Rheumatoid Arthritis
Conditions
Brief summary
This non-interventional, observational, open-label multi-center follow-up study of patients from the U-Act-Early trial (ML22497) will evaluate the long-term efficacy and safety of starting tight control treatment with RoActemra/Actemra (tocilizumab) and/or methotrexate in patients early in the disease followed by treatment according to standard of care in routine clinical practice in a three year follow-up, independently of what treatment the patient will be receiving.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must have participated in the U-Act-Early trial (ML22497); these are adult patients (\> 20 years of age) with rheumatoid arthritis. * Patients must be willing to give written informed consent
Exclusion criteria
* Patients who did not participate in the U-Act-Early trial * Patients who are drop-outs in the U-Act-Early trial due to withdrawal of consent, are lost to follow-up or are serious protocol violators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Disease Activity Score (DAS28) | from baseline to Month 36 |
Secondary
| Measure | Time frame |
|---|---|
| Measure of progressive joint destruction (vdHSS) | from baseline of U-Act-Early to Month 24 of U-Act-After |
| Changes in concomitant medication (especially tapering of corticosteroids) | from baseline to Months 36 |
| Change in disability, assessed by the Dutch consensus Health Assessment Questionnaire (HAQ) | from baseline to Month 36 |
| Dose modifications/interruptions of RA treatment | 36 months |
| Safety: Incidence of adverse events, adverse events of special interest and serious adverse events | 36 months |
| Sustained remission rates/drug-free remission rates | 36 months |
Countries
Netherlands