Status:

UNKNOWN

Effectiveness of Iguratimod Versus Placebo to Treat Early Rheumatoid Arthritis on MRI

Lead Sponsor:

Jiangsu Simcere Pharmaceutical Co., Ltd.

Conditions:

Rheumatoid Arthritis

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to evaluate the efficacy of Iguratimod versus placebo on synovial inflammation,bone erosion and bone edema as measured by MRI of wrist and Metacarpophalangeal joints in pa...

Detailed Description

Magnetic resonance imaging (MRI) is a powerful imaging modality that is now widely used in both scientific research and clinical settings to visualise joints of patients with RA. MRI is able to image ...

Eligibility Criteria

Inclusion

  • Subjects with a diagnosis of RA according to the diagnostic criteria of the American College of Rheumatology (ACR) (revised in 1987)
  • Rheumatoid Arthritis for 3 months to 2 years from the time of the initial diagnosis
  • Functional Class II-III
  • Subjects have active RA at the time of screening
  • Must have a negative Pregnancy test and use adequate method of contraception throughout the trial
  • Must have at least 4 tender joints and 4 swollen joints(involved in DAS28) and among these,at least one swollen Metacarpophalangeal joint is essential
  • Has a C-reactive protein ≥ 10 mg/L OR Erythrocyte Sedimentation Rate (ESR) ≥ 28 mm/hr
  • Written informed consent

Exclusion

  • Preceding treatment with DMARDs, immunosuppressants (cyclophosphamide, cyclosporine, azathioprine, etc.), biological agents or tripterygium within 12 weeks prior to study entry
  • Chest x-ray abnormalities, such as tuberculosis, interstitial pulmonary fibrosis, etc
  • ALT \>1.5×ULN, AST \>1.5×ULN, Cr \>135umol/L or Cr \>1.5mg
  • WBC\<4×109/L,HGB\<85g/L,PLT\<100×109/L
  • Subjects with serious cardiovascular, renal, hematologic,endocrine diseases or malignant
  • Subjects with immunodeficiency, uncontrolled infection and active gastrointestinal disease
  • Pregnant, intend to become pregnant, or are breastfeeding
  • Subjects with other rheumatological diseases such as SLE, mixed connective tissue disease, scleroderma, polymyositis, etc
  • Subjects with inflammatory arthritis, such as gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme disease
  • Subjects with intra-articular corticosteroid injections within 6 weeks prior to study entry
  • Allergic to any of the study drugs
  • History of alcoholism
  • Subjects with mental illness
  • Subjects receiving live vaccines recently
  • Subjects participating in other clinical study within 3 months prior to study entry

Key Trial Info

Start Date :

July 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2015

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT01893151

Start Date

July 1 2012

End Date

December 1 2015

Last Update

October 23 2014

Active Locations (1)

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1

Third Affiliated Hospital Of Sun Yat-sen University

Guangzhou, Guangdong, China, 510630