UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002554
Receipt number R000003120
Scientific Title Evaluation of selective COX-2 inhibitor for the protection of intestinal mucosal damage in comparison to NSAID in patients with rheumatoid arthritis (Investigation by capsule endoscopy and measurement of biomarkers for rheumatoid arthritis)
Date of disclosure of the study information 2009/09/28
Last modified on 2013/09/28 09:16:28

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Basic information

Public title

Evaluation of selective COX-2 inhibitor for the protection of intestinal mucosal damage in comparison to NSAID in patients with rheumatoid arthritis (Investigation by capsule endoscopy and measurement of biomarkers for rheumatoid arthritis)

Acronym

Evaluation of selective COX-2 inhibitor for the protection of intestinal mucosal damage in comparison to NSAID in rheumatoid arthritis

Scientific Title

Evaluation of selective COX-2 inhibitor for the protection of intestinal mucosal damage in comparison to NSAID in patients with rheumatoid arthritis (Investigation by capsule endoscopy and measurement of biomarkers for rheumatoid arthritis)

Scientific Title:Acronym

Evaluation of selective COX-2 inhibitor for the protection of intestinal mucosal damage in comparison to NSAID in rheumatoid arthritis

Region

Japan


Condition

Condition

Patients with rheumatoid arthritis

Classification by specialty

Gastroenterology Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Non-steroidal anti-inflammatory drugs(NSAIDs) are popularly used for the pain control in rheumatoid arthritis, but have several side effects influding mucosal damage in the stomach.A selective cyclooxygenage(COX)-2 selective inhibitor(Celecoxib;Celecox(R)) has a characteristics of decreasing mucosal damage compared to NSAIDs and was introduced in clinical usage in Japan last year. However, there is no clinical trial about the effect of the COX-2 selective inhibitor on the mucosal damage of the small intestine of Japanese population.Recently, capsule endoscopy (CE) can be used for the visualization of the whole small intestine non-invasively.In this study, patients with rheumatoid arthritis with long-term usage of NSAIDs are evaluated for the mucosal damage of the small intestine by CE.After this, NSAIDs are changed to Celecoxib and reevaluate for the mucosal injury in the small intestine by CE.In addition, several serologic markers related to rheumatoid arthritis are measured before and after the treatment with Celecoxib.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Evaluation of mucosal damage in the small intestine by capsule endoscopy

Key secondary outcomes

1)Changes in the serologic markers of rheumatoid arthritis
2)Pain control
3)Adverse events and side effects of Celecoxib


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients with reumatoid arthritis treated with NSAID are administered with Celacox after the discontinuation of NSAID.Celecox is given twice daily 200mg each and capsule endoscopy is performed before and after the treatment with Celecox.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with rheumatoid arthritis treated with NSAID more than 3 months.

Key exclusion criteria

1.Patients treated with biologics (anti-TNF antibody, anti-IL-6R antibody, etc)
2.Patients treated with corticosteroid(>10mg of prednisolone)
3.Patients treated with aspirin.
4.Patients treated with anti-ulcer drugs (misoprostol,teprenone,rebamipide,etc)
5. Patients with active peptic ulcer in stomach or duodenum

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiko Tsujii

Organization

Osaka University Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code


Address

2-2 Yamadaoka, Suita, Osaka 565-0871, Japan

TEL

06-6879-3621

Email

mt@gh.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hideki Iijima

Organization

Osaka University Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code


Address

2-2 Yamadaoka, Suita, Osaka 565-0871, Japan

TEL

06-6879-3621

Homepage URL


Email

hiijima@gh.med.osaka-u.ac.jp


Sponsor or person

Institute

Osaka University

Institute

Department

Personal name



Funding Source

Organization

Osaka University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 09 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 11 Month 12 Day

Date of IRB


Anticipated trial start date

2008 Year 12 Month 01 Day

Last follow-up date

2011 Year 06 Month 01 Day

Date of closure to data entry

2011 Year 10 Month 01 Day

Date trial data considered complete

2012 Year 12 Month 31 Day

Date analysis concluded

2013 Year 09 Month 17 Day


Other

Other related information



Management information

Registered date

2009 Year 09 Month 28 Day

Last modified on

2013 Year 09 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003120


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name