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Background NSAID

Phase 3

Spondylitis, Ankylosing | Small molecule | Other |Pfizer, Inc.|Last Updated: Oct 19, 2015

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_CONTROLLED
Total Trials1
Total Enrollment225
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01258738Study Comparing Etanercept (ETN) Against a Placebo for Etanercept on a Background Nonsteroidal Anti Inflammatory Drug (NSAIDs) in the Treatment of Early Spondyloarthritis (SpA) Patients Who do Not Have X-ray Structural ChangesPHASE3 COMPLETED 225Feb 1, 2011Oct 1, 2014Oct 19, 201550 Argentina, Belgium +12
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving Ankylosing Spondylitis (ASAS) 40 Response at Week 12
Week 12

ASAS measures symptomatic improvement in Ankylosing Spondylitis (AS) in 4 domains: participant global assessment of disease activity, pain, function, inflammation. ASAS 40 = 40% improvement from baseline and an absolute change ≥ 20 units on a 0-100 scale (0 = no disease activity, 100 = high disease activity) for ≥ 3 domains, and no worsening in remaining domain.

Secondary Endpoints
Percentage of Participants Achieving ASAS 40 Response at Time Points
Baseline to Week 104
Percentage of Participants Achieving ASAS 20 Response at Time Points
Baseline to Week 104
Percentage of Participants Achieving ASAS 5/6 Response at Time Points
Baseline to Week 104
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
etanerceptACTIVE_COMPARATORIn Period 1 : Subjects will receive via a prefilled syringe an active dose equivalent to 1.0ml of Etanercept solution once weekly SC once weekly. Additionally they will continue to take the background non steroidal anti inflammatory drug(NSAID) in the tolerated dose agreed upon by the attending Physician.
PLACEBOPLACEBO_COMPARATORIn Period 1: Subjects will receive in a prefilled syringe with a PLACEBO dose equivalent to 1.0 ml of placebo solution once weekly SC Additionally they will continue to take the background non steroidal anti inflammatory drug(NSAID) in the tolerated dose agreed upon by the attending Physician.
Interventions
NameTypeDescription
etanerceptBIOLOGICALIn Period 1, subjects will receive in a prefilled syringe with 1.0 ml (test article Etanercept (SC) once weekly . Additionally they will continue to take the background non steroidal anti inflammatory drug(NSAID) in the tolerated dose agreed upon by the attending Physician.
Background NSAIDDRUGSubject will continue to take a concomitant background non steroidal anti inflammatory drug(NSAID)as prescribed by their attending physician. The name and dose of this NSAID is the decision of the attending physician.
PLACEBOOTHERIn Period 1 will receive a prefilled syringe of Placebo for Etanercept Additionally they will continue to take the background non steroidal anti inflammatory drug(NSAID) in the tolerated dose agreed upon by the attending Physician.
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Eligibility Criteria
Age Range18 Years — 49 Years
SexALL
Healthy VolunteersNo
Study Sites50

Inclusion Criteria: * Diagnosis of axial spondyloarthritis as defined by Assessments in Ankylosing Spondylitis (ASAS)criteria * Active symptoms defined as Ankylosing Spondylitis Disease Activity Index{BASDAI) \> or = 4 * Axial symptoms of back pain with a less than favorable response to on steroida...

Countries:ArgentinaBelgiumColombiaCzechiaFinlandFranceGermanyHungaryNetherlandsRussiaSouth KoreaSpainTaiwanUnited Kingdom
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