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NCT02668640

Real-World Outcome of Adalimumab on Rheumatoid Arthritis Patients in China

Completed Results posted Last updated 13 September 2019
What this trial tests

trial testing Adalimumab in Rheumatoid Arthritis in 55 participants. Completed in 13 August 2018.

Timeline
1 May 2016
Primary endpoint
12 June 2018
13 August 2018

Quick facts

Lead sponsorAbbVie
StatusCompleted
Study typeOBSERVATIONAL
Enrollment55
Start date1 May 2016
Primary completion12 June 2018
Estimated completion13 August 2018

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — full company profile →

Who can join

18 and older, any sex, with Rheumatoid Arthritis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) Score at Week 24 Primary · Baseline and Week 24

The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a participant-reported questionnaire specific for rheumatoid arthritis. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where ze

GroupValue95% CI
Participants With RA Receiving Adalimumab-0.3-0.9 – 0
Median Change From Baseline in Health Assessment Questionnaire- Disability Index (HAQ-DI) Score at Week 12 Secondary · Baseline and Week 12

The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a participant-reported questionnaire specific for rheumatoid arthritis. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where ze

GroupValue95% CI
Participants With RA Receiving Adalimumab-0.2-0.9 – 0
Median Change From Baseline in Short Form 36-Item Health Survey (SF-36) Physical Component Summary (PCS) Score and Mental Component Summary (MCS) Scores at Weeks 12 and 24 Secondary · Baseline, Week 12, and Week 24

The SF-36v2 is a non-disease specific Health Related Quality of Life (HRQoL) instrument. The SF-36v2 comprises 36 total items (questions) targeting a subject's functional health and well-being in 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) with a recall period of four weeks. Domain scores are aggregated into a Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score. SF-36v2 PCS and MCS scores range from 1-100: higher scores indicate a better state of health and an increase

PCS T-Score Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab6.502.07 – 9.36
MCS T-Score Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab0.44-3.49 – 11.00
PCS T-Score Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab4.90-2.21 – 11.92
MCS T-Score Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab6.010.00 – 13.35
Median Change From Baseline in EuroQol 5-dimension, 3-level Quality of Life Questionnaire (EQ-5D-3L) Index Secondary · Baseline, Week 12, and Week 24

The EQ-5D-3L measures the participant's overall health state in a descriptive system of health-related quality of life (QoL) states consisting of five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which has three response choices. The responses record three levels of severity ('no problems', 'having some or moderate problems', and 'being unable to do/extreme problems') within a particular EQ-5D-3L dimension. In addition, a 20 cm visual analogue scale (VAS) measures the participant's self-rated current health state on a scale from 0-100, fro

Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab0.110.07 – 0.26
Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab0.190.10 – 0.32
Median Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Overall Work Impairment Score Secondary · Baseline, Week 12, and Week 24

The Work Productivity and Activity Impairment Questionnaire (WPAI) is a participant-reported questionnaire to measure work and activity impairment during the past seven days. The 'overall work impairment due to health problem' was calculated based on three items: (Q2) the number of hours missed from work due to health problems in the past seven days from visit; (Q4) the number of actual work hours in the past seven days from visit; and (Q5) to what degree did the participant's rheumatoid arthritis impair the productivity while working past seven days from visit). Data were calculated using the

Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab-58.4-90.0 – -16.7
Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab-20.0-53.3 – 0
Median Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Activity Impairment Score Secondary · Baseline, Week 12, and Week 24

The Work Productivity and Activity Impairment Questionnaire (WPAI) is a participant-reported questionnaire to measure work and activity impairment during the past seven days. Activity impairment was calculated via WPAI question 6, the participant's rating of how much rheumatoid arthritis affected their ability to do regular daily activities, other than working at a job (0 = no effect; 10 = completely impacted productivity) / 10 \* 100. Negative values indicate improvement from baseline.

Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab-10.0-30.0 – -10.0
Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab-20.0-30.0 – 0.0
Number of Participants Achieving Clinically Meaningful Improvement in Health Assessment Questionnaire- Disability Index (HAQ-DI) Score Secondary · Baseline, Week 12, and Week 24

The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a participant-reported questionnaire specific for rheumatoid arthritis. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where ze

Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab23
Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab20
Percentage of Participants Achieving Clinically Meaningful Improvement in Health Assessment Questionnaire- Disability Index (HAQ-DI) Score Secondary · Baseline, Week 12, and Week 24

The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a participant-reported questionnaire specific for rheumatoid arthritis. It consists of 20 questions referring to eight domains: dressing/grooming, arising, eating, walking, hygiene, reach, grip, and daily activities. Participants assessed their ability to do each task over the past week using the following response categories: without any difficulty (0); with some difficulty (1); with much difficulty (2); and unable to do (3). Scores on each task were summed and averaged to provide an overall score ranging from 0 to 3, where ze

Week 12
GroupValue95% CI
Participants With RA Receiving Adalimumab50.0
Week 24
GroupValue95% CI
Participants With RA Receiving Adalimumab51.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) were collected from the first dose of study drug until 70 days after the last dose of study drug (up to 34 weeks).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Participants With RA Receiving Adalimumab
Serious: 2/55 (4%)
Deaths: 0/55

Serious adverse events (2 terms)

ReactionSystemParticipants With RA Recei…
Rheumatoid arthritisMusculoskeletal and connective tissue disorders
BronchitisRespiratory, thoracic and mediastinal disorders
Other adverse events (18 terms — click to expand)

ReactionSystemParticipants With RA Recei…
PharyngitisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
BronchitisRespiratory, thoracic and mediastinal disorders
HyperlipidaemiaMetabolism and nutrition disorders
LymphadenitisBlood and lymphatic system disorders
EnteritisGastrointestinal disorders
Injection site hypersensitivityGeneral disorders
PyrexiaGeneral disorders
Hepatic function abnormalHepatobiliary disorders
Viral upper respiratory tract infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
Respiratory tract infectionInfections and infestations
White blood cell count decreasedInvestigations
Eosinophil count increasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
Rheumatoid arthritisMusculoskeletal and connective tissue disorders
NeurodermatitisSkin and subcutaneous tissue disorders

Most-reported serious reactions: Rheumatoid arthritis, Bronchitis.

Data from ClinicalTrials.gov NCT02668640 adverse events section.

Sponsor's own description

The objective of this study was to assess the effectiveness of adalimumab on health and disability outcomes in participants with rheumatoid arthritis (RA) in China.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other trials of Adalimumab

Trials testing the same drug.

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Trials by the same sponsor.

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