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Open-labelAdalimumabRescue

Phase 3

Rheumatoid Arthritis | Monoclonal antibody | Immunology |Abbott Laboratories|Last Updated: Aug 7, 2012

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment334
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00870467A Study of Adalimumab in Japanese Subjects With Rheumatoid ArthritisPHASE3 COMPLETED 334Mar 1, 2009Aug 1, 2011Aug 7, 201288 Japan
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Study Endpoints
Primary Endpoints
Change From Baseline in Modified Total Sharp X-Ray Score at Week 26
Baseline, Week 26

Modified Total Sharp Score (mTSS) is a measure of joint health, used in evaluation of inhibition of radiographic progression of disease. Digitized X-rays of hands and feet were obtained then scored in a blinded manner: for erosions (0 \[no damage\] to 5 \[complete collapse or total destruction of joint\]) and for joint space narrowing (0 \[no damage\] to 4 \[complete luxation of joint\]). Scores were added, giving total mTSS (0 \[normal\] to 380 \[maximal disease\]). Large positive change in mTSS indicates disease progression; small positive/no change indicates slowing/halting of disease progression.

Secondary Endpoints
Number of Participants Meeting ACR20 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Week 26
Number of Participants Meeting ACR50 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Week 26
Number of Participants Meeting ACR70 Response Criteria at Week 26 (ACR: American College of Rheumatology)
Week 26
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DB PlaceboPLACEBO_COMPARATORParticipants received double-blind placebo administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
DB adalimumabEXPERIMENTALParticipants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
DB Adalimumab/OL AdalimumabEXPERIMENTALParticipants received double-blind adalimumab administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants also received concomitant methotrexate 6 to 8 mg administered orally weekly.
DB Placebo/OL AdalimumabEXPERIMENTALParticipants received double-blind placebo administered subcutaneously (SC) every other week (eow) for 26 weeks followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
DB Adalimumab/RE OL AdalimumabEXPERIMENTALParticipants received double-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
DB Placebo/RE OL AdalimumabEXPERIMENTALParticipants received double-blind placebo administered subcutaneously (SC) every other week (eow) and then open-label adalimumab 40 mg SC eow as rescue treatment (as eligible at Week 12 or after) to complete 26 weeks, followed by open-label adalimumab 40 mg SC eow for up to 26 weeks. Participants received concomitant methotrexate 6 to 8 mg administered orally weekly.
Interventions
NameTypeDescription
Double-blind adalimumabBIOLOGICALDouble-blind adalimumab 40 mg administered subcutaneously (SC) every other week (eow)
Double-blind PlaceboDRUGDouble-blind adalimumab-matching placebo administered subcutaneously (SC)every other week (eow)
Open-label AdalimumabBIOLOGICALOpen-label adalimumab 40 mg administered subcutaneously (SC) every other week (eow) after completion of the first 26 weeks in the study
Open-labelAdalimumabRescueBIOLOGICALOpen-label adalimumab 40 mg administered subcutaneously (SC) every other week (eow) as rescue treatment to complete the first 26 weeks in the study- dependent on participant eligibility (increase in disease activity), applies to Weeks 12 to 26
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Eligibility Criteria
Age Range20 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites88

Inclusion Criteria * Rheumatoid arthritis based on the American College of Rheumatology criteria * Methotrexate or leflunomide naïve * Disease duration less than or equal to 2 years from diagnosis Exclusion Criteria * History of acute inflammatory joint disease of different origin from rheumatoid...

Countries:Japan
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