Rheumatoid Arthritis
Conditions
Brief summary
This observational study will evaluate the use and efficacy of RoActemra/Actemra (tocilizumab) in monotherapy in routine clinical practice in patients with rheumatoid arthritis. Eligible patients initiated on RoActemra/Actemra treatment according to the approved label will be followed for 6 months.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients, \>/= 18 years of age * Moderate to severe rheumatoid arthritis according to the revised (1987) ACR criteria * Patients in whom the treating physician has made the decision to commence RoActemra/Actemra treatment in accordance with the local label; this can include patients who have received RoActemra/Actemra treatment within 8 weeks prior to the enrolment visit * Patients who for any reason do not take methotrexate and the treating physician has made a decision to prescribe RoActemra/Actemra as monotherapy * Patients who were previously on a TNF inhibitor as monotherapy, and the treating physician has made a decision to prescribe RoActemra/Actemra as monotherapy * Concomitant treatment with corticosteroids (orally and intra-articularly) and/or NSAIDs is allowed
Exclusion criteria
* Patients who have received RoActemra/Actemra more than 8 weeks prior to the enrolment visit * Patients who have previously received RoActemra/Actemra in a clinical trial or for compassionate use * Patients receiving concomitant DMARD treatment for rheumatoid arthritis (e.g. hydroxychloroquine, sulfasalazine, methotrexate, leflunomide, gold compounds, cyclosporine) * Patients who have received treatment with an investigational agent within 4 weeks (or 5 half-lives of the investigational agent, whichever is longer) before starting treatment with RoActemra/Actemra * Patients with a history of autoimmune disease or any joint inflammatory disease other than rheumatoid arthritis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients on RoActemra/Actemra at 6 months after treatment initiation | Month 6 |
Secondary
| Measure | Time frame |
|---|---|
| Rates of dose modifications/interruptions | approximately 6 months |
| Efficacy: Response according to total joint count evaluation by DAS28/EULAR/SDAI/CDAI/ACR | approximately 6 months |
| Clinical/demographic patient characteristics at initiation of RoActemra/Actemra treatment | approximately 6 months |
| Safety: Incidence of adverse events | approximately 6 months |
| Patient reported outcomes (Patient Global Assessment of disease activity, HAQ-DI, VAS-Fatigue, severity of pain and morning stiffness) | approximately 6 months |
| Physician's Global Assessment of Disease Activity | approximately 6 months |