UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010315
Receipt number R000012074
Scientific Title Prediction of the recurrence after adalimumab discontinuation by using ultrasound assessment
Date of disclosure of the study information 2013/03/26
Last modified on 2020/03/16 16:21:41

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Basic information

Public title

Prediction of the recurrence after adalimumab discontinuation by using ultrasound assessment

Acronym

PROUD study

Scientific Title

Prediction of the recurrence after adalimumab discontinuation by using ultrasound assessment

Scientific Title:Acronym

PROUD study

Region

Japan


Condition

Condition

rheumatoid arthritis

Classification by specialty

Clinical immunology Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In this study, we predict the factor of sustainment or recurrence after adalimumab discontinuation by using ultrasound assessment in clinical remission with rheumatoid arthritis (RA) patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Consider the possible state by results of ultrasound in the presence or absence of recurrence (DAS28-CRP <3.2) at week 24 after discontinuation of Adalimumab.

Key secondary outcomes

Consider the possible state by results of ultrasound in the presence or absence of recurrence (DAS28-CRP <3.2) at week 52 after discontinuation of Adalimumab.
the change of X-ray from baseline in the van der Heijde-Sharp score at week 24 and 52.
the change of ultrasound results from baseline at week 24and 52


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

In patients with clinical remission by adalimumab (DAS28-CRP <2.6) maintained over 24 weeks, to stop the Adalimumab.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

RA patients fulling the American Rheumatology Association criteria 1987 and ACR/EULAR classification cliteria 2010.
The patients using adalimumab who have stable remission, as a 28-joint disease activity score CRP (DAS28-CRP) <2.6 for at least 24 weeks.

Key exclusion criteria

Patients with other diseases that can affect the infllamation state.
Patients using corticosteroids exceeding 5mg/day.
Patients who was deemed inappropriate by test doctor to participate in this study.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Tadashi
Middle name
Last name Okano

Organization

Osaka City University Medical School

Division name

Orthopedic Surgery

Zip code

545-8585

Address

Abenoku Asahimachi 1-4-3, Osaka, 545-8585, Japan

TEL

0666453851

Email

ma1sa3ru@med.osaka-cu.ac.jp


Public contact

Name of contact person

1st name Tadashi
Middle name
Last name Okano

Organization

Osaka City University Medical School

Division name

Orthopedic Surgery

Zip code

545-8585

Address

Abenoku Asahimachi 1-4-3, Osaka, 545-8585, Japan

TEL

0666453851

Homepage URL


Email

ma1sa3ru@med.osaka-cu.ac.jp


Sponsor or person

Institute

Osaka City University Medical School

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Metabolism, Endocrinology, and Molecular Medicine. Osaka City University Graduate School of Medicine.
The center for rheumatic diseases. Nara Medical University.
Rheumatology. Kitano Hospital.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka City University

Address

1-4-3 Asahimachi, Abeno-ku

Tel

06-6645-3851

Email

ma1sa3ru@med.osaka-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 03 Month 26 Day


Related information

URL releasing protocol

http://www.med.osaka-cu.ac.jp/orthoped/research/

Publication of results

Unpublished


Result

URL related to results and publications

http://www.med.osaka-cu.ac.jp/orthoped/research/

Number of participants that the trial has enrolled

53

Results

As a result, baseline ultrasound data did not predict relapse on ADA withdrawal, but found that patients who had flared US findings three months later had a higher rate of subsequent relapse. From the results of this study, it was suggested that relapse could be predicted by changes of ultrasound findings in short time follow up.

Results date posted

2020 Year 03 Month 16 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Rheumatoid arthritis patients treated with Adalimumab (ADA) who have been in remission for more than 24 weeks (DAS28-CRP <2.6) and are scheduled to discontinue ADA.

Participant flow

Provide informed consent directly to the selected patients and have them give their consent in a written consent form.

Adverse events

This was a trial to discontinue the drug and no specific adverse events were reported.

Outcome measures

DAS28/CRP/ESR/USGS score/USPD score

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 10 Month 01 Day

Date of IRB

2012 Year 09 Month 03 Day

Anticipated trial start date

2012 Year 10 Month 01 Day

Last follow-up date

2018 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 03 Month 26 Day

Last modified on

2020 Year 03 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012074


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name