UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006701
Receipt number R000007921
Scientific Title An epidemiological study for treat-to-target strategy in rheumatoid arthritis patients with moderate or high disease activity
Date of disclosure of the study information 2011/11/11
Last modified on 2015/05/19 16:04:11

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Basic information

Public title

An epidemiological study for treat-to-target strategy in rheumatoid arthritis patients with moderate or high disease activity

Acronym

An epidemiological study for T2T

Scientific Title

An epidemiological study for treat-to-target strategy in rheumatoid arthritis patients with moderate or high disease activity

Scientific Title:Acronym

An epidemiological study for T2T

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary purpose of this study is to clarify the effects of induction and maintenance of clinical remission or low disease activity status on structural damage of joints or physical function in RA patients with moderate or high disease activity. Secondary purposes are to evaluate achievement rates for clinical remission or low disease activity status and implementation rate of treat-to-target (T2T) strategy, and to identify obstacles for implementation of T2T strategy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The primary outcome for our study is to identify prognostic factors for physical function and structural damage at week 72 in RA patient with moderate or high disease activity who receive treatment with T2T strategy. The main outcome measures are SDAI, CDAI, HAQ, EQ-5D and vdH-modified Total Sharp Score. We compare these outcome measures between the T2T-achieved group and not-achieved group.

Key secondary outcomes

1.Remission or Low disease activity status achievement rates in clinical practice
2.Implementation rate of T2T
3.Obstacles for implementation of T2T strategy


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

A Patient of rheumatoid arthritis (RA) who meets all of the following will be eligible to our study.
1.A patient who fulfills the 2010 ACR/EULAR classification criteria of RA (SDAI>11 or CDAI>10)
2.A patient who have equal or more than 2 swollen joints and equal or more than 2 tender joints
3.A patient who is older than 20 years old and provides a written informed consent to join in this study
4.A patient who have never received biological disease-modifying anti-rheumatic drugs (DMARDs)
5.A patient who starts, adds, or changes a DMARD or biological DMARD
6.A patient who can be followed regularly in the outpatient clinic

Key exclusion criteria

A patient who has any of the following will be excluded from our study.
1.When a patient withdraws his or her consent.
2.When a doctor judges a patient is not appropriate to join the study.
3.When a patient is under breastfeeding or pregnant.
4.When a doctor judges a patient cannot be followed regularly in the outpatient clinic for 72 weeks.

Target sample size

366


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masayoshi Harigai

Organization

Tokyo Medical and Dental University

Division name

Department of Pharmacovigilance, Department of Medicine and Rheumatology

Zip code


Address

1-5-45,Yushima 1-chome, Bunkyo-ku, Tokyo

TEL

03-5803-4677

Email

mharigai.mpha@tmd.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Marie Yajima

Organization

Tokyo Medical and Dental University

Division name

Department of Pharmacovigilance

Zip code


Address

1-5-45,Yushima 1-chome, Bunkyo-ku, Tokyo

TEL

03-5803-4677

Homepage URL


Email

yajima.phv@tmd.ac.jp


Sponsor or person

Institute

Tokyo Medical and Dental University

Institute

Department

Personal name



Funding Source

Organization

ministry of health, labour, and welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Department of Pharmacovigilance

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

東京医科歯科大学・埼玉医科大学総合医療センター・慶應義塾大学・長崎大学・国立病院機構相模原病院・北海道大学・新潟県立リウマチセンター・宇多津浜クリニック・横浜市立大学・東広島記念病院・日立製作所多賀総合病院・道後温泉病院・草加市立病院・産業医科大学・東京都健康長寿医療センター・順天堂大学・香川大学・青梅市立総合病院・国家公務員東京共済病院・横浜市立みなと赤十字病院・筑波大学・宮崎市民の森病院・熊本大学・京都大学
Tokyo medical and dental university, Saitama medical center, Keio university, Nagasaki university, NHO Sagamihara national hospital, Hokkaido university, Niigata rheumatic center, Utazuhama clinic, Yokohama city university, Higashi hiroshima memorial hospital, Taga general hospital, Dohgo spa hospital, Soka municipal hospital, University of occupational and environmental health, Tokyo metropolitan geriatric hospital, Juntendo university, Kagawa university, Ome municipal general hospital, Tokyo kyosai Hospital, Yokohama city minato red cross hospital, Tsukuba university, Shiminnomori hospital, Kumamoto university, Kyoto university.


Other administrative information

Date of disclosure of the study information

2011 Year 11 Month 11 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

2011 Year 08 Month 11 Day

Date of IRB


Anticipated trial start date

2011 Year 10 Month 01 Day

Last follow-up date

2015 Year 01 Month 15 Day

Date of closure to data entry

2015 Year 01 Month 15 Day

Date trial data considered complete

2015 Year 01 Month 15 Day

Date analysis concluded



Other

Other related information

The main outcome measures are SDAI, CDAI, HAQ, EQ-5D and vdH-modified Total Sharp Score. We compare these outcome measures between the T2T-achieved group and not-achieved group.


Management information

Registered date

2011 Year 11 Month 11 Day

Last modified on

2015 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007921


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name