Information and Acceptability of Biosimilars

Study Purpose

Patients with rheumatoid arthritis or spondyloarthritis, currently treated or about to be started with anti-TNF original drug adalimumab or etanercept will be included and randomized to either " information leaflet only " or " information leaflet + nurse information " arms, just before they see their rheumatologist for periodic assessment of disease and treatment. Patients from the " information leaflet only " arm will be distributed individually a dedicated leaflet with written generic informations about the use of biosimilars in rheumatic diseases (individual and societal advantages, pharmaceutical development, scientific efficacy and safety results). Patients from the " " information leaflet + nurse information " arm will be delivered the same leaflet, and additionally offered to have a dedicated individual interview with a specialist nurse, who will orally discuss informations about biosimilars based on a standardized talk, completed by answers to any questions by the patient. The rheumatologist will then propose, unless inappropriate based on clinical evaluation of the patient, a change in the treatment of patients from the original drug to the corresponding biosimilar. The primary outcome will be the observed proportions of patients actually receiving the biosimilar drug at the 6-months follow-up visit in the 2 compared arms. Secondary outcomes will be average time spent by the nurse to adequatley inform the patient, the proportion of patients from the intervention arm who have actually asked for the nurse information interview, and the reasons for refusal of biosimilars, when appropriate.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion criteria:

  • - Age 18 and over (no upper age limit) - All adult patients seen in rheumatology consultation at the Montpellier Hospital.
  • - With inflammatory rheumatism (rheumatoid arthritis or spondyloarthritis).
  • - Treated (or in the process of being treated at the end of the consultation) by etanercept or adalimumab.
  • - In whom the biomedical treatment already used should in principle be renewed without modification (patient deemed good responder and well tolerant of the treatment) - Or where biomedical initiation has just been indicated during the consultation.
  • - Member of a social security scheme.
  • - Informed and written consent.

Exclusion criteria:

  • - Unable to understand information (not fluent in the French language, severe cognitive impairment, etc.) - Known intolerance to one of the proposed biosimilar excipients.
- Vulnerable persons: pregnant woman, minor patient, deprived of liberty, under guardianship or under curatorship

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04321291
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

University Hospital, Montpellier
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Cédric LUKAS
Principal Investigator Affiliation Montpellier University Hospital
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries France
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Rheumatoid Arthritis, Spondyloarthritis, Psoriatic Arthritis
Arms & Interventions

Arms

Experimental: Nurse information

The patient will receive a generic information leaflet plus an Individual information by nurse on biosimilars

Other: Information Leaflet

The patient will receive a generic information leaflet only

Interventions

Other: - Generic information leaflet

The information about the biosimiliars is realized only by the transmission of the information leaflet in addition to the information given by the investigator.

Other: - Individual information by nurse on biosimilars

Delivery of the same information leaflet, completed if asked by the patient, by individual meeting with specialist nurse, including generic and standardized informations on specificities, advantages and current scientific knowledge about biosimilars in inflammatory rheumatic diseases. This is in addition to the information given by the investigator

Contact a Trial Team

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International Sites

Montpellier, France

Status

Recruiting

Address

CHU, Service Immuno-rhumatologie, Département de rhumatologie

Montpellier, ,

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