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临床试验/NCT01762176
NCT01762176已完成不适用

Effect of Early Intensive Treatment in Chinese Patients With Recent-onset Rheumatoid Arthritis

Chinese University of Hong Kong1 个研究点 分布在 1 个国家目标入组 163 人开始时间: 2012年10月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
163
试验地点
1
主要终点
The proportion of patients who achieve clinical remission

研究概览

简要总结

To compare the effectiveness of two treatment strategies in early rheumatoid arthritis (ERA), namely the delayed usual care and early intensive care, in Hong Kong.

  • The delayed usual care reflects the usual treatment practice in Hong Kong
  • The early intensive care includes tight monitoring and immediate adjustment of therapy

详细描述

This study is a 1-year non-randomized clinical trial. Two groups of patients (delayed usual care and early intensive care) with diagnosis of rheumatoid arthritis (RA) and with symptoms onset of less than 2 years and disease modifying anti-rheumatic drugs (DMARDs) naive will be recruited. Remission is reached if patients fulfill the Boolean criteria.

研究设计

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

入排标准

性别
All
接受健康志愿者

入选标准

  • For usual care group:
  • patients with at least 1 tender and swollen joint
  • duration of symptoms less than 2 years
  • no previous use of DMARDs
  • For intensive care group:
  • patients with at least 1 tender and swollen joint
  • duration of symptoms less than 2 years
  • no previous use of DMARDs
  • patients who fulfill the 2010 ACR/EULAR classification criteria for RA

排除标准

  • patients with renal impairment (on dialysis or estimated Glomerular Filtration Rate (eGFR) <30 mL/min/1.73m^2)

结局指标

主要结局

The proportion of patients who achieve clinical remission

时间窗: 12 months

The clinical remission is defined using the latest ACR/EULAR remission criteria (Boolean criteria)

次要结局

  • ACR 20, 50, 70 responses(12 months)
  • Change in various patient-reported outcomes(12 months)
  • Gains in utility(12 months)
  • Radiographic progression(12 months)
  • MRI outcome(12 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Lai-Shan Tam

Professor

Chinese University of Hong Kong

研究点 (1)

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