Trial Outcomes & Findings for Study to Evaluate the Ability of Subjects With Rheumatoid Arthritis or Psoriatic Arthritis to Effectively Use a Reusable Autoinjector to Self-inject Etanercept (NCT NCT01901185)

NCT ID: NCT01901185

Last Updated: 2018-09-04

Results Overview

The successful self-injection of etanercept using the Autoinjector A, as evaluated by the percentage of successful injections of the total nonmissed injections administered by participants in the non-health care setting during Weeks 1 to 5. Successful self-injection was assessed by Question 1 in the Participant Self-injection Questionnaire, which was completed by each participant after each self-injection. Successful injection is defined as the Autoinjector A signaling a complete injection and no liquid medication pooled on your skin.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

77 participants

Primary outcome timeframe

Week 1, Week 2, Week 3, Week 4 and Week 5

Results posted on

2018-09-04

Participant Flow

Patients with rheumatoid arthritis (RA) or psoriatic arthritis (psA) currently receiving treatment with etanercept were eligible to enrol in this study. First patient enrolled on 11 June 2013; last patient enrolled on 13 November 2013.

Participant milestones

Participant milestones
Measure
Etanercept / Autoinjector A
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Overall Study
STARTED
77
Overall Study
Received Etanercept With Autoinjector A
75
Overall Study
COMPLETED
75
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Etanercept / Autoinjector A
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

Study to Evaluate the Ability of Subjects With Rheumatoid Arthritis or Psoriatic Arthritis to Effectively Use a Reusable Autoinjector to Self-inject Etanercept

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Etanercept / Autoinjector A
n=77 Participants
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Age, Continuous
53.8 years
STANDARD_DEVIATION 13.7 • n=99 Participants
Sex: Female, Male
Female
56 Participants
n=99 Participants
Sex: Female, Male
Male
21 Participants
n=99 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=99 Participants
Race/Ethnicity, Customized
White
74 participants
n=99 Participants
Race/Ethnicity, Customized
Other
2 participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic/Latino
14 participants
n=99 Participants
Race/Ethnicity, Customized
Not Hispanic/Latino
63 participants
n=99 Participants
Disease state
Rheumatoid arthritis
66 participants
n=99 Participants
Disease state
Psoriatic arthritis
11 participants
n=99 Participants

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set defined as all nonmissed injections using Autoinjector A during Weeks 1 to 5 for all enrolled participants; in the event of multiple injection attempts, only the last attempt per week was counted.

The successful self-injection of etanercept using the Autoinjector A, as evaluated by the percentage of successful injections of the total nonmissed injections administered by participants in the non-health care setting during Weeks 1 to 5. Successful self-injection was assessed by Question 1 in the Participant Self-injection Questionnaire, which was completed by each participant after each self-injection. Successful injection is defined as the Autoinjector A signaling a complete injection and no liquid medication pooled on your skin.

Outcome measures

Outcome measures
Measure
Etanercept / Autoinjector A
n=367 nonmissed injections
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Percentage of Successful Self-injections to Total Non-missed Injections
97.8 percentage of successful injections
Interval 96.3 to 99.3

SECONDARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set; multiple injection attempts per week are included.

The autoinjector A and prefilled syringe (PFS)/cassettes used by the participants were examined at the end of the study by device engineers. System failure was defined as the failure of the Autoinjector A or PFS/cassette to meet the device design requirements during Weeks 1 to 5. The percentage of system failures is reported out of the total number of injection attempts during the study, including multiple attempts per week.

Outcome measures

Outcome measures
Measure
Etanercept / Autoinjector A
n=373 total injection attempts
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Percentage of Autoinjector A System Failures
2.4 percentage of system failures
Interval 1.0 to 4.0

SECONDARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4 and Week 5

Population: Primary analysis set; multiple injection attempts per week are included.

For all the nonmissed injections recorded on the Participant Self-injection Questionnaire, the percentage of the following steps in the self-injection process that were not successfully completed out of the total nonmissed injections during Weeks 1 to 5 are reported. If multiple attempts were recorded, all the recorded attempts were considered, regardless whether it was a successful attempt or not. • Error Icon lit up (Question 2) • Could not load cassette successfully (Question 3) • Could not remove purple cassette cap successfully (Question 4) • Could not press start button to begin self-injection successfully (Question 5).

Outcome measures

Outcome measures
Measure
Etanercept / Autoinjector A
n=373 total injection attempts
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Percentage of Errors in Each Step of the Self-injection Process
Error icon lit up
4.3 percentage of errors
Percentage of Errors in Each Step of the Self-injection Process
Could not load cassette successfully
1.9 percentage of errors
Percentage of Errors in Each Step of the Self-injection Process
Could not remove purple cassette cap successfully
1.1 percentage of errors
Percentage of Errors in Each Step of the Self-injection Process
Could not press start button to begin injection
1.6 percentage of errors

OTHER_PRE_SPECIFIED outcome

Timeframe: 9 weeks

Population: Safety population

An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant that does not necessarily have a causal relationship with study treatment or the device under study. The definition includes worsening of a pre-existing medical condition. A serious adverse event is defined as an AE that meets at least 1 of the following serious criteria: • fatal • life threatening • requires or prolongs in-patient hospitalization • results in persistent or significant disability/incapacity • congenital anomaly/birth defect • other medically important serious event. An adverse device effect is any adverse event related to the use of a medical device. Adverse device effects include AEs resulting from insufficient or inadequate instructions for use, malfunction of the device, or from use errors (including errors resulting from normal use, reasonably forseeable misuse or from intentional misuse) of the device.

Outcome measures

Outcome measures
Measure
Etanercept / Autoinjector A
n=75 Participants
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week from Weeks 1 to 5 (total of 6 injections).
Number of Participants With Adverse Events, Serious Adverse Events and Adverse Device Events
All adverse events
21 participants
Number of Participants With Adverse Events, Serious Adverse Events and Adverse Device Events
Serious adverse events
1 participants
Number of Participants With Adverse Events, Serious Adverse Events and Adverse Device Events
Adverse events associated with device
10 participants

Adverse Events

Autoinjector A/Etanercept

Serious events: 1 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Autoinjector A/Etanercept
n=75 participants at risk
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week at Weeks 1 - 5 (total of 6 injections).
Infections and infestations
Gastroenteritis viral
1.3%
1/75 • 9 weeks
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.

Other adverse events

Other adverse events
Measure
Autoinjector A/Etanercept
n=75 participants at risk
Participants self-injected 50 mg etanercept subcutaneously using autoinjector A at the study center on Day 1 and then once a week at Weeks 1 - 5 (total of 6 injections).
General disorders
Injection site pain
16.0%
12/75 • 9 weeks
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.
General disorders
Injection site reaction
5.3%
4/75 • 9 weeks
Other Adverse Events summarizes the non-serious occurrences of adverse events that exceed the indicated frequency threshold.

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER