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NCT03781375

Etanercept Plus Methotrexate Versus Methotrexate Alone in Children With Polyarticular Course Juvenile Rheumatoid Arthritis

Terminated Phase 3 Results posted Last updated 2 August 2019
What this trial tests

Phase 3 trial testing Etanercept in Juvenile Rheumatoid Arthritis in 25 participants. Terminated before completion.

Timeline
24 August 2000
Primary endpoint
20 June 2002
24 June 2002

Quick facts

Lead sponsorAmgen
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment25
Start date24 August 2000
Primary completion20 June 2002
Estimated completion24 June 2002

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Eligibility, any sex, with Juvenile 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.

Percentage of Participants With a JRA Response at Month 6 Primary · Baseline and month 6

Response was defined using the JRA definition of improvement (JRA DOI) as a ≥ 30% improvement from baseline in at least three of the six JRA Core Set Criteria and ≥ 30% worsening in not more than one of the six assessments. The JRA Core Set Criteria consist of: * Physician's global assessment of disease severity assessed on a visual analog scale (VAS) from 1 to 10 * Patient's/Parent's global assessment of overall well being assessed on a VAS from 1 to 10 * Number of active joints (swelling, not due to deformity, or if no swelling is present, limitation of motion accompanied by pain on passive

GroupValue95% CI
Methotrexate + Placebo33
Methotrexate + Etanercept38
Percentage of Participants With a 50% Improvement in JRA DOI at Month 6 Secondary · Baseline and month 6

Response was defined using the JRA definition of improvement (JRA DOI) as a ≥ 50% improvement from baseline in at least three of the six JRA Core Set Criteria and ≥ 30% worsening in not more than one of the six assessments. The JRA Core Set Criteria consist of: * Physician's global assessment of disease severity assessed on a visual analog scale (VAS) from 1 to 10 * Patient's/Parent's global assessment of overall well being assessed on a VAS from 1 to 10 * Number of active joints (swelling, not due to deformity, or if no swelling is present, limitation of motion accompanied by pain on passive

GroupValue95% CI
Methotrexate + Placebo25
Methotrexate + Etanercept38
Percentage of Participants With a 70% Improvement in JRA DOI at Month 6 Secondary · Baseline and month 6

Response was defined using the JRA definition of improvement (JRA DOI) as a ≥ 70% improvement from baseline in at least three of the six JRA Core Set Criteria and ≥ 30% worsening in not more than one of the six assessments. The JRA Core Set Criteria consist of: * Physician's global assessment of disease severity assessed on a visual analog scale (VAS) from 1 to 10 * Patient's/Parent's global assessment of overall well being assessed on a VAS from 1 to 10 * Number of active joints (swelling, not due to deformity, or if no swelling is present, limitation of motion accompanied by pain on passive

GroupValue95% CI
Methotrexate + Placebo8
Methotrexate + Etanercept38

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 12 months on-study evaluations plus 1 month follow-up. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Methotrexate + Placebo (Blinded Phase)
Serious: 1/12 (8%)
Deaths:
Methotrexate + Etanercept (Blinded Phase)
Serious: 1/13 (8%)
Deaths:
Methotrexate + Etanercept (Open Label Phase)
Serious: 0/19 (0%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemMethotrexate + Placebo (Bl…Methotrexate + Etanercept …Methotrexate + Etanercept …
AppendicitisInfections and infestations
DehydrationMetabolism and nutrition disorders
Other adverse events (103 terms — click to expand)

ReactionSystemMethotrexate + Placebo (Bl…Methotrexate + Etanercept …Methotrexate + Etanercept …
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
Injection site reactionGeneral disorders
Otitis mediaInfections and infestations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
LymphadenopathyBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
PyrexiaGeneral disorders
GastroenteritisInfections and infestations
RhinitisInfections and infestations
SinusitisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
Upper-airway cough syndromeRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Cerumen impactionEar and labyrinth disorders
Ear painEar and labyrinth disorders
TinnitusEar and labyrinth disorders
BlepharospasmEye disorders
UveitisEye disorders
Vision blurredEye disorders
Abdominal tendernessGastrointestinal disorders
ConstipationGastrointestinal disorders
FlatulenceGastrointestinal disorders
GastritisGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
NauseaGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
StomatitisGastrointestinal disorders
Chest painGeneral disorders
FatigueGeneral disorders
Injection site erythemaGeneral disorders
Injection site painGeneral disorders
Injection site pruritusGeneral disorders
Injection site rashGeneral disorders

Most-reported serious reactions: Appendicitis, Dehydration.

Data from ClinicalTrials.gov NCT03781375 adverse events section.

Sponsor's own description

The primary objective of this study was to determine the efficacy of etanercept plus methotrexate vs methotrexate alone in pediatric patients with active polyarticular course juvenile rheumatoid arthritis (JRA).

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Biologic disease modifying antirheumatic drugs and Janus kinase inhibitors in paediatric rheumatology - what we know and what we do not know from randomized controlled trials.
    Welzel T, Winskill C, Zhang N, Woerner A, et al · · 2021 · cited 19× · PMID 33766063 · DOI 10.1186/s12969-021-00514-4
  2. Value of Literature Review to Inform Development and Use of Biologics in Juvenile Idiopathic Arthritis.
    Golhen K, Winskill C, Yeh C, Zhang N, et al · · 2022 · cited 4× · PMID 35799700 · DOI 10.3389/fped.2022.909118
  3. Comparative Effectiveness and Safety of the JAK Inhibitors and Biologic Disease-Modifying Antirheumatic Drugs in Treating Children With Nonsystemic Juvenile Idiopathic Arthritis: A Bayesian Meta-Analysis of Randomized Controlled Trials.
    Li Y, Huang B, Andorf S, Yue X, et al · · 2025 · cited 1× · PMID 39964338 · DOI 10.1002/acr2.11788
  4. Tumor necrosis factor (TNF) inhibitors for juvenile idiopathic arthritis.
    Cagnotto G, Juhl CB, Ahlström F, Wikström F, et al · · 2025 · PMID 39976227 · DOI 10.1002/14651858.cd013715.pub2

Verify or expand the search:

Other trials of Etanercept

Trials testing the same drug.

Other recruiting trials for Juvenile Rheumatoid Arthritis

Currently open trials in the same condition.

Other Amgen trials

Trials by the same sponsor.

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