Giant Cell Arteritis
Conditions
Keywords
Giant Cell Arteritis, Placebo, Anti-TNF, Multicenter-randomized-trial, Proved GCA according to ACR criteria (HUNDER et al 1990)
Brief summary
Hypothesis: In giant cell arteritis (GCA), a short initial treatment with anti-TNF may allow a faster decrease of steroids dosage and therefore avoid some of the adverse events of steroids.
Detailed description
The protocol consists of a SC injection of adalimumab or placebo every 2 weeks for 10 weeks added to steroids
Interventions
40 mg sc / for 3 months
placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 50 years * ACR criteria for Giant cell arteritis (HUNDER 1990) * Positive Temporal artery biopsy * Plus standard inclusion criteria for Humira protocols
Exclusion criteria
* Prednisone treatment for a different disease at a dose \>15 mg/day * Corticoid treatment for GCA more than 10 days * GCA treatment with prednisone \> 1 mg/kg whatever period of time * GCA treatment with an anti-TNF, MTX, cyclosporine, cyclophosphamide, dapsone or steroid bolus * Recent, permanent or transient visual loss due to GCA and the presence of any specific visual abnormality (diplopia, hallucination) * Plus standard
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the influence of an initial treatment of 3 months with adalimumab, 40 mg every other week, in the percentage of patients achieving at 6 months (week 26), a decrease in their corticosteroid treatment to a dose equal or lower than 0,1 mg/kg | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| To determine the influence of an initial treatment of 3 months with adalimumab on the total dose of corticosteroids determined by AUC (area under the curve) | 1 year |
| To determine the influence of an initial treatment of 3 months with adalimumab on the percentage of patients relapsing at one year | 1 year |
Countries
France