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临床试验/NCT01185522
NCT01185522已完成不适用

Pharmacoepidemiological Study of the Impact of Roactemra® Treatment on Fatigue in Rheumatoid Arthritis Patients in a Real Life Setting

Hoffmann-La Roche0 个研究点目标入组 719 人开始时间: 2010年1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
719
主要终点
Number of Participants With Clinically Significant Improvement in Fatigue at Month 4 With Respect to Predictive Factors

研究概览

简要总结

This prospective, observational study will assess the effect of RoActemra/Actemra (tocilizumab) on fatigue in patients with moderate to severe rheumatoid arthritis who have an inadequate response to disease-modifying antirheumatic drugs (DMARDS) or anti tumor necrosis factor (anti-TNF) drugs. Eligible patients receiving RoActemra/Actemra according to the standard of care will be followed for 4 months.

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 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult patients, >/= 18 years of age
  • Moderate to severe rheumatoid arthritis
  • Inadequate response to disease-modifying antirheumatic drugs (DMARDS) or anti-TNF (tumor necrosis factor) drugs

排除标准

  • Hypersensitivity to RoActemra/Actemra or any component
  • Active infection
  • Participation in a clinical trial in rheumatoid arthritis

结局指标

主要结局

Number of Participants With Clinically Significant Improvement in Fatigue at Month 4 With Respect to Predictive Factors

时间窗: At Month 4

Predictive factors of fatigue were taken into account included gender, age, time since initial diagnosis, Erosive RA, disease activity score (DAS, ranging from 0 \[no disease activity\] to 10 \[worsening in disease activity\]), erythrocyte sedimentation rate (ESR), anemia, treatment with corticosteroids, doses of corticosteroids, health assessment questionnaire (HAQ, ranging from 0 \[without any difficulty\] to 60 \[worsening or unable to do physical activities\]), FACIT-Fatigue score (ranging from 0 \[worse score\] to 52 \[better score\]), visual analogue score (VAS) for fatigue, pain, quality of sleep, and global assessment (ranging from 0 \[symptom-free and no arthritis symptoms\] to 100 \[worsening of symptoms and arthritis disease activity\]), Short Form 36 (SF36) vitality score (ranging from 0 \[worst\] to 100 \[best\]), Hospital Anxiety and Depression Scale (HADS; represented as score \</= 7 \[no case\], 7 to 10 \[doubtful case\], and \> 10 \[certain case of HAD\]).

Median Clinically Significant Improvement in C-Reactive Protein as a Predictive Factors After 4 Months of Tocilizumab Treatment

时间窗: At Month 4

Predictive factors were characteristics of participants that indicated greater or lesser likelihood of responding to a specific treatment regimen. C-reactive protein (CRP) is one of the biomarkers for the diagnosis and assessment of disease activity in RA.

Percentage of Participants With a Clinically Significant Improvement in Fatigue After 4 Months of Tocilizumab Treatment

时间窗: At Month 4

Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue score assesses self-reported fatigue and its impact upon daily activities and function. It is calculated with 13-item questionnaire on 5-point scale: 0 (not at all) to 4 (very much). The larger the participant's response to the questions (exception of 2 negatively stated), the greater the participants fatigue. For all questions (except for 2 negatively stated), the code is reversed and a new score is calculated as 4 minus the participant's response. The sum of all responses resulted a total possible score of 0 (worse score) to 52 (better score). A higher score reflects an improvement in the participant's health status. Clinically relevant improvement is defined as a \>= 4-point change from Baseline. This was performed using the last observation carried forward (LOCF) method and for participants who completed a FACIT-Fatigue score at Month 4 (completers).

Mean Clinically Significant Improvement in Tender Joints and Swollen Joints as Predictive Factors After 4 Months of Tocilizumab Treatment

时间窗: At Month 4

Predictive factors were characteristics of participants that indicated greater or lesser likelihood of responding to a specific treatment regimen. For tender joint count (TJC), a total of 68 joints were assessed. The presence of a tender joint was scored as 1 and absence as 0. Total score is calculated by adding the scores, which is ranging from 0 (best possible score or no tender joint) to 68 (worse possible score or all tender joints). Lower scores indicate no tender joint and higher scores indicate worsening tender joints. For swollen joint count (SJC), a total of 66 joints were assessed. The presence of a tender joint was scored as 1 and absence as 0. Total score is calculated by adding the scores, which is ranging from 0 (best possible score or no swollen joint) to 66 (worse possible score or all swollen joints). Lower scores indicate no swollen joint and higher scores indicate worsening swollen joints.

次要结局

  • Baseline Disease Characteristics: Mean Disease Duration(Baseline (Day [D] 0))
  • Baseline Disease Characteristics: Number of Participants With Positive Rheumatoid Factor and/or Anti-cyclic Citrullinated Protein Antibodies(Baseline (D0))
  • Baseline Disease Characteristics: Tender Joint Count and Swollen Joint Count(Baseline (D0))
  • Baseline Disease Characteristic: DAS28, Patient's Global Assessment, VAS Pain and HAQ Score as Rheumatoid Arthritis Assessment Parameters(Baseline (D0))
  • Baseline Disease Characteristic: Number of Participants With High Erythrocyte Sedimentation Rate, CRP Level, Anemia, and Unacceptable Patient Acceptable Symptom State Fatigue(Baseline (D0))
  • Baseline Disease Characteristic: Mean FACIT-Fatigue Score and VAS Fatigue Score(Baseline (D0))
  • Correlation Between Relative Changes From Baseline of FACIT-Fatigue Score and VAS Fatigue to 4 Months of Tocilizumab Treatment(From Baseline (D0) to Month (M) 4)
  • Median Time to Onset of an Improvement of the FACIT-Fatigue Score(Up to Month 4)
  • Relative Median Change From Baseline in Disease Activity (Tender Joint Count and Swollen Joint Count) to Month 1, Month 2, Month 3, and Month 4(From Baseline (D0) to M 1, M 2, M 3, and M 4)
  • Number of Participants Achieving PASS Score at Baseline (Day 0) and Month 4(Baseline (D0) and Month 4)
  • Percentage of Participants With FACIT-Fatigue Score, SF36 Vitality Score, and VAS Fatigue at Day 0 and Month 4(Baseline (D0) and Month 4)
  • Correlations Between Fatigue and Other Participant Reported Outcomes at Day 0 and Month 4(Day 0 and Month 4)
  • Relative Median Change From Baseline in DAS 28 and VAS Patient's Global Assessment to Month 1, Month 2, Month 3, and Month 4(From Baseline (D0) to M 1, M 2, M 3, and M 4)
  • Number of Participants for Rheumatoid Arthritis Management With Tocilizumab Treatment up to Month 4(From Baseline (D0) to M 1, M 2, M 3, and M 4)
  • Number of Participants With Any Adverse Events and Serious Adverse Events(Up to 4 months)
  • Relative Median Change From Baseline in ESR to Month 1, Month 2, Month 3, and Month 4(From Baseline (D0) to M 1, M 2, M 3, and M 4)
  • Relative Median Change From Baseline in C - Reacting Protein at Month 1, Month 2, Month 3, and Month 4(From Baseline (D0) to M 1, M 2, M 3, and M 4)

研究者

申办方类型
Industry
责任方
Sponsor

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