Rheumatoid Arthritis
Conditions
Brief summary
Adalimumab in rheumatoid arthritis. An investigation of changes in disease activity and course of joint destruction by use of 3 Tesla Whole-Body MRI, dedicated 3 Tesla MRI and CT of the hand, and soluble biomarkers. Furthermore to compare ultrasound examination with wholebody MRI etc.
Interventions
sc. inj. Humira 40 mg every other week from week 0 to 52
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years old and \< 85 years old * RA in accordance with American College of Rheumatology 1987 criteria * Moderate or highly active RA defined as DAS28 \> 3,2 (CRP based) * Clinical indication for TNF-α inhibitor treatment by the treating physician * No contraindications for TNF-α inhibitor treatment * No contraindications for MRI * Serum creatinine in normal range * Sufficient contraception for fertile women * Capable of giving informed consent * Capable of complying with the examination program of the protocol
Exclusion criteria
* Other DMARDs than MTX from less than 4 weeks before inclusion and throughout the study period * Cyclophosphamide, Chlorambucil or other alkylating agents from less than 4 weeks before inclusion and throughout the study period * Intramuscular or intravenous injection of glucocorticoid from less than 4 weeks before inclusion and throughout the study period * Pregnancy wish, pregnancy or breast-feeding * Contraindications for TNF-α inhibitor treatment * Contraindications for MRI * Known recent drug or alcohol abuse * Failure to provide written consent * Incapable of complying with the examination program for physical or mental reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| EULAR response criteria | 16 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Number of joints with inflammation on MRI | 16 and 52 weeks |
| Erosions on X-rays and CT | 52 weeks |
| Biomarkers | 16 and 52 weeks |
Countries
Denmark