Health Condition 1: M082- Juvenile rheumatoid arthritis withsystemic onset
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Children upto 12 years of age at the time of diagnosis admitted in department of Paediatric Medicine at IPGMER and SSKM Hospital Kolkata 2) Confirmed diagnosis of systemic Juvenile Idiopathic Arthritis based on ILAR (International League of Associations for Rheumatology) classification criteria
Exclusion criteria
Exclusion criteria: 1) History of hypersensitivity or contraindication to Tocilizumab or Methotrexate 2) Presence of other autoimmune or autoinflammatory disorders that may confound diagnosis or outcomes 3) Malignancy or any documented serious infection at the time of Tocilizumab initiation 4) Significant liver or renal dysfunction at baseline 5) Inadequate follow-up data 6) Parents or patients not giving consent or assent respectively
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the clinical efficacy of Tocilizumab versus Tocilizumab with Methotrexate in children with systemic Juvenile Idiopathic Arthritis, based on achievement of Clinically Inactive Disease (CID) without glucocorticoids at 6 monthsTimepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) To evaluate remission and disease flare rates following achievement of CID in each group 2) To compare the cumulative dose of glucocorticoids in both groups of study population 3) To assess the adverse event profiles (frequency of hepatotoxicity, cytopenias, infections) of Tocilizumab with and without Methotrexate 4) To compare trends in inflammatory markers (ESR, Ferritin) between the two groups over timeTimepoint: 6 months, 12 months | — |
Countries
India
Contacts
IPGMER and SSKM Hospital Kolkata