Mechanistic Studies of B- and T-Cell Function in RA Patients Treated With TNF Antagonists, Tocilizumab, or Abatacept

NCT02353780 · Status: TERMINATED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 10

Last updated 2020-10-01

Study results available
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Summary

An Agency for Healthcare Research and Quality executive summary indicated that better comparative effectiveness trial designs are needed to determine the relative merits of existing versus new and expensive biologic drug therapies for rheumatoid arthritis (RA). There are now 9 biologic therapies approved for treating RA. Four classes of biologics (TNF antagonists, B-cell inhibitors, T-cell co-stimulator blocker, and Interleukin-6 receptor blocker) are approved for use in RA patients with moderate or severe disease activity. Several critical questions have arisen, such as 1) what therapy should be prescribed after failure of methotrexate and/or other oral disease modifying antirheumatic drugs (DMARDs) to adequately control disease activity; 2) what is the level of efficacy of the various biologic therapies when compared in head-to-head trials; and 3) what are the mechanisms associated with failure of methotrexate and/or other oral DMARD therapy and responsiveness to biologic therapies. The MAZERATI study will provide the foundation for answering these questions and determining the mechanisms associated with these biologic therapies.

Conditions

  • Rheumatoid Arthritis (RA)

Interventions

DRUG

TNF Antagonist (enbrel, humire, remicade, cimzia, symponi)

TNF Antagonist; treating rheumatologist selects specifics for the therapy chosen.

DRUG

Abatacept

Abatacept; SQ; specifics to be determined by the treating rheumatologist.

DRUG

Tocilizumab

Tocilizumab; SQ; specifics determined by the treating rheumatologist.

Sponsors & Collaborators

  • Genentech, Inc.

    collaborator INDUSTRY
  • Bristol-Myers Squibb

    collaborator INDUSTRY
  • Dr. Larry W. Moreland

    lead OTHER

Principal Investigators

  • Larry W. Moreland, MD · University of Pittsburgh

Study Design

Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
64 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2015-03-31
Primary Completion
2017-12-30
Completion
2018-11-30

Countries

  • United States

Study Locations

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Entities

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02353780 on ClinicalTrials.gov