UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005773
Receipt number R000006726
Scientific Title Magnetic resonance image analysis for quantification of knee articular cartilage verified response to etanercept(ETN) in subjects with active rheumatoid arthritis
Date of disclosure of the study information 2011/06/14
Last modified on 2018/12/19 09:36:20

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Basic information

Public title

Magnetic resonance image analysis for quantification of knee articular cartilage verified response to etanercept(ETN) in subjects with active rheumatoid arthritis

Acronym

Quantification of knee cartilage in rheumatoid arthritis by MRI analysis

Scientific Title

Magnetic resonance image analysis for quantification of knee articular cartilage verified response to etanercept(ETN) in subjects with active rheumatoid arthritis

Scientific Title:Acronym

Quantification of knee cartilage in rheumatoid arthritis by MRI analysis

Region

Japan


Condition

Condition

rheumatoid arthritis

Classification by specialty

Clinical immunology Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We have established a software for quantification of knee articular cartilage on MRI, validated the reproducibility and reliability, and investigate the effect of ETN+MTX treatment on cartilage deterioration on MRI as compared with MTX alone treatment and correlation between cartilage deterioration on MRI and endpoints such as mTSS, SDAI and DAS28

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

MRI will be analysed with semi-automated software for quantification of knee articular cartilage[Time Frame:0, 3, 6, 12 months]

Key secondary outcomes

1) Radiographic evaluation: Modified total Sharp score (mTSS) [Time Frame:0, 3, 6, 12 months ]
2) SDAI remission rate [Time Frame:0, 3, 6, 12 months ]
3) Boolean-based definition remission rate [Time Frame:0, 3, 6, 12 months ]
4) CDAI remission rate [Time Frame:0, 3, 6, 12 months ]
5) Disease Activity Score (DAS28) remission rate [Time Frame:0, 3, 6, 12 months ]
6) EULAR response rate [Time Frame:0, 3, 6, 12 months ]
7) ACR20, 50 and 70 response rates [Time Frame:0, 3, 6, 12 months ]
8) Health Assessment Questionnaire (HAQ) improvement rate [Time Frame:0, 3, 6, 12 months ]
9) EQ-5D [Time Frame:0,12 months ]
10) C-reactive protein(CRP) in serum [Time Frame:0, 3, 6, 12 months ]
11) IgM RF in serum [Time Frame:0, 3, 6, 12 months ]
12) MMP-3 in serum [Time Frame:0, 3, 6, 12 months ]
13) Anti-CCP antibody in serum [Time Frame:0months ]


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

ETN+MTX

Interventions/Control_2

MTX

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patient has had a diagnosis of RA for less than two years as defined according to the American College of Rheumatology (ACR) Criteria for RA.
2. RA patient has moderate or severe disease activity, as defined by DAS28 (3.2 <= DAS28), despite the treatment with DMARDs (including 8mg >=; MTX weekly) for not less than three months.
3. Patient is an inpatient or outpatient.

Key exclusion criteria

1. Patient does not meet the guideline of anti-TNF therapy in RA patients.
2. Patient is septicemic or at risk of sepsis.
3. Patient has serious infection.
4. Patient has active tuberculosis.
5. Patient has a history of hypersensitivity to ingredients of the study drugs (ETN and MTX).
6. Patient has any current or previous demyelinating diseases.
7. Patient has congestive heart failure.
8. Patient cannot be treated with MTX ( 6 mg/week) in RA patients.
9. Patient has bone marrow suppression.
10. Patient has chronic hepatic disease.
11. Patient has renal dysfunction.
12. Patient is a nursing woman.
13. Patient is pregnant or possibly pregnant.
14. Patient has pleural effusion or ascites
15. Patient has contraindications for MRI
16. Patient is otherwise ineligible to participate in this study in the investigator's opinion.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Oka

Organization

22nd Century Medical & Research Center, the University of Tokyo

Division name

Departments of Joint Disease Research

Zip code


Address

Hongo 7-3-1, Bunkyo, Tokyo 113-8655, Japan.

TEL

03-5800-9178

Email

okah-tky@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroyuki Oka

Organization

22nd Century Medical & Research Center, the University of Tokyo

Division name

Departments of Joint Disease Research

Zip code


Address

7-3-1 Bunkyo-ku, Hongo, Tokyo

TEL

03-5800-9178

Homepage URL


Email

okah-tky@umin.ac.jp


Sponsor or person

Institute

22nd Century Medical & Research Center, the University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

Pfizer Inc.

Organization

Division

Category of Funding Organization

Other

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

2011 Year 06 Month 14 Day


Related information

URL releasing protocol


Publication of results

Published


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

2011 Year 05 Month 27 Day

Date of IRB


Anticipated trial start date

2011 Year 06 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 06 Month 14 Day

Last modified on

2018 Year 12 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006726


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name