UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020663
Receipt number R000023849
Scientific Title A clinical study to evaluate the correlation between the efficacy and the immunological markers in patients with rheumatoid arthritis treated with Tofacitinib.
Date of disclosure of the study information 2016/01/21
Last modified on 2019/01/23 17:37:00

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Basic information

Public title

A clinical study to evaluate the correlation between the efficacy and the immunological markers in patients with rheumatoid arthritis treated with Tofacitinib.

Acronym

A clinical study to evaluate the correlation between the efficacy and the immunological markers in patients with rheumatoid arthritis treated with Tofacitinib.

Scientific Title

A clinical study to evaluate the correlation between the efficacy and the immunological markers in patients with rheumatoid arthritis treated with Tofacitinib.

Scientific Title:Acronym

A clinical study to evaluate the correlation between the efficacy and the immunological markers in patients with rheumatoid arthritis treated with Tofacitinib.

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the correlation between the efficacy and immunological markers, such as the cytokine concentration in the serum, immunophenotype of peripheral blood, or the activity of intracellular signaling of lymphocytes in patients with rheumatoid arthritis treated with Tofacitinib.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Remission rate at 3.6.9.12 months by DAS, SDAI, CDAI and Boolean index.

Key secondary outcomes

HAQ-DI improvement rate at 3,6,9,12 months.
Ultrasonography, the rate and number of subset of lymphocyte, serum cytokine concentration, phosphorylation level of intracellular signaling molecules at 6,12 months
modified Total Sharp Score (mTSS) at 12months


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Period :12 months
Patients take Tofacitinib 5mg twice a day.

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

1. A patient who fulfills the 1987 ACR classification or the 2010 ACR/EULAR classification criteria for RA
2. A patient who has understood adequately about this study and given informed consent personally and voluntarily.
3. A patient who is 20 years of age and older.
4. A patient who has active arthritis despite adequate treatment with MTX (over 8mg/week, over 3 months)
The definition of active arthritis:
1) A patient who meets all of the followings (a-c).
a. Equal or more than 6 swollen joints
b. Equal or more than 6 tender joints
c. Equal or more than CRP 2.0mg/dL or ESR 28mm/hr
2) A patient who has moderate activity; equal or more than DAS28-ESR 3.2 or SDAI 26 or CDAI 22.
5. A patient who meets all of followings: equal or more than 4000/mm3 peripheral WBC, 1000/mm3 periphera Lymphocyte and negative for beta-D-glucan.

Key exclusion criteria

1.A patient with tuberculosis
or non-tuberculous mycobacteria.
2 .A patient who is positive for HBs antigen or HBV DNA not receiving nucleotide analogue.
3. A patient who has an active infectious disease.
4. A patient who has concurrent malignancy or its previous history.
5. A patient with reduced renal function less than CLcr15/min.
6. A patient with reduced hepatic function more than 10 points of Child-Pugh score (grade C)
7. A patient with interstitial pneumonia.
8. A pregnant or breastfeeding women or a women who may be pregnant.
9. A patient who has hypersensitivity reaction to ingredients in this drug.
10. A patient who meets any of followings: less than 1000/mm3 peripheral neutrophils or less than 8g/dL hemoglobin.
11. A patient who is regarded as inappropriate to participate in the study by a doctor.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichi Akashi

Organization

Kyusyu University Hospital

Division name

Medicine and biosystemic science

Zip code


Address

1-1 Maidashi 3-chome, Higashi-ku, Fukuoka-city, Fukuoka, Japan

TEL

092-642-5233

Email

akashi@med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yojiro Arinobu

Organization

Kyusyu University Hospital

Division name

Medicine and biosystemic science

Zip code


Address

1-1 Maidashi 3-chome, Higashi-ku, Fukuoka-city, Fukuoka, Japan

TEL

092-642-5233

Homepage URL


Email

yarinobu@cancer.med.kyushu-u.ac.jp


Sponsor or person

Institute

Kyusyu University Hospital
Medicine and biosystemic science

Institute

Department

Personal name



Funding Source

Organization

Takeda Pharmaceutical Company

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


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

飯塚病院(福岡県)、北九州市立医療センター(福岡県)、国立病院機構 福岡病院(福岡県)、JR九州病院(福岡県)、浜の町病院(福岡県)、福岡赤十字病院(福岡県)、福岡大学病院(福岡県)、宗像医師会病院(福岡県)、九州大学病院別府病院(大分県)、佐賀大学医学部附属病院(佐賀県)
Iizuka Hospital(Fukuoka),Kitakyushu Municipal Medical Center(Fukuoka),Fukuoka Hospital(Fukuoka),JR kyushu Hospital(Fukuoka),Hamanomachi Hospital(Fukuoka),Japanese Red Cross Fukuoka Hospital(Fukuoka),Fukuoka University Hospital(Fukuoka),Munakata Medical Association Hospital(Fukuoka),Kyushu University Beppu Hospital(Oita),Saga University Hospital(Saga)


Other administrative information

Date of disclosure of the study information

2016 Year 01 Month 21 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

2014 Year 07 Month 14 Day

Date of IRB


Anticipated trial start date

2014 Year 12 Month 16 Day

Last follow-up date

2016 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 01 Month 20 Day

Last modified on

2019 Year 01 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023849


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name