Study of Adalimumab to Lower Cardiovascular Risk in RA Patients With Well Controlled Joint Disease
NCT01893996 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 63
Last updated 2021-04-09
Summary
Rheumatoid arthritis patients are at increased risk of cardiovascular disease because of systemic inflammation that can persist even in patients with well-controlled joint disease. We hypothesize that adding an anti-tumor necrosis factor medication, adalimumab, to standard non-biologic therapy for rheumatoid arthritis will improve endothelial function (reduce cardiovascular risk) in these patients. The design of the trial is as follows: 18 month prospective, randomized, double-blind crossover trial comparing the addition of adalimumab to the addition of placebo. The primary endpoint is a change in endothelial cell function, as detected by brachial artery FMD, at 6 months of adalimumab treatment compared to 6 months of placebo.
Conditions
Interventions
- DRUG
-
Patients will be randomized 1:1 to receive either adalimumab or placebo for the first 26 weeks of the trial, and then after a 26 week washout period, will be crossed over into the other arm (either placebo or adalimumab) for weeks 52-78.
- DRUG
Sponsors & Collaborators
-
American College of Rheumatology Research and Education Foundation
collaborator OTHER - collaborator INDUSTRY
-
Jonathan Graf
lead OTHER
Principal Investigators
-
Jonathan Graf, MD · University of California, San Francisco
-
Peter Ganz, MD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-07-31
- Primary Completion
- 2017-07-31
- Completion
- 2017-07-31
Countries
- United States
Study Locations
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