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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03663829
Registration number
NCT03663829
Ethics application status
Date submitted
6/09/2018
Date registered
10/09/2018
Date last updated
9/03/2022
Titles & IDs
Public title
Impact of Anti-citrullinated Protein Antibody Status on Treatment Response and Treatment Persistence in Participants With Rheumatoid Arthritis (RA) Who Are Treated With Abatacept or Tumor Necrosis Factor Inhibitors in Australia
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Scientific title
Impact of Anti-citrullinated Protein Antibody Status on Treatment Response and Treatment Persistence in Patients With Rheumatoid Arthritis Who Are Treated With Abatacept or Tumour Necrosis Factor Inhibitors. An Analysis From the Optimising Patient Outcome in Australian Rheumatology (OPAL) Registry.
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Secondary ID [1]
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IM101-728
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rheumatoid Arthritis
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Condition category
Condition code
Musculoskeletal
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Osteoarthritis
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Inflammatory and Immune System
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Rheumatoid arthritis
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Non-Interventional
Other interventions - Non-Interventional
Participants RA who have received a TNFi -
Participants with RA who have received abatacept -
Other interventions: Non-Interventional
Non-Interventional
Other interventions: Non-Interventional
Non-Interventional
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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ACPA (Anti-cyclic citrullinated peptide) status
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Assessment method [1]
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ACPA-positive greater than or equal to 5 Ru/mL in Australia, greater than or equal to 20 Ru/mL in US
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Timepoint [1]
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Pre-Index
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Secondary outcome [1]
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Number of participants with positive ACPA
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Assessment method [1]
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ACPA-positive greater than or equal to 5 Ru/mL in Australia, greater than or equal to 20 Ru/mL in US
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Timepoint [1]
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Index
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Secondary outcome [2]
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Number of participants with negative ACPA
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Assessment method [2]
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ACPA-negative less than or equal to 5 Ru/mL in Australia, less than or equal to 20 Ru/mL in US
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Timepoint [2]
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Index
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Secondary outcome [3]
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CDAI (clinical disease activity index) score
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Assessment method [3]
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Remission CDAI \<2.9 Low disease activity CDAI = 2.9 but \<10.0 Moderate disease activity CDAI = 10.1 but \<22.0 High disease activity CDAI = 22.0
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Timepoint [3]
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Index plus or minus 1 month
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Secondary outcome [4]
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CDAI (clinical disease activity index) score
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Assessment method [4]
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Remission CDAI \<2.9 Low disease activity CDAI = 2.9 but \<10.0 Moderate disease activity CDAI = 10.1 but \<22.0 High disease activity CDAI = 22.0
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Timepoint [4]
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12 months plus or minus 3 months
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Secondary outcome [5]
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DAS28 (disease activity score 28)-CRP-3 (C reactive protein) score
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Assessment method [5]
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The DAS-28 CRP-3 is a measure of disease activity in rheumatoid arthritis (RA) that assesses 28 joints in RA commonly affected. The DAS-28 CRP 3 takes into account tender and swollen joint counts and CRP level (measure of inflammation in the blood). The DAS-28 CRP 3 measure does not include patient global assessment of health.
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Timepoint [5]
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Index plus or minus 1 month
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Secondary outcome [6]
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DAS28 (disease activity score 28)-CRP-3 (C reactive protein) score
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Assessment method [6]
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The DAS-28 CRP-3 is a measure of disease activity in rheumatoid arthritis (RA) that assesses 28 joints in RA commonly affected. The DAS-28 CRP 3 takes into account tender and swollen joint counts and CRP level (measure of inflammation in the blood). The DAS-28 CRP 3 measure does not include patient global assessment of health.
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Timepoint [6]
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12 months plus or minus 3 months
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Secondary outcome [7]
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Number of participants with treatment persistence
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Assessment method [7]
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Timepoint [7]
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Approximately 11 years and 5 months
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Secondary outcome [8]
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Number of participants with treatment discontinuation
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Assessment method [8]
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Timepoint [8]
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Approximately 11 years and 5 months
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Secondary outcome [9]
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Number of participants identified as taking abatacept
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Assessment method [9]
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Timepoint [9]
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Index
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Secondary outcome [10]
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Number of participants identified as taking TNFi (tumor necrosis factor inhibitor)
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Assessment method [10]
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Timepoint [10]
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Index
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Secondary outcome [11]
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Number of participants that achieved remission
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Assessment method [11]
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Remission CDAI \<2.9 Low disease activity CDAI = 2.9 but \<10.0 Moderate disease activity CDAI = 10.1 but \<22.0 High disease activity CDAI = 22.0
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Timepoint [11]
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12 months plus or minus 3 months
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Eligibility
Key inclusion criteria
* Diagnosed with rheumatoid arthritis
* Have a baseline ACPA recorded
* Received either abatacept or a TNFi (adalimumab, certolizumab, etanercept or golimumab) during the sample selection window 1 August 2006 to 30 June 2017
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Minimum age
18
Years
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Maximum age
95
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who have died
* Patients with concomitant inflammatory diseases (e.g. ankylosing spondylitis, psoriatic arthritis, Crohn's disease, ulcerative colitis)
* Patients who have no visit data recorded (even if medication data is available)
Other protocol defined inclusion/exclusion criteria could apply
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/10/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/12/2019
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Sample size
Target
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Accrual to date
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Final
2052
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Canberra City
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Recruitment postcode(s) [1]
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- Canberra City
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
An observational study assessing the impact of anti-citrullinated antibody (ACPA) in rheumatoid arthritis (RA) participants who have received abatacept or tumour necrosis factor inhibitors (TNFi) from the Optimising Patient outcome in Australian rheumatoLogy (OPAL) registry
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Trial website
https://clinicaltrials.gov/study/NCT03663829
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Bristol-Myers Squibb
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Address
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Bristol-Myers Squibb
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03663829
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