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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01000441
Other study ID # 4507
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date December 23, 2009
Est. completion date August 12, 2013

Study information

Verified date August 2021
Source University Hospital, Strasbourg, France
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Approximately 30% of patients with rheumatoid arthritis have an inadequate response to anti-TNF (primarily or loss of response), leaving two alternatives: rotation to a second anti-TNF or change of biologic, with a different mechanism of action, such as abatacept, rituximab and tocilizumab. No controlled trial compared these two strategies face to face. The present objective is to investigate the issue whether one of these strategies could have a better efficacy in a pragmatic trial in the setting of current practice.


Recruitment information / eligibility

Status Completed
Enrollment 300
Est. completion date August 12, 2013
Est. primary completion date August 12, 2013
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Active and erosive rheumatoid arthritis with a DAS28 equal or greater than 3.2 - Inadequate response to a 1st anti-TNF - Stable or no treatment with any DMARDs, or oral corticosteroids (< or = to 10 mg/day of prednisone equivalent)during the preceding month Exclusion Criteria: - Counter-indication to other anti-TNF, abatacept, rituximab or tocilizumab - Pregnancy - Age < 18 years - Impossibility to give informed consent - Impossibility to be followed for 12 months

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
infliximab, etanercept, adalimumab

abatacept, rituximab or tocilizumab


Locations

Country Name City State
France Polyclinique de Picardie Amiens
France Centre Hospitalier de Belfort-Montbéliard Belfort
France CHU de Besançon - Hôpital Jean Minjoz Besançon
France Hôpital Jean Verdier Bondy
France CHU Bordeaux - Hôpital Pellegrin Bordeaux
France Hôpital Ambroise Paré Boulogne - Billancourt
France CHU de la Cavale Blanche Brest
France CHU de Caen Caen
France Centre Hospitalier Jean Rougié Cahors
France Centre Hospitalier de Cannes Cannes
France CHU Gabriel Montpied Clermont-Ferrand
France Hôpitaux Civils de Colmar Colmar
France CHU de Grenoble - Hôpital Sud Grenoble
France Hôpital Bicêtre Kremlin Bicetre
France Centre Hospitalier Départemental Les Oudairies La Roche Sur Yon
France Groupe Hospitalier du Havre - Hôpital J.Monod Le Havre
France Centre Hospitalier du Mans Le Mans
France Polyclinique de Riaumont Lievin
France CHRU Lille - Hôpital Salengro Lille
France CHU de Limoges Limoges
France CH Saint Philibert Lomme
France Hôpital de la Conception Marseille
France CHU de Montpellier - Hôpital Lapeyronie Montpellier
France CHU Montpellier, Hôpital Lapeyronie Montpellier
France Centre Hospitalier de Mulhouse - Hôpital Emile Muller Mulhouse
France CHU de Nantes - Hôtel Dieu Nantes
France CHU de Nice - Hôpital de l'Archet 1 Nice
France Centre Hospitalier Régional d'Orléans, Hôpital de la Source Orleans
France CHU Chenevier - Mondor Paris
France Groupe Hospitalier Diaconesses - Hôpital de la Croix Saint-Simon Paris
France Hôpital Bichat Paris
France Hôpital de la Pitié Salpétrière Paris
France Hôpital Lariboisière Paris
France Hôpital Saint-Antoine Paris
France CHU de Poitiers - Hôpital de la Milétrie Poitiers
France Centre Hospitalier René Dubos Pontoise
France CHU de Reims - Hôpital Maison Blanche Reims
France CHU de Rennes - Hôpital Sud Rennes
France CHU de Rouen - Hôpital Bois Guillaume Rouen
France CHU de Saint-Etienne Saint-Etienne
France Hôpital de Hautepierre Strasbourg
France CHU de Toulouse - Hôpital Purpan Toulouse
France CHU de Nancy - Hôpital Brabois Vandoeuvre-les-nancy
Monaco Centre Hospitalier - Princesse Grâce de Monaco Monaco

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Strasbourg, France

Countries where clinical trial is conducted

France,  Monaco, 

Outcome

Type Measure Description Time frame Safety issue
Primary Proportion of EULAR responders 6 months
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