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临床试验/JPRN-jRCT1031230107
JPRN-jRCT1031230107招募中4 期

A sarilumab-controlled, open-label, randomized controlled trial of baricitinib for residual joint pain in patients with methotrexate-resistant rheumatoid arthritis - REPAIR study

Ogasawara Michihiro0 个研究点目标入组 60 人开始时间: 2023年6月2日最近更新:
适应症

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
60

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • 1. Patients aged 18 years or older at the time of informed consent
  • 2. Gender : Any
  • 3. Treatment categories : outpatient/inpatient
  • 4. Patients diagnosed with RA according to the ACR/EULAR Rheumatoid Arthritis Classification Criteria (2010)
  • 5. Patients with moderate or greater disease activity (DAS28-ESR >= 3.2) at the time of eligibility assessment at enrollment
  • 6. Patients with a pain VAS > 40 mm at enrollment
  • 7. Patients with inadequate response to MTX who have been continuously treated with MTX for at least 8 weeks at the time of enrollment and have been receiving the same dose of 8 - 16 mg/week for at least 4 weeks (however, doses less than 8 mg/week are allowed only if there is intolerance to 8 mg/week or more)
  • 8. Patients who have given written informed consent of their own free will after receiving sufficient explanation about participating in this study

排除标准

  • Patients who meet any one of the following criteria are excluded from the study.
  • 1. Patients taking corticosteroids exceeding 5 mg/day equivalent to prednisolone
  • 2. Patients with contraindications for baricitinib or sarilumab
  • 3. Patients who have used JAK inhibitors and IL-6 inhibitors in the past
  • 4. patients who have had a dose change of csDMARDs or corticosteroids within 4 weeks of enrollment
  • 5. patients treated with a TNF inhibitor (infliximab, infliximab BS, adalimumab, adalimumab BS, golimumab, certolizumab pegol or ozoralizumab) or abatacept within 8 weeks of enrollment
  • 6. patients treated with a TNF inhibitor (etanercept, etanercept BS) within 4 weeks of enrollment
  • 7. patients using concomitant or concomitant prohibited therapies other than csDMARDs and the above-mentioned biologic agents within 4 weeks of enrollment
  • 8. Diseases with joint symptoms other than RA (ankylosing spondylitis, reactive arthritis, psoriatic arthritis, crystal-induced arthritis, systemic lupus erythematosus, systemic scleroderma, inflammatory muscle disease, mixed connective tissue disease) patients with
  • 9. Patients with cervical hernia, herpes zoster, diabetic neuropathy, and other diseases that cause neuropathic pain due to organic disorders
  • 10. Patients with primary diagnosis of fibromyalgia
  • 11. patients with psychotic disorders (e.g., schizophrenia, schizoaffective disorder, paranoid disorder), patients receiving treatment with selective serotonin reuptake inhibitors, monoamine oxidase inhibitors Patients receiving treatment with tricyclic, tetracyclic, or atypical antidepressants.
  • 12. patients being treated with opioid analgesics.
  • 13. patients treated with the investigational drug within the past 3 months.
  • 14. patients with severe renal disease (serum creatinine level > 2.0 mg/dL)
  • 15. patients with severe hepatic impairment (AST or ALT > 100 U/L)
  • 16. lactating, pregnant, or trying to become pregnant, or patients who are unable to provide consent to use contraception from the time of eligibility assessment for 12 months after the last dose
  • 17. Other patients who are deemed inappropriate as research subjects by the principal investigator (subinvestigator)

研究者

发起方
Ogasawara Michihiro

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