rheumatoid arthritis adalimumab therapeutic drug monitoring
Conditions
Interventions
Patients with high adalimumab concentrations will be randomly assigned to continuation of adalimumab every other week or prolongation of the dosage interval to once every 3 weeks. Patients will be fol
Sponsors
Reumafonds
Reade, centrum voor revalidatie en reumatologie
Eligibility
Inclusion criteria
Inclusion criteria: 1. RA according to the ACR 1987 criteria; 2. Adalimumab treatment for at least 28 weeks; 3. Treating rheumatologist is convinced of the benefit of adalimumab continuation; 4. Written informed consent. 5. Trough adalimumab level > 8.0 mg/L
Exclusion criteria
Exclusion criteria: Scheduled surgery in the next 6 months or other pre planned reasons for treatment discontinuation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Similar deltaDAS28 in patients with high serum adalimumab concentrations who are randomly assigned to continuation of the regular dose or to dose interval prolongation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cost-effectiveness of therapeutic drug monitoring in rheumatoid arthritis patients responding to adalimumab. | — |
Contacts
Public ContactG.J. Wolbink
Dr. Jan van Breemenstraat 2, 1065 AB Amsterdam
Outcome results
None listed