Evaluating Etanercept Use in Patients With Moderate to Severe Rheumatoid Arthritis Who Have Lost Response to Adalimumab
Evaluating Etanercept Use in Patients With Moderate to Severe Rheumatoid Arthritis Who Have Lost Response to Adalimumab
To evaluate the efficacy of etanercept in adults with moderate-to-severe rheumatoid arthritis
 (RA) who did not respond to or lost a satisfactory response to adalimumab when used as their
 first biologic agent.
Inclusion Criteria:

 -  Able to provide informed consent

 -  Diagnosed with moderate to severe rheumatoid arthritis for at least 6 months

 -  Active RA with at least 3 swollen and tender joints

 -  Failure to respond to a combination treatment of adalimumab and methotrexate (must
 have taken combination at least 3 months) or loss of a satisfactory response to the
 combination of adalimumab and methotrexate, which was taken for at least 6 months (if
 currently taking adalimumab must complete 2 weeks without it prior to starting study
 drug)

 -  Negative for hepatitis B and C

 -  Negative serum and urine pregnancy tests before starting study

 -  currently taking (stable dose) 15 mg methotrexate weekly for at least 8 weeks/has been
 taking methotrexate for at least 12 weeks total - lower dose of 10 mg per week is
 permitted with documented intolerability

 -  Normal chest X-ray within 3 months

 -  Negative testing for tuberculosis (TB)

 Exclusion Criteria:

 -  Class IV RA (wheel-chair or bed-bound)

 -  Significant concurrent medical conditions, including: (uncontrolled type 1 diabetes,
 poorly controlled type 2 diabetes, symptomatic heart failure, myocardial infarction in
 past year, history of unstable angina within past year, uncontrolled hypertension,
 severe chronic pulmonary disease, major chronic inflammatory or connective tissue
 disease other than RA, Multiple sclerosis, active malignancy, or history of cancer,
 alcoholic hepatitis or history of alcoholic liver disease)

 -  Other inclusion/exclusion criteria may apply