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Completed

NCT Number: NCT02984020

Korean Post-marketing Surveillance for Xeljanz

The objective of this study is to identify any problems and questions with respect to the safety and efficacy of Xeljanz during the post-marketing period as required by the regulation of MFDS.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Soonchunhyang University Cheonan Hospital, Department of Rheumatology, Chunan-si, Chungcheongnam-do, South Korea

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

To be included in the study all patients will have received at least 1 dose of Xeljanz for the treatment of the following indication as per local labelling. Moderately to severely active RA in adult patients who have had an inadequate response or intolerance to previous therapy with at least 1 biological DMARD. Or Active psoriatic arthritis (PsA) who have had an inadequate response or intolerance to previous antirheumatic drugs (DMARDs)

Exclusion criteria

  • Patients with a history of hypersensitivity to any ingredients of the product.
  • Patients with serious infection (eg, sepsis) or active infection including localized infection.
  • Patients with active tuberculosis.
  • Patients with severe hepatic function disorder.
  • Patients with an absolute neutrophil count (ANC) <500 cells/mm3.
  • Patients with a lymphocyte count <500 cells/mm3.
  • Patients with a hemoglobin concentration <8 g/dL.
  • Pregnant or possibly pregnant women.
  • Because of lactose contained in this drug, it should not be administered to patients with hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption.

According to Contraindication on label, the investigator should discontinue the patient's treatment if the laboratory test results are as below Patients with an absolute neutrophil count (ANC) <500 cells/mm3 Patients with a hemoglobin level <8 g/dL

Treatment and study plan

Primary outcomes

  1. Number of Participants With Adverse Events (AEs), Adverse Drug Reactions (ADRs), Serious Adverse Events (SAEs) and Serious Adverse Drug Reactions (SADRs)

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. SAE was any untoward medical occurrence that at any dose resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz. SADR was an ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Relatedness to Xeljanz was assessed by the physician.

  2. Number of Participants With Unexpected AEs, Unexpected SAEs, Unexpected ADRs and Unexpected SADRs

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. SAE was any untoward medical occurrence that at any dose resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity; congenital anomaly/birth defect. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz. SADR was any SAE that is attributed to Xeljanz. Relatedness to Xeljanz was assessed by the physician. An unexpected AE was an AE with a difference in nature, severity, specificity, or outcome, compared to the product licensure/safety notification of the drug. Unexpected ADRs were unexpected AEs that were, in the investigator's opinion, of causal relationship to the study treatment.

  3. Duration of Adverse Events

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. Only participants with available data are reported.

  4. Number of Participants With Adverse Events by Their Severity

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    The evaluation of AE severity was done according to the following categories: mild: not causing any significant problem to the participant. Administration of medicinal product continues without dose adjustment. Moderate: causes a problem that dose not interfere significantly with usual activities or the clinical status. Dose of the medical product is adjusted or other therapy is added due to the AE. Severe: causes a problem that interferes significantly with usual activities or the clinical status. The medicinal product is stopped due to the AE. Only participants with available severity assessment data are reported.

  5. Number of Participants With Adverse Events by Their Outcome

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. The outcomes of AE included recovered, recovered with sequelae, recovering, not recovered and unknown. One participant may experience more than one event hence one participant may be included in more than one category specified below. Only participants with available outcome assessment are reported.

  6. Number of Participants With Adverse Events by Their Seriousness Criteria

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. The seriousness criteria for AEs included results in death, is life-threatening, requires inpatient hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, results in congenital anomaly/birth defect, other important medical event. Only participants with available seriousness assessment data are reported.

  7. Number of Participants With Adverse Events by Their Action Taken With Regard to Xeljanz

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship. The action taken with regard to the medicinal product included: permanently discontinued, temporarily discontinued or delayed, dose reduced, dose increased, no change, not applicable. Only participants with available action taken assessment data are reported.

  8. Number of Participants With Adverse Events by Their Causality to Xeljanz

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship. The causality of AEs to Xeljanz were assessed by physician according to the following criteria: certain, probable/likely, possible, unlikely, conditional/unclassified and unassessible/unclassifiable. One participant may experience more than one event hence, one participant may be included in more than one category specified below. Only participants with available causality assessment data are reported.

  9. Number of Participants With Adverse Events According to Demographic Characteristics

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. Number of participants with AEs classified according to the following demographic characteristics: sex: male and female; age: less than (<) 40 years, greater than or equal to (>=) 40 and < 50 years and >= 50 years and <60 years; >= 60 and <70 years; geriatric (>=65 years). Only participants with available demographic and AE assessment data are reported.

  10. Number of Participants With Adverse Events According to Other Baseline Characteristics

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    Other baseline characteristics included: indication; duration of the disease; severity of disease; radiologic progression; status of latent tuberculosis; herpes zoster vaccination; smoking; prior rheumatoid arthritis therapy; medical history; renal disorder; hepatic disorder; allergic history; concomitant medication; duration of administration. Only participants with available other baseline characteristics and AE assessment data are reported.

  11. Number of Participants With Adverse Events - Multivariate Logistic Regression Analysis

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. Logistic regression analysis of multivariate analysis was performed and presented an odds ratio with 95% confidence interval to identify the factors that affect occurrence of AEs in demography and baseline characteristics, or concomitant treatment status, etc.

  12. Number of Geriatric Participants With Adverse Events and Adverse Drug Reactions

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz.

  13. Number of Participants With Adverse Events and Adverse Drug Reactions - Renal Disorder

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz. Renal disorder was judged by the investigator.

  14. Number of Participants With Adverse Events and Adverse Drug Reactions - Hepatic Disorder

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz. Hepatic disorder was judged by the investigator.

  15. Number of Participants With Adverse Events and Adverse Drug Reactions - Other Than Safety Analysis Population

    Time frame: From first dose for Xeljanz to 28 days after last dose (through study completion, up to approximately 6 years)

    An AE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) without regard to possibility of a causal relationship with product treatment or usage. An ADR was any untoward medical occurrence attributed to Xeljanz in a participant who received Xeljanz. AEs and ADRs for participants excluded from the safety analysis population were reported. The reason for exclusion included: not met the inclusion criteria/met exclusion criteria; off-label use; other significant protocol violation.

Secondary outcomes

  1. Change From Baseline in DAS28 (ESR)

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    DAS28 is a modified version of the original Disease Activity Score (DAS). It is a quantitative measure of disease activity used to monitor the treatment or RA. DAS28 (erythrocyte sedimentation rate [ESR]) was calculated from: DAS28 (ESR) = 0.56*√(tender joint counter [TJC] 28) + 0.28*√(swollen joint count [SJC] 28) + 0.014*VAS+ 0.70*ln(ESR), where VAS = visual analogue scale. Total score range: 0-9.4, higher score=more disease activity.

  2. Change From Baseline in DAS28 (CRP)

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    DAS28 is a modified version of the original Disease Activity Score (DAS). It is a quantitative measure of disease activity used to monitor the treatment or RA. DAS28-3 ( C-reactive protein [CRP]) was calculated from the swollen joint count (SJC) and tender joint count (TJC) using the 28 joints count and CRP (mg/L). Total score range: 0 to 9.4, higher score indicated more disease activity.

  3. Number of Participants With EULAR Response

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    European League Against Rheumatism (EULAR) response is a DAS-based response criteria that classifies individual participants as none, moderate, or good responders, depending on the extent of change and the level of disease activity reached. Participants with improvement in DAS28 from baseline >1.2 and DAS28 based EULAR <=3.2 were good responders; participants with improvement in DAS28 from baseline >0.6 and <=1.2 and DAS28 based EULAR >3.2 and <=5.1 were moderate responders; participants with improvement in DAS28 from baseline <=0.6 and DAS28-based EULAR >5.1 were none responders.

  4. Number of Participants With an American College of Rheumatology 20% (ACR20) Response at Month 6

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    ACR20 response: ≥20% improvement in tender joint count; ≥ 20% improvement in swollen joint count; and ≥ 20% improvement in at least 3 of 5 remaining ACR core measures: participant assessment of pain; participant global assessment of disease activity; physician global assessment of disease activity; self-assessed disability (disability index of the Health Assessment Questionnaire [HAQ]); and CRP.

  5. Number of Participants With Effectiveness

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    The variables included DAS28, EULAR response, and ACR20 response. The investigator made the assessment of the overall effectiveness as improved, no change, or aggravated, based on each test results and clinical judgment. No change and aggravated were classified as ineffective.

  6. Number of Participants With Effectiveness by Demographic Characteristics

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    The variables included DAS28, EULAR response, and ACR20 response. The investigator made the assessment of the overall effectiveness as improved, no change, or aggravated, based on each test results and clinical judgment.

  7. Number of Participants With Improved Effectiveness - Multivariate Logistic Regression Analysis

    Time frame: From Baseline to 6 months after treatment (through study completion, up to approximately 6 years)

    The variables included DAS28, EULAR response, and ACR20 response. The investigator made the assessment of the overall effectiveness as improved, no change, or aggravated, based on each test results and clinical judgment. Logistic regression analysis of multivariate analysis was performed and presented as odds ratios with 95% confidence interval to identify the factors that affected classified overall assessment (effective/ineffective) in demography and baseline characteristics of the participants.

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

Korean Post-marketing Surveillance for Xeljanz(Registered) in Rheumatoid Arthritis and Psoriatic Arthritis Patients

Important dates

Study start
2016
Primary completion
2022
Study completion
2022
First posted
Dec 6, 2016
Registry last updated
Aug 27, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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