E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Active Polyarticular Juvenile Idiopathic Arthritis (pJIA) |
Artritis idiopática juvenil poliarticular activa (AIJp) |
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E.1.1.1 | Medical condition in easily understood language |
Active Polyarticular Juvenile Idiopathic Arthritis (pJIA) |
Artritis idiopática juvenil poliarticular activa (AIJp) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10059176 |
E.1.2 | Term | Juvenile idiopathic arthritis |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To estimate abatacept steady-state trough concentration (Cmin) at Day 113 in children and adolescents with pJIA aged 6 to 17. |
Calcular la concentración mínima (Cmin) en estado de equilibrio el día 113 en niños y adolescentes con AIJp de 6 a 17 años. |
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E.2.2 | Secondary objectives of the trial |
1. Proportion of subjects achieving ACR Pediatric 30 at Day 113 in 6-17 year old subjects.
2. Abatacept Cmin at Day 57, Day 85, and Day 113 during the initial 4-month short term period by each weight-tiered dosing regimen in 6-17 year old subjects.
3. Safety summary (proportion of subjects with adverse events, deaths, SAEs, and AEs leading to discontinuation) during initial 4-month short-term and long-term extension periods in both age cohorts.
4. Proportion of subjects with positive immunogenicity response during initial 4 month and long-term extension periods and up to 6 months following discontinuation of treatment in both age cohorts. |
1. Propocion de pacientes que alcanzan una respuesta ACR pediátrica 30 el día 113 en sujetos de 6 a 17 años de edad.
2. Cmin de abatacept el día 57, día 85 y día 113 durante el periodo inicial a corto plazo de 4 meses con cada dosis fija por estrato de peso en sujetos de 6-17 años.
3. Resumen de seguridad (porcentaje de sujetos con acontecimientos adversos, muertes, AAG y AA que provocan la suspensión del tratamiento) durante el periodo inicial de 4 meses a corto plazo y el periodo de extensión a largo plazo en las dos cohortes de edad.
4.Porcentaje de sujetos con una respuesta de inmunogenicidad positiva durante el periodo inicial a corto plazo de 4 meses y el periodo de extensión y hasta 6 meses después de suspender el tratamiento en las dos cohortes de edad. |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Amendment Number 02 - Sub-Study Site Specific, ALL sites (Excluding USA Sites) - version 1.0 dated 28-Mar-13
The primary objective of this sub-study is to characterize the antibody response to Pneumococcal 13-valent Conjugate Vaccine in pediatric subjects (2-5 years of age) with pJIA receiving a stable dose of SC abatacept. Responses to the following antigens (serotypes) will be evaluated: 4, 6A, 6B, 7F, and 19A. These serotypes were selected based on their robust response in subjects similar to the population being studied in this sub-study. |
Enmienda número 02 - Subestudio en centros específicos TODOS (salvo los centros de EE. UU.) - versión 1.0 de fecha 28 de Marzo de 2013.
El objetivo principal de este subestudio es tipificar la respuesta de anticuerpos inducida por la vacuna antineumocócica conjugada 13-valente en sujetos pediátricos (2-5 años) con AIJp que reciben una dosis estable de abatacept. Se evaluarán las respuestas a los siguientes antígenos (serotipos): 4, 6A, 6B, 7F, and 19A. Se eligieron estos serotipos por su sólida respuesta en sujetos similares a la población que se va a analizar en este subestudio. |
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E.3 | Principal inclusion criteria |
1. JIA subjects (male or female), ages 2-17 years with active disease who had an insufficient therapeutic response or intolerance to at least one non biologic DMARD or TNFa antagonists for at least 3 months prior to screening
2. Subjects with TNFa inadequate response (or prior biologic) will be restricted to 30% of the population
3. Subjects must have a history of at least 5 joints with active disease and must have currently active articular disease with ? 2 active joints and ? 2 joints with limitation of motion. |
1. Pacientes con AIJp (hombres y mujeres), de 2-17 años de edad con enfermedad activa con respuesta terapéutica insuficiente o intolerancia al menos a un FAME no biológico, a antagonistas del TNF? durante al menos 3 meses antes de la selección.
2. Los pacientes que presentaron RI al anti-TNF (o recibieron otros biológicos) se limitará al 30% de cada cohorte.
3. Los sujetos deben tener antecedentes de al menos 5 articulaciones con artritis activa y deben tener actualmente enfermedad articular ?2 articulaciones activas y ?2 articulaciones limitación de la movilidad (LdM). |
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E.4 | Principal exclusion criteria |
1. Subjects with other rheumatic diseases or major chronic inflammatory/immunologic diseases, active uveitis, systemic JIA with active systemic features (within a period of 6 months prior to enrollment), persistent Oligoarthritis JIA, or failed 3 or more TNFa antagonists or other biological DMARDS will be excluded.
2. Active systemic disease: (ie, extra-articular features of systemic JIA including fever, rash, organomegaly) within a period of 6 months prior to randomization.
3. Subjects who have failed more than two TNFa antagonists or other biologic DMARDs |
1.Sujetos con cualquier otra enfermedad reumática: por ejemplo, enfermedad inflamatoria intestinal, espondiloartritis, lupus eritematoso sistémico, etc., u otros subtipos de AIJ (artritis asociada a entesitis, artritis psoriásica), o enfermedades inflamatorias o inmunológicas crónicas importantes. 2.Enfermedad sistémica activa(es decir, características extraarticulares de AIJ como fiebre, exantema, organomegalias) en un período de seis meses antes de la aleatorización. 3.Sujetos en los que han fracasado más de dos antagonistas del TNF? u otros FAME biológicos |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is abatacept steady state Cmin at Day 113 in 6-17 year old subjects |
El objetivo primario es abatacept en estado de equilibrio en día 113 en niños y adolescentes con AIJp de 6 a 17 años. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Day 113 / end of 4 month short term period |
Dia 113/ al final del período a corto plazo 4 meses |
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E.5.2 | Secondary end point(s) |
1. Proportion of subjects achieving ACR Pediatric 30 at Day 113 in 6-17 year old subjects.
2. Abatacept Cmin at Day 57, Day 85, and Day 113 during the initial 4-month short term period by each weight-tiered dosing regimen in 6-17 year old subjects.
3. Safety summary (proportion of subjects with adverse events, deaths, SAEs, and AEs leading to discontinuation) during initial 4-month short-term and long-term extension periods in both age cohorts.
4. Proportion of subjects with positive immunogenicity response during initial 4 month and long-term extension periods and up to 6 months following discontinuation of treatment in both age cohorts. |
1. Propocion de pacientes que alcanzan una respuesta ACR pediátrica 30 el día 113 en sujetos de 6 a 17 años de edad. 2. Cmin de abatacept el día 57, día 85 y día 113 durante el periodo inicial a corto plazo de 4 meses con cada dosis fija por estrato de peso en sujetos de 6-17 años. 3. Resumen de seguridad (porcentaje de sujetos con acontecimientos adversos, muertes, AAG y AA que provocan la suspensión del tratamiento) durante el periodo inicial de 4 meses a corto plazo y el periodo de extensión a largo plazo en las dos cohortes de edad. 4.Porcentaje de sujetos con una respuesta de inmunogenicidad positiva durante el periodo inicial a corto plazo de 4 meses y el periodo de extensión y hasta 6 meses después de suspender el tratamiento en las dos cohortes de edad |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Day 113 2. Day 57 / Day85 / Day 113 3. Short and Long term 4. Short, Long Term and Follow up |
1.día 57 2.día 85/dia 85/dia 113 3.periodo corto plazo y periodo de extensión largo plazo 4.periodo corto plazo y periodo de extensión largo plazo y seguimiento |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 27 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Belgium |
Brazil |
France |
Germany |
Italy |
Mexico |
Peru |
Russian Federation |
South Africa |
Spain |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
ultima visita ultima paciente |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |