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临床试验/NCT01617590
NCT01617590Unknown不适用

A 48-week, Multi-center, Randomized, Open-lable, Controlled Study to Assess the Response (ACR20) Using Different Disease-Modifying Antirheumatic Drugs Cycle Combination Regimen in Adult Patients With Active Rheumatoid Arthritis

Shanxi Medical University1 个研究点 分布在 1 个国家目标入组 500 人开始时间: 2012年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
发起方
入组人数
500
试验地点
1
主要终点
ACR20

研究概览

简要总结

This study was intended to assess the efficacy and safety of different Disease-Modifying Antirheumatic Drugs cycle combination regimen using the American College of Rheumatology (ACR) criteria of 20% improvement in symptoms (ACR20) in managing active adult rheumatoid arthritis.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • RA patients:
  • Male and female patients aged 18 - 75 years (inclusive).
  • Body weight between 50 and 100 kg (inclusive).
  • Post menopausal or surgically sterile female patients are allowed. Female patients of child-bearing potential may participate if they are already on a stable dose of methotrexate. Additional birth control details to be provided at screening. Male patients must use an effective contraception method during the study and at least for 2 months following the completion/discontinuation of the study.
  • Diagnosis of RA, classified by American Rheumatism Association 1987 revised criteria.
  • Active disease evaluation (DAS 28 > 3.2).
  • Patients who using steroids before enrollment, the dose should not be more than 30mg/d, and remain unchanged for more than 30days.
  • Without use of other disease activity controlling drugs.
  • Get the informed consent.

排除标准

  • Advanced patients with severe joints disability.
  • Pregnant or breast- feeding female patients.
  • Patients with severe primary disease or impairment of heart, brain, lung, liver (ALT or AST > 1.5 normal value), kidney (sCr > normal value), endocrine, and hematology system.
  • Concomitant with other rheumatic disease.
  • Alcohol taken or drug abusing patients.
  • Patients with congestive heart failure, QT prolongation syndrome or poorly controlled diabetes mellitus. Patients with a history of QTc prolongation will be excluded.
  • Patients who have received intra-articular or systemic corticosteroid injections having been required for treatment of acute RA flare (not being part of a regular therapeutic regimen) within 4 weeks prior to randomization.

研究组 & 干预措施

leflunomide

Experimental

Leflunomide 10-20 mg/d

干预措施: leflunomide (Drug)

methotrexate

Active Comparator

MTX 7.5-15 mg/week

干预措施: methotrexate (Drug)

结局指标

主要结局

ACR20

时间窗: 48 weeks

Percentage of subjects who meet the response rate of ACR20 at each post-dose visit

次要结局

  • ACR50(48 weeks)
  • ACR70(48week)
  • EULAR response:good response(48 week)
  • EULAR response :moderate response(48 week)

研究者

发起方
Shanxi Medical University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Li Xiaofeng

dean

Shanxi Medical University

研究点 (1)

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