Rheumatoid Arthritis
Conditions
Brief summary
This prospective, observational, multicenter study will assess the efficacy and safety of RoActemra/Actemra (tocilizumab) on the use of glucocorticoids in patients with moderate to severe rheumatoid arthritis and an inadequate response to previous disease-modifying antirheumatic drugs or anti-TNF. Data will be collected for 36 weeks.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults patients, over 18 years of age * Patients with moderate to severe rheumatoid arthritis (RA) * Patients on a stable dose of prednisone or equivalent (\>/=7.5 mg/day) for at least 4 weeks before study inclusion
Exclusion criteria
* Patients previously treated with RoActemra/Actemra * Any contraindication to RoActemra/Actemra
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients on treatment with RoActemra/Actemra who achieve prednisone (or equivalent) dose reduction of </= 5mg/day | Week 36 |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in corticosteroid dose | Week 36 |
| Proportion of patients treated with RoActemra/Actemra who reach Week 36 with a reduced glucocorticoid dose | Week 36 |
| Proportion of patients treated with RoActemra/Actemra not receiving glucocorticoids | Week 36 |
| Proportion of concomitant disease-modifying anti-rheumatic drug (DMARD) use | Week 36 |
| Proportion of patients with inadequate response to prior treatment with disease-modifying antirheumatic drugs at baseline, who reach a prednisone (or equivalent) dose reduction of </= 5 mg/day | Week 36 |
| Change from baseline in glucocorticoid dose | Week 36 |
| Proportion of patients meeting the physician's recommendaitons for glucocorticoid dose reduction | Week 36 |
| Percentage change in Disease Activity Score 28 (DAS28) | Week 36 |
| Percentage change in Simplified Disease Activity Index (SDAI) score | Week 36 |
| Safety: Incidence of adverse events | 36 weeks |
| Proportion of patients with inadequate response to prior treatment with anti-TNF at baseline, who reach a glucocorticoid dose reduction of </= 5 mg/day | Week 36 |
Countries
Spain