Efficacy and Safety Study of Tacrobell to Treat Rheumatoid Arthritis (TIARA)
Phase IV STudy of Tacrobell in Active Rheumatoid Arthritis
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
-
-
-
Seoul, Korea, Republikken
- Kyung Hee University Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Male or female aged ≥20years
- Signed and dated informed consent document indicating that the patient
- Women of childbearing potential must have a negative serum or urine pregnancy test at the screening visit. Except in the case of surgically sterile or amenorrhea for one year.
- Female patients must agree to use adequate contraception measures during the period of therapy which should be continued for 4 weeks.
- have RA and meet all of the following criteria; RA occurring ≥ 3months and less than 15 years and diagnosed based on 1987 ACR classification criteria for rheumatoid arthritis; Active RA patients with MTX and among them who has insufficiency response to DMARDs as defined DAS28>3.2 in active RA patient. Insufficiency response is defined despite MTX therapy for > 12 weeks, RA activity≥ more than moderate and confirmable during 12 weeks, sequence of taking MTX >7.5mg/week for more than 6 weeks; ESR≥28mm/h or CRP≥1.0mg/dl; Tender Joint Counts must be more than 6 and Swollen Joint Counts must be more than 3
Exclusion Criteria:
- Inflammatory joint diseases, Systematic inflammatory disease
- Prosthesis and had an event of infected in it.
- Medical history of chronic infection, moderate infection or possibly to life threatening or signs and symptoms of serious infection.
- Patients have received treatment with a live vaccine from baseline within 8 weeks.
- HBsAg positive and hepatitis C virus positive patient.
- Patients have a history of malignancy. (But, carcinoma in situ of the uterine cervix or basal cell carcinoma have been treated is allowed within 5years)
- Patients have cardiovascular disease or associated disease which is not controlled.
- uncontrollable blood sugar(HbA1C ≥8%) or required insulin.
- Patients with a history of operation on index knee joint which could have influence on the result and need to have surgery as determined by investigator.
- At screening, patients have laboratory result as defined by ; white blood cell(WBC) < 3,500/mm3, Absolute Neutrophil Count(ANC) < 1,500/mm3, Hemoglobin < 8.5g/dl, Platelet count(PLT) < 100,000/mm3, Serum creatinine >1.5*upper limit of normal or 2mg/dl, Total bilirubin > 2*upper limit of normal, aspartate aminotransferase(AST) > 2*upper limit of normal, alanine aminotransferase(ALT) > 2*upper limit of normal, alkaline phosphatase(ALP) > 2*upper limit of normal
- Patients on any other clinical trial or experimental treatment in the past 8weeks
- An impossible one who participates in clinical trial by investigator's decision
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Tacrolimus with Methotrexate
Subjects have tacrolimus per oral once daily with methotrexate for 24weeks.
Tacrolimus increased dosing regimen: 1mg for 0~4 weeks, 2mg for 4 weeks~8 weeks, 3mg for 8 weeks~24 weeks
|
Tacrolimus 1 mg for 0~week4, 2mg for week4~week8, 3mg for week8~week24 with MTX ≤20mg/week
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change from baseline European League Against Rheumatism(EULAR) response at 24weeks
Tidsramme: baseline, 24weeks
|
baseline, 24weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change from baseline Simplified Disease Activity Index(SDAI) at 24weeks
Tidsramme: baseline, 24weeks
|
baseline, 24weeks
|
|
Change from baseline Korean Health Assessment Questionnaire(KHAQ-20) at 24weeks
Tidsramme: baseline, 24weeks
|
baseline, 24weeks
|
|
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 16weeks
Tidsramme: baseline, 16weeks
|
baseline, 16weeks
|
|
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 24weeks
Tidsramme: baseline, 24eeks
|
baseline, 24eeks
|
|
Change from baseline C-Reactive Protein(CRP) at 16weeks
Tidsramme: baseline, 16weeks
|
baseline, 16weeks
|
|
Change from baseline C-Reactive Protein(CRP) at 24weeks
Tidsramme: baseline, 24weeks
|
baseline, 24weeks
|
|
Change from baseline European League Against Rheumatism(EULAR) response at 16weeks
Tidsramme: baseline, 16weeks
|
baseline, 16weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: Seung -Jae Hong, phD, Dr, Kyung Hee University Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i immunsystemet
- Autoimmune sygdomme
- Ledsygdomme
- Muskuloskeletale sygdomme
- Reumatiske sygdomme
- Bindevævssygdomme
- Gigt
- Gigt, reumatoid
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Nukleinsyresyntesehæmmere
- Enzymhæmmere
- Antirheumatiske midler
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Dermatologiske midler
- Reproduktive kontrolmidler
- Abortfremkaldende midler, ikke-steroide
- Aborterende midler
- Folinsyreantagonister
- Calcineurin-hæmmere
- Methotrexat
- Tacrolimus
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- m308RAP11M
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