Prednisone Timed-Release Tablet (TRT) Study: Modified-Release (MR) Formulation of Prednisone Compared to Standard Immediate-Release (IR) Prednisone in Participants With Rheumatoid Arthritis

NCT ID: NCT00146640

Last Updated: 2018-07-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-31

Study Completion Date

2007-01-31

Brief Summary

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The objective of this study is to investigate if low doses of prednisone MR formulation, given at night and, with active drug release at 2 am, are more effective in controlling joint stiffness, and other disease symptoms of rheumatoid arthritis than standard IR prednisone given in the morning.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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MR Prednisone

Participants will receive MR prednisone at bed time and placebo matching to IR prednisone in the morning. Total duration of double blind treatment will be 12 weeks.

Group Type EXPERIMENTAL

MR Prednisone

Intervention Type DRUG

Participants will receive tablets containing MR prednisone (to achieve the appropriate dose of 3-10 milligrams \[mg\] prednisone per day) at bed time.

Placebo - IR Prednisone

Intervention Type DRUG

Participants will receive placebo matching to IR prednisone tablet in the morning.

IR Prednisone

Participants will receive IR prednisone in the morning and placebo matching to MR prednisone at bed time. Total duration of double blind treatment will be 12 weeks.

Group Type ACTIVE_COMPARATOR

IR Prednisone

Intervention Type DRUG

Participants will receive tablets containing IR prednisone (to achieve the appropriate dose of 3-10 mg prednisone per day) in the morning.

Placebo - MR Prednisone

Intervention Type DRUG

Participants will receive placebo matching to MR prednisone tablet at bed time.

Interventions

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MR Prednisone

Participants will receive tablets containing MR prednisone (to achieve the appropriate dose of 3-10 milligrams \[mg\] prednisone per day) at bed time.

Intervention Type DRUG

IR Prednisone

Participants will receive tablets containing IR prednisone (to achieve the appropriate dose of 3-10 mg prednisone per day) in the morning.

Intervention Type DRUG

Placebo - MR Prednisone

Participants will receive placebo matching to MR prednisone tablet at bed time.

Intervention Type DRUG

Placebo - IR Prednisone

Participants will receive placebo matching to IR prednisone tablet in the morning.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Active disease (inflammatory signs, erythrocyte sedimentation rate \[ESR\], C-reactive protein \[CRP\])
* Stable condition
* Stable basic treatments
* Morning stiffness on previous treatment with standard prednisone (below or equal to 10 mg per day) greater than or equal to (\>/=) 45 minutes

Exclusion Criteria

* All contra-indications for glucocorticoids
* Pregnancy
* Concomitant treatment with biologics
* Intra-articular injections or synovectomy within the previous 4 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck KGaA, Darmstadt, Germany

Locations

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Research Site

Aachen, , Germany

Site Status

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Bad Kreuznach, , Germany

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Berlin, , Germany

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Cologne, , Germany

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Dresden, , Germany

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Düsseldorf, , Germany

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Erlangen, , Germany

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Frankfurt am Main, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Jena, , Germany

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Leipzig, , Germany

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München, , Germany

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Ratingen, , Germany

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Rostock, , Germany

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Bialystok, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Sopot, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Countries

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Germany Poland

References

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Alten R, Doring G, Cutolo M, Gromnica-Ihle E, Witte S, Straub R, Buttgereit F. Hypothalamus-pituitary-adrenal axis function in patients with rheumatoid arthritis treated with nighttime-release prednisone. J Rheumatol. 2010 Oct;37(10):2025-31. doi: 10.3899/jrheum.100051. Epub 2010 Aug 3.

Reference Type RESULT
PMID: 20682671 (View on PubMed)

Buttgereit F, Doering G, Schaeffler A, Witte S, Sierakowski S, Gromnica-Ihle E, Jeka S, Krueger K, Szechinski J, Alten R. Efficacy of modified-release versus standard prednisone to reduce duration of morning stiffness of the joints in rheumatoid arthritis (CAPRA-1): a double-blind, randomised controlled trial. Lancet. 2008 Jan 19;371(9608):205-14. doi: 10.1016/S0140-6736(08)60132-4.

Reference Type RESULT
PMID: 18207016 (View on PubMed)

Other Identifiers

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EMR 62215-003

Identifier Type: -

Identifier Source: org_study_id

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