Study of Etanercept Monotherapy vs Methotrexate Monotherapy for Maintenance of Rheumatoid Arthritis Remission



Status:Active, not recruiting
Conditions:Arthritis, Rheumatoid Arthritis
Therapuetic Areas:Rheumatology
Healthy:No
Age Range:18 - Any
Updated:10/27/2018
Start Date:February 20, 2015
End Date:November 12, 2019

Use our guide to learn which trials are right for you!

A Randomized Withdrawal Double-blind Study of Etanercept Monotherapy Compared to Methotrexate Monotherapy for Maintenance of Remission in Subjects With Rheumatoid Arthritis

The purpose of this study is to evaluate the efficacy of etanercept monotherapy compared to
methotrexate monotherapy on maintenance of remission in subjects with Rheumatoid Arthritis
who were on etanercept plus methotrexate therapy.

This is a multicenter, randomized withdrawal, double-blind controlled study in subjects with
Rheumatoid Arthritis on etanercept plus methotrexate therapy who are in very good disease
control for 6 months prior to study entry. The study will consist of a 30-day screening
period, a 24-week open label run-in period, a 48-week double-blind treatment period and a
30-day safety follow-up period.

Approximately 358 subjects will be enrolled and approximately 250 subjects will be randomly
assigned in a 2:2:1 ratio to one of three treatment groups: etanercept 50 mg weekly by
subcutaneous injection plus oral placebo for methotrexate (n = 100), oral methotrexate 10 to
25 mg weekly plus placebo for etanercept (n = 100) and etanercept 50 mg weekly by
subcutaneous injection plus oral methotrexate 10 to 25 mg weekly (n = 50).


Inclusion Criteria:

- Subjects must be adults with a history of moderate to severe Rheumatoid Arthritis;

- Subjects must be in very good Rheumatoid Arthritis disease control for ≥ 6 months and
be in remission as defined by a Simplified Disease Activity Index ≤ 3.3 at screening
and at the end of the run-in period.

- Subjects must be on etanercept 50 mg per week plus methotrexate therapy for ≥ 6 months
prior to the start of the run-in period. The methotrexate dose must be 10 to 25 mg per
week for ≥ 6 months prior to the start of the run-in period and the dose must be
stable for ≥ 8 weeks prior to the start of the run-in period.

- Subject has no known history of active tuberculosis, and has a negative test for
tuberculosis during screening.

Exclusion Criteria:- Subject has used biologic disease modifying antirheumatic drug other
than etanercept OR has used an oral janus kinase inhibitor ≤ 6 months prior to run-in visit
1

- Subject has any active infection (including chronic or localized infections) for which
anti-infectives were indicated within 4 weeks prior to run-in visit 1.

- Subject has known alcohol addiction or dependency or uses alcohol daily.

- Subject has one or more significant concurrent medical conditions per investigator
judgment, including the following:

- poorly controlled diabetes

- chronic kidney disease stage IIIb, IV, or V

- symptomatic heart failure (New York Heart Association class II, III, or IV)

- myocardial infarction or unstable angina pectoris within the past 12 months prior
to randomization

- uncontrolled hypertension

- severe chronic pulmonary disease (eg, requiring oxygen therapy)

- multiple sclerosis or any other demyelinating disease

- major chronic inflammatory disease or connective tissue disease other than
Rheumatoid Arthritis (eg, systemic lupus erythematosus with the exception of
secondary Sjögren's syndrome)
We found this trial at
75
sites
481
mi
from 43215
New York, NY
Click here to add this to my saved trials
1333
mi
from 43215
Albuquerque, NM
Click here to add this to my saved trials
164
mi
from 43215
Ann Arbor, MI
Click here to add this to my saved trials
801
mi
from 43215
Baton Rouge, LA
Click here to add this to my saved trials
492
mi
from 43215
Birmingham, AL
Click here to add this to my saved trials
492
mi
from 43215
Birmingham, AL
Click here to add this to my saved trials
270
mi
from 43215
Blue Island, IL
Click here to add this to my saved trials
1714
mi
from 43215
Boise, ID
Click here to add this to my saved trials
478
mi
from 43215
Brooklyn, NY
Click here to add this to my saved trials
478
mi
from 43215
Brooklyn, NY
Click here to add this to my saved trials
5386
mi
from 43215
Buenos Aires,
Click here to add this to my saved trials
907
mi
from 43215
Carrollton, TX
Click here to add this to my saved trials
Charleston, South Carolina 29412
527
mi
from 43215
Charleston, SC
Click here to add this to my saved trials
Charlotte, North Carolina 28207
350
mi
from 43215
Charlotte, NC
Click here to add this to my saved trials
470
mi
from 43215
Clifton, NJ
Click here to add this to my saved trials
1174
mi
from 43215
Corpus Christi, TX
Click here to add this to my saved trials
990
mi
from 43215
Cypress, TX
Click here to add this to my saved trials
303
mi
from 43215
Danville, VA
Click here to add this to my saved trials
163
mi
from 43215
Detroit, MI
Click here to add this to my saved trials
989
mi
from 43215
Doral, FL
Click here to add this to my saved trials
Duncansville, Pennsylvania 16635
243
mi
from 43215
Duncansville, PA
Click here to add this to my saved trials
1935
mi
from 43215
Escondido, CA
Click here to add this to my saved trials
1928
mi
from 43215
Fontana, CA
Click here to add this to my saved trials
970
mi
from 43215
Fort Lauderdale, FL
Click here to add this to my saved trials
462
mi
from 43215
Freehold, NJ
Click here to add this to my saved trials
711
mi
from 43215
Gainesville, FL
Click here to add this to my saved trials
1970
mi
from 43215
Glendale, AZ
Click here to add this to my saved trials
248
mi
from 43215
Grand Rapids, MI
Click here to add this to my saved trials
203
mi
from 43215
Granger, IN
Click here to add this to my saved trials
492
mi
from 43215
Great Neck, NY
Click here to add this to my saved trials
Greenville, North Carolina 27834
429
mi
from 43215
Greenville, NC
Click here to add this to my saved trials
1913
mi
from 43215
Hemet, CA
Click here to add this to my saved trials
Huntington Beach, California 92646
1967
mi
from 43215
Huntington Beach, CA
Click here to add this to my saved trials
410
mi
from 43215
Huntsville, AL
Click here to add this to my saved trials
431
mi
from 43215
Jackson, TN
Click here to add this to my saved trials
206
mi
from 43215
Kalamazoo, MI
Click here to add this to my saved trials
283
mi
from 43215
Knoxville, TN
Click here to add this to my saved trials
1926
mi
from 43215
La Jolla, CA
Click here to add this to my saved trials
206
mi
from 43215
Lansing, MI
Click here to add this to my saved trials
206
mi
from 43215
Lansing, MI
Click here to add this to my saved trials
419
mi
from 43215
Lawrenceville, GA
Click here to add this to my saved trials
994
mi
from 43215
League City, TX
Click here to add this to my saved trials
1725
mi
from 43215
Meridian, ID
Click here to add this to my saved trials
1650
mi
from 43215
Mesa, AZ
Click here to add this to my saved trials
993
mi
from 43215
Miami, FL
Click here to add this to my saved trials
1930
mi
from 43215
Murrieta, CA
Click here to add this to my saved trials
798
mi
from 43215
New Orleans, LA
Click here to add this to my saved trials
468
mi
from 43215
Newark, NJ
Click here to add this to my saved trials
849
mi
from 43215
Oklahoma City, OK
Click here to add this to my saved trials
1959
mi
from 43215
Orange, CA
Click here to add this to my saved trials
463
mi
from 43215
Orangeburg, SC
Click here to add this to my saved trials
792
mi
from 43215
Orlando, FL
Click here to add this to my saved trials
821
mi
from 43215
Palm Harbor, FL
Click here to add this to my saved trials
695
mi
from 43215
Pensacola, FL
Click here to add this to my saved trials
1662
mi
from 43215
Phoenix, AZ
Click here to add this to my saved trials
162
mi
from 43215
Pittsburgh, PA
Click here to add this to my saved trials
896
mi
from 43215
Plano, TX
Click here to add this to my saved trials
2039
mi
from 43215
Sacramento, CA
Click here to add this to my saved trials
394
mi
from 43215
Saint Louis, MO
Click here to add this to my saved trials
Saint Petersburg, Florida 33713
842
mi
from 43215
Saint Petersburg, FL
Click here to add this to my saved trials
1144
mi
from 43215
San Antonio, TX
Click here to add this to my saved trials
2062
mi
from 43215
Santa Maria, CA
Click here to add this to my saved trials
1653
mi
from 43215
Scottsdale, AZ
Click here to add this to my saved trials
284
mi
from 43215
Skokie, IL
Click here to add this to my saved trials
353
mi
from 43215
Springfield, IL
Click here to add this to my saved trials
585
mi
from 43215
Springfield, MO
Click here to add this to my saved trials
831
mi
from 43215
Tampa, FL
Click here to add this to my saved trials
1983
mi
from 43215
Torrance, CA
Click here to add this to my saved trials
1958
mi
from 43215
Tustin, CA
Click here to add this to my saved trials
1911
mi
from 43215
Victorville, CA
Click here to add this to my saved trials
993
mi
from 43215
Webster, TX
Click here to add this to my saved trials
1989
mi
from 43215
West Hills, CA
Click here to add this to my saved trials
324
mi
from 43215
Wheaton, MD
Click here to add this to my saved trials
410
mi
from 43215
Wynnewood, PA
Click here to add this to my saved trials
373
mi
from 43215
Wyomissing, PA
Click here to add this to my saved trials