Early rheumatoid arthritis MedDRA version: 19.0 Level: PT Classification code 10039073 Term: Rheumatoid arthritis System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of rheumatoid arthritis based on expert opinion according to the ACR/EULAR 2009 criteria (Hawker 2009), disease duration 4 plus = 3 swollen joints 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 225 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 225
Exclusion criteria
Exclusion criteria: Prior treatment with DMARDs (except for hydroxychloroquin or sulfasalazine or methotrexate during the last four weeks before screening) Clinically relevant comorbidity: concurrent liver disease (ALT > 2 times upper limit of normal), active hepatitis B or C viral infection, renal disease (creatinine clearance < 30 ml/minute), clinically relevant haematological disease due to the judgement of the rheumatologist, uncontrolled diabetes mellitus, relevant immunodeficiency incl. HIV-infection, clinically significant pulmonary fibrosis, presence or history of severe infections, pregnancy or planned pregnancy, non-compliance, age < 18 years.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare two standard p.o. GC starting dosages and the non-use of GCs in the treatment of patients with early active RA on the background of the established ‘anchor’ therapy with methotrexate;Secondary Objective: percentage of patients in remission, changes of functional capacity etc. Safety monitoring is performed;Primary end point(s): Progression of radiographic damage after one year compared to baseline (van der Heijde modification of the Sharp score);Timepoint(s) of evaluation of this end point: 52 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): percentage of patients in remission, changes of functional capacity etc. Safety monitoring is performed;Timepoint(s) of evaluation of this end point: 12 weeks 24 weeks 52 weeks | — |
Countries
Germany
Contacts
Abteilung für Medizinische Informatik, Biometrie und Epidemiologie