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CITAR - Comparison of the efficacy and safety of early use of IL-6R blockade with tocilizumab in combination with short-term glucocorticoids versus glucocorticoids alone for the treatment of arthritis induced by cancer immunotherapy by check point inhibitors: a randomized, open, multicentre, proof of concept, superiority, controlled clinical trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2022-501130-33-00
Enrollment
57
Registered
2023-03-07
Start date
2023-10-11
Completion date
Unknown
Last updated
2025-04-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with histologically (or via cytology) confirmed cancer that develop arthritis secondary to treatment with immune checkpoint inhibitors.

Brief summary

% of patients in arm A and arm B with Clinical Disease Activity Index (CDAI): CDAI ≤10 at week 16

Detailed description

1. % of patients in arm A and arm B with Clinical Disease Activity Index (CDAI): CDAI ≤10 at week 24, 2. % of patients in arm A and arm B with CDAI ≤2.8 at week 16 and 24, 3. % of patients in arm A and arm B with CDAI ≤10 AND Prednisolone 0-5mg/d at week 16 and 24, 4. % of patients in arm A and arm B with CDAI ≤10 AND Prednisolone 0 mg/d at week 16 and 24, 5. Improvement in pain (VAS 0-100mm), general health (VAS 0-100mm), fatigue (VAS 0-100mm), functional status (HAQ questionnaire) and quality of life (EQ5D questionnaire) in arm A and B, at week 16 and 24, 6. Progression-free survival and overall survival of patients in arm A and arm B at week 16 and 24, 7. Total number of missed treatment cycles with ICI, at week 24, 8. % of patients with AEs and SAEs in arm A and B from baseline to week 24

Interventions

Sponsors

Karolinska University Hospital
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
% of patients in arm A and arm B with Clinical Disease Activity Index (CDAI): CDAI ≤10 at week 16

Secondary

MeasureTime frame
1. % of patients in arm A and arm B with Clinical Disease Activity Index (CDAI): CDAI ≤10 at week 24, 2. % of patients in arm A and arm B with CDAI ≤2.8 at week 16 and 24, 3. % of patients in arm A and arm B with CDAI ≤10 AND Prednisolone 0-5mg/d at week 16 and 24, 4. % of patients in arm A and arm B with CDAI ≤10 AND Prednisolone 0 mg/d at week 16 and 24, 5. Improvement in pain (VAS 0-100mm), general health (VAS 0-100mm), fatigue (VAS 0-100mm), functional status (HAQ questionnaire) and quality of life (EQ5D questionnaire) in arm A and B, at week 16 and 24, 6. Progression-free survival and overall survival of patients in arm A and arm B at week 16 and 24, 7. Total number of missed treatment cycles with ICI, at week 24, 8. % of patients with AEs and SAEs in arm A and B from baseline to week 24

Countries

France, Sweden

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026