Rheumatoid Arthritis Clinical Trial
Official title:
A Randomized, Multi-Center Biomarker Trial to Predict Therapeutic Responses of Patients With Rheumatoid Arthritis to a Specific Biologic Mode of Action
Verified date | October 2018 |
Source | Medical University of Vienna |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to find biological response patterns of patients with rheumatoid arthritis to drugs with different biologic modes of action. This study should help to predict therapeutic responses and to find the right therapy for the right patient.
Status | Completed |
Enrollment | 115 |
Est. completion date | August 1, 2018 |
Est. primary completion date | August 1, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: 1. Men and women, =18 and =75 years of age, capable of understanding and signing an informed consent. 2. Classifiable RA according to the 2010 ACR/EULAR criteria (American College of Rheumatology/European League Against Rheumatism classification criteria) or 1987 ARA criteria (Criteria of American Rheumatology Association) (present or past) (2;3) 3. Duration of RA =3 years 4. Ongoing conventional DMARD therapy (Disease Modifying Antirheumatic Drugs) with methotrexate (at least 20mg/week, or lower if not tolerated in higher doses) or leflunomide (=100mg/week), for =6 months or =3 months with documented worsening of disease activity. 5. Clinical Disease Activity Index (CDAI)=15 corresponding to moderate to severe disease activity. Exclusion Criteria: 1. Be incapacitated, largely or wholly bedridden, or confined to a wheelchair, or have little or no ability for self care. 2. Weigh more than 100 kg 3. Use glucocorticoids >10 mg/day prednisone or equivalent 4. Have previously received other treatments for their rheumatic disease: 1. intra-muscular or intra-articular injection of steroids in the previous month. 2. monoclonal antibodies or antibody fragments, licenced or investigational 3. any investigational drug within 3 months prior to screening or within 5 half-lives of the investigational agent, whichever is longer. 4. Azathioprine or other cytostatic drugs. 5. Have a history of receiving human/murine recombinant products or a known allergy to murine products. 6. Have documentation of seropositivity for human immunodeficiency virus (HIV), or a positive test for hepatitis B surface antigen or hepatitis C ¬antibodies. 7. Have hypergammaglobulinemia 8. Have a history of alcohol or substance abuse within the preceding 6 months. 9. Have or have had a known history of 1. serious infections (such as, but not limited to hepatitis, pneumonia, or pyelonephritis) in the previous 3 months. 2. opportunistic infections (eg, herpes zoster, cytomegalovirus, Pneumocystis carinii, aspergillosis, histoplasmosis, or mycobacteria other than TB) within 12 months prior to screening. 3. a chronic or recurrent infectious disease (eg, chronic renal infection, chronic chest infection, COPD, sinusitis, recurrent urinary tract infection, open, draining or infected skin wound or ulcer etc.). 10. Have undergone any joint replacement surgery. 11. Be men and women of childbearing potential without use of adequate birth control measures (e.g., abstinence, oral contraceptives, intrauterine device, barrier method with spermicide, implantable or injectable contraceptives or surgical sterilization), and willingness to continue this precaution for the duration of the study until 6 months after receiving the last medication. 12. Be considered ineligible according to the tuberculosis (TB) eligibility assessment and screening, or show a positive test for latent Tbc using Quantiferon assay, unless treatment with INH has been installed for at least 2 weeks prior to starting trial drug. 13. Show evidence of malignancy, or lymphoproliferative disease, or any history of malignancy within the previous 5 years, with the exception of basal cell or squamous cell carcinoma of the skin that has been fully excised with no evidence of recurrence. 14. Have current signs or symptoms of severe, progressive or uncontrolled renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic, or cerebral disease. 15. Be unable or unwilling to undergo multiple venipunctures because of poor tolerability or lack of easy access. 16. Have presence of a transplanted solid organ (with the exception of a corneal transplant > 3 months prior to screening). 17. Have a concomitant diagnosis or history of congestive heart failure (New York Heart Association - NYHA - class III or IV) or diverticulitis. 18. Have a known history of a demyelinating disease, such as multiple sclerosis. 19. Be women who are pregnant, nursing, or planning pregnancy within 6 months after the last infusion |
Country | Name | City | State |
---|---|---|---|
Austria | AKH Wien | Vienna | |
Austria | Gesundheitszentrum Mariahilf | Vienna | |
Austria | Hanusch Krankenhaus | Vienna | |
Austria | Krankenhaus Hietzing | Vienna | |
Austria | Wilhelminenspital | Vienna | |
Austria | Ordination Wels (Private Medical Office) | Wels | |
Czechia | Institute of Rheumatology | Praha 2 | |
Russian Federation | V. A. Nasonova Research Institute of Rheumatology | Moscow | |
Switzerland | Kantonsspital St.Gallen, Klinik für Rheumatologie | St.Gallen |
Lead Sponsor | Collaborator |
---|---|
Medical University of Vienna |
Austria, Czechia, Russian Federation, Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Absolute Change in the Simplified Disease Activity Index (SDAI) | 24 Weeks | ||
Secondary | Relative Change in the SDAI in percent | 24 Weeks | ||
Secondary | Absolute and relative change in the Clinical Disease Activity Index (CDAI) in percent | 24 Weeks | ||
Secondary | Absolute and relative change in the Disease Activity Score 28 (DAS28) in percent | 24 weeks | ||
Secondary | Achieving an SDAI or CDAI response (50%, 70%, 85%) | 24 Weeks | ||
Secondary | Achieving a EULAR response (European League Against Rheumatism) | 24 Weeks | ||
Secondary | Achieving an ACR response (20%, 50%, 70%) (American College of Rheumatology) | 24 Weeks | ||
Secondary | Change in quality of life (EuroQoL-5D, SF-36) | 24 weeks | ||
Secondary | Change in fatigue (Fatigue Score on the Visual Analog Scale) | 24 Weeks | ||
Secondary | Proportion achieving a low disease activity state (SDAI =11) | 24 Weeks | ||
Secondary | Proportion achieving a remission state (SDAI =3.3) | 24 Weeks | ||
Secondary | Radiographic progression - (Van der Heijde/Sharp Score) | 6 months and 12 months | ||
Secondary | Change in physical function (HAQ) | 24 Weeks | ||
Secondary | Change in sleep (Sleep Score on the Visual Analog Scale) | 24 Weeks |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04226131 -
MusculRA: The Effects of Rheumatoid Arthritis on Skeletal Muscle Biomechanics
|
N/A | |
Completed |
NCT04171414 -
A Study to Evaluate Usability of Subcutaneous Auto-injector of CT-P17 in Patients With Active Rheumatoid Arthritis
|
Phase 3 | |
Completed |
NCT02833350 -
Safety and Efficacy Study of GDC-0853 Compared With Placebo and Adalimumab in Participants With Rheumatoid Arthritis (RA)
|
Phase 2 | |
Completed |
NCT04255134 -
Biologics for Rheumatoid Arthritis Pain (BIORA-PAIN)
|
Phase 4 | |
Recruiting |
NCT05615246 -
Exactech Humeral Reconstruction Prosthesis of Shoulder Arthroplasty PMCF (HRP)
|
||
Completed |
NCT03248518 -
Lessening the Impact of Fatigue in Inflammatory Rheumatic Diseases
|
N/A | |
Completed |
NCT03514355 -
MBSR in Rheumatoid Arthritis Patients With Controlled Disease But Persistent Depressive Symptoms
|
N/A | |
Recruiting |
NCT06005220 -
SBD121, a Synbiotic Medical Food for RA Management
|
N/A | |
Recruiting |
NCT05451615 -
Efficacy and Safety of Abatacept Combined With JAK Inhibitor for Refractory Rheumatoid Arthritis
|
Phase 3 | |
Completed |
NCT05054920 -
Eccentric Versus Concentric Exercises for Rotator Cuff Tendinopathy in Patients With Rheumatoid Arthritis
|
N/A | |
Completed |
NCT02037737 -
Impact and Use of Abatacept IV for Rheumatoid Arthritis in Real Life Setting
|
N/A | |
Recruiting |
NCT04079374 -
Comparative Efficacy, Safety and Immunogenicity Study of Etanercept and Enbrel
|
Phase 3 | |
Completed |
NCT02504268 -
Effects of Abatacept in Patients With Early Rheumatoid Arthritis
|
Phase 3 | |
Recruiting |
NCT05496855 -
Remote Care in People With Rheumatoid Arthritis
|
N/A | |
Completed |
NCT05051943 -
A Study of the Real-world Use of an Adalimumab Biosimilar and Evaluation of Nutritional Status on the Therapeutic Response
|
||
Recruiting |
NCT06031415 -
Study of GS-0272 in Participants With Rheumatoid Arthritis
|
Phase 1 | |
Recruiting |
NCT06103773 -
A Study of Single and Multiple Oral Doses of TollB-001
|
Phase 1 | |
Completed |
NCT05999266 -
The Cartilage and Muscle Thickness on Knee Pain in Patients With Rheumatoid Arthritis
|
||
Recruiting |
NCT05302934 -
Evaluation of the PHENO4U Data Platform in Patients Undergoing Total Knee Arthroplasty
|
||
Recruiting |
NCT04169100 -
Novel Form of Acquired Long QT Syndrome
|
Phase 4 |