Rheumatoid arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients fulfilled the 1987 ACR classification criteria or the new ACR/EULAR diagnostic criteria for RA 2) RA patients with sustained low disease activity (CDAI =12 weeks while undergoing combination therapy with BAR plus MTX 3) RA patients receiving BAR, MTX, csDMARDs, and glucocorticoids at a stable dosage regimen for >=12 weeks prior to obtaining informed consent 4) RA patients aged >=20 years 5) Obtaining written informed consent
Exclusion criteria
Exclusion criteria: 1) Patients with adherence problems 2) Patients judged as inadequate at the discretion of inevstigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients maintaining low disease activity without a flare* at week 36 (24 weeks after MTX discontinuation). *Disease flare is defined as a CDAI score >10 or intervention with the rescue treatments for any reason. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Proportion of patients maintaining low disease activity evaluated with CDAI at week 12, 24, and 52 2) Proportion of patients maintaining low disease activity evaluated with SDAI, DAS28-CRP, and DAS28-ESR at week 0, 12, 24, 36, and 52 3) Proportion of patients maintaining remission evaluated with CDAI, SDAI, DAS28-CRP, and DAS28-ESR at week 0, 12, 24, 36, and 52 4) Following parameters from week 0 to 52 - CDAI, SDAI, DAS28-CRP, DAS28-ESR, J-HAQ - CRP, ESR, MMP-3 - FSSG, EQ-5D, SF-36, FACIT fatigue 5) Change from week 0 to 52 in total Sharp score 6) Proportion of patients with structural remission and clinically relevant radiographic progression at week 52 7) Rate of regaining low disease activity in patients with CDAI>10 8) Predictors of maitaining low disease activity, structural remission, and clinically relevant radiographic progression 9) Adverse events | — |
Contacts
Nagoya University Hospital