A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)
A Study of Subjects With Psoriatic Arthritis to Investigate the Effectiveness of Adalimumab Introduction Compared With Methotrexate Dose Escalation (CONTROL)
An interventional Phase 4 open-label, randomized, controlled, parallel-group, multi-country
 study in participants with psoriatic arthritis (PsA) consisting of 2 parts: Part 1 (Day 1 up
 to Week 16) is designed to compare the achievement of minimal disease activity (MDA) between
 participants randomized to either adalimumab in combination with methotrexate (MTX) or MTX
 alone escalated to the highest recommended or tolerable dose; Part 2 (Week 16 through Week
 32) is designed to evaluate the maintenance or achievement of MDA on 4 different treatment
 regimens using adalimumab and/or MTX, with participant allocation based on the initial
 randomized treatment and achievement of MDA in Part 1, and with rescue treatment option.
Inclusion Criteria:

 1. PsA diagnosis established at least 4 weeks prior to the date of the Screening visit
 and confirmed by ClASsification of Psoriatic Arthritis (CASPAR) criteria

 2. Not in MDA at the time of screening

 3. Has 3 or more tender and 3 or more swollen joints

 4. Treated with methotrexate 15 mg (weekly) for at least 4 weeks

 Exclusion Criteria:

 1. Contraindications to adalimumab therapy and/or known hypersensitivity to adalimumab or
 its excipients

 2. History of methotrexate intolerance/toxicity

 3. Medical conditions(s) precluding methotrexate dose increase above 15 mg

 4. Had prior exposure to any tumor necrosis factor (TNF) inhibitor, other mechanism of
 action biologic DMARD (bDMARD) or any systemic biologic agent in general