UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020833
Receipt number R000024050
Scientific Title The efficacy of Iguratimod, and adding Adalimumab in patients with active rheumatoid arthritis: an open label multicenter randomized parallel study.
Date of disclosure of the study information 2016/02/01
Last modified on 2017/12/22 02:46:59

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Basic information

Public title

The efficacy of Iguratimod, and adding Adalimumab in patients with active rheumatoid arthritis: an open label multicenter randomized parallel study.

Acronym

The efficacy of Iguratimod, and adding Adalimumab in patients with active rheumatoid arthritis.

Scientific Title

The efficacy of Iguratimod, and adding Adalimumab in patients with active rheumatoid arthritis: an open label multicenter randomized parallel study.

Scientific Title:Acronym

The efficacy of Iguratimod, and adding Adalimumab in patients with active rheumatoid arthritis.

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In daily practice,
(1) To directly compare the efficacy between Iguratimod and Tacrolimus.
(2) To directly compare the efficacy of adding Adalimumab between Iguratimod and Tacrolimus.
(3) To directly compare the efficacy of adalimumab discontinuation between Iguratimod and Tacrolimus.
In each group, to indirectly compare the efficacy between Methotrexate and Iguratimod or Tacrolimus.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

DAS28-CRP remission rate at 12weeks, 36weeks and 108weeks

Key secondary outcomes

1) DAS28-CRP LDA rate at 12weeks, 36weeks and 108weeks
2) Change of ADL(Delta HAQ-DI)
3) Adverse event
4) The factors for each outcomes


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administer MTX 6-16mg/week for 12 weeks to patients with MDA-RA.
If patients can't take MTX, administer IGU 25-50mg/day or Tac 1.5-3.0mg/day for 12 weeks.

Interventions/Control_2

Administer ADA 40mg/2weeks for 24weeks additionally, in case of MDA taking MTX or IGU, Tac for 12 weeks.

Interventions/Control_3

If patients maintain remission for 24weeks, discontinue ADA by their own will, after 48 weeks administering ADA.

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

Patients with MDA-RA who take other csDMARDs and Steroid more than 3months.

Key exclusion criteria

Patients who contraindicate for IGU, Tac or ADA.
In case of MTX group, patients who contraindicate for MTX.
Patients who can't provide informed concent.
Patients who have malignancy.
Patients who judged to be disqualified by the physician.

Target sample size

240


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshihiko Hidaka MD. PhD.

Organization

Zenjinkai Shimin-no-mori Hospital

Division name

Insutitution of Rheumatology

Zip code


Address

2783-37, Ohaza Shioji, Miyazaki city, MIYAZAKI

TEL

+81-985-39-7630

Email

tosirin@d4.dion.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshihiko Hidaka MD. PhD.

Organization

Zenjinkai Shimin-no-mori Hospital

Division name

Insutitution of Rheumatology

Zip code


Address

2783-37, Ohaza Shioji, Miyazaki city, MIYAZAKI

TEL

+81-985-39-7630

Homepage URL


Email

tosirin@d4.dion.ne.jp


Sponsor or person

Institute

Zenjinkai Shimin-no-mori Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


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

2016 Year 02 Month 01 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

It has difficulty with case registration.

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 10 Month 08 Day

Date of IRB


Anticipated trial start date

2015 Year 10 Month 09 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 01 Day

Last modified on

2017 Year 12 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024050


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name