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临床试验/NCT01664117
NCT01664117已完成不适用

Study of the Profile and Clinical Management of Patients With Rheumatoid Arthritis Treated With Biologic Therapy Alone

Hoffmann-La Roche0 个研究点目标入组 210 人开始时间: 2012年6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
210
主要终点
Smoking-habit for Smokers or Ex-smokers (Packs in Years)

研究概览

简要总结

This observational multicenter study will evaluate the management of disease and safety in clinical practice in patients with moderate to severe rheumatoid arthritis receiving any biological therapies in monotherapy.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Cross Sectional

入排标准

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

入选标准

  • Adult patients, >/=18 years of age
  • Patients with moderate to severe rheumatoid arthritis who have had an inadequate response or intolerance to disease modifying antirheumatic drugs (DMARDs) or other biological drugs
  • Patients treated with biologic DMARDs alone for at least 6 months

排除标准

  • Patients not willing or unable to give written informed consent for participation in this study
  • Patients who are participating in any clinical trial at the time of this study

结局指标

主要结局

Smoking-habit for Smokers or Ex-smokers (Packs in Years)

时间窗: At Visit 1

Smoking-habit included number of pack per years is reported.

Number of Participants With Co-morbidities

时间窗: At Visit 1

Co-morbidity is a component of clinical characteristics It included stroke, heart failure (grades I, II, III or IV), ischemic heart disease, hypertension, dyslipidemia, osteoporosis, interstitial lung disease, chronic obstructive pulmonary disease (COPD), depression, diabetes mellitus, liver disease, serious infections, tuberculosis, hematological malignancies, solid tumors and others. Participants were assessed into categories with associated co-morbidities as yes and no.

Smoking-habit or Smokers or Ex-smokers (Smoking/Quit Smoking )

时间窗: At Visit 1

Smoking-habit included years of smoking/quit smoking is reported for participants.

Physician's Global Assessment of Disease Activity at Visit 1

时间窗: At Visit 1

The Physician's global assessment of disease activity is assessed using a 0 to 100 millimeter (mm) horizontal visual analogue scale (VAS). The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm, as "maximum disease activity" (maximum arthritis disease activity).

Number of Participants With Joint Damage at Visit 1

时间窗: At Visit 1

Number of participants with joint damage is recorded as yes and no.

Mean Score on Clinical Disease Activity Index at Visit 1

时间窗: At Visit 1

Clinical disease activity index (CDAI) of participants is a composite index that is calculated as the sum of number of painful joint, number of swollen joint, patient's VAS (0-10 cm) assessment, physician global VAS assessment (0-10 cm). The CDAI score ranges from 0 to 76, where lower scores indicate less disease activity.

Number of Participants With Simple Disease Activity Index Score by Categorization at Visit 1

时间窗: At Visit 1

SDAI is divided into 4 categories as: remission (\<3.3), low activity (3.3-11), moderate activity (11-26) and high activity (\>26).

Number of Participants With Level of Education Completed

时间窗: At Visit 1 (Single visit study)

Level of education completed is a component of socio-demographic characteristics. It is recorded as cannot read, no formal education, primary education or equivalent, general secondary education, vocational education, and higher education or equivalent. Data were collected at study entry (Single visit study)

Number of Participants With Family History of Rheumatoid Arthritis

时间窗: At Visit 1

Family history is a component of clinical characteristics. Participants who had a family history of rheumatoid arthritis is recorded as yes/no. Also, family history related to parents, siblings, aunts and uncles, grandparents, or other is recorded.

Number of Participants With Hematology Parameters Values Falling Within Reference Values at Visit 1

时间窗: At Visit 1

Hematology parameters are considered as one of the component of clinical characteristics. Hematology parameters included white blood cells (WBC), platelets, red blood cells (RBC), hemoglobin, hematocrit, neutrophils, basophils, eosinophils, lymphocytes, monocytes.

Number of Participants With Biochemistry Parameters Values Falling Within Reference Values at Visit 1

时间窗: At Visit 1

Biochemistry parameters is considered as one of the component of clinical characteristics. Biochemistry parameters included alanine amino transferase (ALT), aspartate amino transferase (AST), triglycerides, total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), and total lipids.

Number of Participants With Smoking Habits

时间窗: At Visit 1

Smoking habits is a component of socio-demographic characteristics. Participants' smoking status is recorded as non-smoker, smoker, and ex-smoker at Visit 1.

Mean Time of Onset of Rheumatoid Arthritis

时间窗: At Visit 1

Onset of rheumatoid arthritis is a component of clinical characteristics.

Mean Number of Painful and Swollen Joints at Visit 1

时间窗: At Visit 1

Participants were assessed for painful and swollen joints at Visit 1. Painful joint is the most specific clinical method to quantify abnormalities in participants with RA. It reflects the amount of inflamed synovial tissue.

Mean Score on Disease Activity Score Based on 28-Joints Count at Visit 1

时间窗: At Visit 1

Disease activity score (DAS) 28 is a combined index for measuring disease activity in RA. The index includes swollen (range 0-28) and tender (range 0-28) joint counts, acute phase response (ESR in mm/hr), and general health status (participant global assessment of disease activity using VAS, range 1-100 mm). DAS28, which uses a 28-joint count, is derived from the original DAS, which includes a 44-swollen joint count. The DAS28 scale ranges from 0 to 10, where higher scores indicate worsening.

Number of Participants With Clinical Disease Activity by Categorization at Visit 1

时间窗: At Visit 1

CDAI is divided into 4 categories as: remission \<2.8, low activity 2.8-10, moderate 10-22 and high\>22.

Number of Participants With Extra-articular Manifestations at Visit 1

时间窗: At Visit 1

Extra-articular manifestations (EAMs) are a component of of clinical characteristics EAMs are symptoms and diseases that occur in parts of the body other than joints. These included the presence of amyloidosis (rare disease that results from the buildup of misfolded proteins), anemia (deficiency of red cells in the blood), heart complications, lung complications, rheumatoid nodules (local swelling), felty's syndrome (presence of rheumatoid arthritis, an enlarged spleen, and an abnormally low white blood cell count), and secondary Sjogren's (an autoimmune disorder that damages moisture-producing glands, making it difficult to produce saliva and tears). Participants were assessed into categories with extra-articular Manifestations as yes, no and missing nos.

Number of Participants With Presence/Absence Rheumatoid Factor and Anti-Cyclic Citrullinated Protein Antibodies

时间窗: At Visit 1

Rheumatoid Factor (RF) is the auto antibody directed against Immunoglobulin G and its concentration is observed in human serum or plasma. Anti-Cyclic Citrullinated Protein Antibodies (Anti-CCP) antibodies are auto antibodies (antibodies directed against 1 or more of an individual's own proteins) that are frequently detected in the blood of rheumatoid arthritis participants.

Mean Score on Simple Disease Activity Index at Visit 1

时间窗: At Visit 1

Simple Disease Activity Index (SDAI) is calculated by sum of number of painful joint and swollen joint count, patient and physician global assessment of disease activity (VAS 0-10 cm), and level of C-reactive protein in milligrams per deciliter (mg/dL). SDAI total score ranges from 0 to 86, where higher scores indicates greater affect due to disease activity.

Patient's Global Assessment of Disease Activity at Visit 1

时间窗: At Visit 1

Patient global assessment of disease activity visual analog scale is assessed using a 0 to 100 mm horizontal VAS. The left-hand extreme of the line equals 0 mm, and is described as "no disease activity" (symptom-free and no arthritis symptoms) and the right-hand extreme equals 100 mm, as "maximum disease activity" (maximum arthritis disease activity).

Patient Pain Visual Analog Scale Score at Visit 1

时间窗: At Visit 1

Participants assessed their pain using a 0 to 10 horizontal visual analogue scale (VAS). The left-hand extreme of the line equals 0 and is described as "no pain" and the right-hand extreme equals 10 as "unbearable pain"

Number of Participants With Disease Activity Score by Categorization at Visit 1

时间窗: At Visit 1

DAS28 is divided into 4 categories as: remission \<2.6, low activity 2.6-3.2, moderate 3.2-5.1 and high \>5.1.

Number of Participants With C-reactive Protein and Erythrocyte Sedimentation Rate Falling Within Reference Values at Visit 1

时间窗: At Visit 1

The test for C-reactive Protein (CRP) is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultra-sensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement. Erythrocyte sedimentation rate (ESR) is a laboratory test that provides a non-specific measure of inflammation. A higher rate is consistent with inflammation.

次要结局

  • Number of Participants Received sDMARD, sDMARD+ bDMARD or bDMARD Immediately Before the Study Treatment(At Visit 1)
  • Number of Participants With Any Adverse Events and Any Serious Adverse Events(At the time of change of treatment (to the current treatment))
  • Number of Participants Who Received Each sDMARD Before The Study(At Visit 1)
  • Number of Participants Who Received Last sDMARD Prescribed Before the Study(At Visit 1)
  • Number of Participants Discontinued the Previous Treatment and Started the Study Treatment(At Visit 1)
  • Number of Participants Prescribed First Synthetic Disease-Modifying Antirheumatic Drug Therapy Before the Study(At Visit 1)
  • Number of Participants Prescribed First bDMARD Before the Study(At Visit 1)
  • Mean Time Between the Last sDMARD and bDMARD Received at Visit 1(At Visit 1)
  • Number of sDMARD and bDMARDs Received Before the Study Treatment (bDMARD Monotherapy)(At Visit 1)
  • Mean Time Between Diagnosis and Prescription of First Synthetic Disease-Modifying Antirheumatic Drug or First Biologic Disease-Modifying Antirheumatic Drug(At Visit 1)
  • Median Time Taking the Biologic Agent in Monotherapy Before the Study Treatment(At Visit 1)
  • Number of Participants With Reasons for Starting Current Biologic Monotherapy(At Visit 1)
  • Number of Participants Who Received Tocilizumab, Anti-Tumour Necrosis Factor and Other as a Monotherapy at the Time of the Study(At Visit 1)
  • Mean Score on Disease Activity Score Based on 28-Joints Count, Clinical Disease Activity Index and Simple Disease Activity Index by Biologic Agent in Monotherapy at the Time of the Study(At Visit 1)
  • Number of Participants With Changing the Previous sDMARD/ bDMARD(At Visit 1)
  • Number of Participants Received Current bDMARD Treatment at the Time of the Study(At Visit 1)
  • Mean Time of bDMARD Monotherapy Started at the Time of the Study Since Onset of RA(At Visit 1)
  • Number of Participants With Categorization of Disease Activity Based on Disease Activity Score, Clinical Disease Activity Index Score and Simple Disease Activity Index Score(At Visit 1)
  • Number of Participants With Adverse Events Leading to a Change of Treatment(At the time of change of treatment)
  • Number of Participants Who Received Each bDMARD Before the Study(At Visit 1)
  • Mean Number of Joint Count for Painful Joints and Swollen Joints by Biologic Agent in Monotherapy at the Time of the Study(At Visit 1)
  • Number of Participants Treated With Concomitant Medications Before the Study(At Visit 1)
  • Number of Participants Received Other Concomitant Treatments With the Current bDMARD Monotherapy(At Visit 1)
  • Number of sDMARD and bDMARDs Received Before the Study Treatment (Tocilizumab or Other Biologic Agent)(At Visit 1)
  • Number of Participants Falling Within Reference Values For C-reactive Protein and Erythrocyte Sedimentation Rate by Biologic Agent in Monotherapy at the Time of the Study(At Visit 1)

研究者

申办方类型
Industry
责任方
Sponsor

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