Combination Therapy Prevents the Relapse of RA

NCT ID: NCT02320630

Last Updated: 2020-06-22

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

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2020-09-30

Brief Summary

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This trial aims to compare the cost effective and effect of preventing recurrence by different treatment of TFP and HCQ combined SSZ for remittent RA.

Detailed Description

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patients were divided into 3groups: Group A:TFP+MTX (week0-week60) Group B:TFP+MTX+HCQ+SSZ(week0-week12) and then MTX+HCQ+SSZ(week13-week60) Group C:TFP+MTX (week0-week12) and then MTX (week13-week60)

Conditions

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Recurrence (Disease Attribute)

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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A

Maintenance treatment group

Group Type EXPERIMENTAL

Entanercept

Intervention Type DRUG

Both Entanercept and MTX were given to patients for 60weeks (Week0-Week60).

MTX

Intervention Type DRUG

MTX was given to patients for 60weeks (Week0-Week60). Entanercept was given to patients for 12 weeks (Week0-Week12).

B

Combination treatment group

Group Type EXPERIMENTAL

Entanercept

Intervention Type DRUG

Both Entanercept and MTX were given to patients for 60weeks (Week0-Week60).

HCQ

Intervention Type DRUG

Combination of HCQ+SSZ+MTX were given to patients for 60weeks (Week0-Week60).Entanercept was given to patients for 12 weeks (Week0-Week12).

MTX

Intervention Type DRUG

MTX was given to patients for 60weeks (Week0-Week60). Entanercept was given to patients for 12 weeks (Week0-Week12).

C

Single drug group

Group Type EXPERIMENTAL

Entanercept

Intervention Type DRUG

Both Entanercept and MTX were given to patients for 60weeks (Week0-Week60).

MTX

Intervention Type DRUG

MTX was given to patients for 60weeks (Week0-Week60). Entanercept was given to patients for 12 weeks (Week0-Week12).

Interventions

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Entanercept

Both Entanercept and MTX were given to patients for 60weeks (Week0-Week60).

Intervention Type DRUG

HCQ

Combination of HCQ+SSZ+MTX were given to patients for 60weeks (Week0-Week60).Entanercept was given to patients for 12 weeks (Week0-Week12).

Intervention Type DRUG

MTX

MTX was given to patients for 60weeks (Week0-Week60). Entanercept was given to patients for 12 weeks (Week0-Week12).

Intervention Type DRUG

Other Intervention Names

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MTX SSZ MTX TFP Entanercept

Eligibility Criteria

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Inclusion Criteria

* Fulfill 2010 EULAR/ACR RA dignose criteria
* Age18-70 years old
* Have been teated regularly for 3 months
* Disease duration \> 6months
* DAS28\>3.2

Exclusion Criteria

* Received surgical operation in 8 weeks
* Received other biological agent (eg. rituximab, anti-TNF agents, anti-IL6 agents)in 6 months;
* Injection of steroid in 4 weeks
* Coexisting with other CTD except for SS
* With severe and not controled cardiac vescular disease, neurological disease, pulmonary disease (including COPD and ILD), renal disease, liver disease, endocrine disease and Gastric Intestinal Disease
* With not controled diseases including asthma, IBD and psoriasis needing oral or injection of steroid
* Active infection with T\>38℃. Patients need admitted into hospital or biotics injection in 4 weeks or need oral biotics in 2 weeks
* Malignant history.
* Serum creatinine \>130 µmol/L
* AST/ALT higher than 2 times upper level
* platelet count\<100 x 109/L,or white blood count\<3 x 109/L
* Interstitail lung disease: Chest X Ray
* Hands X Ray ACR radiology staging shows IV stage RA
* Pregnancy or planing to pregnant in 2 years or suckling period women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role collaborator

Peking University Third Hospital

OTHER

Sponsor Role collaborator

Beijing Hospital

OTHER_GOV

Sponsor Role collaborator

Beijing Jishuitan Hospital

OTHER

Sponsor Role collaborator

Peking University Shougang Hospital

OTHER

Sponsor Role collaborator

Beijing Shijitan Hospital, Capital Medical University

OTHER

Sponsor Role collaborator

Peking University First Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhuoli Zhang

Rheumatology and Immunology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rheumatology and Immunology Department,Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhuoli Zhang, Pro.

Role: CONTACT

13901094780

Facility Contacts

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Zhuoli Zhang, Pro

Role: primary

13901094780

References

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Zhao J, Zhou W, Wu Y, Yan X, Yang L, Zhang Z. Efficacy, safety, and cost-effectiveness of triple therapy in preventing relapse in rheumatoid arthritis: A randomized controlled trial (ESCoRT study). Chin Med J (Engl). 2022 Sep 20;135(18):2200-2209. doi: 10.1097/CM9.0000000000002336.

Reference Type DERIVED
PMID: 36525606 (View on PubMed)

Zhao J, Zhou W, Wu Y, Ji P, Yang L, Yan X, Zhang Z. The efficacy, safety and cost-effectiveness of hydroxychloroquine, sulfasalazine, methotrexate triple therapy in preventing relapse among patients with rheumatoid arthritis achieving clinical remission or low disease activity: the study protocol of a randomized controlled clinical Trial (ESCoRT study). BMC Med Inform Decis Mak. 2021 Mar 4;21(1):83. doi: 10.1186/s12911-021-01449-2.

Reference Type DERIVED
PMID: 33663487 (View on PubMed)

Fan Y, Yang X, Zhao J, Sun X, Xie W, Huang Y, Li G, Hao Y, Zhang Z. Cysteine-rich 61 (Cyr61): a biomarker reflecting disease activity in rheumatoid arthritis. Arthritis Res Ther. 2019 May 21;21(1):123. doi: 10.1186/s13075-019-1906-y.

Reference Type DERIVED
PMID: 31113467 (View on PubMed)

Other Identifiers

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PUCRP201305

Identifier Type: -

Identifier Source: org_study_id

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