Dose Reduction for Early Rheumatoid Arthritis Patients With Low Disease Activity
NCT02466581 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2022-07-08
Summary
This is an international (Nordic) trial designed to compare the safety and efficacy of active conventional therapy (ACT) and three biologic treatments (Certolizumab-pegol, Abatacept or Tocilizumab) in subjects with early rheumatoid arthritis (RA). The global aim of this study is to assess and compare two alternative de-escalation strategies in patients who achieved low disease activity during first-line therapy in the NORD-STAR study.
Conditions
Interventions
- DRUG
-
Sulphasalazine + Hydroxychloroquine OR Prednisolone
Methotrexate: 25mg/week. SSZ: 2 g/day. HCQ: 35 mg/kg/week (Finland and Denmark) Methotrexate: 25mg/week. Prednisolone 20 mg/day tapered in 9 weeks to 5 mg/day, discontinued after 9 months. (Sweden, Norway, and Iceland)
- BIOLOGICAL
-
Cimzia
Certolizumab-pegol: 200 mg s.c. every other week. Methotrexate: 25mg/week
- BIOLOGICAL
-
Abatacept: 125 mg s.c. every week. Methotrexate: 25mg/week
- BIOLOGICAL
-
RoActemra
Tocilizumab is given as 4-weekly infusions at dosage 8 mg/kg or 162 mg in solution s.c. every week. Methotrexate: 25mg/week
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Ronald van Vollenhoven, MD, Prof. · Karolinska Institutet
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-03
- Primary Completion
- 2023-07-22
- Completion
- 2023-12-31
Countries
- Sweden
Study Locations
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