MedPath

Remission after suspension of TNF alpha therapies in RA

Phase 1
Conditions
RHEUMATOID ARTHRITIS (RA) PATIENTS
MedDRA version: 23.1Level: LLTClassification code 10003268Term: Arthritis rheumatoidSystem Organ Class: 100000004859
Therapeutic area: Diseases [C] - Musculoskeletal Diseases [C05]
Registration Number
EUCTR2016-003129-40-IT
Lead Sponsor
AZIENDA OSPEDALIERO-UNIVERSITARIA PISANA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
60
Inclusion Criteria

1. Able to comply and give informed consent;
2. Age > 18 and < 70 years;
3. diagnosis of RA according to ACR Criteria
4. clinical remission since at least 12 months (DAS 28 = 2.6, ACR remission criteria)
5. current therapy with anti TNF-alpha (adalimumab, etanercept o infliximab, certolizumab pegol, golimumab) from at least 15 months
6. = 6 mg/die of 6-methylprednisolone at stable dose for at least 3 months.
7. if the patient takes stable DMARDs (Methotrexate or Leflunomide or Hydroxicloroquine) therapy they must be at a stable dose for at least 3 months.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 50
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 10

Exclusion Criteria

1. Exclusion criteria already provided for anti TNF alpha therapy (such as Tubercolosis, Hepatitis B or C and HIV infection)
2. Previous treatment with biological drugs (i.e. Rituximab, Tocilizumab, Abatacept)
3. Concomitant other systemic autoimmune diseases.
4. Functional status class IV classified according to the American College of Rheumatology 1991 revised criteria
5. Pregnant women or nursing (breast feeding) mothers.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath