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临床试验/NL-OMON53878
NL-OMON53878已完成4 期

Januse kinase Inhibition with Filgotinib to Silence Autoreactive B cells in Rheumatoid Arthritis - JAKAR

eids Universitair Medisch Centrum0 个研究点目标入组 40 人开始时间: 待定最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
入组人数
40

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
18 至 99(—)

入选标准

  • In order to be eligible to participate in this study, a subject must meet all
  • of the following criteria. Each patient must:
  • - have a diagnosis of RA and must have fulfilled the revised 2010 EULAR/ACR
  • criteria for classification of RA prior to initiation of first-line treatment.
  • - have a positive test for the presence of anti-citrullinated protein
  • antibodies (ACPA) in serum with a value of at least 200 U/ml, as determined by
  • routine clinical assay.
  • - have moderate to highly active disease defined by a disease activity score
  • evaluating 28 joints (DAS28) >= 3.2 or, correspondingly, an sDAI score of > 11.
  • - have used methotrexate therapy at a maximally tolerated dose once weekly for
  • at least 1 month; concomitant glucocorticoid therapy is allowed if at a stable
  • dose of <= 7.5 mg prednisolon equivalent within 30 days prior to entry in the
  • - have adequate hematologic function (ANC >= 4000 cells/µL, platelet count >=
  • 150000/µL, and haemoglobin >= 10 g/dL (corresponding to 6.2 mmol/L)
  • - have a serum creatinine clearance of >15 ml/min
  • - be at least 18 years of age
  • - if female and of childbearing potential, agree to: comply with effective
  • contraceptive measures, use adequate contraception since the last menses and
  • use adequate contraception during the study
  • - be willing to undergo pre-treatment screening for latent tuberculosis
  • infection by chest X-ray and Mantoux testing as well as serological screening
  • for chronic viral hepatitis infection. As an alternative for the Mantoux test,
  • a standardized IFN-gamma release assay may be used to assess latent
  • tuberculosis infection.
  • - be able and willing to give written informed consent prior to entry in the

排除标准

  • A potential subject who meets any of the following criteria will be excluded
  • from participation in this study. Any patient who:
  • - has ever been treated with rituximab or another B-cell depleting agent
  • - has been treated with a biological DMARD (except rituximab) or a targeted
  • synthetic DMARD within 3 months prior to entry in the study
  • - has received intra-articular or systemic glucocorticoid injections within 30
  • days prior to baseline or requires narcotic analgesics other than those
  • accepted by the investigator for analgesia (e.g. paracetamol, NSAIDs, codeine,
  • * has been tested negative for ACPA
  • * is in clinical remission as defined by a disease activity score evaluating 28
  • joints (DAS28) <= 2.6 or, correspondingly, an sDAI <= 3.3
  • * has evidence of a medical condition which represents a contra-indication for
  • initiation of either a TNF-alpha inhibitor or a Janus kinase inhibitor, as
  • outlined in the most recent SPCs of either adalimumab and/or Filgotinib.
  • * has liver function abnormality (AST and/or ALT >= 3 x upper limit of normal
  • * has concurrent treatment with an experimental drug or who has participated in
  • another clinical trial with an investigational drug within 30 days prior to
  • study entry
  • * has past or current history of solid or haematological neoplasms, except for
  • curatively treated non-melanoma skin cancer, adequately treated in situ
  • carcinoma of the cervix or another cancer curatively treated and with no
  • evidence of disease for at least 10 years
  • * is pregnant or a currently nursing woman
  • * is, female and of childbearing potential, unwilling to use adequate
  • contraceptive measures during the study

研究者

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Januse kinase Inhibition with Filgotinib to Silence... | 临床试验