Comparison of Adalimumab and Tofacitinib in the Treatment of Active Takayasu Arteritis

NCT ID: NCT05151848

Last Updated: 2023-07-24

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-05

Study Completion Date

2026-01-15

Brief Summary

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This is a prospective,open-labelled,multi-center,randomized clinical trial.It compares the clinical efficacy and safety of there 2 drugs in the treatment of relapse active Takayasu's arteritis patients.

Detailed Description

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In this study, 100 relapse Takayasu's arteritis patients will be enrolled. Patients are randomized into the adalimumab treatment group and tofacitinib treatment.Patients will also be treated with reduced dose of glucocorticoid at the same time. The primary end point is the percentage of patients who are in complete response at week 12 and maintain in complete response at week 78.

The efficacy will be evaluated at week 12, 24, 36, 52 and 78. If the patient does not respond to one drug at week 24, then the investigator will shift the treatment to another intervention. Safety is also monitored during the study.

Conditions

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Takayasu Arteritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

open-label, multicenter,randomized trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adalimumab group

Adalimumab 40mg injected subcutaneously every 2 weeks for 78 weeks.

Group Type EXPERIMENTAL

Adalimumab Injection

Intervention Type DRUG

Adalimumab Injection injected subcutaneously every other week for 78 weeks

Tofacitinib 5MG group

Tofacitinib 5mg BID taken orally for 78 weeks.

Group Type ACTIVE_COMPARATOR

Tofacitinib 5 MG

Intervention Type DRUG

Tofacitinib 5 MG BID taken orally for 78 weeks

Interventions

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Adalimumab Injection

Adalimumab Injection injected subcutaneously every other week for 78 weeks

Intervention Type DRUG

Tofacitinib 5 MG

Tofacitinib 5 MG BID taken orally for 78 weeks

Intervention Type DRUG

Other Intervention Names

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An-jian-ning An-shu-zheng

Eligibility Criteria

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Inclusion Criteria

1. Patients aged between 18-65 years old;
2. Fulfilled the classification criteria of Takayasu's arteritis by ACR 1990;
3. relapse active TAK: defined by the definition of active disease in the recommendations released by EULAR in 2018;
4. Patients who signed the informed consent form.

Exclusion Criteria

1. Patients who failed or intolerant to either adalimumab or tofacitinib;
2. patients with severe liver disease defined by the serum ALT or AST elevated more than 2 times the upper limits;
3. not well controlled diabetes;
4. uncontrolled heart failure od renal dysfunction(eGFR\<30ml/min);
5. Patients with active infection,including tuberculosis, hepatitis B and C,HIV infection, bacteria or fungal infection;
6. upper GI bleeding 3 months before enrolement;
7. refractory hypertension;
8. Pregnant or intended to be pregnant 3 months after the trial;
9. Severe coronary artery involvement demonstrated by CTA;
10. severe cranial or cervical or renal artery diseases that need surgery;
11. Patients that should not be included by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese SLE Treatment And Research Group

OTHER

Sponsor Role lead

Responsible Party

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Xinping Tian

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xiaofeng Zeng, MD

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Beijing Anzhen Hospital

Beijing, , China

Site Status RECRUITING

The General Hospital of the People's Liberation Army

Beijing, , China

Site Status NOT_YET_RECRUITING

Beijing Shijitan Hospital

Beijing, , China

Site Status NOT_YET_RECRUITING

Beijing Xuanwu Hospital

Beijing, , China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Xinping Tian, MD

Role: CONTACT

8613691165939 ext. 8613691165939

Yunjiao Yang, MD

Role: CONTACT

8613671313079 ext. 8613671313079

Facility Contacts

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Lili Pan, MD

Role: primary

13720021786

Taotao Li, MD

Role: backup

13621314886

Jian Zhu, MD

Role: primary

13671105096

Aihua Wan

Role: backup

13641380248

Yuhua Wang, MD

Role: primary

18610276177

Yawen Shen, MD

Role: backup

13051581579

Yi Zhao, MD

Role: primary

13501164945

Fang Kong, MD

Role: backup

13051116280

Other Identifiers

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CSTAR-007

Identifier Type: -

Identifier Source: org_study_id

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