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临床试验/NCT04454034
NCT04454034Unknown不适用

Arthroscopic Synovectomy Combined With DMARDs in the Treatment of Refractory Elbow Rheumatoid Arthritis

Peking University Third Hospital1 个研究点 分布在 1 个国家目标入组 25 人开始时间: 2019年8月1日最近更新:
适应症

试验速览

阶段
不适用
入组人数
25
试验地点
1
主要终点
ACR70 remission

研究概览

简要总结

Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic and aggressive polyarthritis. The prevalence of RA in China is about 0.42%. Arthroscopic synovectomy (AS) is an important method to save the function of joint in the treatment of refractory RA. The clinical trial is to study the value of AS combine with DMARDs in the early stage of refractory RA.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • The patients who fulfilled the 1987 ACR(American College of Rheumatology) or 2010 ACR/EULAR(European League Against Rheumatism) RA classification criteria.
  • The age is more than 18 years old and less than 60 years old.
  • They received stable traditional DMARDs (including Chrysopidae, leflunomide, sulfasalazine, hydroxychloroquine, eilamod) or biological dmrads (including tumor necrosis factor antagonists, IL(Interleukin)-6 receptor antagonists, CD20 monoclonal antibodies) for at least 6 months.
  • The disease is still in the active stage, which means the disease activity score (DAS28) is more than 3.2, and the elbow joint function is obviously limited.
  • The patient agreed to undergo arthroscopic synovectomy.
  • No contraindications were found.

排除标准

  • The disease is in remission.
  • The patient has contraindications.
  • Arthroscopic synovectomy was performed in different patients.

结局指标

主要结局

ACR70 remission

时间窗: 6 months after surgery

the percent of patients who meet ACR70 remission

次要结局

  • Disease Activity Score (DAS) 28-erythrocyte sedimentation rate (ESR) (range 0-9.4)(1,3,6 and 12 months after surgery)
  • swollen joint count(1,3,6 and 12 months after surgery)
  • tender joint count(1,3,6 and 12 months after surgery)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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