OSRA: Objective Study in Rheumatoid Arthritis
Study Details
Study Description
Brief Summary
Primary Objectives
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To test the feasibility, in patients with active rheumatoid arthritis, of using an 'aggressive' treatment algorithm to bring a short term treatment objective (STO) within the normal or an arbitrarily defined 'desirable' range.
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To determine whether patients with active rheumatoid arthritis randomly allocated to a particular STO show a reduced rate of Magnetic resonance imaging damage progression at two years compared to those randomly allocated to usual care.
Secondary Objectives
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To establish the relationship between achieving a given STO or combination of STOs and damage progression.
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To identify the characteristics of responders and non-responders with respect to STO achievement and predictors of greater and lesser degrees of damage progression.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Outcome Measures
Primary Outcome Measures
- Long Term Objective (damage) is the MRI which will be undertaken at baseline, 12 months and 24 months. []
- The Short Term Objectives are: swollen joint count - target:(28) ≤ 2 joints []
- C-Reactive Protein - target: within the normal range (provided elevation is not due clinically to an intercurrent event) []
Secondary Outcome Measures
- Safety: Full blood count and erythrocyte sedimentation, blood urea, electrolytes, creatinine and Liver function test []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Rheumatoid Arthritis as defined by the American College of Rhemuatology criteria and either
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Active disease: ≥6/28 swollen joints or
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Erythrocyte sedimantation or C-Reactive Protein > normal
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Disease duration ≤ 15 yrs
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Any therapy
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Females of child-bearing potential must be adequate contraception
Exclusion Criteria:
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Frailty, limiting co-morbidity
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Obesity limiting ability to have MRI
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Geographical difficulty preventing follow-up and visits
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Women at risk of becoming pregnant
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Sanofi-Aventis | Sydney | Australia |
Sponsors and Collaborators
- Sanofi
Investigators
- Principal Investigator: J Edmonds, Sanofi
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HWA486_4020
- NCT00251667