Status:

COMPLETED

Rheumatoid Arthritis Synovial Tissue Biopsy Study

Lead Sponsor:

Université Catholique de Louvain

Collaborating Sponsors:

Galapagos NV

Conditions:

Rheumatoid Arthritis

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

In this proof-of-concept study, the investigators intend to collect synovial biopsies from MTX-resistant RA patients prior to and 12 weeks after initiation of TNF-blocking therapy (period 1). In addit...

Detailed Description

All patients (n=50) included in this trial will be diagnosed with RA according to the ACR/EULAR 2010 classification criteria. They will be eligible for standard-of-care therapy using TNF blockers, bec...

Eligibility Criteria

Inclusion

  • Males or females (not nursing and not pregnant) at least 18 years of age. Women of child-bearing potential are eligible if they are practicing effective contraceptive measures.
  • Subjects must meet the criteria of the 2010 EULAR/ACR criteria for the diagnosis of rheumatoid arthritis
  • Subjects must have a disease activity as defined by a tender joint count \> 4, swollen joint count \> 4 from 68 joints and a DAS28-CRP \>3.7. (This value is the cut off level to obtain a reimbursement for bDMARDs in Belgium).
  • Subjects were treated with MTX 15 mg a week (or 7.5 mg in case of poor tolerance) for at least 3 months.
  • Subjects must be naive to TNF inhibitors (Adalimumab, Etanercept, Infliximab, Certolizumab, Golimumab) and other b- or tsDMARDs (Abatacept, Tocilizumab, Rituximab and JAK inhibitors)

Exclusion

  • Women of child-bearing age who are unwilling or unable to use an acceptable method to avoid pregnancy
  • Women who are pregnant or breastfeeding
  • Subjects with a history of cancer within the last five years (other than nonmelanoma skin cell cancers cured by local resection). Existing non-melanoma skin cell cancers must be removed prior to dosing.
  • Subjects with any serious bacterial infection and at risk for tuberculosis (TB).
  • Subjects who are unable to accept and perform the synovial biopsy procedure.

Key Trial Info

Start Date :

June 23 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 13 2024

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT07000890

Start Date

June 23 2020

End Date

December 13 2024

Last Update

June 3 2025

Active Locations (1)

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Cliniques universitaires Saint-Luc

Brussels, Brussels Capital, Belgium, 1200