Evidence map›Paper›PMID 26614481›Full record

Trial reportArthritis research & therapy2015

Impact of certolizumab pegol on patient-reported outcomes in rheumatoid arthritis and correlation with clinical measures of disease activity.

Janet Pope, Clifton O Bingham, Roy M Fleischmann, Maxime Dougados, Elena M Massarotti, Jürgen Wollenhaupt, Benjamin Duncan, Geoffroy Coteur, Michael E Weinblatt

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00717236 (A Phase IIIb Multicenter Study With a 12-week Double-blind, Placebo-controlled, Randomized Period Followed by an Open-label, Extension Phase Evaluating Safety/Efficacy of Certolizumab Pegol Given to Patients With Active Rheumatoid Arthritis.), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00717236 phase3completednot on this map

A Phase IIIb Multicenter Study With a 12-week Double-blind, Placebo-controlled, Randomized Period Followed by an Open-label, Extension Phase Evaluating Safety/Efficacy of Certolizumab Pegol Given to Patients With Active Rheumatoid Arthritis.

TypeinterventionalSponsorUCB PharmaRan2008 to 2011Enrolled1,648ConditionsRheumatoid ArthritisArmsCertolizumab pegol (CZP), Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Certolizumab pegol (CDP870) for rheumatoid arthritis in adults.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Observational
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 5 countries.

Janet PopeSt. Joseph's Health Care, University of Western Ontario, London, ON, Canada. janet.pope@sjhc.london.on.ca.
Clifton O BinghamDivisions of Rheumatology and Allergy, Johns Hopkins University, Baltimore, MD, USA. cbingha2@jhmi.edu.
Roy M FleischmannMetroplex Clinical Research Center, University of Texas, Dallas, TX, USA. RFleischmann@arthdocs.com.
Maxime DougadosDépartement de Rhumatologie, Paris Descartes University, 12 Rue de l'École de Médecine, 75006, Paris, France. maxime.dougados@cch.aphp.fr.
Elena M MassarottiDepartment of Medicine, Rheumatology, Immunology, Brigham and Women's Hospital, Boston, MA, USA. emassarotti@partners.org.
Jürgen WollenhauptKlinik für Rheumatologie, Schön Klinik Hamburg Eilbek, Hamburg, Germany. j.wollenhaupt@t-online.de.
Benjamin DuncanUCB Pharma, Raleigh, NC, USA. benjamin.duncan@ucb.com.
Geoffroy CoteurUCB Pharma, Brussels, Belgium. geoffroy.coteur@ucb.com.
Michael E WeinblattDepartment of Medicine, Rheumatology, Immunology, Brigham and Women's Hospital, Boston, MA, USA. mweinblatt@partners.org.
Brigham and Women's Hospital · USJohns Hopkins University · USMetroplex Clinical Research Center · USSchön Klinik Hamburg Eilbek · DESt Joseph's Health Care · CAUCB Pharma (Belgium) · BEUCB Pharma (United States) · USUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effect of certolizumab pegol (CZP) on patient-reported outcomes (PROs) was investigated in 1063 patients with rheumatoid arthritis (RA) from the REALISTIC trial (double-blind, placebo-controlled to week 12, open-label to week 28; randomized 4:1 [CZP:placebo]). Correlations between PROs and RA signs and symptoms, and the relative efficacy of these measures, were examined.

methodsAdults with RA and an inadequate response to at least one disease-modifying antirheumatic drug were enrolled. PROs assessed included physical function (using the Health Assessment Questionnaire-Disability Index), pain, fatigue, sleep disturbance, Patient Global Assessment of Disease Activity (PtGA), Routine Assessment of Patient Index Data 3 (RAPID3), and Rheumatoid Arthritis Disease Activity Index (RADAI).

resultsEarly significant and clinically meaningful improvements in all PROs were observed to week 12 with CZP vs. placebo and were maintained to the end of the trial (week 28). At week 12, up to one-third more CZP patients showed improvements compared with placebo that were greater than or equal to the minimal clinically important difference (MCID) in fatigue, sleep problems, pain, PtGA, RADAI, and RAPID3. The changes in PROs were correlated with clinical measures of disease activity, including the Disease Activity Score in 28 joints using C-reactive protein as well as tender and swollen joint counts.

conclusionsRapid improvements in PROs were seen in patients with RA treated with CZP. The magnitude of improvement exceeded the MCID in multiple domains and demonstrated that CZP improves aspects of health-related quality of life that are meaningful to patients and superior to placebo. PROs provide information complementary to clinical outcomes in assessment of treatment benefits.

trial registrationClinicalTrials.gov identifier: NCT00717236 . Registered on 15 July 2008.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidCertolizumab PegolDouble-Blind MethodFemaleHumansMaleMiddle AgedSelf ReportSurveys and QuestionnairesTreatment OutcomeAntirheumatic AgentsCertolizumab Pegol

Identifiers

PMID26614481
PMCPMC4662806
OpenAlexW2177191857

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.