Efficacy and Safety of Tripterygium Wilfordii in Patients With Rheumatoid Arthritis

NCT ID: NCT01613079

Last Updated: 2013-08-05

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

PHASE2/PHASE3

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2013-06-30

Brief Summary

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Evaluation of oral T2 (chloroform/methanol extract of Tripterygium wilfordii Hook F) in the treatment of RA patients with clinical efficacy and safety.Open-labeled, randomized, prospective multi-center clinical trial. Observation period of 24 weeks.

Detailed Description

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Conditions

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Arthritis, Rheumatoid

Keywords

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Rheumatoid Arthritis Methotrexate Tripterygium

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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Methotrexate

Patients were treated with methotrexate alone.

Group Type PLACEBO_COMPARATOR

Methotrexate

Intervention Type DRUG

Oral methotrexate 7.5-12.5mg per week for 24 weeks. The starting dose was 7.5mg per week, then increased to 12.5mg(max 0.3mg/Kg) per week in 4 weeks. Folic acid at the dose of 10mg per week were applied to all patients.

T2

Patients were treated with oral T2 (chloroform/methanol extract of Tripterygium wilfordii Hook F).

Group Type EXPERIMENTAL

Tripterygium wilfordii Hook F

Intervention Type DRUG

Oral T2(Tripterygium wilfordii Hook F) 20mg thrice daily for 24 weeks.

MTX+T2

The patients were treated with methotrexate and T2.

Group Type EXPERIMENTAL

Tripterygium wilfordii Hook F

Intervention Type DRUG

Oral T2(Tripterygium wilfordii Hook F) 20mg thrice daily for 24 weeks.

Methotrexate

Intervention Type DRUG

Oral methotrexate 7.5-12.5mg per week for 24 weeks. The starting dose was 7.5mg per week, then increased to 12.5mg(max 0.3mg/Kg) per week in 4 weeks. Folic acid at the dose of 10mg per week were applied to all patients.

Interventions

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Tripterygium wilfordii Hook F

Oral T2(Tripterygium wilfordii Hook F) 20mg thrice daily for 24 weeks.

Intervention Type DRUG

Methotrexate

Oral methotrexate 7.5-12.5mg per week for 24 weeks. The starting dose was 7.5mg per week, then increased to 12.5mg(max 0.3mg/Kg) per week in 4 weeks. Folic acid at the dose of 10mg per week were applied to all patients.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 years with informed consent
* Diagnosed with rheumatoid arthritis as determined by meeting the 2010 ACR/EULAR classification criteria and has had rheumatoid arthritis for at least 6 weeks
* Swollen joint (SJC)≥3 and tender joint count(TJC)≥5
* ESR \>28 mm/hr or C-reactive protein \> 20 mg/L

Exclusion Criteria

* Pregnant, lactating or further fertility requirements
* Previous treated with methotrexate or biologic DMARD.
* Active or chronic infection, including HIV, HCV, HBV, tuberculosis
* Patient with cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Xuan Zhang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xuan Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Deptment of Rheumatology, Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Zhou YZ, Zhao LD, Chen H, Zhang Y, Wang DF, Huang LF, Lv QW, Liu B, Li Z, Wei W, Li H, Liao X, Liu H, Liu X, Jin H, Wang J, Fei YY, Wu QJ, Zhang W, Shi Q, Zheng WJ, Zhang FC, Tang FL, Lipsky PE, Zhang X. Comparison of the impact of Tripterygium wilfordii Hook F and Methotrexate treatment on radiological progression in active rheumatoid arthritis: 2-year follow up of a randomized, non-blinded, controlled study. Arthritis Res Ther. 2018 Apr 10;20(1):70. doi: 10.1186/s13075-018-1563-6.

Reference Type DERIVED
PMID: 29636089 (View on PubMed)

Lv QW, Zhang W, Shi Q, Zheng WJ, Li X, Chen H, Wu QJ, Jiang WL, Li HB, Gong L, Wei W, Liu H, Liu AJ, Jin HT, Wang JX, Liu XM, Li ZB, Liu B, Shen M, Wang Q, Wu XN, Liang D, Yin YF, Fei YY, Su JM, Zhao LD, Jiang Y, Li J, Tang FL, Zhang FC, Lipsky PE, Zhang X. Comparison of Tripterygium wilfordii Hook F with methotrexate in the treatment of active rheumatoid arthritis (TRIFRA): a randomised, controlled clinical trial. Ann Rheum Dis. 2015 Jun;74(6):1078-86. doi: 10.1136/annrheumdis-2013-204807. Epub 2014 Apr 14.

Reference Type DERIVED
PMID: 24733191 (View on PubMed)

Other Identifiers

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TRIFRA

Identifier Type: -

Identifier Source: org_study_id