UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020134
Receipt number R000023257
Scientific Title Prediction of the therapeutic response and adverse events to methotrexate by monitoring methotrexate-polyglutamates (MTX-PGs) concentration in erythrocytes in Japanese patients with rheumatoid arthritis (RA).
Date of disclosure of the study information 2015/12/09
Last modified on 2019/09/12 18:37:49

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Basic information

Public title

Prediction of the therapeutic response and adverse events to methotrexate by monitoring methotrexate-polyglutamates (MTX-PGs) concentration in erythrocytes in Japanese patients with rheumatoid arthritis (RA).

Acronym

Study in Japanese patients with RA for prediction of the therapeutic response and adverse events to methotrexate by monitoring MTX-PG concentrations in erythrocytes.

Scientific Title

Prediction of the therapeutic response and adverse events to methotrexate by monitoring methotrexate-polyglutamates (MTX-PGs) concentration in erythrocytes in Japanese patients with rheumatoid arthritis (RA).

Scientific Title:Acronym

Study in Japanese patients with RA for prediction of the therapeutic response and adverse events to methotrexate by monitoring MTX-PG concentrations in erythrocytes.

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the pharmacokinetics and pharmacodynamics of MTX-PGs in erythrocytes in patients with RA and correlate them with their effects and adverse events.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

DAS28CRP improvement from baseline (delta DAS28CRP) > 1.2 at 24 weeks

Key secondary outcomes

1. MTX-PG levels at 12 and 24 weeks
2. DAS28CRP improvement from baseline (delta DAS28CRP) > 1.2 at 12 and 24 weeks
3. MTX-PG levels at 0, 1 and 6 hours
4. Radiological remission rate
5. Adverse event rate


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients who met the 2010 American College of Rheumatology (ACR) /European League Against Rheumatism (EULAR) criteria for RA.
2. MTX-naive patients who are going to start oral MTX treatment and patients who have already been treated with a stable dose of MTX.

Key exclusion criteria

1. Patients who have already been treated with Leflunomide and biologics.
2. Patients who can not be treated with MTX.
3. Patients who are pregnant, breast-feed, and desire to be pregnant.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Katsuya Nagatani

Organization

Jichi Medical University

Division name

Division of Rheumatology and Clinical Immunology, Department of Medicine

Zip code


Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi 329-0498, JAPAN

TEL

0285-58-7358

Email

knagatani@jichi.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Katsuya Nagatani

Organization

Jichi Medical University

Division name

Division of Rheumatology and Clinical Immunology, Department of Medicine

Zip code


Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi 329-0498, JAPAN

TEL

0285-58-7358

Homepage URL


Email

knagatani@jichi.ac.jp


Sponsor or person

Institute

Jichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Jichi Medical University

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

2015 Year 12 Month 09 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/27435295

Number of participants that the trial has enrolled

56

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

2013 Year 07 Month 01 Day

Date of IRB

2013 Year 07 Month 01 Day

Anticipated trial start date

2013 Year 07 Month 01 Day

Last follow-up date

2019 Year 09 Month 12 Day

Date of closure to data entry

2019 Year 09 Month 12 Day

Date trial data considered complete

2019 Year 09 Month 12 Day

Date analysis concluded

2019 Year 09 Month 12 Day


Other

Other related information

Patients with RA who give their written informed consent of this study and seen in the Division of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Tochigi, Japan and associated hospitals are enrolled in this study after July 2013. This study is performed using prospective longitudinal and cross-sectional study designs including adult MTX-naive patients who are going to start oral MTX treatment and patients who have already been treated with a stable dose of MTX at the time of inclusion in the study.
The patients provide about 2 mL of their blood which is needed to estimate MTX-PGs in erythrocytes.


Management information

Registered date

2015 Year 12 Month 09 Day

Last modified on

2019 Year 09 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023257


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name