early rheumatoid arthritis MedDRA version: 12.1 Level: HLT Classification code 10039075 Term: Rheumatoid arthritis and associated conditions
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of RA (according to ACR criteria) Disease duration 3.2 with a swollen joint count = 4 MTX naive Stable therapy with corticosteroïds or NSAIDs Presence of knee arthralgia or synovitis (addendum protocol with synovial biopsy). Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Previous MTX treatment. Exclusion for severe physical handicap to perform CRE. Exclusion for general safety (history of severe allergic reaction, sepsis, malignancy within 5 years, pregnancy, severe heart failure)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To measure the CRE by a work capacity index obtained in a submaximal testing (W65%/kg) in early RA patients treated with tocilizumab compared to Methotrexate alone.;Secondary Objective: 1. To analyze the clinical efficacy of Tocilizumab in this population. 2. To correlate the CRE response with other marker (CRP, Hb, DAS, HAQ). 3. To evaluate the safety profile of Tocilizumab. ;Primary end point(s): A work capacity index as a measure of CRE (W65%/kg) expressed in watts per kilograms of body weight and the Borg score, an exertion perception index (0-10) obtained from the heart rate and perceived exertion score during a submaximal gradational cycle ergometer test will be performed at baseline, month 3 and 6. ACR and EULAR core set will be evaluated at every visit by an independent joint articular assessor. The following questionnaire and tests will be performed : HAQ, Abilhand, the anxiety and depression scale (HAD), the Baecke Questionnaire of Habitual Physical Activity. Patients will be randomized according their sex, age and BMI. | — |
Countries
Belgium