Rheumatoid Arthritis
Conditions
Brief summary
This observational study will evaluate the presence and evolution of fatigue on treatment with RoActemra/Actemra (tocilizumab) in patients with moderate to severe rheumatoid arthritis who have an inadequate response to at least two DMARDs (one of them methotrexate) or to anti-TNF treatment. Patients initiated on treatment with RoActemra/Actemra (8 mg/kg intravenously every 4 weeks) with or without methotrexate will be followed for 4 months.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients, \>/= 18 years of age * Moderate to severe active rheumatoid arthritis, defined as DAS28 \>/= 3.7 * Inadequate clinical response to current treatment with \>/= 2 non-biologic DMARDs, 1 of them being methotrexate optimally administered for \>/= 3 months, or inadequate clinical response to anti-TNF therapy * Eligible for RoActemra/Actemra treatment in daily clinical practice * Absence of evolutive tuberculosis (TB)
Exclusion criteria
* Hypersensitivity to tocilizumab or any of the excipients * Active, severe infections * Pregnant or lactating women * Participation in any other interventional study * Patients with major depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evolution of fatigue: Proportion of patients meeting the Minimally Clinically Important Difference (MCID) for the Visual Analogue Sale VAS Fatigue at Week 16 | 16 months |
Secondary
| Measure | Time frame |
|---|---|
| Disease Activity Score DAS28 | 16 months |
| Pain: Visual Analogue Scale VAS Pain | 16 months |
| Functional disability: Health Assessment Questionnaire HAQ | 16 months |
| Fatigue: VAS Fatigue/FACIT Fatigue/Pass Fatigue | 16 months |
| Anemia: Haemoglobin levels | 16 months |
| Depression: Beck Depression Inventory (BDI) questionnaire | 16 months |
| Quality of sleep: VAS | 16 months |
Countries
Belgium, Luxembourg