UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052344
Receipt number R000059750
Scientific Title Efficacy in Methotrexate related intolerant subjective symptoms on switching from oral to subcutaneous injection of Methotrexate in Japanese patients with Rheumatoid Arthritis; Metojective study
Date of disclosure of the study information 2023/10/01
Last modified on 2025/04/19 22:16:37

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Basic information

Public title

Efficacy in Methotrexate related intolerant subjective symptoms on switching from oral to subcutaneous injection of Methotrexate in Japanese patients with Rheumatoid Arthritis; Metojective study

Acronym

Efficacy in Methotrexate related intolerant subjective symptoms on switching from oral to subcutaneous injection of Methotrexate in Japanese patients with Rheumatoid Arthritis; Metojective study

Scientific Title

Efficacy in Methotrexate related intolerant subjective symptoms on switching from oral to subcutaneous injection of Methotrexate in Japanese patients with Rheumatoid Arthritis; Metojective study

Scientific Title:Acronym

Efficacy in Methotrexate related intolerant subjective symptoms on switching from oral to subcutaneous injection of Methotrexate in Japanese patients with Rheumatoid Arthritis; Metojective study

Region

Japan


Condition

Condition

Rheumatoid Arthritis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the efficacy and safety of the subcutaneous methotrexate and oral methotrexate.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Change in nausea VAS from 0 to 13 weeks

Key secondary outcomes

Comparison of change in fatigue VAS from 0 to 13 weeks of treatment.
Change in RA disease activity (DAS28, DAS28ESR, SDAI, CDAI) from Week 0 to Week 13 of treatment


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) RA patients 18 years of age or older
2) Patients who have been taking MTX for at least 12 weeks (the same dose for at least 2 weeks at the time of enrollment)
3) Patients who have gastrointestinal symptoms such as nausea, vomiting, anorexia, or fatigue even after receiving 10 mg or 15 mg/week of foliac acid or 1 mg daily, and who have difficulty continuing MTX or require a dose reduction.
(4) Patients who have been fully informed of the study and who have given written consent of their own free will after sufficient understanding of the study

Key exclusion criteria

1) Patients under 18 years of age
2) Patients with drug allergy to MTX
3) Patients with serious liver disease (Grade 3 or higher in CTCAE Ver5.0)
4) Patients with serious renal disease (eGFR <30)
5) Patients with severe interstitial pneumonia
6) Patients with hematologic malignancies
7) Patients with pleural effusion or ascites
8) Patients with active tuberculosis or other infectious diseases
9) Women who are pregnant or may become pregnant
10) Women who are breast-feeding
11) Patients with cognitive impairment and inability to maintain adherence
12) Other patients who are deemed inappropriate as research subjects by the principal investigator or research coordinator.
12) Other patients deemed inappropriate as research subjects by the principal investigator or principal investigator's assistant.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Shin-ichiro
Middle name
Last name Ohmura

Organization

Seirei Hamamatsu General Hospital

Division name

Department of the Rheumatology

Zip code

430-8558

Address

2-12-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka

TEL

053-474-2222

Email

s-omura0018@sis.seirei.or.jp


Public contact

Name of contact person

1st name Shin-ichiro
Middle name
Last name Ohmura

Organization

Seirei Hamamatsu General Hospital

Division name

Department of the Rheumatology

Zip code

430-8558

Address

2-12-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka

TEL

053-474-2222

Homepage URL


Email

s-omura0018@sis.seirei.or.jp


Sponsor or person

Institute

Seirei Hamamatsu General Hospital

Institute

Department

Personal name



Funding Source

Organization

Seirei Hamamatsu general hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Seirei Hamamatsu General Hospital

Address

2-12-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka

Tel

0534742222

Email

s-omura0018@sis.seirei.or.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

2023 Year 10 Month 01 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

Open public recruiting

Date of protocol fixation

2022 Year 12 Month 01 Day

Date of IRB

2022 Year 12 Month 20 Day

Anticipated trial start date

2022 Year 12 Month 22 Day

Last follow-up date

2025 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

nothing


Management information

Registered date

2023 Year 09 Month 28 Day

Last modified on

2025 Year 04 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059750