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.
COMPLETED
PHASE3
77 participants
Week 1, Week 2, Week 3, Week 4 and Week 5
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
| 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
| 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
| 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 5Population: 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
| 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 5Population: 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
| 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 5Population: 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
| 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 weeksPopulation: 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
| 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 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
| 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.
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