Status:
COMPLETED
Tumor Necrosis Factors (TNF)-α Blockade for Psoriatic Arthritis
Lead Sponsor:
Chinese University of Hong Kong
Conditions:
Psoriatic Arthritis
Eligibility:
All Genders
18-70 years
Phase:
PHASE4
Brief Summary
The purpose of this study is: * To elucidate the immunomodulating properties of anti-TNF-α therapy in patients with psoriatic arthritis (PsA). * To ascertain whether magnetic resonance imaging (MRI) ...
Detailed Description
The study was a 12-week, open-label trial of anti-TNF therapy in 20 consecutive patients (Group 1). Another 20 consecutive patients with active disease whom have met the exclusion criteria, or were un...
Eligibility Criteria
Inclusion
- Age 18 or above
- PsA with active disease despite treatment with non-steroidal anti-inflammatory drug (NSAID)
- 3 or more swollen and tender joints
- Inadequate response after 4 weeks of, or intolerance to nonsteroidal anti-inflammatory drug therapy.
- Methotrexate (MTX) is allowed during the study only if it has been taken for at least 3 months previously, with the dosage stable for at least 4 weeks prior to the baseline visit.
- Prednisone ≤ 10 mg/day and/or nonsteroidal anti-inflammatory drugs must have been taken at stable dosage for at least 2 weeks before entering the trial.
- Informed consent
Exclusion
- Little or no ability for self-care
- Used a DMARD other than methotrexate or received intra-articular, intramuscular, or intravenous corticosteroids in the 4 weeks before screening.
- Topical vitamin A (Neotigason CR) or D analog preparations (Daivonex CR), and anthralin for psoriasis within 2 weeks of baseline.
- Concurrent treatment with MTX at dosages \> 15 mg/week and/or corticosteroids in a prednisone-equivalent dosage of \> 10 mg/day.
- Prior anti-TNF therapy at any time.
- Infected joint prosthesis during the previous 5 years.
- Serious infections, such as hepatitis, pneumonia, pyelonephritis in the previous 3 months.
- Any chronic infectious disease such as renal infection, chest infection with bronchiectasis or sinusitis.
- Active tuberculosis requiring treatment within the previous 3 years.
- Opportunistic infections such as herpes zoster within the previous 2 months.
- Any evidence of active cytomegalovirus; active Pneumocystis carinii; or drug-resistant atypical mycobacterial infection.
- Known hypersensitivity to murine proteins
- Current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, haematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, or cerebral disease.
- A history of lymphoproliferative disease including lymphoma or signs suggestive of disease, such as lymphadenopathy of unusual size or location (ie, lymph nodes in the posterior triangle of the neck, infraclavicular epitrochlear, or periaortic areas); splenomegaly.
- Any known malignant disease except basal cell carcinoma currently or in the past 5 years.
Key Trial Info
Start Date :
May 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2009
Estimated Enrollment :
40 Patients enrolled
Trial Details
Trial ID
NCT00432406
Start Date
May 1 2006
End Date
March 1 2009
Last Update
March 11 2009
Active Locations (1)
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1
Prince of Wales Hospital
Hong Kong, China