimum of 44 weeks (up to a maximum of 136 weeks) during the Open-Label Extension BSA Phase.
OLE FD Adalimumab +/- MTXDRUGComparison of adalimumab administered subcutaneously every other week (eow) either with or without concomitant MTX treatment for up to 224 weeks during the Open-Label Extension Fixed Dose (FD) Phase.
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Eligibility Criteria

Age Range4 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Subjects must have a diagnosis of polyarticular juvenile idiopathic arthritis (JIA) age 4 to 17 by the American College of Rheumatology (ACR) criteria. Disease onset may have been systemic, polyarticular, or pauciarticular. If the disease was systemic onset, then the subjects ...

Countries:United StatesBelgiumCzechiaFranceGermanyItalySlovakiaSpain
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Frequently asked questions about OLE BSA Adalimumab+ MTX

What is OLE BSA Adalimumab+ MTX used for?

OLE BSA Adalimumab+ MTX is used for juvenile idiopathic arthritis, specifically polyarticular juvenile idiopathic arthritis in children. It is a combination therapy that includes adalimumab and methotrexate, and it is being studied as a treatment for this condition.

What does OLE BSA Adalimumab+ MTX target?

OLE BSA Adalimumab+ MTX targets tumor necrosis factor (TNF), a protein involved in inflammation. Adalimumab is a human anti-TNF monoclonal antibody that binds to TNF and blocks its activity, which helps reduce inflammation and joint damage in juvenile idiopathic arthritis.

Who makes OLE BSA Adalimumab+ MTX?

OLE BSA Adalimumab+ MTX is developed by Abbott Laboratories, a company traded under the ticker symbol ABT. The drug is being investigated for the treatment of juvenile idiopathic arthritis.

What phase is OLE BSA Adalimumab+ MTX in?

OLE BSA Adalimumab+ MTX is in Phase 3 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied in clinical trials to evaluate its safety and efficacy.

What clinical trials is OLE BSA Adalimumab+ MTX in?

OLE BSA Adalimumab+ MTX has one completed Phase 3 clinical trial, identified as NCT00048542. This trial studied the drug in children with polyarticular juvenile idiopathic arthritis and enrolled 171 participants across multiple countries, including the United States and several European nations.

Is OLE BSA Adalimumab+ MTX the same as adalimumab?

OLE BSA Adalimumab+ MTX is a combination therapy that includes adalimumab, a human anti-TNF monoclonal antibody, along with methotrexate. It is not simply adalimumab alone; the combination is being studied for juvenile idiopathic arthritis.