Hydroxytriptolide in Active Rheumatoid Arthritis Patients With an Inadequate Response to Methotrexate

NCT ID: NCT02202395

Last Updated: 2017-06-05

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

PHASE1/PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-12-28

Brief Summary

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The purpose of this study is to investigate the efficacy and safety of Hydroxytriptolide(LTS) in active rheumatoid arthritis patients with an inadequate response to methotrexate.

Detailed Description

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1. Investigate the efficacy of Hydroxytriptolide in active RA patients
2. Investigate the safety of Hydroxytriptolide in active RA patients. Especially in female reproductive system.
3. Population PK study.

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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0.25mg

LTS 0.25mg,qd MTX qw

Group Type ACTIVE_COMPARATOR

LTS 0.25mg

Intervention Type DRUG

use LTS 0.25mg/d

0.5mg

LTS 0.5mg, qd MTX qw

Group Type ACTIVE_COMPARATOR

LTS 0.5mg

Intervention Type DRUG

use LTS 0.5mg/d

1.0mg

LTS 1.0mg,qd MTX qw

Group Type ACTIVE_COMPARATOR

LTS 1.0mg

Intervention Type DRUG

use LTS 1.0mg/d

Placebo

Placebo qd MTX qw

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

use placebo once daily

Interventions

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LTS 0.25mg

use LTS 0.25mg/d

Intervention Type DRUG

LTS 0.5mg

use LTS 0.5mg/d

Intervention Type DRUG

LTS 1.0mg

use LTS 1.0mg/d

Intervention Type DRUG

Placebo

use placebo once daily

Intervention Type DRUG

Other Intervention Names

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Hydroxytriptolide Hydroxytriptolide Hydroxytriptolide

Eligibility Criteria

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Inclusion Criteria

* 35-65 years old, female, postmenopausal, parous, nulliparous with no fertility requirements
* 1987 ACR Diagnostic criteria or 2009 ACR/EULAR Diagnostic criteria. X ray of Evaluable Joint in phase I/II/III, Joint Function in Phase I/II/III
* Active RA
* Continuously taking MTX for at least three months, ≥7.5mg/week. Before first study dose, keep in stable MTX dose for at least 4 weeks
* Keep in stable NSAIDs dose or low-dose glucocorticoids for at least 4 weeks before first study dose
* Using non-prohibited combination therapy, keep in stable dose for at least 7 days before first study dose
* Using DMARD should have appropriate withdrawal period:

* Withdrawal for 4 weeks: Sulfasalazine, Azathioprine, Chloroquine, \*Hydroxychloroquine, Auranofin, Penicillamine, Traditional Chinese medicine preparation(TGP, Sinomenine)
* Withdrawal for 8 weeks: Leflunomide
* Withdrawal for 8 weeks: Intramuscular, intravenous, intra-articular injection glucocorticoids
* Women with fertility, negative in pregnancy test, and agreed to take contraceptive measures physical
* Voluntary informed consent
* Willing to follow the required regimen and schedule, follow-up examination

Exclusion Criteria

1. Currently suffering or have suffered from other inflammatory joint diseases, such as mixed connective tissue disease, scleroderma, systemic lupus erythematosus, ankylosing spondylitis, psoriatic arthritis, Reiter's syndrome, bone arthritis, rheumatoid arthritis, gouty arthritis, diagnosis of arthritis before 16yrs
2. With severe non-articular manifestations such as high fever, interstitial pneumonia, pleurisy, pericarditis, severe vasculitis, neuropathy, etc.
3. The evaluable joint underwent the surgical treatment within 2 months
4. Currently or recent have serious, or progression, or disease history not controled, including: liver, kidney, blood, gastrointestinal, endocrine, metabolic, respiratory, cardiovascular, nervous system diseases
5. Currently or have malignancy, lymphoproliferative disease history
6. Continuously use Tripterygium preparations for more than three months and have no effect
7. History of using TNF-a inhibitors of biological agents.(Adalimumab, infliximab, etanercept)
8. Severe or persistent infection within 3 months
9. X-ray shows active pulmonary infection
10. HBV, HCV, HIV, AIDS
11. WBC\<4.0×10\^9/L, PLT\<100×10\^9/L, Hb\<85g/L
12. AST\>2×ULN, ALT\>2×ULN
13. Cr\>135umol/L
14. Used oral contraceptive druds within 3 months
15. Pregnancy test was positive or lactating patients or patients with birth preparation
16. Have to use the prohibited drugs
17. With clinical symptoms of a serious history of drug abuse or alcohol abuse
18. History of any durg clinical trials within 3 months
19. Allergy to tripterygium
20. Other reasons depends by the investigator
Minimum Eligible Age

35 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Pharmaceuticals Holding 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

Shanghai Jiaotong University School of Medicine, Renji Hospital Ethics Committee

Locations

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The first affiliated hospital of bengbu medical college

Bengbu, Anhui, China

Site Status

Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status

Zhongshan Hospital Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Jiaotong University School of Medicine, Renji Hospital Ethics Committee

Shanghai, Shanghai Municipality, China

Site Status

Changhai Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Other Identifiers

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LTS-201-P1.0

Identifier Type: -

Identifier Source: org_study_id

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