Rotation or Change of Biotherapy After First Anti-TNF Treatment Failure for Rheumatoid Arthritis

NCT ID: NCT01000441

Last Updated: 2021-08-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-23

Study Completion Date

2013-08-12

Brief Summary

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Approximately 30% of patients with rheumatoid arthritis have an inadequate response to anti-TNF (primarily or loss of response), leaving two alternatives: rotation to a second anti-TNF or change of biologic, with a different mechanism of action, such as abatacept, rituximab and tocilizumab. No controlled trial compared these two strategies face to face. The present objective is to investigate the issue whether one of these strategies could have a better efficacy in a pragmatic trial in the setting of current practice.

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

NONE

Study Groups

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arm 1 (2d anti-TNF):

infliximab, etanercept, adalimumab

Group Type ACTIVE_COMPARATOR

infliximab, etanercept, adalimumab

Intervention Type DRUG

arm 2 (other biotherapy)

abatacept, rituximab or tocilizumab

Group Type ACTIVE_COMPARATOR

abatacept, rituximab or tocilizumab

Intervention Type DRUG

Interventions

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infliximab, etanercept, adalimumab

Intervention Type DRUG

abatacept, rituximab or tocilizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Active and erosive rheumatoid arthritis with a DAS28 equal or greater than 3.2
* Inadequate response to a 1st anti-TNF
* Stable or no treatment with any DMARDs, or oral corticosteroids (\< or = to 10 mg/day of prednisone equivalent)during the preceding month

Exclusion Criteria

* Counter-indication to other anti-TNF, abatacept, rituximab or tocilizumab
* Pregnancy
* Age \< 18 years
* Impossibility to give informed consent
* Impossibility to be followed for 12 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Direction de la Recherche Clinique et de l'Innovation - Hôpitaux Universitaires de Strasbourg

Principal Investigators

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Jacques-Eric GOTTENBERG, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hôpitaux Universitaires de Strasbourg

Locations

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Polyclinique de Picardie

Amiens, , France

Site Status

Centre Hospitalier de Belfort-Montbéliard

Belfort, , France

Site Status

CHU de Besançon - Hôpital Jean Minjoz

Besançon, , France

Site Status

Hôpital Jean Verdier

Bondy, , France

Site Status

CHU Bordeaux - Hôpital Pellegrin

Bordeaux, , France

Site Status

Hôpital Ambroise Paré

Boulogne-Billancourt, , France

Site Status

CHU de la Cavale Blanche

Brest, , France

Site Status

CHU de Caen

Caen, , France

Site Status

Centre Hospitalier Jean Rougié

Cahors, , France

Site Status

Centre Hospitalier de Cannes

Cannes, , France

Site Status

CHU Gabriel Montpied

Clermont-Ferrand, , France

Site Status

Hôpitaux Civils de Colmar

Colmar, , France

Site Status

CHU de Grenoble - Hôpital Sud

Grenoble, , France

Site Status

Centre Hospitalier Départemental Les Oudairies

La Roche-sur-Yon, , France

Site Status

Groupe Hospitalier du Havre - Hôpital J.Monod

Le Havre, , France

Site Status

Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Centre Hospitalier du Mans

Le Mans, , France

Site Status

Polyclinique de Riaumont

Liévin, , France

Site Status

CHRU Lille - Hôpital Salengro

Lille, , France

Site Status

CHU de Limoges

Limoges, , France

Site Status

CH Saint Philibert

Lomme, , France

Site Status

Hôpital de la Conception

Marseille, , France

Site Status

CHU de Montpellier - Hôpital Lapeyronie

Montpellier, , France

Site Status

CHU Montpellier, Hôpital Lapeyronie

Montpellier, , France

Site Status

Centre Hospitalier de Mulhouse - Hôpital Emile Muller

Mulhouse, , France

Site Status

CHU de Nantes - Hôtel Dieu

Nantes, , France

Site Status

CHU de Nice - Hôpital de l'Archet 1

Nice, , France

Site Status

Centre Hospitalier Régional d'Orléans, Hôpital de la Source

Orléans, , France

Site Status

CHU Chenevier - Mondor

Paris, , France

Site Status

Groupe Hospitalier Diaconesses - Hôpital de la Croix Saint-Simon

Paris, , France

Site Status

Hôpital Bichat

Paris, , France

Site Status

Hôpital de la Pitié Salpétrière

Paris, , France

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Hôpital Saint-Antoine

Paris, , France

Site Status

CHU de Poitiers - Hôpital de la Milétrie

Poitiers, , France

Site Status

Centre Hospitalier René Dubos

Pontoise, , France

Site Status

CHU de Reims - Hôpital Maison Blanche

Reims, , France

Site Status

CHU de Rennes - Hôpital Sud

Rennes, , France

Site Status

CHU de Rouen - Hôpital Bois Guillaume

Rouen, , France

Site Status

CHU de Saint-Etienne

Saint-Etienne, , France

Site Status

Hôpital de Hautepierre

Strasbourg, , France

Site Status

CHU de Toulouse - Hôpital Purpan

Toulouse, , France

Site Status

CHU de Nancy - Hôpital Brabois

Vandœuvre-lès-Nancy, , France

Site Status

Centre Hospitalier - Princesse Grâce de Monaco

Monaco, , Monaco

Site Status

Countries

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France Monaco

References

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Nguyen MVC, Courtier A, Adrait A, Defendi F, Coute Y, Baillet A, Guigue L, Gottenberg JE, Dumestre-Perard C, Brun V, Gaudin P. Fetuin-A and thyroxin binding globulin predict rituximab response in rheumatoid arthritis patients with insufficient response to anti-TNFalpha. Clin Rheumatol. 2020 Sep;39(9):2553-2562. doi: 10.1007/s10067-020-05030-6. Epub 2020 Mar 24.

Reference Type DERIVED
PMID: 32212002 (View on PubMed)

Virone A, Bastard JP, Fellahi S, Capeau J, Rouanet S, Sibilia J, Ravaud P, Berenbaum F, Gottenberg JE, Sellam J. Comparative effect of tumour necrosis factor inhibitors versus other biological agents on cardiovascular risk-associated biomarkers in patients with rheumatoid arthritis. RMD Open. 2019 Jul 21;5(2):e000897. doi: 10.1136/rmdopen-2019-000897. eCollection 2019.

Reference Type DERIVED
PMID: 31413865 (View on PubMed)

Riviere E, Sellam J, Pascaud J, Ravaud P, Gottenberg JE, Mariette X. Serum IL-33 level is associated with auto-antibodies but not with clinical response to biologic agents in rheumatoid arthritis. Arthritis Res Ther. 2018 Jun 8;20(1):122. doi: 10.1186/s13075-018-1628-6.

Reference Type DERIVED
PMID: 29884223 (View on PubMed)

Gottenberg JE, Brocq O, Perdriger A, Lassoued S, Berthelot JM, Wendling D, Euller-Ziegler L, Soubrier M, Richez C, Fautrel B, Constantin AL, Mariette X, Morel J, Gilson M, Cormier G, Salmon JH, Rist S, Liote F, Marotte H, Bonnet C, Marcelli C, Sellam J, Meyer O, Solau-Gervais E, Guis S, Ziza JM, Zarnitsky C, Chary-Valckenaere I, Vittecoq O, Saraux A, Pers YM, Gayraud M, Bolla G, Claudepierre P, Ardizzone M, Dernis E, Breban MA, Fain O, Balblanc JC, Aberkane O, Vazel M, Back C, Candon S, Chatenoud L, Perrodeau E, Sibilia J, Ravaud P. Non-TNF-Targeted Biologic vs a Second Anti-TNF Drug to Treat Rheumatoid Arthritis in Patients With Insufficient Response to a First Anti-TNF Drug: A Randomized Clinical Trial. JAMA. 2016 Sep 20;316(11):1172-1180. doi: 10.1001/jama.2016.13512.

Reference Type DERIVED
PMID: 27654603 (View on PubMed)

Other Identifiers

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4507

Identifier Type: -

Identifier Source: org_study_id

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