Drug Outcome Survey for Biological Treatments in Rheumatoid Arthritis: an Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 299
- 试验地点
- 1
- 主要终点
- Percentage of Participants With Disease Activity Score Based on 28-joints Count (DAS28) Remission at Month 6
研究概览
简要总结
The primary purpose of this observational study is to describe and define the current daily practice of management of anti-TNF-agents in Rheumatoid Arthritis (RA) patients. Data will be collected only from subjects providing informed consent.
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
- 否
入选标准
- •Eighteen years of age or older
- •Diagnosis of RA in accordance with ARA 1987 classification has satisfied at least 4 of the following 7 criteria:
- •Morning stiffness in and around the joints lasting at least 1 hour;
- •Arthritis of 3 or more joint areas;
- •Arthritis of hand joints;
- •Symmetric arthritis. simultaneous involvement of the same joint areas on both sides of the body;
- •Rheumatoid nodules;
- •Serum Rheumatoid Factor (RF)
- •Radiographic changes. Criteria 1 through 4 must have been present for at least 6 weeks.
- •Patients refractory or without complete response to DMARDs according to the Italian Guidelines for the clinical practice established by Italian Society of Rheumatology
- •Patients naive to anti-TNF drugs
- •Outpatients
排除标准
- •Patients involved in controlled or interventional trials in the 12 previous months
结局指标
主要结局
Percentage of Participants With Disease Activity Score Based on 28-joints Count (DAS28) Remission at Month 6
时间窗: Month 6
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity. A participant is considered to be in remission if they have a DAS28 \<2.6.
Percentage of Participants With Disease Activity Score Based on 28-joints Count (DAS28) Remission at Month 12
时间窗: Month 12
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity. A participant is considered to be in remission if they have a DAS28 \< 2.6.
Patient Global Assessment (PtGA) of Disease Activity Score at Month 9
时间窗: Month 9
PtGA measured using a 10 cm (VAS) ranging from 0 cm = very good to 10 cm = very bad.
Patient Global Assessment (PtGA) of Disease Activity Score at Month 12
时间窗: Month 12
PtGA measured using a 10 cm (VAS) ranging from 0 cm = very good to 10 cm = very bad.
Physician Global Assessment (PGA) of Disease Activity at Month 6
时间窗: Month 6
PGA was measured on a 0 to 10 cm VAS, with 0 cm = no disease activity to 10 cm = worst disease activity possible.
Visual Analogue Scale for Pain (VAS-pain) at Month 6
时间窗: Month 6
10 cm line (VAS) marked by participant. Intensity of pain range 0 cm = no pain to 10 cm = worst possible pain.
Percentage of Participants With Disease Activity Score Based on 28-joints Count (DAS28) Remission at Month 9
时间窗: Month 9
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity. A participant is considered to be in remission if they have a DAS28 \<2.6.
Percentage of Participants With Disease Activity Score Based on 28-joints Count (DAS28) Remission at Month 3
时间窗: Month 3
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 less than or equal to (\<=) 3.2 = low disease activity, DAS28 greater than (\>) 3.2 to 5.1 = moderate to high disease activity. A participant is considered to be in remission if they have a DAS28 less than (\<) 2.6.
Disease Activity Score Based on 28-joints Count (DAS28) at Month 12
时间窗: Month 12
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity.
Patient Global Assessment (PtGA) of Disease Activity Score at Month 6
时间窗: Month 6
PtGA measured using a 10 cm (VAS) ranging from 0 cm = very good to 10 cm = very bad.
Visual Analogue Scale for Pain (VAS-pain) at Month 3
时间窗: Month 3
10 cm line (VAS) marked by participant. Intensity of pain range 0 cm = no pain to 10 cm = worst possible pain.
Number of Participants With Rheumatoid Factor (RF) at Month 9
时间窗: Month 9
RF is the auto antibody directed against IgG and its concentration is observed in human serum or plasma. RF value higher than 20 U/mL is considered positive.
Disease Activity Score Based on 28-joints Count (DAS28) at Month 3
时间窗: Month 3
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity.
Number of Participants With Anti-cyclic Citrullinated Protein (Anti-CCP) Antibodies at Month 3
时间窗: Month 3
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. Anti-CCP antibodies value higher than 10 U/mL is considered positive.
Disease Activity Score Based on 28-joints Count (DAS28) at Month 6
时间窗: Month 6
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity.
Disease Activity Score Based on 28-joints Count (DAS28) at Month 9
时间窗: Month 9
DAS28 calculated from the SJC and PJC using the 28 joints count, the ESR (mm/hr) and PtGA of disease activity (participant rated arthritis activity assessment with transformed scores ranging 0 to 10; higher scores indicated greater affectation due to disease activity). DAS28 \<=3.2 = low disease activity, DAS28 \>3.2 to 5.1 = moderate to high disease activity.
Patient Global Assessment (PtGA) of Disease Activity Score at Month 3
时间窗: Month 3
PtGA measured using a 10 cm (VAS) ranging from 0 cm = very good to 10 cm = very bad.
Physician Global Assessment (PGA) of Disease Activity at Month 3
时间窗: Month 3
PGA was measured on a 0 to 10 cm VAS, with 0 cm = no disease activity to 10 cm = worst disease activity possible.
Physician Global Assessment (PGA) of Disease Activity at Month 9
时间窗: Month 9
PGA was measured on a 0 to 10 cm VAS, with 0 cm = no disease activity to 10 cm = worst disease activity possible.
Physician Global Assessment (PGA) of Disease Activity at Month 12
时间窗: Month 12
PGA was measured on a 0 to 10 cm VAS, with 0 cm = no disease activity to 10 cm = worst disease activity possible.
Visual Analogue Scale for Pain (VAS-pain) at Month 9
时间窗: Month 9
10 cm line (VAS) marked by participant. Intensity of pain range 0 cm = no pain to 10 cm = worst possible pain.
Visual Analogue Scale for Pain (VAS-pain) at Month 12
时间窗: Month 12
10 cm line (VAS) marked by participant. Intensity of pain range 0 cm = no pain to 10 cm = worst possible pain.
C-reactive Protein (CRP) at Month 3
时间窗: Month 3
CRP is a marker of inflammation. CRP value higher than 0.5 mg/dL is consistent with inflammation.
C-reactive Protein (CRP) at Month 12
时间窗: Month 12
CRP is a marker of inflammation. CRP value higher than 0.5 mg/dL is consistent with inflammation.
C-reactive Protein (CRP) at Month 6
时间窗: Month 6
CRP is a marker of inflammation. CRP value higher than 0.5 mg/dL is consistent with inflammation.
C-reactive Protein (CRP) at Month 9
时间窗: Month 9
CRP is a marker of inflammation. CRP value higher than 0.5 mg/dL is consistent with inflammation.
Erythrocyte Sedimentation Rate (ESR) at Month 3
时间窗: Month 3
ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Normal range is 0-30 mm/hr. A higher rate is consistent with inflammation.
Erythrocyte Sedimentation Rate (ESR) at Month 6
时间窗: Month 6
ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Normal range is 0-30 mm/hr. A higher rate is consistent with inflammation.
Erythrocyte Sedimentation Rate (ESR) at Month 9
时间窗: Month 9
ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Normal range is 0-30 mm/hr. A higher rate is consistent with inflammation.
Erythrocyte Sedimentation Rate (ESR) at Month 12
时间窗: Month 12
ESR is a laboratory test that provides a non-specific measure of inflammation. The test assesses the rate at which red blood cells fall in a test tube. Normal range is 0-30 mm/hr. A higher rate is consistent with inflammation.
Number of Participants With Rheumatoid Factor (RF) at Month 3
时间窗: Month 3
RF is the auto antibody directed against IgG and its concentration is observed in human serum or plasma. RF value higher than 20 U/mL is considered positive.
Number of Participants With Rheumatoid Factor (RF) at Month 6
时间窗: Month 6
RF is the auto antibody directed against IgG and its concentration is observed in human serum or plasma. RF value higher than 20 U/mL is considered positive.
Number of Participants With Rheumatoid Factor (RF) at Month 12
时间窗: Month 12
RF is the auto antibody directed against IgG and its concentration is observed in human serum or plasma. RF value higher than 20 U/mL is considered positive.
Number of Participants With Anti-nuclear Antibodies at Month 3
时间窗: Month 3
Anti-nuclear antibodies are auto antibodies directed against contents of the nucleus and are present in higher than normal numbers in autoimmune disease. Anti-nuclear antibodies value higher than 1:160 is considered positive.
Number of Participants With Anti-nuclear Antibodies at Month 9
时间窗: Month 9
Anti-nuclear antibodies are auto antibodies directed against contents of the nucleus and are present in higher than normal numbers in autoimmune disease. Anti-nuclear antibodies value higher than 1:160 is considered positive.
Number of Participants With Anti-deoxyribonucleic Acid (Anti-DNA) Antibodies at Month 3
时间窗: Month 3
Anti-DNA antibodies are auto antibodies directed against DNA and are present in higher than normal numbers in autoimmune disease. Anti-DNA antibodies value higher than 1:20 is considered positive.
Number of Participants With Anti-deoxyribonucleic Acid (Anti-DNA) Antibodies at Month 12
时间窗: Month 12
Anti-DNA antibodies are auto antibodies directed against DNA and are present in higher than normal numbers in autoimmune disease. Anti-DNA antibodies value higher than 1:20 is considered positive.
Number of Participants With Anti-cyclic Citrullinated Protein (Anti-CCP) Antibodies at Month 6
时间窗: Month 6
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. Anti-CCP antibodies value higher than 10 U/mL is considered positive.
Number of Participants With Anti-cyclic Citrullinated Protein (Anti-CCP) Antibodies at Month 9
时间窗: Month 9
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. Anti-CCP antibodies value higher than 10 U/mL is considered positive.
Number of Participants With Anti-cyclic Citrullinated Protein (Anti-CCP) Antibodies at Month 12
时间窗: Month 12
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. Anti-CCP antibodies value higher than 10 U/mL is considered positive.
Number of Participants With Anti-nuclear Antibodies at Month 6
时间窗: Month 6
Anti-nuclear antibodies are auto antibodies directed against contents of the nucleus and are present in higher than normal numbers in autoimmune disease. Anti-nuclear antibodies value higher than 1:160 is considered positive.
Number of Participants With Anti-nuclear Antibodies at Month 12
时间窗: Month 12
Anti-nuclear antibodies are auto antibodies directed against contents of the nucleus and are present in higher than normal numbers in autoimmune disease. Anti-nuclear antibodies value higher than 1:160 is considered positive.
Number of Participants With Anti-deoxyribonucleic Acid (Anti-DNA) Antibodies at Month 6
时间窗: Month 6
Anti-DNA antibodies are auto antibodies directed against DNA and are present in higher than normal numbers in autoimmune disease. Anti-DNA antibodies value higher than 1:20 is considered positive.
Number of Participants With Anti-deoxyribonucleic Acid (Anti-DNA) Antibodies at Month 9
时间窗: Month 9
Anti-DNA antibodies are auto antibodies directed against DNA and are present in higher than normal numbers in autoimmune disease. Anti-DNA antibodies value higher than 1:20 is considered positive.
Duration of Morning Stiffness at Month 3
时间窗: Month 3
Duration of morning stiffness: Time elapsed when participant woke up in morning and was able to resume normal activities without stiffness in minutes. Increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Duration of Morning Stiffness at Month 6
时间窗: Month 6
Duration of morning stiffness: Time elapsed when participant woke up in morning and was able to resume normal activities without stiffness in minutes. Increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Stanford Health Assessment Questionnaire (HAQ) Score at Month 6
时间窗: Month 6
HAQ is a measure of functional limitations. Participants were rated on 4 point scale with scores: 0=no difficulty (normal), 1=some difficulty (adequate), 2=much difficulty (limited), 3=unable to do based on degree of difficulty experienced with 20 tasks grouped into 8 areas of dressing, rising, hygiene, reach, walking, eating, grip and activities. The higher score reported by the participant for any component question of the 8 categories determines the score for that categories. Total score is divided for 8. Average score range: 0 (no difficulty) to 3 (unable to do).
Duration of Morning Stiffness at Month 9
时间窗: Month 9
Duration of morning stiffness: Time elapsed when participant woke up in morning and was able to resume normal activities without stiffness in minutes. Increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Duration of Morning Stiffness at Month 12
时间窗: Month 12
Duration of morning stiffness: Time elapsed when participant woke up in morning and was able to resume normal activities without stiffness in minutes. Increase in stiffness duration from baseline represented disease progression and/or joint worsening, no change represented halting of disease progression, and a decrease represented improvement.
Stanford Health Assessment Questionnaire (HAQ) Score at Month 3
时间窗: Month 3
HAQ is a measure of functional limitations. Participants were rated on 4 point scale with scores: 0=no difficulty (normal), 1=some difficulty (adequate), 2=much difficulty (limited), 3=unable to do based on degree of difficulty experienced with 20 tasks grouped into 8 areas of dressing, rising, hygiene, reach, walking, eating, grip and activities. The higher score reported by the participant for any component question of the 8 categories determines the score for that categories. Total score is divided for 8. Average score range: 0 (no difficulty) to 3 (unable to do).
Stanford Health Assessment Questionnaire (HAQ) Score at Month 9
时间窗: Month 9
HAQ is a measure of functional limitations. Participants were rated on 4 point scale with scores: 0=no difficulty (normal), 1=some difficulty (adequate), 2=much difficulty (limited), 3=unable to do based on degree of difficulty experienced with 20 tasks grouped into 8 areas of dressing, rising, hygiene, reach, walking, eating, grip and activities. The higher score reported by the participant for any component question of the 8 categories determines the score for that categories. Total score is divided for 8. Average score range: 0 (no difficulty) to 3 (unable to do).
Stanford Health Assessment Questionnaire (HAQ) Score at Month 12
时间窗: Month 12
HAQ is a measure of functional limitations. Participants were rated on 4 point scale with scores: 0=no difficulty (normal), 1=some difficulty (adequate), 2=much difficulty (limited), 3=unable to do based on degree of difficulty experienced with 20 tasks grouped into 8 areas of dressing, rising, hygiene, reach, walking, eating, grip and activities. The higher score reported by the participant for any component question of the 8 categories determines the score for that categories. Total score is divided for 8. Average score range: 0 (no difficulty) to 3 (unable to do).
36-Item Short-Form Health Survey (SF-36) at Month 12
时间窗: Month 12
SF-36 is a standardized survey evaluating 8 aspects of functional health and well being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for a section is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning).
次要结局
- Direct Costs(Baseline, Months 3, 6, 9 and 12)
- Indirect Costs(Baseline, Months 3, 6, 9 and 12)
