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CTRI Number  CTRI/2014/07/004736 [Registered on: 14/07/2014] Trial Registered Prospectively
Last Modified On: 02/12/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   An Extension Study in Participants With Moderate to Severe Rheumatoid Arthritis 
Scientific Title of Study   A Phase 3, Multicenter Study to Evaluate the Long-Term Safety and Efficacy of Baricitinib in Patients with Rheumatoid Arthritis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
I4V-MC-JADY amendment c dated 31 May 2013  Protocol Number 
NCT01885078  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Tarun Puri 
Designation  Medical Director 
Affiliation  Eli Lilly and Company India Private Limited 
Address  Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Gurgaon
HARYANA
122001
India 
Phone  0124-4753000  
Fax  0124-4753013  
Email  puri_tarun@lilly.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Tarun Puri 
Designation  Medical Director 
Affiliation  Eli Lilly and Company India Private Limited 
Address  Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Gurgaon
HARYANA
122001
India 
Phone  0124-4753000  
Fax  0124-4753013  
Email  puri_tarun@lilly.com  
 
Details of Contact Person
Public Query
 
Name  Rajeev Sharan Shrivastava 
Designation  Director-Clinical Research 
Affiliation  Eli Lilly and Company India Private Limited 
Address  Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Eli Lilly and Company India Private Limited, Plot No. 92, Sec- 32
Gurgaon
HARYANA
122001
India 
Phone  0124-4753000  
Fax  0124-4753013  
Email  shrivastava_rajeev_sharan@lilly.com  
 
Source of Monetary or Material Support  
Eli Lilly and Company 
 
Primary Sponsor  
Name  Eli Lilly and Company 
Address  Corporate Center Indianapolis, IN 46285 USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Argentina
Australia
Austria
Belgium
Brazil
Canada
China
Croatia
Czech Republic
Denmark
France
Germany
Greece
Hungary
India
Israel
Italy
Japan
Latvia
Lithuania
Mexico
Netherlands
Poland
Portugal
Romania
Russian Federation
Slovakia
Slovenia
South Africa
Spain
Sweden
Switzerland
Taiwan
Turkey
United Kingdom
United States of America  
Sites of Study
Modification(s)  
No of Sites = 19  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Piyush Parikh  AMC MET Medical College and Seth LG General Hospital  Research Room, Rambag, Maninagar, Ahmedabad - 380008
Ahmadabad
GUJARAT 
079-25472101
079-25472100
pnparikhlg@gmail.com 
Dr Shyamasish Bandhoypadhya  Apollo Gleneagles Hospitals  Department of Rheumatology, 58 Canal Circular Road, Kolkata 700054
Kolkata
WEST BENGAL 
91-9836576602
033-23201739
sambando@yahoo.co.uk 
Dr Jugal Kishore Kadel  Gurunanak Care Hospital  Department of Rheumatology, Room 213, 2nd floor, 1-4-908/7/1, Bakaram, Musheerabad Main Road, Musheerabad, Hyderabad 500020
Hyderabad
ANDHRA PRADESH 
91-9246544284

drjkkadel.rheumatologytrials@gmail.com 
Dr Sundeep Kumar Upadhyaya  Indraprastha Apollo Hospitals  Department of Rheumatology, Indraprastha Apollo Hospitals, Sarita Vihar, Delhi-Mathura Road, New Delhi 110076
East
DELHI 
91-9818359408
911141677024
sundeepupadhyaya@hotmail.com 
Dr Alakendu Ghosh  Institute of Postgraduate Medical Education and Research  Department of Rheumatology, 244, AJC Bose Road, Ronald Ross Building, 4th Floor, Room Number – 7, Kolkata
Kolkata
WEST BENGAL 
919433032941
0913322235076
alakendughosh@gmail.com 
Dr Shailesh V Udapudi  K.L.E.S Dr. Prabhakar Kore Hospital and MRC  J.N. Medical College, Nehru Nagar, Belgaum - 590010 Karnataka
Belgaum
KARNATAKA 
9844032434

drsudapudi@gmail.com 
Dr Siddhartha Das  King George Medical College  Professor and Head, Department of Rheumatology, King George Medical College –Lucknow – 226003
Lucknow
UTTAR PRADESH 
91-5222614026
522-2614026
rheumatologykgmu@gmail.com 
Dr Jyotsana Oak  Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute  Department Of Rheumatology, Four Bungalows, Andheri (W) Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute – Mumbai -400053
Mumbai
MAHARASHTRA 
919324717618
022-30970177
jyotsana.oak@relianceada.com 
Dr Sarath Chandra Mouli Veeravalli  Krishna Institute of Medical Sciences  Dept. of Rheumatology, KIMS Hospital, #1-8-31/1, Ministers Road, Secunderabad-500003
Hyderabad
ANDHRA PRADESH 
91-4027840773
914044885153
sarath10@hotmail.com 
Dr D C Sundaresh  M S Ramaiah Medical College & Hospital  New BEL Road, MSRIT Post, Bangalore - 560054
Bangalore
KARNATAKA 
91-9845057485
91803341924
dabirs@hotmail.com 
Dr Naresh Shetty  M S Ramaiah Medical College & Hospital  M S Ramaiah Medical College & Hospital, New BEL Road, MSRIT Post, Bangalore - 560054
Bangalore
KARNATAKA 
08023601923
08023601983
naresh8@hotmail.com 
Dr Surendra U Kamath  Manipal Centre for Clinical Research  Manipal Centre for Clinical Research, 7th Floor, K M C Hospital, Attavar, Mangalore -575003
Dakshina Kannada
KARNATAKA 
91-9844275231
918242425092
skamath3@hotmail.com 
Dr Rajiva Gupta  Medanta The Medicity  Department of Rheumatology and Clinical Immunology, Medanta The Medicity, Sector 38, Gurgaon, Haryana 122001
Gurgaon
HARYANA 
91-9810904592
91-1244834111
guptarajiva@hotmail.com 
Dr Able Lawrence  Sanjay Gandhi Post Graduate Institute Of Medical Sciences  Department of Clinical Immunology, Raibarely Road, Lucknow
Lucknow
UTTAR PRADESH 
91-5222668004
05222494315
abledoc@gmail.com 
Dr Reena Sharma  SHALBY Hospital  Clinical Research Dept, 9th Floor, Opp Karnavati Club, SG Highway, Ahmedabad - 380015
Ahmadabad
GUJARAT 
079-40203148
917940203115
reena.sharma@shalby.org 
Dr Avinash Aggarwal  Shri Nidan Hospital and Hope Fertility Centre  Clinical Research Room, 27 Vidhut Nagar-A, Ajmer Road, Jaipur 302 006
Jaipur
RAJASTHAN 
91-9829052451
911412351770
dr.avitanu@gmail.com 
Dr Lalit Duggal  Sir Ganga Ram Hospital  Old Rajinder Nagar, New Delhi, Delhi, 110060
New Delhi
DELHI 
91115735205
911142252226
sgrhdcircr@gmail.com 
Dr Vineeta Shobha  St. Johns Medical College & Hospital  Sarjapur Road, Bangalore - 560034
Bangalore
KARNATAKA 
919845021146
918025503697
vineeta_shobha@yahoo.co.in 
Dr Sarvajeet Pal  Sumana Hospital  Plot Number: 687,688, Vivekanand nagar Colony, Kukatpally, Hyderabad - 500072
Hyderabad
ANDHRA PRADESH 
91-40-23307432

drsarvajeetpal@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 19  
Name of Committee  Approval Status 
AMC MET Ethics Committee  Submittted/Under Review 
Ethics Committee , M S Ramaiah Medical College and Hospital  Approved 
Ethics Committee , M S Ramaiah Medical College and Hospital  Approved 
Ethics Committee on Clinical Trials, Indraprastha Apollo Hospitals  Approved 
Ethics Committee, KLE University  Approved 
Ethics Committee, Sir Gangaram Hospital  Approved 
Institute Ethics Committee, Sanjay Gandhi Post graduate Institute of Medical Sciences  Approved 
Institutional Ethics Committee of Kings George Medical College  Approved 
Institutional Ethics Committee, Apollo Gleneagles Hospital  Approved 
Institutional Ethics Committee, Care Hospital  Approved 
Institutional Ethics Committee, Shalby Hospital  Approved 
Institutional Scientific and Ethics Board, Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute  Approved 
IPGME&R Research Oversight Committee  Approved 
KFRC Ethics Committee of KIMS foundation  Approved 
Manipal University Ethics Committee  Approved 
Medanta Institutional Ethics Committee  Approved 
St. John’s Medical College and Hospital, Institutional Ethical Review Board  Approved 
Sumana Hospital Ethics Committee  Approved 
Swastic Ethics Committee, Shri Nidan Hospital and Hope Fertility Centre  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients with Moderately to Severely Active Rheumatoid Arthritis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Baricitinib 2 mg  Baricitinib 2 mg administered orally once daily throughout the 24 month treatment period 
Intervention  Baricitinib 4 mg  Baricitinib 4 milligrams (mg) administered orally once daily throughout the 24 month treatment period 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Have completed the final active treatment in study JADZ with CTRI no. (CTRI/2013/12/004211)(NCT01711359) or JADX (NCT01721057)with CTRI no. (CTRI/2013/12/004212) 
 
ExclusionCriteria 
Details  -Have significant uncontrolled cerebro-cardiovascular (eg, myocardial infarction [MI], unstable angina, unstable arterial hypertension, severe heart failure, or cerebrovascular accident), respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, neuropsychiatric disorders, or abnormal laboratory values that developed during a previous baricitinib study that, in the opinion of the investigator, pose an unacceptable risk to the participant if investigational product continues to be administered
-Have a known hypersensitivity to baricitinib or any component of this investigational product
-Had investigational product permanently discontinued at any time during a previous baricitinib study
-Had temporary investigational product interruption at the final study visit of a previous baricitinib study and, in the opinion of the investigator, this poses an unacceptable risk for participation in the study
-Have any other condition that, in the opinion of the investigator, renders the participant unable to understand the nature, scope, and possible consequences of the study or precludes the participant from following and completing the protocol
 
 
Method of Generating Random Sequence    
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
-Number of Participants with One or More Drug Related Adverse Events (AEs) or any Serious AEs  Time Frame: Baseline through 2 Years 
 
Secondary Outcome  
Outcome  TimePoints 
-Proportion of Participants Maintaining an American College of Rheumatology (ACR) Response of ACR20, ACR50, and ACR70  Time Frame: Months 6, 12, 24, 36, 48, 54 
-Proportion of Participants Maintaining a Disease Activity Score (DAS28) high-sensitivity C-Reactive Protein (hsCRP) ≤3.2, DAS28-Erythrocyte Sedimentation Rate (ESR) ≤3.2, DAS28-hsCRP 2.6 and DAS28-ESR 2.6   Time Frame: Months 6, 12, 24, 36, 48, 54 
-Change from Baseline in modified Total Sharp Score (mTSS)   Time Frame: Baseline, Month 12, 24, 36, 48 
-Proportion of Participants with mTSS change ≤0  Time Frame: Baseline, Months 12, 24, 36, 48 
-Change from Baseline in Joint Space Narrowing  Time Frame: Baseline, Month 12, 24, 36, 48 
-Change from Baseline in Duration of Morning Stiffness  Time Frame: Baseline, Month 12, 24, 36, 48, 54 
-Change from Baseline in European Quality of Life-5 Dimensions-5 Level (EQ-5D-5L) Scores   Time Frame: Baseline, Months 30, 36, 54 
-Proportion of Participants Maintaining a Clinical Disease Activity Index Score (CDAI) ≤10 and ≤2.8  Time Frame: Months 6, 12, 24, 36, 48, 54  
-Proportion of Participants Maintaining a Health Assessment Questionnaire Disability Index (HAQ-DI) Improvement ≥0.22 and ≥0.3   Time Frame: Months 6, 12, 24, 36, 48, 54 
-Change from Baseline in Bone Erosion Score   Time Frame: Baseline, Month 12, 24, 36, 48 
-Healthcare Resource Utilization  Time Frame: Baseline through Months 30, 36, 54 
-Proportion of Participants Maintaining a Simplified Disease Activity Index (SDAI) ≤11 and ≤3.3   Time Frame: Months 6, 12, 24, 36, 48, 54 
 
Target Sample Size   Total Sample Size="2671"
Sample Size from India="93" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   17/07/2014 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  27/06/2013 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="7"
Months="7"
Days="9" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

The purpose of this study is to investigate the long-term safety and any side effects of baricitinib in participants who have completed a previous baricitinib rheumatoid arthritis study. The baricitinib RA studies being conducted in India are I4V-MC-JADX (CTRI/2013/12/004212) and I4V-MC-JADZ (CTRI/2013/12/004211).

The study provides for 2 years of additional treatment with baricitinib, but may be extended to allow for continued treatment for up to 5 years after evaluation of the safety profile of baricitinib.

 
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