Rheumatoid Arthritis
Conditions
Brief summary
The purpose of this study is to establish whether RA patients with moderate to severe disease activity with unsustainable response to infliximab 3 mg/kg every 8 weeks have better efficacy with adalimumab 40 mg s.c. eow compared to infliximab 3 mg/kg i.v. every 6 weeks.
Interventions
Remicade
Humira
Sponsors
Study design
Eligibility
Inclusion criteria
* ACR criteria fulfilled,DAS28-3(CRP \> 3.2 * \> 6 months prior treatment with infliximab 3 mg/kg i.v. every 8 week with initial response * Fading clinical response to infliximab * Negative pregnancy test (women with childbearing potential) * Use of reliable method of contraception (women with childbearing potential) * Informed consent
Exclusion criteria
* Age less than 18 years * Lack of co-operability * Positive serology for hepatitis B or C * History of positive HIV status * History of TB or untreated latent TB * Histoplasmosis or Listeriosis * Pregnancy or breastfeeding * Persistent or recurrent infections * History of cancer * Uncontrolled diabetes * Ischaemic heart disease * Congestive heart failure (NYHA 3-4) * Active inflammatory bowel disease * Recent stroke (within 3 months) * History of or current inflammatory joint disease other than RA * Previous diagnosis or signs of central nervous system demyelinating disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients achieving combined good or moderate EULAR responses at week 24 | six months |
Secondary
| Measure | Time frame |
|---|---|
| ACR20/50/70 response at week 2, 6, 12, 18 and 24 | six months |
Countries
Denmark