- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT05082805
Therapeutic Strategy Associated With bDMARDs or tsDMARDs in Rheumatoid Arthritis and Psoriatic Arthritis (STRATEGE2)
Therapeutic Strategy Concerning the Drug Management Associated With bDMARDs or tsDMARDs in Rheumatoid Arthritis and Psoriatic Arthritis
This is a longitudinal, observational, prospective, multicentre study conducted in France, among a representative sample of rheumatology doctors.
The aim of this study is to describe in real life the therapeutic strategy when faced with a patient with rheumatoid arthritis (RA) or psoriatic arthritis (PsA) who requires initiation of treatment with biotherapy or targeted therapy. The evolution of the disease and the possible therapeutic adaptations will then be followed for 2 years.
Studieöversikt
Status
Betingelser
Studietyp
Inskrivning (Förväntat)
Kontakter och platser
Studieorter
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Paris, Frankrike, 75007
- Nordic Pharma
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
Inclusion Criteria:
- Major patient (age ≥ 18 years)
- Patient with RA according to American College of Rheumatology (ACR) / European Congress of Rheumatology (EULAR) 2010 or ACR 1987 or patient with PsA according to ClASsification criteria for Psoriatic ARthritis (CASPAR) criteria
- Patient undergoing treatment with methotrexate (MTX) (oral or injectable) initiated for at least 3 months.
- Naïve patient of biotherapy or tsDMARD and requiring the introduction of a first bDMARD or tsDMARD due to the activity of the disease.
- Patient informed and accepting the computer processing of his/her medical data and informed of his/her rights of access and rectification.
Exclusion Criteria:
- Patient participating in an interventional study in rheumatology
- Patient with axial spondyloarthritis (for patients with PsA)
Studieplan
Hur är studien utformad?
Designdetaljer
- Observationsmodeller: Kohort
- Tidsperspektiv: Blivande
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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The Primary Outcome Measure is not provided for now to the investigators (and public) in order not to bias the therapeutic strategies.
Tidsram: 12 months after inclusion
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Not provided as Outcome 1 is blinded
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12 months after inclusion
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Main criteria analysis
Tidsram: 24 months after inclusion
|
Same Outcome 1, but at 24 month.
This outcome is blinded too.
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24 months after inclusion
|
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Therapeutic adaptations of conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), biologic DMARDs (bDMARDs), targeted synthetic DMARDs (tsDMARDs), Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids
Tidsram: 12 and 24 months after inclusion
|
delays, changes in dosage, changes in the route of administration, reasons for adaptations ...
|
12 and 24 months after inclusion
|
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Disease outcome
Tidsram: 12 and 24 months after inclusion
|
disease activity (Disease Activity Score DAS28 and Disease Activity in PSoriatic Arthritis DAPSA)), percentage of patients in remission, quality of Life (Dermatology Life Quality Index (DLQI))
|
12 and 24 months after inclusion
|
|
Patient adherence to treatment
Tidsram: 12 and 24 months after inclusion
|
The variation of patients' adherence to antirheumatic treatments evaluated by the Compliance Questionnaire for Rhumatology (CQR19).
|
12 and 24 months after inclusion
|
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Fatigue and pain
Tidsram: 12 and 24 months after inclusion
|
Visual Analog Scale (VAS) anchored by 2 verbal descriptors, one for each symptom extreme : 0 (no fatigue, no pain) to 10 (maximum fatigue, maximum pain).
|
12 and 24 months after inclusion
|
|
Functional capacity (Health Assessment Questionnaire (HAQ))
Tidsram: 12 and 24 months after inclusion
|
This questionnaire is completed by patients at baseline, 12 months and 24 months.
|
12 and 24 months after inclusion
|
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Cross-perception (doctor / patient) about participation in the "shared medical decision"
Tidsram: 12 and 24 months after inclusion
|
This outcome is based on 2 mirror questions (one asked to the physician and on to the patient).
They are asked if the decision to adapt the therapeutic decision is a "shared medical decision".
Five answers are possible from "fully" to "not at all".
|
12 and 24 months after inclusion
|
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Care path at the end of the visit
Tidsram: 12 and 24 months after inclusion
|
The physician is asked about the patient pathway (How and by whom the patient will be followed : nurse, other physicians)
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12 and 24 months after inclusion
|
Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Hélène HERMAN-DEMARS, MD, Nordic Pharma
- Huvudutredare: René Marc FLIPO, Prof, CHRU Lille
- Huvudutredare: Cécile GAUJOUX-VIALA, Dr, CHU Nîmes
- Huvudutredare: Emmanuelle DERNIS, Dr, CH Le Mans
- Huvudutredare: Éric SENBEL, Dr, Marseille
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- STRATEGE 2
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