NCT02679001

Brief Summary

This six months non-interventional, observational, post-marketing, multi-center and local study will evaluate the differences in the use of corticosteroids between RA participants receiving TCZ or a TNF-inhibitor, in participants who have discontinued the use of a TNF-inhibitor as their first biological treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Mar 2016

Geographic Reach
1 country

11 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 8, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 10, 2016

Completed
1 month until next milestone

Study Start

First participant enrolled

March 24, 2016

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 7, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 7, 2017

Completed
Last Updated

July 26, 2018

Status Verified

July 1, 2018

Enrollment Period

1.7 years

First QC Date

February 8, 2016

Last Update Submit

July 24, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of participants with a decrease in dose of oral corticosteroids during the study

    From baseline to 6 months

Secondary Outcomes (27)

  • Percentage of participants achieving C59CDAI remission (</=2.8)

    From baseline to 6 months

  • Percentage of participants achieving CDAI LDA (</=10)

    From baseline to 6 months

  • Percentage of participants using non-biologic disease-modifying anti-rheumatic drugs (C58MARDs) at treatment initiation and at the end of observation period

    Baseline, Month 6

  • Percentage of participants for whom non-biologic DMARDs was added during observation period

    From baseline to 6 months

  • Percentage of participants with dose change in biological treatment during study

    From baseline to 6 months

  • +22 more secondary outcomes

Study Arms (1)

RA participants treated with a TNF inhibitor or TCZ

Participants with RA receiving TNF-inhibitor or TCZ according to standard of care and in line with the current summary of product characteristics (SPC)/local labeling will be observed.

Drug: TNF inhibitor/TCZ

Interventions

Participants with RA receiving TNF-inhibitor or TCZ according to standard of care and in line with the current SPC/local labeling will be observed.

Also known as: COTTON
RA participants treated with a TNF inhibitor or TCZ

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants with a diagnosis of moderate to severe RA according to the revised (1987) ACR criteria or 2010 ACR/EULAR RA classification criteria who have had an insufficient response or intolerance to their first TNF-inhibitor.

You may qualify if:

  • At least 18 years of age.
  • With a diagnosis of moderate to severe RA according to the revised (1987) American College of Rheumatology (ACR) criteria or 2010 ACR/ European League Against Rheumatism (EULAR) RA classification criteria.
  • Have had an insufficient response or intolerance to their first TNF-inhibitor (including biosimilars for TNF-inhibitors).
  • The treating physician has made the decision to commence TCZ or TNF-inhibitor treatment. Participants need to have a Disease Activity Score (DAS) 28 assessment at initiation of their second biological treatment.
  • Have been given oral and written information about the study and have no objection to the data concerning him/her being subject to computerized data processing, have given informed consent.

You may not qualify if:

  • Have had more than one TNF-inhibitor prior to the enrolment visit.
  • Have had biological treatment other than TNF-inhibitors.
  • Participants that are continuously treated with per oral corticosteroids for any other indication than RA (at baseline).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Arvika Sjukhus; Reumatologimottagningen - Medicinmottagningen

Arvika, 671 80, Sweden

Location

Mälarsjukhuset; Reumatologkliniken

Eskilstuna, 631 88, Sweden

Location

Karolinska University Hospital, Huddinge; Rheumatology

Huddinge, SE-141 86, Sweden

Location

Blekingesjukhuset Karlskrona; Medicin, Rheumatology

Karlskrona, 37185, Sweden

Location

Skånes Universitetssjukhus Malmö; Reumatologkliniken

Malmo, 205 02, Sweden

Location

Capio Citykliniken, Reumatologen

Malmo, 212 28, Sweden

Location

Örebro Uni Hospital; Rheumatology

Örebro, 70185, Sweden

Location

Kaernsjukhuset; Dept of Medicine

Skövde, 54185, Sweden

Location

Danderyds Sjukhus Ab; Rheumatology

Stockholm, 18288, Sweden

Location

Lasarettet Trelleborg;Reumatologmottagningen

Trelleborg, 231 85, Sweden

Location

Akademiska sjukhuset, Reumatologkliniken

Uppsala, 75185, Sweden

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 8, 2016

First Posted

February 10, 2016

Study Start

March 24, 2016

Primary Completion

December 7, 2017

Study Completion

December 7, 2017

Last Updated

July 26, 2018

Record last verified: 2018-07

Locations