The Infliximab Rheumatoid Arthritis Methotrexate Tapering (iRAMT) Protocol
1 other identifier
interventional
210
0 countries
N/A
Brief Summary
The purpose of the study was to evaluate the ability of a maintenance dosage regimen of infliximab to achieve and sustain at least 40% improvement from baseline in the total joint count in patients with active Rheumatoid Arthritis (RA) during methotrexate tapering.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Dec 2001
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2001
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2003
CompletedFirst Submitted
Initial submission to the registry
October 28, 2005
CompletedFirst Posted
Study publicly available on registry
October 31, 2005
CompletedMay 19, 2011
January 1, 2011
October 28, 2005
May 18, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary efficacy endpoint is the number (%) of patients on a maintenance dose of infliximab who achieve at least 40% improvement from baseline in the combined tender and swollen joint count and tolerate any reduction in MTX dose at Week 54
Secondary Outcomes (1)
Sustained improvement in signs and symptoms of RA at Week 54, as measured by the percentage improvement from baseline in ACR20 score. Improvement of the ACR20 core set components at Week 54.
Interventions
Eligibility Criteria
You may qualify if:
- Previous diagnosis of RA according to the revised 1987 criteria of the American Rheumatism Association (Arnett et al., 1988)
- patients must have a minimum of 8 tender and 4 swollen joints with disease diagnosed at least 3 months prior to screening
- patients must have been using oral or parenteral MTX for at least the previous 3 months, and at a stable dose of 7.5 to 25 mg per week for at least the previous 1 month
- women of childbearing potential must test negative for pregnancy and be using adequate birth control measures
- patients must have a documented purified protein derivative (PPD) skin test performed at prescreening.
You may not qualify if:
- Patients who have received any prior treatment with infliximab or with any other therapeutic agent targeted at reducing tumor necrosis factor (TNF) (e.g., etanercept, pentoxifylline or thalidomide) within the previous 3 months
- patients who are incapacitated
- history of infected joint prosthesis within the previous 5 years
- patients with a concomitant diagnosis of congestive heart failure (CHF), history of or known malignancy within the previous 5 years, cases of active or latent tuberculosis (TB), acute or chronic serious infections within the past 3 months
- known substance abuse (drug or alcohol) within the previous 3 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Fleischmann RM, Cohen SB, Moreland LW, Schiff M, Mease PJ, Smith DB, Keenan G, Kremer JM; iRAMT Study Group. Methotrexate dosage reduction in patients with rheumatoid arthritis beginning therapy with infliximab: the Infliximab Rheumatoid Arthritis Methotrexate Tapering (iRAMT) trial. Curr Med Res Opin. 2005 Aug;21(8):1181-90. doi: 10.1185/030079905X53261.
PMID: 16083527RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Centocor Ortho Biotech Services, L.L.C. Clinical Trial
Centocor Ortho Biotech Services, L.L.C.
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
October 28, 2005
First Posted
October 31, 2005
Study Start
December 1, 2001
Study Completion
November 1, 2003
Last Updated
May 19, 2011
Record last verified: 2011-01