UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021247
Receipt number R000024483
Scientific Title Tocilizumab treatment with reducing and stopping methotrexate in patients with rheumatoid arthritis in stable low disease activity-state
Date of disclosure of the study information 2016/07/22
Last modified on 2019/09/06 14:07:52

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Basic information

Public title

Tocilizumab treatment with reducing and stopping methotrexate in patients with rheumatoid arthritis in stable low disease activity-state

Acronym

Tocilizumab treatment with reducing and stopping methotrexate (T-ReX study)

Scientific Title

Tocilizumab treatment with reducing and stopping methotrexate in patients with rheumatoid arthritis in stable low disease activity-state

Scientific Title:Acronym

Tocilizumab treatment with reducing and stopping methotrexate (T-ReX study)

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess whether low disease activity would be sustained with reducing and stopping methotrexate (MTX) in patients with rheumatoid arthritis (RA) treated with tocilizumab (TCZ)

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Proportion of patients maintaining CDAI<=10 at 36 weeks (24weeks after stopping MTX)

Key secondary outcomes

1) Proportion of patients maintaining CDAI<=10 at 12 weeks (after reducing MTX) and 64 weeks (52weeks after stopping MTX)
2) Disease activity, serum concentration of TNF-alpha and IL-6, FSSG score, and EQ-5Dat each visit
3) Proportion of patients regaining CDAI<=10
4) Predictors of maintaining CDAI<=10
5) Adverse events


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

Double the time between applications of MTX without changing dose for the first 12 weeks, and then stop MTX if CDAI<=10 is maintained.

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) Patients with RA fulfilled the ACR 1987 classification criteria or ACR/EULAR 2010 classification criteria
2) Patients who had a CRP concentration of >=0.6mg/dl at initiation of TCZ
3) Patients maintaining low disease activity with a CDAI of <=10 with TCZ and MTX for at least 12 weeks
4) Patients receiving stable treatment without alteration in dosage and administration for at least 12 weeks

Key exclusion criteria

1) Patients receiving TCZ and/or MTX for any disease other than RA
2) Patients judged as inadequate at the discretion of physicians

Target sample size

51


Research contact person

Name of lead principal investigator

1st name Toshihisa
Middle name
Last name Kojima

Organization

Nagoya University Hospital

Division name

Orthopedic Surgery

Zip code

466-8560

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-1908

Email

toshik@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Shuji
Middle name
Last name Asai

Organization

Nagoya University Hospital

Division name

Center for Advanced Medicine and Clinical Research

Zip code

466-8560

Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-1957

Homepage URL


Email

asai@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Hospital

Institute

Department

Personal name



Funding Source

Organization

Chugai Pharmaceutical Co.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Certified Review Board

Address

65 Tsurumai-cho, Showa-ku, Nag oya, Aichi 466-8550, Japan Aichi

Tel

0 5 2 -7 4 4 -2 4 7 9

Email

ethics@med.nagoya-u.ac.jp


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 07 Month 22 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

53

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

Main results already published

Date of protocol fixation

2016 Year 07 Month 22 Day

Date of IRB

2016 Year 06 Month 28 Day

Anticipated trial start date

2016 Year 07 Month 22 Day

Last follow-up date

2018 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 02 Month 29 Day

Last modified on

2019 Year 09 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024483


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name