Rheumatoid arthritis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients who are at least 18 years old. (2) Patients diagnosed with rheumatoid arthritis based on ACR classification criteria (1987) or ACR/EULAR classification criteria for rheumatoid arthritis(2010). (3) Patients who have been treated with csDMARD for at least 3 months and have inadequate response or intolerance. (4) Patients receiving 5 mg/day or more prednisone equivalent of glucocorticoid. (5) Patients with moderate or high disease activity (DAS28-ESR>3.2). (6) Patients who are scheduled to initiate OZR.
Exclusion criteria
Exclusion criteria: (1) Patients with contraindications to OZR. (2) Patients who have undergone surgical procedures for rheumatoid arthritis within 8 weeks prior to initiation of OZR or are scheduled to undergo procedures during the study period. (3) Patients who are judged by the study investigator to be inappropriate for the subject of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in glucocorticoid dose from the start of OZR administration at 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Change in glucocoticoid dose (4, 8, 16, 20, 24, 48 weeks) 2. Percentage of glucocorticoid discontinuation (12, 24, 48 weeks) 3. Change in disease activity based on CDAI, DAS28-ESR, and DAS28-CRP (4, 8, 12, 16, 20, 24, 48 weeks) 4. Percentage of low disease activity and remission (4, 8, 12, 16, 20, 24, 48 weeks) 5. 5. Percentage of patients with low disease activity/remission and achieved prednisone reduction of at least 2.5 mg/day (12, 24, 48 weeks) 6. Change in HAQ (4, 8, 12, 16, 20, 24, 48 weeks) 7. Overall patient assessment VAS (1, 2, 3 days, 1, 2, 3, 4, 8, 12, 16, 20, 24, 48 weeks) 8. mHAQ change (1, 2, 3 days, 1, 2, 3, 4, 8, 12, 16, 20, 24, 48 weeks) 9. FACIT-F (4, 8, 12, 24, and 48 weeks) 10. RAID (4, 8, 12, 24, 48 weeks) 11. Patient pain assessment VAS (1, 2, 3 days, 1, 2, 3, 4, 8, 12, 16, 20, 24, 48 weeks) 12. RAPID3 (1, 2, 3 days, 1, 2, 3, 4, 8, 12, 16, 20, 24, 48 weeks) 13. Adverse events (AE) of interest: steroid withdrawal syndrome, infection (12, 24, 48 weeks) | — |
Countries
Japan
Contacts
Graduate School of Medicine, Kyoto University Department of Advanced Medicine for Rheumatic Diseases