A Phase III Study Evaluate the Efficacy and Safety of BAT1406 and Humira
This is a multicenter, randomized, double-blind, active comparator, parallel two arm study to compare the efficacy, and to evaluate the safety, and immunogenicity of BAT1406 to Humira® in patients with active ankylosing spondylitis (AS) to demonstrate clinical equivalence of BAT1406 and Humira®.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
554
Assessment in SpondyloArthritis international Society (ASAS) 20
the percentage of subjects achieving the Assessment in SpondyloArthritis international Society (ASAS) 20 treatment response
Time frame: week 12
Percentage of subjects achieving ASAS20 treatment response
the percentage of subjects achieving the Assessment in SpondyloArthritis international Society (ASAS) 20 treatment response
Time frame: week 24
Percentage of subjects achieving ASAS40 treatment response
the percentage of subjects achieving the Assessment in SpondyloArthritis international Society (ASAS) 40 treatment response
Time frame: week 12; week 24
Percentage of subjects achieving ASAS5/6 treatment response
the percentage of subjects achieving ASAS5/6 treatment response
Time frame: week 12; week 24
Percentage of subjects achieving BASDAI50 treatment response
the percentage of subjects achieving BASDAI50 treatment response
Time frame: week 12; week 24
Change of the performance status score compared with baseline
The performance status is used for measuring and evaluating disease activity in Ankylosing Spondylitis
Time frame: week 12; week 24
Change of the spinal pain score compared with baseline
the spinal pain is used for measuring and evaluating disease pain in Ankylosing Spondylitis
Time frame: week 12; week 24
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Change of morning stiffness duration compared with baseline
The morning stiffness duration is used for measuring and evaluating disease activity in Ankylosing Spondylitis
Time frame: week 12; week 24
Change of ASDAS compared with baseline
The ASDAS is used for measuring and evaluating disease activity in Ankylosing Spondylitis
Time frame: week 12; week 24
Change of BASDAI compared with baseline
The BASDAI is used for measuring and evaluating disease activity in Ankylosing Spondylitis
Time frame: week 12; week 24
Change of BASFI compared with baseline
The BASFI consist of a set of 10 questions designed to determine the degree of functional limitation in subjects with AS. The BASFI score was derived based on the average of questions 1 through 10. The first 8 questions considered activities related to functional anatomy and the final 2 questions assessed the subject's ability to cope with everyday life over the last week. A 10 cm visual analog scale (VAS) was used to answer the questions and the mean of the ten scales gave the BASFI score a value between 0 (easy) and 10 (impossible).
Time frame: week 12; week 24
Change of BASMI compared with baseline
The BASMI measures the range of motion based on five clinical measurements: 1) cervical rotation, 2) tragus to wall distance, 3) lumbar side flexion, 4) lumbar flexion (modified Schober's) and 5) intermalleolar distance. The total BASMI score ranges from 0 to 10 reflecting mild to moderate disease activity and functional ability in the spinal column. The higher the BASMI score the more severe the patient's limitation of movement due to their ankylosing spondylitis
Time frame: week 12; week 24
Change of SF-36 compared with baseline
SF-36 survey will be used to calculate overall, mental (MCS) and physical (PCS) component scores at week 12; week 24 compared to baseline
Time frame: week 12; week 24
Change of EQ-5D compared with baseline
EQ-5D is a standard instrument to measure of health status
Time frame: week 12; week 24
Change of chest expansion compared with baseline
Chest expansion, measured in cm, is defined as the difference in thoracic circumference during full expiration versus full inspiration, measured at the fourth intercostal space (nipple line). The better of 2 tries was recorded. Higher scores indicate better health. Change from baseline greater than (\>) 0 represented improvement.
Time frame: week 12; week 24
Change of MASES compared with baseline
The Maastricht Ankylosing Spondylitis Enthesitis Score quantitates inflammation of the entheses (enthesitis) by assessing pain at the following entheses (sites where tendons or ligaments insert into the bone): 1st costochondral joints left/right; 7th costochondral joints left/right; posterior superior iliac spine left/right; anterior superior iliac spine left/right; iliac crest left/right; 5th lumbar spinous process; and the proximal insertion of the Archilles tendon left/right.
Time frame: week 12; week 24
Change of swollen and tender joint counts at week 12 and week 24 compared with baseline.
Time frame: week 12; week 24