Rheumatoid Arthritis
Conditions
Brief summary
In Japan, as well as in other countries, the dose of adalimumab (ADA) is limited to 40 mg every other week when used in combination with methotrexate (MTX) for patients with rheumatoid arthritis (RA). However, ADA 80 mg with MTX may be required for some RA patients, especially for those with high disease activity. Therefore, we tried to increase the ADA dose to 80 mg every other week with concomitant MTX, only if the disease activity did not decrease below moderate activity defined by DAS28 \< 3.2. The primary endpoint was the rate of patients who achieved disease remission (DAS28 \< 2.6) at 30 weeks with this predifined treatment strategy.
Interventions
To increase the ADA dose from 40 mg eow to 80 mg eow
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with rheumatoid arthritis receiving MTX ≧ 6 mg/week for at least 3 months disease activity : DAS28 \> 5.1
Exclusion criteria
* allergy to ADA present active infection including TB history of demyelinating disease, HBV infection and malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of achieving remission at week 30 | 30 weeks |
Countries
Japan