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Tocilizumab treatment with reducing and stopping methotrexate in patients with rheumatoid arthritis in stable low disease activity-state

Tocilizumab treatment with reducing and stopping methotrexate in patients with rheumatoid arthritis in stable low disease activity-state - Tocilizumab treatment with reducing and stopping methotrexate (T-ReX study)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000021247
Enrollment
51
Registered
2016-07-22
Start date
2016-07-22
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Rheumatoid arthritis

Interventions

Double the time between applications of MTX without changing dose for the first 12 weeks, and then stop MTX if CDAI&lt
=10 is maintained.

Sponsors

Nagoya University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patients with RA fulfilled the ACR 1987 classification criteria or ACR/EULAR 2010 classification criteria 2) Patients who had a CRP concentration of >=0.6mg/dl at initiation of TCZ 3) Patients maintaining low disease activity with a CDAI of <=10 with TCZ and MTX for at least 12 weeks 4) Patients receiving stable treatment without alteration in dosage and administration for at least 12 weeks

Exclusion criteria

Exclusion criteria: 1) Patients receiving TCZ and/or MTX for any disease other than RA 2) Patients judged as inadequate at the discretion of physicians

Design outcomes

Primary

MeasureTime frame
Proportion of patients maintaining CDAI<=10 at 36 weeks (24weeks after stopping MTX)

Secondary

MeasureTime frame
1) Proportion of patients maintaining CDAI<=10 at 12 weeks (after reducing MTX) and 64 weeks (52weeks after stopping MTX) 2) Disease activity, serum concentration of TNF-alpha and IL-6, FSSG score, and EQ-5Dat each visit 3) Proportion of patients regaining CDAI<=10 4) Predictors of maintaining CDAI<=10 5) Adverse events

Countries

Japan

Contacts

Public ContactShuji Asai

Nagoya University Hospital Center for Advanced Medicine and Clinical Research

asai@med.nagoya-u.ac.jp052-744-1957

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026