Status:

RECRUITING

Effects of Nonsteroidal Anti-Inflammatory Drugs in Recurrence of Spondyloarthritis Patients After Remission

Lead Sponsor:

The First Affiliated Hospital of Xiamen University

Collaborating Sponsors:

First Affiliated Hospital of Fujian Medical University

Peking University Shenzhen Hospital

Conditions:

Axial Spondyloarthritis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The multicenter, randomized controlled trial is to investigate and evaluate the effect of NSAIDs therapy on recurrence in patients with axial spondyloarthritis;

Detailed Description

To investigate the recurrence rate in remission patients who withdraw NSAIDs therapy in axial spondyloarthritis;

Eligibility Criteria

Inclusion

  • Capable of giving informed consent and complying with the examination program of the protocol;
  • Participants with axial SpA fulfilling the Assessment of Spondyloarthritis international Society 2009 (ASAS) axial SpA classification criteria;
  • Participants must fulfill the criteria of maintaining remission of aSpA, defined as ASDAS\<1.3;
  • Participants must fulfill the criteria of remission of aSpA defined as ASDAS\<1.3,then continuous to evaluate every four weeks for three times and ASDAS\<1.3 each time.
  • Laboratory results must fulfill following requirements: Hb≥85g/L;3.5×109/L≤WBC Count ≤10×109/L;Platelet count ≥ Normal lower limit; Liver function (ALT、TBIL) ≤Twofold of normal upper limit; Renal function (SCr) ≤Normal upper limit;
  • The pregnancy test must be negative for women of childbearing age; Efficient contraception must be taken for both male and female participants during the trial period and within three months after the end of the trial.

Exclusion

  • Participants who previously have experienced allergic reactions to NSAIDs or sulfa-drugs;
  • Participants who are intolerant of NSAIDs;
  • Participants who are in active axSpA episodes;
  • Participants with previous or currant ulcers and/or gastrointestinal conditions or bleeding in three months
  • Participants who were in acute infection or acute attack of chronic infection during screening period;
  • At the time of screening, participants who were in the acute stage of acute infection or chronic infection, and if the acute infection had improved, they could be re-screened.
  • Participants who suffer from invasive fungal infections (e.g. histoplasma, coccidiosis's, candida, aspergillus, blastomyces, pneumocystis, etc.) within the first 6 months of screening; Or opportunistic bacterial infections (e.g. bacterial, viral or other infections, including Legionella and Listeria);
  • Participants with other autoimmune diseases which are expected to influence the evaluation of experimental medications, such as inflammatory enteritis, psoriasis, uveitis, etc.
  • Participants with previous or currant congestive heart failure, coronary heart disease, serious arrhythmia;
  • Participants with severe, progressive, uncontrolled vital organ and systematic disorders, and other conditions that are considered inappropriate to participate in this trial;
  • Participants with circumstances that may affect the compliance (e.g. prolonged travel or leave, planned relocation, mental illness, lack of motivation to participate, etc.).

Key Trial Info

Start Date :

February 15 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 20 2028

Estimated Enrollment :

140 Patients enrolled

Trial Details

Trial ID

NCT03425812

Start Date

February 15 2018

End Date

December 20 2028

Last Update

April 18 2022

Active Locations (1)

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1

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China, 361003