UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018848
Receipt number R000021800
Scientific Title Tapering and withdrawal of methotrexate and biologics in patients with rheumatoid arthritis
Date of disclosure of the study information 2015/08/29
Last modified on 2019/10/09 19:14:19

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Basic information

Public title

Tapering and withdrawal of methotrexate and biologics in patients with rheumatoid arthritis

Acronym

Tapering and withdrawal of methotrexate and biologics in patients with rheumatoid arthritis

Scientific Title

Tapering and withdrawal of methotrexate and biologics in patients with rheumatoid arthritis

Scientific Title:Acronym

Tapering and withdrawal of methotrexate and biologics in patients with rheumatoid arthritis

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Assess the feasibility of tapering and withdrawal of methotrexate and biologics to find the appropriate dosage and interval of anti-rheumatic drugs

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Rate of sustaining remission in patients who have continued the present therapy, tapered and discontinued methotrexate, and extended the interval of biologics 52 weeks after starting tapering.

Key secondary outcomes

Disease activity, clinical characteristics, serological markers, rate of adverse events, FACS analysis, blood concentration of each drugs and antibodies against each drugs, serological concentration of cytokines and chemokines in patients who could successfully taper and discontinue anti-rheumatic drugs and who could not at the point anti-rheumatic drugs are started to be tapered, anti-rheumatic drugs are discontinued, and 52 weeks after anti-rheumatic drugs are started to be tapered.


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

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

control: continue the present treatment

Interventions/Control_2

intervention: reduce the dosage of methotrexate by half every 3 months and discontinue

Interventions/Control_3

intervention: extend the interval of biologics to one and a half times every 3 months and discontinue

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients of rheumatoid arthritis treated with methotrexate and/or biologics who have sustained remission(DAS28<2.6) for 6 months

Key exclusion criteria

Patients who do not agree with the study
Patients who are judged inappropriate in medical aspect by the doctor

Target sample size

900


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kunihiro Yamaoka

Organization

Keio University Hospital

Division name

Division of Rheumatology

Zip code


Address

35 Shinanomachi, Shinjyuku-Ku, Tokyo

TEL

81-3-5363-3786

Email

yamaokak@a6.keio.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kunihiro Yamaoka

Organization

Keio University Hospital

Division name

Division of Rheumatology

Zip code


Address

35 Shinanomachi, Shinjyuku-Ku, Tokyo

TEL

81-3-5363-3786

Homepage URL


Email

yamaokak@a6.keio.jp


Sponsor or person

Institute

Keio University Hospital

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 08 Month 29 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 11 Month 01 Day

Date of IRB

2016 Year 04 Month 11 Day

Anticipated trial start date

2015 Year 11 Month 01 Day

Last follow-up date

2018 Year 05 Month 18 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 08 Month 29 Day

Last modified on

2019 Year 10 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021800


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name