Status:

COMPLETED

Prediction of Response to Certolizumab Pegol Treatment by Functional MRI of the Brain

Lead Sponsor:

University of Erlangen-Nürnberg Medical School

Conditions:

Rheumatoid Arthritis

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

By using functional MRI the investigators have recently shown that TNFi elicit rapid changes in brain function linked to the perception of RA \[5\]. Functional MRI represents a method allowing detecti...

Detailed Description

Randomized double-blinded controlled multi-centre, study over 12 weeks, followed by a 12 weeks single blinded multicenter trial in 156 patients with RA with inadequate response to DMARD therapy. The s...

Eligibility Criteria

Inclusion

  • Understands and voluntarily signs an informed consent form
  • Male or female, aged ≥ 18 years at time of consent
  • Must be able to adhere to the study visit schedule and other protocol requirements
  • Must satisfy the 2010 ACR/EULAR classification criteria for rheumatoid arthritis plus a disease duration of at least 6 months.
  • Must have active RA with a DAS28 ≥3.2
  • Must be RF and/or ACPA positive
  • ≥ 3 swollen and/or tender joints of the hands
  • At screening- visit patients should have been treated without alterations of therapy for at least three months with DMARDS (i.e. Methotrexate) with or without concomitant use of steroids).
  • Glucocorticoids treatment up to 10mg prednisolone per day will be allowed at study entry.
  • .

Exclusion

  • Individuals not able to understand and follow study protocol and not able to voluntarily sign informed consent
  • Individuals not willing to follow study protocol and sign informed consent
  • Individuals with claustrophobia, tattoos containing metal, magnetic endoprostheses, surgery on bone in between a time interval \< 3 months.
  • Patients treated before with any biological or small molecule or medication under investigation for the treatment of RA.
  • Patients with serious or chronic infections within the previous 3 months
  • Opportunistic infections within the 6 months before screening
  • Cancer within the 5 years before screening (with the exception of treated and cured squamous or basal cell carcinoma of the skin)
  • History of severe congestive heart failure
  • Current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, hematologic, gastrointestinal (a.e.diverticulitis), endocrine, pulmonary, cardiac, neurologic or cerebral disease
  • Transplanted organ (with the exception of corneal transplantation done more than 3 months before screening)
  • Evidence of active tuberculosis

Key Trial Info

Start Date :

July 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 10 2020

Estimated Enrollment :

156 Patients enrolled

Trial Details

Trial ID

NCT01864265

Start Date

July 1 2013

End Date

January 10 2020

Last Update

March 10 2020

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Charité - Universitätsmedizin Berlin; Campus Charité Mitte Klinik für Rheumatologie und klinische Immunologie Studienambulanz

Berlin, Germany, 10117

2

University of Erlangen-Nuremberg, Department of Internal Medicine 3, Rheumatology & Immunology

Erlangen, Germany, 91054

3

Medizinische Universitätsklinik Freiburg Abteilung Rheumatologie und Klinische Immunologie

Freiburg im Breisgau, Germany, 79106

4

Universitätsklinikum Leipzig AÖR Department Innere Medizin Sektion Rheumatologie

Leipzig, Germany, 04103

Prediction of Response to Certolizumab Pegol Treatment by Functional MRI of the Brain | DecenTrialz