UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017577
Receipt number R000020368
Scientific Title Tapering and withdrawal of Methotrexate(MTX) or Tocilizumab(TCZ), after achievement of RA remission in concomitant use of MTX and TCZ,a randomized control study.
Date of disclosure of the study information 2015/05/31
Last modified on 2019/04/06 00:48:00

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Basic information

Public title

Tapering and withdrawal of Methotrexate(MTX) or Tocilizumab(TCZ), after achievement of RA remission in concomitant use of MTX and TCZ,a randomized control study.

Acronym

Spacing tocilizumab vs tapering methotrexate study in Keio university, for rheumatoid arthritis patients In remission Phase.[SKIP] study

Scientific Title

Tapering and withdrawal of Methotrexate(MTX) or Tocilizumab(TCZ), after achievement of RA remission in concomitant use of MTX and TCZ,a randomized control study.

Scientific Title:Acronym

Spacing tocilizumab vs tapering methotrexate study in Keio university, for rheumatoid arthritis patients In remission Phase.[SKIP] study

Region

Japan


Condition

Condition

rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the possibility to taper or to discontinue MTX or TCZ after the achievement of RA remission, in use of both MTX and TCZ.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

DAS28-ESR remission rate at 12week after discontinuing MTX or TCZ

Key secondary outcomes

1.discontinuation rate of TCZ
2.discontinuation rate of MTX
3.spacing interval of TCZ before RA flare
4.dose of MTX before RA flare
5.concentration of MTX-PG, extra/intra-cellular molecule at (1)initiation of tapering treatment (2)during tapering (3)after cessation of MTX or TCZ


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

continue treatment

Interventions/Control_2

spacing and discontinue TCZ

Interventions/Control_3

tapering and discontinue TCZ

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.RA patients who maintained remission(DAS28-ESR<2.6)for>=24weeks by administration of TCZ(8mg/kg)by interval of 4week and concomitant use of MTX(>=6mg/week)

Key exclusion criteria

1.Patients who do not agree to participate in this study
2.Patient with any reasons for inadequate to participate in this study, judged by attending rheumatologist.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tsutomu Takeuchi

Organization

Keio University School of Medicine

Division name

Division of Rheumatology, Department of Internal Medicine

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JAPAN

TEL

03-3353-1211

Email

tsutake@z5.keio.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shuntaro Saito

Organization

Keio University School of Medicine

Division name

Division of Rheumatology, Department of Internal Medicine

Zip code


Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JAPAN

TEL

03-3353-1211

Homepage URL


Email

shun081359@gmail.com


Sponsor or person

Institute

Keio University

Institute

Department

Personal name



Funding Source

Organization

None

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

2015 Year 05 Month 31 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

Terminated

Date of protocol fixation

2015 Year 04 Month 16 Day

Date of IRB

2015 Year 04 Month 10 Day

Anticipated trial start date

2015 Year 06 Month 01 Day

Last follow-up date

2018 Year 10 Month 09 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 05 Month 15 Day

Last modified on

2019 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000020368


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name