Study of Two Different Starting Doses of Methotrexate When Starting Treatment in Rheumatoid Arthritis

NCT ID: NCT01404429

Last Updated: 2014-09-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2012-07-31

Brief Summary

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To use different starting doses of methotrexate (7.5 mg per week) versus 15 mg per week in patients with rheumatoid arthritis, followed by similar hiking up of dose (2.5 mg per 2 weeks, till max of 25 mg per week). To look at the effect on efficacy ( or speed of efficacy) versus the adverse effects.

Hypothesis: There will be no difference in the adverse effects, but better and faster control of disease when starting with a higher methotrexate dose

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

SINGLE

Outcome Assessors

Study Groups

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Methotrexate 7.5 mg per week

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

Different doses for both arms followed by similar escalation (2.5 mg every 15 d) till max of 25 mg per week or 3 months completed

Methotrexate 15 mg per week

Group Type EXPERIMENTAL

Methotrexate

Intervention Type DRUG

Different doses for both arms followed by similar escalation (2.5 mg every 15 d) till max of 25 mg per week or 3 months completed

Interventions

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Methotrexate

Different doses for both arms followed by similar escalation (2.5 mg every 15 d) till max of 25 mg per week or 3 months completed

Intervention Type DRUG

Other Intervention Names

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MEXATE

Eligibility Criteria

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Inclusion Criteria

* Patients with rheumatoid arthritis fulfilling the ACR 1987 criteria
* Between 18 years to 65 year of age
* Having active disease Disease activity score (28 joints) DAS28-3 more than 5.1
* Not on methotrexate in the last 2 months
* Permitted to be on corticosteroids if the dosages stable for at least 1 weeks before randomization and if corticosteroid dosage less than 10 mg/day
* Permitted to be on other disease modifying anti-rheumatic drug (DMARD) like sulfasalazine, leflunomide and hydroxychloroquine, if dosages stable for at least 2 weeks before randomization

Exclusion Criteria

* Pregnant/Breastfeeding
* Ongoing/Recent treatment with methotrexate (2 months)
* Chronic liver disease
* Renal failure
* Any leucopenia or thrombocytopenia
* Breast-feeding
* Desirous of pregnancy in the next 6 months
* Known Hepatitis B or C positive
* Known clinically relevant chronic lung disease: ILD
* Tuberculosis or other active infections
* Known HIV positive
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Post Graduate Institute of Medical Education and Research, Chandigarh

OTHER

Sponsor Role lead

Responsible Party

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Varun Dhir

Assistant Professor, Internal Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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New OPD Block, Rheumatology Clinic, Level 3

Chandigarh, Chandigarh, India

Site Status

Countries

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India

References

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Dhir V, Singla M, Gupta N, Goyal P, Sagar V, Sharma A, Khanna S, Singh S. Randomized controlled trial comparing 2 different starting doses of methotrexate in rheumatoid arthritis. Clin Ther. 2014 Jul 1;36(7):1005-15. doi: 10.1016/j.clinthera.2014.05.063. Epub 2014 Jun 26.

Reference Type DERIVED
PMID: 24976447 (View on PubMed)

Related Links

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Other Identifiers

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NKG/992

Identifier Type: -

Identifier Source: org_study_id

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