UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038817
Receipt number R000044159
Scientific Title Predictive factors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment
Date of disclosure of the study information 2019/12/10
Last modified on 2023/06/08 10:01:43

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Basic information

Public title

Predictive factors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment

Acronym

Predictive factors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment

Scientific Title

Predictive factors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment

Scientific Title:Acronym

Predictive factors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment

Region

Japan


Condition

Condition

Rheumatoid arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

we retrospectively analyze the patient's demographics by using the electronic medical records from multiple hospitals to investigate the characteristics of the RA patients who maintained the remission or low disease activity with reduced MTX dose under the golimumab (GLM) treatment.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The predictors for the safe reduction of Methotrexate in the patients of rheumatoid arthritis under the golimumab treatment. (Following factors from patient's demographics would be investigated: sex, age, weight, duration of illness, the information of pretreatment drugs (NSAIDs, steroids, DMARDs, bDMARDs etc.) administration periods of the pretreatment drugs, DAS28, CRP, ESR, anti-CCP antibodies, RF, SDAI, CDAI, HAQ-DI) dose of MTX, complications. etc.)

Key secondary outcomes

The characteristics of the patients who decreased MTX under the GLM treatment.
Evaluation of the disease activities of MTX-reduction group and MTX-non-reduction group. (DAS28CRP comparison data of 3M, 6M, 12M)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

Patients who is 20 years of age or more when obtaining consent.
Patients who were diagnosed as RA.
Patients who had over 6 months of the treatment history of 50 mg GLM + MTX and have collectable medical record.
(The patients who were prescribed GLM and MTX more than one month, even reducing MTX to 0 mg after the period.)

Key exclusion criteria

The patients who had treated with 100mg GLM.
The patients who have washout periods of GLM over twelve weeks. (To exclude the patients who have the possibility of treatment of other bDMARDs during washout periods)
The patients who reduced the MTX dose but increased up to previous dose due to managing conditions.
The patients who do not have the information about the disease activity (DAS28CRP) at baseline.
The patients who refuted to join the study.
The patients whom the researchers considered should not be included to the study.

Target sample size

458


Research contact person

Name of lead principal investigator

1st name Masami
Middle name
Last name Takei

Organization

Nihon University School of Medicine

Division name

Division of Hematology and Rheumatology

Zip code

173-8610

Address

30-1 Oyaguchikamicho,Itabashi-ku,Tokyo

TEL

03-3972-8111

Email

takei.masami@nihon-u.ac.jp


Public contact

Name of contact person

1st name Masami
Middle name
Last name Takei

Organization

Nihon University School of Medicine

Division name

Division of Hematology and Rheumatology

Zip code

173-8610

Address

30-1 Oyaguchikamicho,Itabashi-ku,Tokyo

TEL

03-3972-8111

Homepage URL


Email

takei.masami@nihon-u.ac.jp


Sponsor or person

Institute

Nihon University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

4DIN Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Janssen Pharmaceutical K.K.
Mitsubishi Tanabe Pharma Corporation


IRB Contact (For public release)

Organization

Nihon University School of Medicine

Address

30-1 Oyaguchikamicho,Itabashi-ku,Tokyo

Tel

03-3972-8111

Email

takei.masami@nihon-u.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

日本大学医学部附属板橋病院(東京都)、順天堂大学医学部附属順天堂医院(東京都)、聖路加国際病院(東京都)、東京都立大塚病院(東京都)、北海道内科リウマチ科病院(北海道)、横浜市立大学附属市民総合医療センター(神奈川県)、市立札幌病院(北海道)、埼玉医科大学総合医療センター(埼玉県)、藤田医科大学病院(愛知県)


Other administrative information

Date of disclosure of the study information

2019 Year 12 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 11 Month 05 Day

Date of IRB

2019 Year 12 Month 10 Day

Anticipated trial start date

2019 Year 12 Month 11 Day

Last follow-up date

2021 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In this study, we retrospectively analyze the patient's demographics by using the electronic medical records from multiple hospitals to investigate the characteristics of the RA patients who maintained the remission or low disease activity with reduced MTX dose under the golimumab (GLM) treatment.


Management information

Registered date

2019 Year 12 Month 06 Day

Last modified on

2023 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044159


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name