Rheumatoid arthritis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - patients have to fulfil the diagnostic criteria for RA as defined by the ACR9 - group I: treatment with rituximab (according to RA scheme), in combination with methotrexate, started 4 weeks before inclusion - group II: treatment with rituximab (according to RA scheme) started 6-9 months before inclusion - group III: second or third treatment with rituximab (according to RA scheme), in combination with methotrexate, started 4 weeks before inclusion - group IV: treatment with monotherapy methotrexate - informed consent
Exclusion criteria
Exclusion criteria: - age under 18 years - current infection, defined as fever in combination with clinical focal signs of infection and the need for therapeutic antibiotic treatment - pregnancy - malignancy - known allergy to or former severe reaction following Influvac®
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Humoral and cellular immunity against the in the vaccin included antigens by: * Haemagglutinin Inhibition Assay (HAI) * IFN-gamma and IL-4 Enzyme Linked Immunospotting (ELISPOT) * Intracellular Cytokine Staining and Fluorescence-activated cell sorting (ICC & FACS) * Assessment of proliferation of CD4 and CD8 T cells using CFSE dye dilution and analysis by Flow Cytometry | — |
Secondary
| Measure | Time frame |
|---|---|
| - Side effects | — |
Countries
Netherlands