E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Rheumatoid Arthritis |
Artrite Reumatoide |
|
E.1.1.1 | Medical condition in easily understood language |
Rheumatoid Arthritis |
Artrite Reumatoide |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Musculoskeletal Diseases [C05] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10039073 |
E.1.2 | Term | Rheumatoid arthritis |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
|
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 compare baricitinib (combined dose groups) to TNF inhibitors with respect to the risk of VTE. |
Confrontare baricitinib (gruppi di dosaggio combinati) con gli inibitori del TNF in relazione al TEV. |
|
E.2.2 | Secondary objectives of the trial |
•To compare baricitinib (combined dose groups) to TNF inhibitors with respect to the risk of key safety outcomes. •To compare each baricitinib dose to TNF inhibitors with respect to the risk of key safety outcomes. |
Confrontare baricitinib (gruppi di dosaggio combinati) con gli inibitori del TNF in relazione ai principali esiti di sicurezza. Confrontare ciascuna dose di baricitinib con gli inibitori del TNF in relazione ai principali esiti di sicurezza. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Participants must have an inadequate response or intolerance to at least 1 disease-modifying antirheumatic drugs (DMARD) (synthetic or biologic). Participants must have at least one of the following characteristics: •Documented evidence of a VTE prior to this study •At least 60 years of age or older • A body mass index (BMI) greater than or equal to 30 kilograms per meter squared (kg/m2), or •Age 50 to less than 60 years AND BMI 25 to less than 30 kg/m2. |
Pazienti con una risposta inadeguata o intolleranza ad almeno 1 DMARD (sintetico o biologico) Pazienti con almeno una delle seguenti caratteristiche: un episodio documentato di TEV precedente a questo studio; etàmaggiore o uguale di 60 anni; Indice di Massa corporea (IMC) maggiore o uguale a 30 kg/m2 Età da 50 a <60 anni e Indice di Massa corporea (IMC) da 25 a <30 kg/m2 |
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E.4 | Principal exclusion criteria |
Participants must not have any problems taking a tumor necrosis factor(TNF) inhibitor, baricitinib, the active substance, or any of the excipients listed in the SmPC Section 6.1. Participants must not be pregnant or breastfeeding. Participants must not have had more than one VTE. Participants must not have cancer. Participants must not have active herpes zoster, serious infection, active tuberculosis, or any other serious illness. This is also applicable to patients with evidence of HIV infection and/or who are positive for anti-HIV antibodies. Participants must not have had a live vaccine within four weeks of study start. Participants must not have participated in any other clinical trial within four weeks of study randomisation Participants must not have a history of IV drug use, other illicit drug abuse, or chronic alcohol abuse in the past year. |
Pazienti con presenza di controindicazioni agli inibitori del TNF, a Baricitinib, al principio attivo o a uno qualsiasi degli eccipienti listati nella sezione 6.1 del RCP; Pazienti in gravidanza o allattamento; Pazienti con anamnesi di più di un evento TEV; Pazienti affetti da cancro; Pazienti con herpes zoster attivo, infezioni clinicamente gravi, Tubercolosi attiva, o qualsiasi altra malattia grave. Ciò è anche applicabile a pazienti con evidenza di infezione da HIV e/o pazienti con presenza di anticorpi anti-HIV; Pazienti che hanno ricevuto vaccinazione con vaccino vivo nelle 4 settimane di randomizzazione; Pazienti che hanno partecipato ad un’altra sperimentazione clinica nelle 4 settimane precedenti alla randomizzazione; Pazienti con storia di abuso di sostanze stupefacenti per via endovenosa, di abuso di altre sostanze illecite o di abuso cronico di alcol nell’arco di circa 1 anno prima dello screening; |
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E.5 End points |
E.5.1 | Primary end point(s) |
Time from first dose of study treatment to first event of Venous thromboembolism (VTE). |
Tempo intercorso tra la prima dose del trattamento in studio e il primo evento di TEV. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
This endpoint will be evaluated at week 12, week 28, week 52 and every 24 weeks thereafter. |
Questo evento sarà rilevato alle settimane 12, 28, 52 e successivamente ogni 24 settimane |
|
E.5.2 | Secondary end point(s) |
Time from first dose of study treatment (combined baricitinib doses compared to TNF inhibitors) to first event of: Arterial thromboembolic event (ATE) Major adverse cardiovascular events (MACE) Malignancy (excluding Nonmelanoma skin cancer(NMSC)) Opportunistic infection Serious infection Time from first dose of study treatment (each individual baricitinib dose compared to TNF inhibitor) to first event of: VTE ATE MACE Malignancy (excluding NMSC) Opportunistic infection Serious infection |
Tempo intercorso tra la prima dose del trattamento in studio e il primo evento di: TEA MACE Neoplasia maligna (escluso il TCNM) Infezione opportunistica Infezione grave Tempo intercorso tra la prima dose del trattamento in studio e il primo evento di: TEV TEA MACE Neoplasia maligna (escluso il TCNM) Infezione opportunistica Infezione grave |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Endpoints will be evaluated at week 12, week 28, week 52 and every 24 weeks thereafter (all visits after randomisation). |
Questo evento sarà rilevato alle settimane 12, 28, 52 e successivamente ogni 24 settimane (tutte le visite successive alla randomizzazione) |
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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 | No |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
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 | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Membri core del team di studio in cieco |
Blinded core study team members |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
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 | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 161 |
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 | Information not present in EudraCT |
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 |
Australia |
Israel |
Russian Federation |
South Africa |
Turkey |
United States |
Austria |
Belgium |
Denmark |
France |
Germany |
Greece |
Hungary |
Italy |
Lithuania |
Netherlands |
Poland |
Romania |
Slovakia |
Spain |
Switzerland |
United Kingdom |
Czechia |
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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
|
End of trial is the date of the last visit or last scheduled procedure as per the protocol schedule of activities, for the last patient. |
La conclusione della sperimentazione è definita come l'ultima visita o l'ultima procedura schedulata secondo Schema delle attività previsto nel protocollo, per l'ultimo paziente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |