Major Adverse Cardiovascular Events (MACE) in Rheumatoid Arthritis Patient With Moderate to Severe Disease Activity Treated With Tofacitinib and Statins vs TNF Inhibitors: TOFSTAT CLINICAL TRIAL
NCT07554820 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-04-28
Summary
The rationale of our study is to observe the incidence of MACE in RA patients treated with tofacitinib along with statins with one or more cardiovascular disease risks.
PRIMARY OBJECTIVE
* To determine the incidence of MACE in Rheumatoid Arthritis patients with moderate to high disease activity and with one or more cardiovascular disease risks, which are non-responsive to standard conventional DMARDs (cDMARDs) treatment and are prescribed Tofacitinib 5 mg twice daily along with statin 20 mg daily versus TNF Inhibitors.
* The study aim to compare MACE in RA patients treated with tofacitinib and statin versus TNF inhibitors.
Conditions
- Rheumatoid Arthritis
- Major Adverse Cardiac Events
Interventions
- DRUG
-
Tofacitinib 5 MG
* In one group tofacitinib (5 mg twice daily) and statins (atorvastatin 20 mg daily) will be added to the treatment regimen of the patients. * In control group TNF inhibitor will be added to the treatment regimen of the patients as part of standard treatment. * Patients will be followed up monthly for a period of 6 months. * Monthly assessments during follow up will include Lipid profile Total cholesterol, LDL, HDL, triglycerides. DAS-28 score. Recording of any CVD events (MACE). Monitoring of any other related complications.
Sponsors & Collaborators
-
Shaikh Zayed Hospital, Lahore
lead OTHER
Principal Investigators
-
Masooma Hashmat, FCPS · Shaikh Zayed Hospital, Lahore
-
Aflak Rasheed, FCPS · Shaikh Zayed Hospital, Lahore
-
Maira Khalil, MBBS · Shaikh Zayed Hospital, Lahore
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-06
- Primary Completion
- 2026-08-31
- Completion
- 2026-09-30
Countries
- Pakistan
Study Locations
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