Effectiveness and Safety of Adalimumab in Rheumatoid Arthritis Patients in Routine Clinical Practice

Sponsor
AbbVie (prior sponsor, Abbott) (Industry)
Overall Status
Completed
CT.gov ID
NCT01078090
Collaborator
(none)
5,745
370
119
15.5
0.1

Study Details

Study Description

Brief Summary

Observation of safety, tolerability and effectiveness of adalimumab (Humira) therapy in a large patient collective under everyday clinical conditions over a 5-year period.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Patients with Rheumatoid Arthritis and started treatment with adalimumab in a normal clinical setting according to the label were documented. The follow-up observation period was for 5 years and focused on safety information and maintenance of efficacy during the normal clinical setting. Follow-up with participants was via regular office visits at intervals as determined by routine clinical practice or as recommended by national guidelines.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    5745 participants
    Observational Model:
    Case-Only
    Time Perspective:
    Prospective
    Official Title:
    Effectiveness and Safety of Adalimumab in Rheumatoid Arthritis Patients in Routine Clinical Practice
    Study Start Date :
    Apr 1, 2003
    Actual Primary Completion Date :
    Mar 1, 2013
    Actual Study Completion Date :
    Mar 1, 2013

    Arms and Interventions

    Arm Intervention/Treatment
    Rheumatoid arthritis

    Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in Disease Activity Score (DAS) 28 [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      The DAS28 is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, the erythrocyte sedimentation rate (ESR), and general health (measured on a visual analog scale [VAS] from 0 to 10 cm) are included in the DAS28 score. Scores on the DAS28 range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.

    2. Percentage of Participants in DAS28 Remission [Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Clinical remission is defined as a DAS28 score of < 2.6. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.

    Secondary Outcome Measures

    1. Percentage of Participants With a Significant Therapeutic Response [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Significant therapeutic response was determined by DAS28 critical difference (Dcrit). A Dcrit response is a statistically determined value that exceeds the threshold of random fluctuation and signifies a positive individual response during treatment. A DAS28-Dcrit individual therapeutic response is defined as a decrease (improvement) in DAS28 from Baseline of ≥ 1.8. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.

    2. Percentage of Participants With Low, Moderate and High Disease Activity [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Low disease activity is defined as a DAS28 score ≤ 3.2; Moderate disease activity as a DAS28 >3.2 to ≤5.1; High disease activity as a DAS28 >5.1. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.

    3. Erythrocyte Sedimentation Rate (ESR) Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Erythrocyte sedimentation rate (ESR) indirectly measures how much inflammation is in the body. A higher ESR is indicative of increased inflammation.

    4. C-Reactive Protein (CRP) Levels Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      C-reactive protein (CRP) was measured from blood samples as a marker for inflammation. Higher levels are indicative of more inflammation. Normal concentration in healthy human serum is usually lower than 10 mg/L, slightly increasing with age.

    5. Tender Joint Count (TJC) Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Twenty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination.

    6. Swollen Joint Count (SJC) Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Twenty-eight joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination.

    7. Hannover Functional Questionnaire (FFbH) Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      A self-administered patient questionnaire used to assess patient function based on 18 questions. The numerically coded responses to the questions are added to provide a total patient score. The FFbH was calculated from this patient score by the following formula: FFbH = (patient score x 100) ÷ 2 (number of valid responses). The resulting FFbH score reflects the degree of remaining functional capacity where 0% indicates maximal impairment and 100% indicates maximal functional capacity.

    8. Patients Global Assessment of Disease Activity Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Participants indicated their global assessment of disease activity over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.

    9. Participants Assessment of Pain Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Participants indicated their level of pain over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.

    10. Participants Assessment of Fatigue Over Time [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

      Participants indicated their level of fatigue over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.

    11. Percentage of Participants With Impairment in Daily Activities [Baseline and Months 6, 18, 24, and 30]

      Participants were asked to report how many days of impairment in daily activities they had experienced in the last 4 weeks.

    12. Number of Days Missed From Work Due to Rheumatoid Arthritis [Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60]

      Participants reported the number of days they had missed from work in the prior 6 months due to rheumatoid arthritis. The Baseline measurement includes data for the prior 12 months.

    13. Percentage of Participants With In-patient Hospitalization [Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60]

      The percentage of participants with in-patient hospitalization in the prior 6 months. Baseline data includes in-patient hospitalizations that occurred within the prior 12 months.

    14. Percentage of Participants on Concomitant Rheumatoid Arthritis and Pain Relief/Anti-inflammatory Medication [Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Moderate to severe active rheumatoid arthritis in adults with insufficient response to disease-modifying antirheumatic drugs, including methotrexate.

    • Moderate to severe active rheumatoid arthritis in adults who have not been treated with methotrexate before.

    • In case of incompatibility with methotrexate, adalimumab can be used as monotherapy

    Exclusion Criteria:
    • Hypersensitivity against the drug or one of the other ingredients; active tuberculosis or other severe infections (e.g. sepsis and opportunistic infections); moderate to severe cardiac insufficiency

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Site Reference ID/Investigator# 35034 Aachen Germany 52062
    2 Site Reference ID/Investigator# 35033 Aachen Germany 52064
    3 Site Reference ID/Investigator# 53919 Achern Germany 77855
    4 Site Reference ID/Investigator# 53883 Aichhalden Germany 78733
    5 Site Reference ID/Investigator# 35041 Altenburg Germany 04600
    6 Site Reference ID/Investigator# 35050 Amberg Germany 92224
    7 Site Reference ID/Investigator# 53974 Amberg Germany 92224
    8 Site Reference ID/Investigator# 33347 Augsburg Germany 86150
    9 Site Reference ID/Investigator# 33356 Bad Abbach Germany 93077
    10 Site Reference ID/Investigator# 33359 Bad Abbach Germany 93077
    11 Site Reference ID/Investigator# 33362 Bad Aibling Germany 83043
    12 Site Reference ID/Investigator# 35084 Bad Aibling Germany 83043
    13 Site Reference ID/Investigator# 53968 Bad Aibling Germany 83043
    14 Site Reference ID/Investigator# 53966 Bad Bellingen Germany 79415
    15 Site Reference ID/Investigator# 35523 Bad Bentheim Germany D-48455
    16 Site Reference ID/Investigator# 35571 Bad Bramstedt Germany 24576
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    18 Site Reference ID/Investigator# 53929 Bad Buchau Germany 88422
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    21 Site Reference ID/Investigator# 33380 Bad Iburg Germany 49186
    22 Site Reference ID/Investigator# 33384 Bad Kissingen Germany 97688
    23 Site Reference ID/Investigator# 33385 Bad Kreuznach Germany 55543
    24 Site Reference ID/Investigator# 33389 Bad Liebenwerda Germany 04924
    25 Site Reference ID/Investigator# 53942 Bad Mergentheim Germany 97980
    26 Site Reference ID/Investigator# 33394 Bad Muender Germany 31848
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    28 Site Reference ID/Investigator# 33399 Bad Neuenahr Germany 53474
    29 Site Reference ID/Investigator# 35576 Bad Neuenahr Germany 53474
    30 Site Reference ID/Investigator# 53980 Bad Pyrmont Germany 31812
    31 Site Reference ID/Investigator# 33402 Bad Rappenau Germany 74906
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    33 Site Reference ID/Investigator# 33415 Bad Staffelstein Germany 96231
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    35 Site Reference ID/Investigator# 33423 Baden-Baden Germany 76530
    36 Site Reference ID/Investigator# 33427 Bamberg Germany 96047
    37 Site Reference ID/Investigator# 33436 Bautzen Germany 02625
    38 Site Reference ID/Investigator# 33440 Bayreuth Germany 95445
    39 Site Reference ID/Investigator# 53978 Belm Germany 49191
    40 Site Reference ID/Investigator# 33449 Bensheim Germany 64625
    41 Site Reference ID/Investigator# 34264 Berlin-Buch Germany 13125
    42 Site Reference ID/Investigator# 34250 Berlin-Wannsee Germany 14109
    43 Site Reference ID/Investigator# 33646 Berlin Germany 10178
    44 Site Reference ID/Investigator# 53902 Berlin Germany 10247
    45 Site Reference ID/Investigator# 33662 Berlin Germany 10367
    46 Site Reference ID/Investigator# 33695 Berlin Germany 10711
    47 Site Reference ID/Investigator# 34243 Berlin Germany 10719
    48 Site Reference ID/Investigator# 33681 Berlin Germany 10777
    49 Site Reference ID/Investigator# 35599 Berlin Germany 12161
    50 Site Reference ID/Investigator# 53959 Berlin Germany 12200
    51 Site Reference ID/Investigator# 33688 Berlin Germany 12435
    52 Site Reference ID/Investigator# 34260 Berlin Germany 12681
    53 Site Reference ID/Investigator# 33685 Berlin Germany 13055
    54 Site Reference ID/Investigator# 53948 Berlin Germany 13055
    55 Site Reference ID/Investigator# 53939 Berlin Germany 13589
    56 Site Reference ID/Investigator# 53971 Berlin Germany 13595
    57 Site Reference ID/Investigator# 53933 Berlin Germany 14059
    58 Site Reference ID/Investigator# 53884 Berlin Germany 14089
    59 Site Reference ID/Investigator# 33672 Berlin Germany 14109
    60 Site Reference ID/Investigator# 35552 Berlin Germany 14163
    61 Site Reference ID/Investigator# 35554 Bernau Germany 16321
    62 Site Reference ID/Investigator# 53899 Biberach Germany 88400
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    66 Site Reference ID/Investigator# 35560 Bietigheim-Bissingen Germany 74321
    67 Site Reference ID/Investigator# 34283 Blankenburg/Hart Germany 38889
    68 Site Reference ID/Investigator# 34286 Blaubeuren Germany 89143
    69 Site Reference ID/Investigator# 34289 Bocholt Germany 46399
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    71 Site Reference ID/Investigator# 35567 Bochum Germany 44789
    72 Site Reference ID/Investigator# 35642 Bogen Germany 94327
    73 Site Reference ID/Investigator# 34300 Bonn Germany 53111
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    75 Site Reference ID/Investigator# 35647 Bonn Germany 53175
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    78 Site Reference ID/Investigator# 34305 Braunschweig Germany 38100
    79 Site Reference ID/Investigator# 34310 Braunschweig Germany 38100
    80 Site Reference ID/Investigator# 35601 Breitenbrunn Germany 08359
    81 Site Reference ID/Investigator# 35607 Bremen Germany 28209
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    83 Site Reference ID/Investigator# 53934 Buechen Germany 21514
    84 Site Reference ID/Investigator# 34696 Celle Germany 29221
    85 Site Reference ID/Investigator# 34700 Chemnitz Germany 09126
    86 Site Reference ID/Investigator# 35092 Chemnitz Germany D-09130
    87 Site Reference ID/Investigator# 33990 Cologne Germany 50679
    88 Site Reference ID/Investigator# 33987 Cologne Germany 50823
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    148 Site Reference ID/Investigator# 34902 Greifswald Germany 17491
    149 Site Reference ID/Investigator# 34910 Guestrow Germany 18273
    150 Site Reference ID/Investigator# 35501 Hagen Germany 58089
    151 Site Reference ID/Investigator# 34924 Halle Germany 06108
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    153 Site Reference ID/Investigator# 34938 Halle Germany 06108
    154 Site Reference ID/Investigator# 34920 Halle Germany 06112
    155 Site Reference ID/Investigator# 34942 Halle Germany 06120
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    157 Site Reference ID/Investigator# 35442 Hamburg Germany 20144
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    159 Site Reference ID/Investigator# 33367 Hamburg Germany 21031
    160 Site Reference ID/Investigator# 53900 Hamburg Germany 21073
    161 Site Reference ID/Investigator# 34956 Hamburg Germany 21075
    162 Site Reference ID/Investigator# 34962 Hamburg Germany 22081
    163 Site Reference ID/Investigator# 35450 Hamburg Germany 22081
    164 Site Reference ID/Investigator# 35112 Hamburg Germany 22087
    165 Site Reference ID/Investigator# 34946 Hamburg Germany 22089
    166 Site Reference ID/Investigator# 35001 Hamburg Germany 22119
    167 Site Reference ID/Investigator# 34959 Hamburg Germany 22147
    168 Site Reference ID/Investigator# 34977 Hamburg Germany 22147
    169 Site Reference ID/Investigator# 34965 Hamburg Germany 22391
    170 Site Reference ID/Investigator# 54806 Hamburg Germany 22399
    171 Site Reference ID/Investigator# 33578 Hamburg Germany 22529
    172 Site Reference ID/Investigator# 34967 Hamburg Germany 22529
    173 Site Reference ID/Investigator# 34989 Hamburg Germany 22529
    174 Site Reference ID/Investigator# 34981 Hamburg Germany 22609
    175 Site Reference ID/Investigator# 34984 Hamburg Germany 22609
    176 Site Reference ID/Investigator# 34996 Hamburg Germany 22609
    177 Site Reference ID/Investigator# 53953 Hamm Germany 59065
    178 Site Reference ID/Investigator# 35017 Hanau Germany 63450
    179 Site Reference ID/Investigator# 33788 Hannover Germany 30625
    180 Site Reference ID/Investigator# 33713 Hanover Germany 30159
    181 Site Reference ID/Investigator# 35032 Hanover Germany 30159
    182 Site Reference ID/Investigator# 35021 Hanover Germany 30161
    183 Site Reference ID/Investigator# 33790 Harrislee Germany 24955
    184 Site Reference ID/Investigator# 65629 Haseluenne Germany 49740
    185 Site Reference ID/Investigator# 33795 Hattingen Germany 45525
    186 Site Reference ID/Investigator# 33796 Heidelberg Germany 69120
    187 Site Reference ID/Investigator# 33806 Heidelberg Germany 69121
    188 Site Reference ID/Investigator# 33811 Heidelberg Germany D-69115
    189 Site Reference ID/Investigator# 33816 Heilbad Heiligenstadt Germany 37308
    190 Site Reference ID/Investigator# 53911 Herne Germany 44623
    191 Site Reference ID/Investigator# 53910 Herne Germany 44625
    192 Site Reference ID/Investigator# 65623 Herne Germany 44652
    193 Site Reference ID/Investigator# 33823 Herrsching Germany 82211
    194 Site Reference ID/Investigator# 33831 Hildesheim Germany 31124
    195 Site Reference ID/Investigator# 33840 Hofheim Germany 65719
    196 Site Reference ID/Investigator# 33836 Hof Germany 95028
    197 Site Reference ID/Investigator# 33843 Hohenfelde Germany 18209
    198 Site Reference ID/Investigator# 54807 Homburg Germany 66424
    199 Site Reference ID/Investigator# 53985 Illingen Germany 66557
    200 Site Reference ID/Investigator# 33933 Ingolstadt Germany 85049
    201 Site Reference ID/Investigator# 53938 Jena Germany 07743
    202 Site Reference ID/Investigator# 5323 Jena Germany 07745
    203 Site Reference ID/Investigator# 33940 Juelich Germany 52428
    204 Site Reference ID/Investigator# 33944 Kahla Germany 07768
    205 Site Reference ID/Investigator# 35124 Kahla Germany 07768
    206 Site Reference ID/Investigator# 33948 Kaiserslautern Germany 67655
    207 Site Reference ID/Investigator# 53935 Kaltenkirchen Germany 24568
    208 Site Reference ID/Investigator# 33397 Karlsruhe Germany 76133
    209 Site Reference ID/Investigator# 33954 Karlsruhe Germany 76133
    210 Site Reference ID/Investigator# 35482 Karlstadt Germany 97753
    211 Site Reference ID/Investigator# 33962 Kassel Germany 34131
    212 Site Reference ID/Investigator# 34000 Koenigs Wusterhausen Germany 15711
    213 Site Reference ID/Investigator# 35239 Kolkwitz Germany 3099
    214 Site Reference ID/Investigator# 34006 Kressbronn Germany 88079
    215 Site Reference ID/Investigator# 34009 Kronach Germany 96317
    216 Site Reference ID/Investigator# 34086 Kyritz Germany 16866
    217 Site Reference ID/Investigator# 34003 Lahr Germany 77933
    218 Site Reference ID/Investigator# 53937 Leipzig Germany 04103
    219 Site Reference ID/Investigator# 65628 Leipzig Germany 04109
    220 Site Reference ID/Investigator# 34107 Leipzig Germany 04207
    221 Site Reference ID/Investigator# 34098 Leipzig Germany 04299
    222 Site Reference ID/Investigator# 34119 Leverkusen Germany 51373
    223 Site Reference ID/Investigator# 34121 Lichtenstein Germany 09350
    224 Site Reference ID/Investigator# 35252 Lippstadt Germany 59555
    225 Site Reference ID/Investigator# 53882 Lohne Germany 49393
    226 Site Reference ID/Investigator# 53886 Ludwigsburg Germany 71638
    227 Site Reference ID/Investigator# 35257 Ludwigsfelde Germany 14974
    228 Site Reference ID/Investigator# 53906 Ludwigslust Germany 19288
    229 Site Reference ID/Investigator# 34133 Luebeck Germany 23552
    230 Site Reference ID/Investigator# 53943 Luedenscheid Germany 58311
    231 Site Reference ID/Investigator# 33407 Lueneburg Germany 21335
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    233 Site Reference ID/Investigator# 34148 Magdeburg Germany 39104
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    236 Site Reference ID/Investigator# 53928 Mainz Germany 55116
    237 Site Reference ID/Investigator# 65631 Mainz Germany 55116
    238 Site Reference ID/Investigator# 34184 Mannheim Germany 68165
    239 Site Reference ID/Investigator# 34194 Marl Germany 45768
    240 Site Reference ID/Investigator# 35283 Menz Germany 39175
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    260 Site Reference ID/Investigator# 34041 Munich Germany 81925
    261 Site Reference ID/Investigator# 34035 Munich Germany D-81541
    262 Site Reference ID/Investigator# 34050 Naunhof Germany 04683
    263 Site Reference ID/Investigator# 34059 Neubrandenburg Germany 17033
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    280 Site Reference ID/Investigator# 34715 Ostseebad Damp Germany 24351
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    291 Site Reference ID/Investigator# 33468 Potsdam Germany 14467
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    307 Site Reference ID/Investigator# 33900 Rendsburg Germany 24768
    308 Site Reference ID/Investigator# 33903 Reutlingen Germany 72764
    309 Site Reference ID/Investigator# 53982 Rheinfelden Germany 79618
    310 Site Reference ID/Investigator# 53908 Rickenbach Germany 79736
    311 Site Reference ID/Investigator# 33393 Riesa Germany 01589
    312 Site Reference ID/Investigator# 33912 Rinteln Germany 31737
    313 Site Reference ID/Investigator# 33921 Rostock Germany 18059
    314 Site Reference ID/Investigator# 33929 Rothenburg Germany 02929
    315 Site Reference ID/Investigator# 34014 Saarbruecken Germany 66111
    316 Site Reference ID/Investigator# 34021 Salzwedel Germany 29410
    317 Site Reference ID/Investigator# 53916 Schlangenbad Germany 65388
    318 Site Reference ID/Investigator# 34030 Schneeberg Germany 08289
    319 Site Reference ID/Investigator# 33550 Schwerin Germany 19053
    320 Site Reference ID/Investigator# 35374 Schwerin Germany 19053
    321 Site Reference ID/Investigator# 33553 Schwerte Germany 58239
    322 Site Reference ID/Investigator# 33557 Seesen Germany 38723
    323 Site Reference ID/Investigator# 53944 Siegen Germany 57072
    324 Site Reference ID/Investigator# 33565 Sinsheim Germany 74889
    325 Site Reference ID/Investigator# 53927 Solingen Germany 42651
    326 Site Reference ID/Investigator# 33570 Soltau Germany 29614
    327 Site Reference ID/Investigator# 33583 Stadtbergen Germany 86391
    328 Site Reference ID/Investigator# 33586 Stadthagen Germany 31655
    329 Site Reference ID/Investigator# 53936 Steinhagen Germany 33803
    330 Site Reference ID/Investigator# 33602 Stuttgart Germany 70178
    331 Site Reference ID/Investigator# 33609 Stuttgart Germany 70199
    332 Site Reference ID/Investigator# 33596 Stuttgart Germany 70372
    333 Site Reference ID/Investigator# 35387 Suhl Germany 98529
    334 Site Reference ID/Investigator# 54808 Tarp Germany 24963
    335 Site Reference ID/Investigator# 35433 Thum-Jahnsbach Germany 9419
    336 Site Reference ID/Investigator# 53951 Tischenreuth Germany 95643
    337 Site Reference ID/Investigator# 33623 Torgelow Germany 17358
    338 Site Reference ID/Investigator# 33628 Treuenbrietzen Germany 14929
    339 Site Reference ID/Investigator# 53907 Tuebingen Germany 72072
    340 Site Reference ID/Investigator# 53893 Twistringen Germany 27239
    341 Site Reference ID/Investigator# 33635 Ueberlingen-Nussdorf Germany 88662
    342 Site Reference ID/Investigator# 53898 Uhlstaedt-Kirchhasel Germany 07407
    343 Site Reference ID/Investigator# 33722 Ulm Germany 89073
    344 Site Reference ID/Investigator# 65626 Ulm Germany 89073
    345 Site Reference ID/Investigator# 33732 Verden Germany 27283
    346 Site Reference ID/Investigator# 53965 Viersen Germany 41747
    347 Site Reference ID/Investigator# 33735 Villingen-Schwenningen Germany 78054
    348 Site Reference ID/Investigator# 53914 Vogelsang-Gommern Germany 39245
    349 Site Reference ID/Investigator# 53952 Vreden Germany 48691
    350 Site Reference ID/Investigator# 54809 Waldbronn Germany 76337
    351 Site Reference ID/Investigator# 33740 Waltrop Germany 45731
    352 Site Reference ID/Investigator# 33747 Weener Germany 26826
    353 Site Reference ID/Investigator# 53891 Weiden i.d. Oberpfalz Germany 92637
    354 Site Reference ID/Investigator# 53921 Weissenfels Germany 06667
    355 Site Reference ID/Investigator# 33753 Welzow Germany 03119
    356 Site Reference ID/Investigator# 35406 Wiesbaden Germany 65189
    357 Site Reference ID/Investigator# 53941 Wiesbaden Germany 65189
    358 Site Reference ID/Investigator# 33762 Wiesbaden Germany 65191
    359 Site Reference ID/Investigator# 33770 Wilhelmshaven Germany 26382
    360 Site Reference ID/Investigator# 53977 Winsen (Luhe) Germany 21423
    361 Site Reference ID/Investigator# 53954 Winsen Germany 21423
    362 Site Reference ID/Investigator# 33778 Wittlich Germany 54516
    363 Site Reference ID/Investigator# 33783 Wolfsburg Germany 38440
    364 Site Reference ID/Investigator# 33716 Wuerzburg Germany 97070
    365 Site Reference ID/Investigator# 53917 Wuppertal Germany 42103
    366 Site Reference ID/Investigator# 35418 Wuppertal Germany 42105
    367 Site Reference ID/Investigator# 33862 Zerbst Germany 39261
    368 Site Reference ID/Investigator# 33865 Zeven Germany 27404
    369 Site Reference ID/Investigator# 33870 Zwickau Germany 08060
    370 Site Reference ID/Investigator# 33878 Zwiesel Germany 94227

    Sponsors and Collaborators

    • AbbVie (prior sponsor, Abbott)

    Investigators

    • Study Director: Bianca Wittig, MD, AbbVie Deutschland GmbH & Co. KG, Medical Department

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    AbbVie (prior sponsor, Abbott)
    ClinicalTrials.gov Identifier:
    NCT01078090
    Other Study ID Numbers:
    • HUM 03-1
    First Posted:
    Mar 2, 2010
    Last Update Posted:
    May 8, 2014
    Last Verified:
    Apr 1, 2014
    Keywords provided by AbbVie (prior sponsor, Abbott)
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Period Title: Overall Study
    STARTED 5745
    COMPLETED 1152
    NOT COMPLETED 4593

    Baseline Characteristics

    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Overall Participants 5745
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    54.8
    (12.8)
    Gender (participants) [Number]
    Female
    4428
    77.1%
    Male
    1315
    22.9%
    Region of Enrollment (participants) [Number]
    Germany
    5745
    100%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in Disease Activity Score (DAS) 28
    Description The DAS28 is a validated index of rheumatoid arthritis disease activity. Twenty-eight tender joint counts, 28 swollen joint counts, the erythrocyte sedimentation rate (ESR), and general health (measured on a visual analog scale [VAS] from 0 to 10 cm) are included in the DAS28 score. Scores on the DAS28 range from 0 to 10. A DAS28 score >5.1 indicates high disease activity, a DAS28 score <3.2 indicates low disease activity, and a DAS28 score <2.6 indicates clinical remission.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 3 (n=3918)
    -1.6
    (1.3)
    Month 6 (n=3347)
    -1.8
    (1.4)
    Month 12 (n=2872)
    -2.0
    (1.4)
    Month 18 (n=2397)
    -2.1
    (1.4)
    Month 24 (n=2099)
    -2.2
    (1.4)
    Month 30 (n=1810)
    -2.3
    (1.5)
    Month 36 (n=1564)
    -2.3
    (1.5)
    Month 48 (n=1261)
    -2.3
    (1.5)
    Month 60 (n=934)
    -2.4
    (1.5)
    2. Primary Outcome
    Title Percentage of Participants in DAS28 Remission
    Description Clinical remission is defined as a DAS28 score of < 2.6. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
    Time Frame Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 3 (n=3918)
    12.8
    0.2%
    Month 6 (n=3347)
    16.9
    0.3%
    Month 12 (n=2872)
    19.4
    0.3%
    Month 18 (n=2397)
    23.0
    0.4%
    Month 24 (n=2099)
    23.3
    0.4%
    Month 30 (n=1810)
    24.3
    0.4%
    Month 36 (n=1564)
    24.0
    0.4%
    Month 48 (n=1261)
    24.7
    0.4%
    Month 60 (n=934)
    25.6
    0.4%
    3. Secondary Outcome
    Title Percentage of Participants With a Significant Therapeutic Response
    Description Significant therapeutic response was determined by DAS28 critical difference (Dcrit). A Dcrit response is a statistically determined value that exceeds the threshold of random fluctuation and signifies a positive individual response during treatment. A DAS28-Dcrit individual therapeutic response is defined as a decrease (improvement) in DAS28 from Baseline of ≥ 1.8. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 3 (n=3918)
    40.8
    0.7%
    Month 6 (n=3347)
    50.5
    0.9%
    Month 12 (n=2872)
    53.6
    0.9%
    Month 18 (n=2397)
    58.7
    1%
    Month 24 (n=2099)
    60.3
    1%
    Month 30 (n=1810)
    63.3
    1.1%
    Month 36 (n=1564)
    64.6
    1.1%
    Month 48 (n=1261)
    64.2
    1.1%
    Month 60 (n=934)
    65.5
    1.1%
    4. Secondary Outcome
    Title Percentage of Participants With Low, Moderate and High Disease Activity
    Description Low disease activity is defined as a DAS28 score ≤ 3.2; Moderate disease activity as a DAS28 >3.2 to ≤5.1; High disease activity as a DAS28 >5.1. The Disease Activity Score (DAS28) is a validated index of rheumatoid arthritis disease activity calculated from the 28 tender joint count, 28 swollen joint count, the erythrocyte sedimentation rate (ESR), and the patient's assessment of global disease activity (measured on a visual analog scale [VAS] from 0 to 10 cm). Scores on the DAS28 range from 0 to 10; higher scores indicate more disease activity.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS) participants with available data at each time point.
    Arm/Group Title Month 0 Month 3 Month 6 Month 12 Month 18 Month 24 Month 30 Month 36 Month 48 Month 60
    Arm/Group Description Baseline 3 months after inclusion 6 months after inclusion 12 months after inclusion 18 months after inclusion 24 months after inclusion 30 months after inclusion 36 months after inclusion 48 months after inclusion 60 months after inclusion
    Measure Participants 4400 3918 3347 2872 2397 2099 1810 1564 1261 934
    Low disease activity
    0.0
    0%
    23.9
    NaN
    29.8
    NaN
    33.0
    NaN
    38.7
    NaN
    38.5
    NaN
    41.5
    NaN
    40.5
    NaN
    40.7
    NaN
    41.9
    NaN
    Moderate disease activity
    26.1
    0.5%
    45.9
    NaN
    46.6
    NaN
    46.6
    NaN
    43.6
    NaN
    45.0
    NaN
    43.6
    NaN
    45.3
    NaN
    45.4
    NaN
    45.3
    NaN
    High disease activity
    73.9
    1.3%
    30.2
    NaN
    23.6
    NaN
    20.3
    NaN
    17.7
    NaN
    16.5
    NaN
    14.9
    NaN
    14.3
    NaN
    13.9
    NaN
    12.8
    NaN
    5. Secondary Outcome
    Title Erythrocyte Sedimentation Rate (ESR) Over Time
    Description Erythrocyte sedimentation rate (ESR) indirectly measures how much inflammation is in the body. A higher ESR is indicative of increased inflammation.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4400)
    34.5
    (23.1)
    Month 3 (n=4083)
    24.7
    (20.4)
    Month 6 (n=3467)
    23.8
    (19.9)
    Month 12 (n=2966)
    22.8
    (18.9)
    Month 18 (n=2472)
    22.0
    (18.4)
    Month 24 (n=2156)
    21.6
    (17.7)
    Month 30 (n=1860)
    21.4
    (18.1)
    Month 36 (n=1685)
    20.9
    (17.5)
    Month 48 (n=1341)
    21.5
    (17.8)
    Month 60 (n=998)
    21.2
    (17.6)
    6. Secondary Outcome
    Title C-Reactive Protein (CRP) Levels Over Time
    Description C-reactive protein (CRP) was measured from blood samples as a marker for inflammation. Higher levels are indicative of more inflammation. Normal concentration in healthy human serum is usually lower than 10 mg/L, slightly increasing with age.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=3852)
    33.7
    (63.8)
    Month 3 (n=3209)
    19.8
    (56.3)
    Month 6 (n=2671)
    16.1
    (29.9)
    Month 12 (n=2192)
    17.0
    (89.8)
    Month 18 (n=1770)
    14.9
    (68.0)
    Month 24 (n=1573)
    12.3
    (27.3)
    Month 30 (n=1355)
    12.0
    (26.4)
    Month 36 (n=1211)
    11.0
    (22.8)
    Month 48 (n=1000)
    11.6
    (27.8)
    Month 60 (n=756)
    9.2
    (16.7)
    7. Secondary Outcome
    Title Tender Joint Count (TJC) Over Time
    Description Twenty-eight joints were assessed and classified as tender/not tender by pressure and joint manipulation on physical examination.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4400)
    12.3
    (7.3)
    Month 3 (n=4165)
    6.4
    (6.7)
    Month 6 (n=3568)
    5.4
    (6.3)
    Month 12 (n=3026)
    4.9
    (6.0)
    Month 18 (n=2533)
    4.4
    (5.7)
    Month 24 (n=2224)
    4.2
    (5.5)
    Month 30 (n=1939)
    4.1
    (5.6)
    Month 36 (n=1681)
    4.0
    (5.4)
    Month 48 (n=1373)
    3.9
    (5.4)
    Month 60 (n=1029)
    3.9
    (5.4)
    8. Secondary Outcome
    Title Swollen Joint Count (SJC) Over Time
    Description Twenty-eight joints were assessed and classified as swollen/not swollen by pressure and joint manipulation on physical examination.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4400)
    9.5
    (6.3)
    Month 3 (n=4165)
    4.7
    (5.3)
    Month 6 (n=3568)
    3.9
    (4.9)
    Month 12 (n=3026)
    3.5
    (4.5)
    Month 18 (n=2533)
    3.1
    (4.3)
    Month 24 (n=2224)
    2.7
    (3.9)
    Month 30 (n=1939)
    2.7
    (3.9)
    Month 36 (n=1681)
    2.7
    (3.8)
    Month 48 (n=1373)
    2.4
    (3.8)
    Month 60 (n=1029)
    2.3
    (3.6)
    9. Secondary Outcome
    Title Hannover Functional Questionnaire (FFbH) Over Time
    Description A self-administered patient questionnaire used to assess patient function based on 18 questions. The numerically coded responses to the questions are added to provide a total patient score. The FFbH was calculated from this patient score by the following formula: FFbH = (patient score x 100) ÷ 2 (number of valid responses). The resulting FFbH score reflects the degree of remaining functional capacity where 0% indicates maximal impairment and 100% indicates maximal functional capacity.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4360)
    57.7
    (23.2)
    Month 3 (n=4075)
    65.1
    (23.4)
    Month 6 (n=3498)
    67.1
    (23.7)
    Month 12 (n=2978)
    68.3
    (23.6)
    Month 18 (n=2493)
    69.4
    (23.4)
    Month 24 (n=2194)
    69.9
    (23.0)
    Month 30 (n=1908)
    70.1
    (23.3)
    Month 36 (n=1715)
    70.4
    (23.5)
    Month 48 (n=1394)
    70.0
    (23.7)
    Month 60 (n=1048)
    69.9
    (24.1)
    10. Secondary Outcome
    Title Patients Global Assessment of Disease Activity Over Time
    Description Participants indicated their global assessment of disease activity over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4400)
    6.6
    (1.9)
    Month 3 (n=4076)
    4.8
    (2.2)
    Month 6 (n=3483)
    4.5
    (2.2)
    Month 12 (n=2968)
    4.3
    (2.1)
    Month 18 (n=2489)
    4.1
    (2.1)
    Month 24 (n=2196)
    4.1
    (2.1)
    Month 30 (n=1903)
    4.0
    (2.1)
    Month 36 (n=1712)
    3.9
    (2.1)
    Month 48 (n=1386)
    3.9
    (2.1)
    Month 60 (n=1047)
    3.9
    (2.1)
    11. Secondary Outcome
    Title Participants Assessment of Pain Over Time
    Description Participants indicated their level of pain over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4388)
    6.8
    (2.0)
    Month 3 (n=4079)
    4.7
    (2.4)
    Month 6 (n=3484)
    4.3
    (2.4)
    Month 12 (n=2966)
    4.1
    (2.3)
    Month 18 (n=2491)
    3.9
    (2.3)
    Month 24 (n=2190)
    3.9
    (2.3)
    Month 30 (n=1904)
    3.8
    (2.3)
    Month 36 (n=1712)
    3.7
    (2.3)
    Month 48 (n=1383)
    3.8
    (2.3)
    Month 60 (n=1048)
    3.7
    (2.3)
    12. Secondary Outcome
    Title Participants Assessment of Fatigue Over Time
    Description Participants indicated their level of fatigue over the last 7 days on a visual analog scale (VAS) ranging from 0 (best) to 10 (worst) cm; lower scores indicate better patient status.
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4389)
    6.0
    (2.6)
    Month 3 (n=4076)
    4.5
    (2.7)
    Month 6 (n=3491)
    4.2
    (2.7)
    Month 12 (n=2950)
    4.0
    (2.6)
    Month 18 (n=2491)
    3.8
    (2.6)
    Month 24 (n=2188)
    3.8
    (2.6)
    Month 30 (n=1906)
    3.7
    (2.5)
    Month 36 (n=1706)
    3.6
    (2.5)
    Month 48 (n=1381)
    3.6
    (2.5)
    Month 60 (n=1039)
    3.6
    (2.5)
    13. Secondary Outcome
    Title Percentage of Participants With Impairment in Daily Activities
    Description Participants were asked to report how many days of impairment in daily activities they had experienced in the last 4 weeks.
    Time Frame Baseline and Months 6, 18, 24, and 30

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS) participants with available data at each time point.
    Arm/Group Title Month 0 Month 6 Month 18 Month 24 Month 30
    Arm/Group Description Baseline 6 months after inclusion 18 months after inclusion 24 months after inclusion 30 months after inclusion
    Measure Participants 4315 3428 2387 2150 1860
    No days of impairment
    17.9
    0.3%
    38.8
    NaN
    45.8
    NaN
    44.5
    NaN
    45.2
    NaN
    Less than 7 days of impairment
    28.2
    0.5%
    34.7
    NaN
    33.5
    NaN
    35.3
    NaN
    36.0
    NaN
    7 to 14 days of impairment
    28.0
    0.5%
    16.1
    NaN
    13.4
    NaN
    13.1
    NaN
    12.8
    NaN
    More than 14 days of impairment
    25.9
    0.5%
    10.4
    NaN
    7.2
    NaN
    7.1
    NaN
    6.0
    NaN
    14. Secondary Outcome
    Title Number of Days Missed From Work Due to Rheumatoid Arthritis
    Description Participants reported the number of days they had missed from work in the prior 6 months due to rheumatoid arthritis. The Baseline measurement includes data for the prior 12 months.
    Time Frame Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set participants who were employed and with available data at each time point (indicated by n)
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=1503)
    51.0
    (78.7)
    Month 6 (n=1173)
    11.6
    (35.5)
    Month 12 (n=1016)
    8.6
    (30.9)
    Month 18 (n=840)
    6.8
    (26.0)
    Month 24 (n=744)
    4.9
    (19.8)
    Month 30 (n=637)
    5.2
    (19.8)
    Month 36 (n=566)
    5.2
    (21.9)
    Month 48 (n=452)
    4.8
    (23.6)
    Month 60 (n=339)
    1.8
    (9.5)
    15. Secondary Outcome
    Title Percentage of Participants With In-patient Hospitalization
    Description The percentage of participants with in-patient hospitalization in the prior 6 months. Baseline data includes in-patient hospitalizations that occurred within the prior 12 months.
    Time Frame Baseline and Months 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set participants who were employed and with available data at each time point (indicated by n)
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    Measure Participants 4400
    Month 0 (n=4341)
    27.6
    0.5%
    Month 6 (n=3401)
    10.9
    0.2%
    Month 12 (n=2924)
    7.4
    0.1%
    Month 18 (n=2467)
    6.7
    0.1%
    Month 24 (n=2177)
    6.4
    0.1%
    Month 30 (n=1900)
    5.3
    0.1%
    Month 36 (n=1706)
    6.2
    0.1%
    Month 48 (n=1370)
    5.0
    0.1%
    Month 60 (n=1037)
    5.3
    0.1%
    16. Secondary Outcome
    Title Percentage of Participants on Concomitant Rheumatoid Arthritis and Pain Relief/Anti-inflammatory Medication
    Description
    Time Frame Baseline and Months 3, 6, 12, 18, 24, 30, 36, 48, and 60

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS). Participants with inadequate data or who met other exclusion criteria were not included in the FAS. "n" indicates the number of participants with available data at each time point.
    Arm/Group Title Month 0 Month 3 Month 6 Month 12 Month 18 Month 24 Month 30 Month 36 Month 48 Month 60
    Arm/Group Description Baseline 3 months after inclusion 6 months after inclusion 12 months after inclusion 18 months after inclusion 24 months after inclusion 30 months after inclusion 36 months after inclusion 48 months after inclusion 60 months after inclusion
    Measure Participants 4400 4229 3611 3067 2569 2250 1966 1772 1435 1079
    Methotrexate
    54.0
    0.9%
    51.9
    NaN
    52.2
    NaN
    54.4
    NaN
    53.9
    NaN
    54.8
    NaN
    55.3
    NaN
    54.9
    NaN
    53.7
    NaN
    54.6
    NaN
    Sulfasalazin
    6.1
    0.1%
    3.9
    NaN
    3.4
    NaN
    3.0
    NaN
    2.6
    NaN
    2.4
    NaN
    2.1
    NaN
    2.5
    NaN
    2.2
    NaN
    1.4
    NaN
    Hydroxychloroquine/Chloroquine
    4.0
    0.1%
    2.6
    NaN
    2.0
    NaN
    1.6
    NaN
    1.5
    NaN
    2.0
    NaN
    1.6
    NaN
    1.6
    NaN
    1.6
    NaN
    1.3
    NaN
    Leflunomide
    20.7
    0.4%
    15.9
    NaN
    13.6
    NaN
    13.3
    NaN
    12.4
    NaN
    11.6
    NaN
    11.9
    NaN
    10.8
    NaN
    9.6
    NaN
    8.9
    NaN
    Other disease-modifying antirheumatic drug
    5.9
    0.1%
    3.2
    NaN
    2.6
    NaN
    2.9
    NaN
    2.5
    NaN
    2.7
    NaN
    2.2
    NaN
    2.2
    NaN
    1.7
    NaN
    1.6
    NaN
    Analgesics
    26.9
    0.5%
    19.1
    NaN
    17.4
    NaN
    17.1
    NaN
    16.2
    NaN
    16.4
    NaN
    14.1
    NaN
    14.8
    NaN
    14.7
    NaN
    14.2
    NaN
    Non-steroidal anti-inflammatory drug
    44.7
    0.8%
    36.7
    NaN
    36.3
    NaN
    36.3
    NaN
    37.2
    NaN
    37.2
    NaN
    36.8
    NaN
    35.9
    NaN
    35.1
    NaN
    35.4
    NaN
    Cyclo-oxygenase 2 (COX-2) Inhibitors
    20.0
    0.3%
    15.8
    NaN
    14.5
    NaN
    12.8
    NaN
    11.4
    NaN
    11.1
    NaN
    10.6
    NaN
    10.2
    NaN
    10.2
    NaN
    9.8
    NaN
    Systemic glucocorticoids
    85.6
    1.5%
    78.1
    NaN
    75.4
    NaN
    73.1
    NaN
    70.1
    NaN
    68.6
    NaN
    64.5
    NaN
    63.1
    NaN
    59.4
    NaN
    58.1
    NaN

    Adverse Events

    Time Frame Adverse events were collected throughout the 60-month period.
    Adverse Event Reporting Description
    Arm/Group Title Rheumatoid Arthritis
    Arm/Group Description Participants with rheumatoid arthritis prescribed adalimumab in routine clinical practice were observed from the first dose for up to 5 years.
    All Cause Mortality
    Rheumatoid Arthritis
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    Rheumatoid Arthritis
    Affected / at Risk (%) # Events
    Total 163/5745 (2.8%)
    Blood and lymphatic system disorders
    Anemia 1/5745 (0%)
    Thrombocytopenia 1/5745 (0%)
    Cardiac disorders
    Coronary artery disease 3/5745 (0.1%)
    Atrial fibrillation 2/5745 (0%)
    Cardiac failure 2/5745 (0%)
    Left ventricular failure 2/5745 (0%)
    Myocardial infarction 2/5745 (0%)
    Acute coronary syndrome 1/5745 (0%)
    Acute myocardial infarction 1/5745 (0%)
    Angina unstable 1/5745 (0%)
    Atrioventricular block complete 1/5745 (0%)
    Coronary artery stenosis 1/5745 (0%)
    Hypertensive heart disease 1/5745 (0%)
    Ventricular tachycardia 1/5745 (0%)
    Eye disorders
    Dry eye 2/5745 (0%)
    Gastrointestinal disorders
    Abdominal pain 2/5745 (0%)
    Dry mouth 2/5745 (0%)
    Colitis erosive 1/5745 (0%)
    Diarrhea 1/5745 (0%)
    Diverticular perforation 1/5745 (0%)
    Duodenal ulcer hemorrhage 1/5745 (0%)
    Enteritis 1/5745 (0%)
    Gastritis 1/5745 (0%)
    Gastrointestinal disorder 1/5745 (0%)
    Ileus paralytic 1/5745 (0%)
    Intestinal perforation 1/5745 (0%)
    Pancreatitis 1/5745 (0%)
    Peritonitis 1/5745 (0%)
    Vomiting 1/5745 (0%)
    General disorders
    Death 5/5745 (0.1%)
    Impaired healing 3/5745 (0.1%)
    Multi-organ failure 3/5745 (0.1%)
    Inflammation 2/5745 (0%)
    Accidental death 1/5745 (0%)
    Cardiac death 1/5745 (0%)
    Fat necrosis 1/5745 (0%)
    Injection site erythema 1/5745 (0%)
    Injection site swelling 1/5745 (0%)
    Local swelling 1/5745 (0%)
    Peripheral edema 1/5745 (0%)
    Pyrexia 1/5745 (0%)
    Sudden cardiac death 1/5745 (0%)
    Hepatobiliary disorders
    Bile duct stone 2/5745 (0%)
    Cholecystitis 2/5745 (0%)
    Cholangitis 1/5745 (0%)
    Hepatitis toxic 1/5745 (0%)
    Infections and infestations
    Pneumonia 9/5745 (0.2%)
    Sepsis 9/5745 (0.2%)
    Arthritis bacterial 3/5745 (0.1%)
    Oral herpes 3/5745 (0.1%)
    Cellulitis 2/5745 (0%)
    Disseminated tuberculosis 2/5745 (0%)
    Endocarditis 2/5745 (0%)
    Escherichia sepsis 2/5745 (0%)
    Fungal infection 2/5745 (0%)
    Herpes zoster 2/5745 (0%)
    Infection 2/5745 (0%)
    Papilloma virus infection 2/5745 (0%)
    Peritoneal tuberculosis 2/5745 (0%)
    Pneumonia primary atypical 2/5745 (0%)
    Sinusitis 2/5745 (0%)
    Tooth infection 2/5745 (0%)
    Urinary tract infection 2/5745 (0%)
    Urosepsis 2/5745 (0%)
    Abscess 1/5745 (0%)
    Abscess limb 1/5745 (0%)
    Abscess neck 1/5745 (0%)
    Actinomycosis 1/5745 (0%)
    Bronchopneumonia 1/5745 (0%)
    Chronic sinusitis 1/5745 (0%)
    Diverticulitis 1/5745 (0%)
    Empyema 1/5745 (0%)
    Gastroenteritis norovirus 1/5745 (0%)
    Hepatitis B 1/5745 (0%)
    Intervertebral discitis 1/5745 (0%)
    Liver abscess 1/5745 (0%)
    Localized infection 1/5745 (0%)
    Neuroborreliosis 1/5745 (0%)
    Orchitis 1/5745 (0%)
    Psoas abscess 1/5745 (0%)
    Pulmonary tuberculosis 1/5745 (0%)
    Pyothorax 1/5745 (0%)
    Septic shock 1/5745 (0%)
    Streptococcal sepsis 1/5745 (0%)
    Subcutaneous abscess 1/5745 (0%)
    Tracheobronchitis 1/5745 (0%)
    Tuberculosis 1/5745 (0%)
    Wound infection 1/5745 (0%)
    Injury, poisoning and procedural complications
    Contusion 2/5745 (0%)
    Femoral neck fracture 1/5745 (0%)
    Joint sprain 1/5745 (0%)
    Traumatic fracture 1/5745 (0%)
    Upper limb fracture 1/5745 (0%)
    Wound 1/5745 (0%)
    Investigations
    Transaminases increased 2/5745 (0%)
    Catheterization cardiac 1/5745 (0%)
    Platelet count decreased 1/5745 (0%)
    Weight decreased 1/5745 (0%)
    Musculoskeletal and connective tissue disorders
    Myalgia 3/5745 (0.1%)
    Bone pain 2/5745 (0%)
    Intervertebral disc protrusion 1/5745 (0%)
    Joint stiffness 1/5745 (0%)
    Osteonecrosis 1/5745 (0%)
    Rheumatoid arthritis 1/5745 (0%)
    Rotator cuff syndrome 1/5745 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Breast cancer 4/5745 (0.1%)
    Prostate cancer 2/5745 (0%)
    Brain neoplasm 1/5745 (0%)
    Bronchial carcinoma 1/5745 (0%)
    Chronic myeloid leukemia 1/5745 (0%)
    Hemangioblastoma 1/5745 (0%)
    Lung adenocarcinoma 1/5745 (0%)
    Lymphangioma 1/5745 (0%)
    Lymphoma 1/5745 (0%)
    Malignant melanoma 1/5745 (0%)
    Malignant mesenteric neoplasm 1/5745 (0%)
    Metastases to liver 1/5745 (0%)
    Metastatic malignant melanoma 1/5745 (0%)
    Neuroendocrine carcinoma of the skin 1/5745 (0%)
    Non-Hodgkin's lymphoma 1/5745 (0%)
    Ovarian cancer 1/5745 (0%)
    Renal cancer 1/5745 (0%)
    Small cell lung cancer stage unspecified 1/5745 (0%)
    Nervous system disorders
    Syncope 2/5745 (0%)
    Cerebellar infarction 1/5745 (0%)
    Cerebral infarction 1/5745 (0%)
    Cerebrovascular accident 1/5745 (0%)
    Coma 1/5745 (0%)
    Hyperkinesia 1/5745 (0%)
    Migraine 1/5745 (0%)
    Paraparesis 1/5745 (0%)
    Paresis 1/5745 (0%)
    Tremor 1/5745 (0%)
    Psychiatric disorders
    Sleep disorder 2/5745 (0%)
    Decreased activity 1/5745 (0%)
    Mental disorder due to a general medical condition 1/5745 (0%)
    Suicide attempt 1/5745 (0%)
    Renal and urinary disorders
    Renal failure acute 3/5745 (0.1%)
    Nephrolithiasis 1/5745 (0%)
    Renal failure chronic 1/5745 (0%)
    Renal impairment 1/5745 (0%)
    Reproductive system and breast disorders
    Benign prostatic hyperplasia 1/5745 (0%)
    Epididymitis 1/5745 (0%)
    Vaginal hemorrhage 1/5745 (0%)
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism 3/5745 (0.1%)
    Asthma 1/5745 (0%)
    Chronic obstructive pulmonary disease 1/5745 (0%)
    Emphysema 1/5745 (0%)
    Interstitial lung disease 1/5745 (0%)
    Pulmonary edema 1/5745 (0%)
    Skin and subcutaneous tissue disorders
    Hyperhidrosis 2/5745 (0%)
    Urticaria 2/5745 (0%)
    Angioedema 1/5745 (0%)
    Nail bed inflammation 1/5745 (0%)
    Social circumstances
    Cardiac assistance device user 1/5745 (0%)
    Surgical and medical procedures
    Knee arthroplasty 7/5745 (0.1%)
    Surgery 6/5745 (0.1%)
    Synovectomy 4/5745 (0.1%)
    Foot operation 3/5745 (0.1%)
    Arthrodesis 2/5745 (0%)
    Joint arthroplasty 2/5745 (0%)
    Skin neoplasm excision 2/5745 (0%)
    Abscess drainage 1/5745 (0%)
    Ankle operation 1/5745 (0%)
    Bone operation 1/5745 (0%)
    Breast operation 1/5745 (0%)
    Bursa removal 1/5745 (0%)
    Cardiac pacemaker insertion 1/5745 (0%)
    Cholecystectomy 1/5745 (0%)
    Coronary angioplasty 1/5745 (0%)
    Coronary artery bypass 1/5745 (0%)
    Hemorrhoid operation 1/5745 (0%)
    Hip arthroplasty 1/5745 (0%)
    Hydrocele operation 1/5745 (0%)
    Hysterectomy 1/5745 (0%)
    Osteosynthesis 1/5745 (0%)
    Osteotomy 1/5745 (0%)
    Prostatic operation 1/5745 (0%)
    Radiotherapy 1/5745 (0%)
    Renal transplant 1/5745 (0%)
    Skin graft 1/5745 (0%)
    Spinal operation 1/5745 (0%)
    Stent placement 1/5745 (0%)
    Transurethral incision of prostate 1/5745 (0%)
    Vertebroplasty 1/5745 (0%)
    Vascular disorders
    Axillary vein thrombosis 1/5745 (0%)
    Jugular vein thrombosis 1/5745 (0%)
    Subclavian vein thrombosis 1/5745 (0%)
    Other (Not Including Serious) Adverse Events
    Rheumatoid Arthritis
    Affected / at Risk (%) # Events
    Total 58/5745 (1%)
    Skin and subcutaneous tissue disorders
    Rash 58/5745 (1%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.

    Results Point of Contact

    Name/Title Global Medical Services
    Organization AbbVie (prior sponsor, Abbott)
    Phone 800-633-9110
    Email
    Responsible Party:
    AbbVie (prior sponsor, Abbott)
    ClinicalTrials.gov Identifier:
    NCT01078090
    Other Study ID Numbers:
    • HUM 03-1
    First Posted:
    Mar 2, 2010
    Last Update Posted:
    May 8, 2014
    Last Verified:
    Apr 1, 2014