Long-term Efficacy of Iguratimod Alone or Iguratimod in Combination With Methotrexate in Patients With Rheumatoid Arthritis

NCT ID: NCT01548001

Last Updated: 2016-02-23

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

910 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2017-01-31

Brief Summary

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This study is intended to evaluate the efficacy and safety of Iguratimod alone or Iguratimod in combination with Methotrexate (MTX) versus Methotrexate alone in patients with Rheumatoid Arthritis (RA).

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Iguratimod monotherapy

Group Type EXPERIMENTAL

Iguratimod

Intervention Type DRUG

25 mg/tablet, taken orally, 2 tablets/day (bid)

Iguratimod and MTX combination

Group Type EXPERIMENTAL

Iguratimod

Intervention Type DRUG

25 mg/tablet, taken orally, 2 tablets/day (bid)

Methotrexate

Intervention Type DRUG

2.5 mg/tablet, taken orally once a week, 4 tablets/week (week 1-week 4) , 6 tablets/week (week 5- week 52)

MTX monotherapy

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

2.5 mg/tablet, taken orally once a week, 4 tablets/week (week 1-week 4) , 6 tablets/week (week 5- week 52)

Interventions

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Iguratimod

25 mg/tablet, taken orally, 2 tablets/day (bid)

Intervention Type DRUG

Methotrexate

2.5 mg/tablet, taken orally once a week, 4 tablets/week (week 1-week 4) , 6 tablets/week (week 5- week 52)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 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
* Subjects have active RA at the time of screening
* Subjects are naive to MTX or RA related biologics
* Written informed consent

Exclusion Criteria

* Preceding treatment with DMARDs, immunosuppressants (cyclophosphamide, cyclosporine, azathioprine, etc.), or Tripterygium within 4 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
* WBC\<4×109/L,HGB\<85g/L,PLT\<100×109/L
* Subjects with serious cardiovascular, renal, hematologic or endocrine diseases
* Pregnant or lactating women
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jiangsu Simcere Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chunde Bao, MD

Role: PRINCIPAL_INVESTIGATOR

RenJi Hospital

Locations

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Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Countries

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China

References

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Du F, Dai Q, Teng J, Lu L, Ye S, Ye P, Lin Z, Ding H, Dai M, Bao C; SMILE Group. The SMILE study: Study of long-term methotrexate and iguratimod combination therapy in early rheumatoid arthritis. Chin Med J (Engl). 2025 Jul 20;138(14):1705-1713. doi: 10.1097/CM9.0000000000003200. Epub 2024 Jul 26.

Reference Type DERIVED
PMID: 39056160 (View on PubMed)

Other Identifiers

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SIM-106

Identifier Type: -

Identifier Source: org_study_id

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