RABIOPRED - a Validation Study of Theranostic Test to PREDict Treatment Response of Anti-TNFα BIologicals in Rheumatoid Arthritis

NCT ID: NCT03016260

Last Updated: 2019-12-24

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

TERMINATED

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-12-31

Study Completion Date

2019-12-20

Brief Summary

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RABIOPRED is an in vitro non-invasive blood test, which aims to identify patients with rheumatoid arthritis (RA) who are not likely to respond to anti-TNFα and methotrexate combination therapy.

Detailed Description

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Multi-centre, non-interventional, open-label, non-comparative, prospective cohort study with a clinical follow-up between (a) 12 and 14 weeks and (b) 22 and 24 weeks.

The RABIOPRED test is indicated for use in patients:

* 18 years of age or older,
* Eligible for a first line biologic therapy with anti-TNF alpha. The RABIOPRED test is indicated for use by rheumatologists as a biological basis for guiding anti-TNF alpha treatment prior to its initiation.

Conditions

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RheumatoId Arthritis

Keywords

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Rheumatoid Arthritis Anti TNF Infliximab Adalimumab Etanercept Golimumab Certolizumab Pegol Infliximab biosimilar Etanercept biosimilar Methotrexate

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Infliximab (Remicade®)

Infliximab

Intervention Type BIOLOGICAL

Anti-TNF alpha originator

Adalimumab (Humira®)

Adalimumab

Intervention Type BIOLOGICAL

Anti-TNF alpha originator

Etanercept (Enbrel®)

Etanercept

Intervention Type BIOLOGICAL

Anti-TNF alpha originator

Golimumab (Simponi®)

Golimumab

Intervention Type BIOLOGICAL

Anti-TNF alpha originator

Certolizumab Pegol (Cimzia®)

Certolizumab Pegol

Intervention Type BIOLOGICAL

Anti-TNF alpha originator

Infliximab biosimilar (Remsima®/ Inflectra®)

Infliximab biosimilar

Intervention Type BIOLOGICAL

Anti-TNF alpha Infliximab biosimilars

Etanercept biosimilar (Benepali®)

Etanercept biosimilar

Intervention Type BIOLOGICAL

Anti-TNF alpha Etanercept biosimilar

Infliximab biosimilar (Flixabi®)

Infliximab biosimilar

Intervention Type BIOLOGICAL

Anti-TNF alpha Infliximab biosimilar

Interventions

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Infliximab

Anti-TNF alpha originator

Intervention Type BIOLOGICAL

Adalimumab

Anti-TNF alpha originator

Intervention Type BIOLOGICAL

Etanercept

Anti-TNF alpha originator

Intervention Type BIOLOGICAL

Golimumab

Anti-TNF alpha originator

Intervention Type BIOLOGICAL

Certolizumab Pegol

Anti-TNF alpha originator

Intervention Type BIOLOGICAL

Infliximab biosimilar

Anti-TNF alpha Infliximab biosimilars

Intervention Type BIOLOGICAL

Etanercept biosimilar

Anti-TNF alpha Etanercept biosimilar

Intervention Type BIOLOGICAL

Infliximab biosimilar

Anti-TNF alpha Infliximab biosimilar

Intervention Type BIOLOGICAL

Other Intervention Names

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Remicade® Humira® Enbrel® Simponi® Cimzia® Remsima® or Inflectra® Benepali® Flixabi®

Eligibility Criteria

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Inclusion Criteria

* Patient with a confirmed Rheumatoid Arthritis according the American College of Rheumatology (ACR) classification criteria (Arnett FC, 1988, Arthritis Rheum)
* Patient with a DAS28 index greater than 3.2.
* Patient eligible for treatment with an anti-TNFα agent (any one of Remicade®, Humira®, Enbrel®, Simponi®, Cimzia®, Remsima®/Inflectra®, Benepali® and Flixabi® according to the "Summary of Product Characteristics" for each product) and Methotrexate combination therapy,
* Patient refractory to treatment with at least one classical DMARDs (one of which has to be MTX) prescribed according to the international recommendations, i.e. for at least 12 weeks at the maximal tolerated dose prior to anti-TNFα treatment and with doses which must have been kept stable during the 4 weeks preceding the initiation of the anti-TNFα therapy. In case of Leflunomide treatment, patients may be included in the study after a period of at least 3 months of Leflunomide stop, or after a washout by cholestyramine for at least 11 days.
* Use of oral steroids (≤ 10 mg/day of prednisone or equivalent dose of another molecule) and/or NSAIDs will be permitted; doses must have been kept stable during the 4 weeks preceding the initiation of the anti-TNFα therapy
* Patient (male or female) at 18 years of age or older at inclusion,
* Negative β-HCG (Human Chorionic Gonadotrophin) pregnancy test, when appropriate, according to the patient's age and contraceptive method.
* Written Informed consent signed from the patient.

Exclusion Criteria

* Patient having received previously any anti-TNFα biologic therapy or any molecule in development belonging to anti-TNFα class. Patients having received other biologics (such as anti-CD20, anti-CTLA4, IL1 blockers, IL6 blockers and other molecules in development) can be included in the study after a period of at least 6 months,
* Patient non eligible to anti-TNFα according to the SmPC (Summary of Products),
* Patient on anti-TNFα monotherapy without methotrexate,
* Patient with clinically significant, severe and uncontrolled infectious diseases,
* Patient with symptoms of a significant somatic or psychiatric/mental illness,
* Patient with other auto-immune diseases (i.e. Inflammatory Bowel Diseases, Systemic Lupus Erythematosus, vasculitis, uncontrolled asthma, etc.),
* Patient with evidence of cardiac, pulmonary, metabolic, renal, hepatic, gastro-intestinal conditions, which, in the opinion of the Investigator, may interfere with the study,
* Cancer,
* Pregnancy,
* Nursing mothers,
* Patient who is participating in a clinical trial of other biologics or for whom a period of exclusion has been defined
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Commission

OTHER

Sponsor Role collaborator

TcLand Expression S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institute of Rheumatology

Prague, , Czechia

Site Status

CHU-Montpellier

Montpellier, , France

Site Status

CHU Nice

Nice, , France

Site Status

CHU Strasbourg Hautepierre

Strasbourg, , France

Site Status

Tel Aviv Surasky Medical Center

Tel Aviv, , Israel

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status

University of Marmara

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Czechia France Israel Netherlands Turkey (Türkiye)

Other Identifiers

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2016-A00556-45

Identifier Type: -

Identifier Source: org_study_id