An Open-Label Study to Evaluate the Response to Adalimumab in Patients With Active Ankylosing Spondylitis Who Have Failed Standard Therapy or TNF-Alpha Inhibitors (RHAPSODY)

• Register: ClinicalTrials.gov
• Last refreshed on: 19 February 2015
• Main ID: NCT00478660
• Date of registration: 23/05/2007
• Prospective Registration: No
• Primary sponsor: Abbott
• Public title: An Open-Label Study to Evaluate the Response to Adalimumab in Patients With Active Ankylosing Spondylitis Who Have Failed Standard Therapy or TNF-Alpha Inhibitors (RHAPSODY) RHAPSODY
• Scientific title: Review of Safety and Efficacy With Adalimumab in Patients With Active Ankylosing Spondylitis - An Open-Label Study to Evaluate the Response to Adalimumab in Patients Who Have Failed Standard Therapy or TNF-Alpha Inhibitors (RHAPSODY)
• Date of first enrolment: February 2006
• Target sample size: 1250
• Recruitment status: Completed
• URL: http://clinicaltrials.gov/show/NCT00478660
• Study type: Interventional
• Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Treatment
• Phase: Phase 3

Countries of recruitment

Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Netherlands, Norway, Spain, Sweden, Switzerland, United Kingdom

Contacts

• Name: Beverly Paperiello
• Affiliation: Abbott

Key inclusion & exclusion criteria

Inclusion Criteria:

- Able and willing to give written informed consent and to comply with the requirements
of the study protocol

- Males and females 18 years of age or older

- Diagnosis of AS according to the modified New York Criteria for Ankylosing
Spondylitis 1984.24

- Documented active AS based on the opinion of a physician for at least 3 months

- Active AS with BASDAI >= 4 at the Screening Visit

- Unsatisfactory response to standard AS therapies in accordance with the current
national guidelines for treatment of AS with TNF inhibitors (if applicable) including
a minimum of failing at least one NSAID. National guidelines (if applicable) must be
followed if the guidelines are more strict regarding the use of TNF inhibitors for
the treatment of AS

- Use of reliable method of contraception, e.g., IUDs, condoms, or hormone (oral,
implantable, or injectable) contraceptives by all female subjects of childbearing
potential. Subject must follow the manufacture's recommendations of contraception
prior to the administration of study drug and through 150 days following the last
administration of adalimumab

- Able and willing to self-administer sc injections or have available a suitable person
to administer sc injections

- A negative pregnancy test (serum HCG) for women of childbearing potential prior to
start of study treatment

- Subject must be evaluated for active and latent TB infection by using a PPD skin
test, T SPOT-TB test, chest x-ray and a detailed review of the subject's medical
history. Guidelines regarding the treatment of latent TB must be followed prior to
the administration of adalimumab

Exclusion Criteria:

- Prior treatment with any investigational agent within 30 days, or five half-lives of
the product, which ever is longer

- Treatment within the last six weeks with infliximab or within the last three weeks
with etanercept or previous treatment at any time with adalimumab

- Known allergy to excipients of adalimumab formulation

- History of or current acute inflammatory joint disease of origin other than AS, e.g.,
rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus etc

- Treatment with corticosteroids (prednisolone equivalents) under the following
conditions:

- Dose is >10 mg/d systemically within the 28 days before screening

- Intraarticular injections or infiltrations of peripheral joints and tendons
within 28 days before or at screening

- Intraarticular injections of sacroiliac joints without therapeutic response <=14
days before screening

- Other medical conditions: uncontrolled diabetes, unstable ischemic heart disease,
congestive heart failure (NYHA III-IV), recent stroke (within three months), chronic
leg ulcer and any other condition (e.g., indwelling urinary catheter) which, in the
opinion of the investigator, would put the subject at risk by participation in the
study

- History of cancer or malignant lymphoproliferative disease other than a successfully
treated non-metastatic cutaneous squamous cell or basal cell carcinoma and/or
localized carcinoma in situ of the cervix

- History of positive serology for hepatitis B indicating active infection or history
of positive serology for hepatitis C

- History of positive HIV status

- Persistent or recurrent infections or severe infections requiring hospitalization or
treatment with iv antibiotics within 30 days, or oral antibiotics within 14 days
prior to enrollment

- Previous diagnosis or signs highly indicative of central nervous system demyelinating
diseases (e.g., optic neuritis, ataxia, apraxia)

- History of active tuberculosis, histoplasmosis or listeriosis

- Female subjects who are pregnant or breast-feeding

- History of clinically significant drug or alcohol abuse in the last year



Age minimum: 18 Years
Age maximum: N/A
Gender: Both

Health Condition(s) or Problem(s) studied

Ankylosing Spondylitis

Intervention(s)

Drug: adalimumab (Humira)

Primary Outcome(s)

BASDAI score

ASAS 5/6

ASAS 20/40/50/70

Secondary Outcome(s)

Vital signs

Adverse events

Laboratory data

Secondary ID(s)

M05-760

Source(s) of Monetary Support

Please refer to primary and secondary sponsors