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临床试验/ISRCTN16739990
ISRCTN16739990已完成未知

Clinical effectiveness of symptomatic therapy compared to standard step-up care for the treatment of low impact psoriatic oligoarthritis: a 2 arm parallel group feasibility study.

niversity of Oxford0 个研究点目标入组 1 人开始时间: 2019年4月26日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
入组人数
1

研究概览

简要总结

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35035537/ (added 14/02/2022)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 02/03/2021:
  • 1. Participants consented to the PsA inception cohort (MONITOR-PsA) and to be approached for alternate interventional therapies
  • 2. Participants with mild disease as defined by:
  • 2.1 Oligoarticular disease with <5 active joints at baseline assessment
  • 3. Participant is willing and able to give informed consent for participation in the trial
  • 4. Male or female
  • 5. Aged 18 years or above
  • 6. Female participants of child bearing potential and male Participants whose partner is of child bearing potential must be willing to ensure that they or their partner use effective contraception during the trial and for 3 months thereafter if receiving DMARD therapy (excluding sulfasalazine)
  • 7. Participant has clinically acceptable laboratory results within 6 weeks of enrolment:
  • 7.1 Haemoglobin count >8.5 g/dL
  • 7.2 White blood count (WBC) >3.5 x 10^9/L
  • 7.3 Absolute neutrophil count (ANC) >1.5 x 10^9/L
  • 7.4 Platelet count >100 x 10^9/L
  • 7.5 ALT and alkaline phosphatase levels <3 x upper limit of normal
  • 7.7 In the Investigator’s opinion, is able and willing to comply with all trial requirements
  • 7.8 Willing to allow his or her GP and consultant, if appropriate, to be notified of participation in the trial
  • Previous inclusion criteria:
  • 1. Participants consented to the PsA inception cohort (MONITOR-PsA) and to be approached for alternate interventional therapies.
  • 2. Participants with mild disease as defined by:
  • 2.1 Oligoarticular disease with < 5 active joints at baseline assessment.
  • 2.2 Low disease activity as defined by a PsA disease activity score (PASDAS) < = 3.2.
  • 2.3 Low impact of disease as defined a PsA impact of disease (PSAID) < = 4.
  • 3. Participant is willing and able to give informed consent for participation in the trial.
  • 4. Male or female.
  • 5. Aged 18 years or above.
  • 6. Female participants of child bearing potential and male Participants whose partner is of child bearing potential must be willing to ensure that they or their partner use effective contraception during the trial and for 3 months thereafter if receiving DMARD therapy (excluding sulfasalazine).
  • 7. Participant has clinically acceptable laboratory results within 6 weeks of enrolment:
  • 7.1 Haemoglobin count >8.5 g/dL
  • 7.2 White blood count (WBC) >3.5 x 10^9/L
  • 7.3 Absolute neutrophil count (ANC) >1.5 x 10^9/L
  • 7.4 Platelet count>100 x 10^9/L
  • 7.5 ALT and alkaline phosphatase levels <3 x upper limit of normal
  • 7.6 In the Investigator’s opinion, is able and willing to comply with all trial requirements.
  • 7.7 Willing to allow his or her GP and consultant, if appropriate, to be notified of participation in the trial.

排除标准

  • 1. >=1 poor prognostic factors for psoriatic arthritis, from:
  • 1.1 Raised C reactive protein (CRP) defined as >4g/dl for standard non-hsCRP
  • 1.2 Radiographic damage defined as the presence of >= 1 erosion on plain radiographs of the hands and feet
  • 1.3 Health assessment questionnaire (HAQ) score >1
  • 2. Contraindications to non-steroidal anti-inflammatory drugs
  • 3. Previous treatment for articular disease with synthetic DMARDs (including methotrexate, leflunomide or sulfasalazine) or biologic DMARDs (including TNF, IL12/23 or IL17 inhibitor therapies) or targeted synthetic DMARDs (PDE4 of JAK inhibitor therapies).
  • 4. Female patient who is pregnant, breast feeding or planning pregnancy during the course of the trial.
  • 5. Significant renal or hepatic impairment.
  • 6. Scheduled elective surgery or other procedures requiring general anaesthesia during the trial.
  • 7. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the patients at risk because of participation in the trial, or may influence the result of the trial, or the participant’s ability to participate in the trial.
  • 8. Patients who have participated in another research trial involving an investigational product in the past 12 weeks.

研究者

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