Combination Therapy Prevents the Relapse of RA
The Efficacy, Safety and Cost-effectiveness of Hydroxychloroquine, Sulfasalazine, Methotrexate Triple Therapy in Preventing Relapse Among Patients With Rheumatoid Arthritis Achieving Clinical Remission or Low Disease Activity
1 other identifier
interventional
240
1 country
1
Brief Summary
This trial aims to compare the cost effective and effect of preventing recurrence by different treatment of TFP and HCQ combined SSZ for remittent RA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2015
Longer than P75 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
December 16, 2014
CompletedFirst Posted
Study publicly available on registry
December 19, 2014
CompletedStudy Start
First participant enrolled
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2020
CompletedJune 22, 2020
June 1, 2020
1.3 years
December 16, 2014
June 18, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
the rate of recurrence
60 weeks
Study Arms (3)
A
EXPERIMENTALMaintenance treatment group
B
EXPERIMENTALCombination treatment group
C
EXPERIMENTALSingle drug group
Interventions
Both Entanercept and MTX were given to patients for 60weeks (Week0-Week60).
Combination of HCQ+SSZ+MTX were given to patients for 60weeks (Week0-Week60).Entanercept was given to patients for 12 weeks (Week0-Week12).
MTX was given to patients for 60weeks (Week0-Week60). Entanercept was given to patients for 12 weeks (Week0-Week12).
Eligibility Criteria
You may qualify if:
- Fulfill 2010 EULAR/ACR RA dignose criteria
- Age18-70 years old
- Have been teated regularly for 3 months
- Disease duration \> 6months
- DAS28\>3.2
You may not qualify if:
- Received surgical operation in 8 weeks
- Received other biological agent (eg. rituximab, anti-TNF agents, anti-IL6 agents)in 6 months;
- Injection of steroid in 4 weeks
- Coexisting with other CTD except for SS
- With severe and not controled cardiac vescular disease, neurological disease, pulmonary disease (including COPD and ILD), renal disease, liver disease, endocrine disease and Gastric Intestinal Disease
- With not controled diseases including asthma, IBD and psoriasis needing oral or injection of steroid
- Active infection with T\>38℃. Patients need admitted into hospital or biotics injection in 4 weeks or need oral biotics in 2 weeks
- Malignant history.
- Serum creatinine \>130 µmol/L
- AST/ALT higher than 2 times upper level
- platelet count\<100 x 109/L,or white blood count\<3 x 109/L
- Interstitail lung disease: Chest X Ray
- Hands X Ray ACR radiology staging shows IV stage RA
- Pregnancy or planing to pregnant in 2 years or suckling period women.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Peking University First Hospitallead
- Peking University People's Hospitalcollaborator
- Peking University Third Hospitalcollaborator
- Beijing Hospitalcollaborator
- Beijing Jishuitan Hospitalcollaborator
- Peking University Shougang Hospitalcollaborator
- Beijing Shijitan Hospital, Capital Medical Universitycollaborator
Study Sites (1)
Rheumatology and Immunology Department,Peking University First Hospital
Beijing, Beijing Municipality, 100034, China
Related Publications (3)
Zhao J, Zhou W, Wu Y, Yan X, Yang L, Zhang Z. Efficacy, safety, and cost-effectiveness of triple therapy in preventing relapse in rheumatoid arthritis: A randomized controlled trial (ESCoRT study). Chin Med J (Engl). 2022 Sep 20;135(18):2200-2209. doi: 10.1097/CM9.0000000000002336.
PMID: 36525606DERIVEDZhao J, Zhou W, Wu Y, Ji P, Yang L, Yan X, Zhang Z. The efficacy, safety and cost-effectiveness of hydroxychloroquine, sulfasalazine, methotrexate triple therapy in preventing relapse among patients with rheumatoid arthritis achieving clinical remission or low disease activity: the study protocol of a randomized controlled clinical Trial (ESCoRT study). BMC Med Inform Decis Mak. 2021 Mar 4;21(1):83. doi: 10.1186/s12911-021-01449-2.
PMID: 33663487DERIVEDFan Y, Yang X, Zhao J, Sun X, Xie W, Huang Y, Li G, Hao Y, Zhang Z. Cysteine-rich 61 (Cyr61): a biomarker reflecting disease activity in rheumatoid arthritis. Arthritis Res Ther. 2019 May 21;21(1):123. doi: 10.1186/s13075-019-1906-y.
PMID: 31113467DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Rheumatology and Immunology Department
Study Record Dates
First Submitted
December 16, 2014
First Posted
December 19, 2014
Study Start
October 1, 2015
Primary Completion
February 1, 2017
Study Completion
September 1, 2020
Last Updated
June 22, 2020
Record last verified: 2020-06