Rheumatoid ArthritisPhase 4TIARANCT01746680
Efficacy and Safety Study of Tacrobell to Treat Rheumatoid Arthritis
A Phase 4 study testing Tacrolimus with Methotrexate in people with Rheumatoid Arthritis, run by Chong Kun Dang Pharmaceutical at 1 site in South Korea.
Trial summary
The aims of this study are to assess the efficacy and safety of tacrolimus in patients with active rheumatoid arthritis(RA). EULAR(European League Against Rheumatism) response at week 24 compared to baseline will be evaluated to assess the efficacy of Tacrolimus. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- Tacrolimus with Methotrexate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 111 participants
- Where
- 1 siteSouth Korea
- Study dates
- Aug 2012to Jun 2015
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female aged ≥20years
- Signed and dated informed consent document indicating that the patient
- Women of childbearing potential must have a negative serum or urine pregnancy test at the screening visit. Except in the case of surgically sterile or amenorrhea for one year.
- Female patients must agree to use adequate contraception measures during the period of therapy which should be continued for 4 weeks.
- have RA and meet all of the following criteria; RA occurring ≥ 3months and less than 15 years and diagnosed based on 1987 ACR classification criteria for rheumatoid arthritis; Active RA patients with MTX and among them who has insufficiency response to DMARDs as defined DAS28>3.2 in active RA patient. Insufficiency response is defined despite MTX therapy for > 12 weeks, RA activity≥ more than moderate and confirmable during 12 weeks, sequence of taking MTX >7.5mg/week for more than 6 weeks; ESR≥28mm/h or CRP≥1.0mg/dl; Tender Joint Counts must be more than 6 and Swollen Joint Counts must be more than 3
Who cannot join
- Inflammatory joint diseases, Systematic inflammatory disease
- Prosthesis and had an event of infected in it.
- Medical history of chronic infection, moderate infection or possibly to life threatening or signs and symptoms of serious infection.
- Patients have received treatment with a live vaccine from baseline within 8 weeks.
- HBsAg positive and hepatitis C virus positive patient.
- Patients have a history of malignancy. (But, carcinoma in situ of the uterine cervix or basal cell carcinoma have been treated is allowed within 5years)
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- Patients have cardiovascular disease or associated disease which is not controlled.
- uncontrollable blood sugar(HbA1C ≥8%) or required insulin.
- Patients with a history of operation on index knee joint which could have influence on the result and need to have surgery as determined by investigator.
- At screening, patients have laboratory result as defined by ; white blood cell(WBC) < 3,500/mm3, Absolute Neutrophil Count(ANC) < 1,500/mm3, Hemoglobin < 8.5g/dl, Platelet count(PLT) < 100,000/mm3, Serum creatinine >1.5*upper limit of normal or 2mg/dl, Total bilirubin > 2*upper limit of normal, aspartate aminotransferase(AST) > 2*upper limit of normal, alanine aminotransferase(ALT) > 2*upper limit of normal, alkaline phosphatase(ALP) > 2*upper limit of normal
- Patients on any other clinical trial or experimental treatment in the past 8weeks
- An impossible one who participates in clinical trial by investigator's decision
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Phase IV STudy of Tacrobell in Active Rheumatoid Arthritis
The aims of this study are to assess the efficacy and safety of tacrolimus in patients with active rheumatoid arthritis(RA). EULAR(European League Against Rheumatism) response at week 24 compared to baseline will be evaluated to assess the efficacy of Tacrolimus.
Read the detailed description
A Phase IV, Open labeled, Multi-Center Trial to Assess the Efficacy and Safety of Tacrolimus(Tacrobell®)in patients with active rheumatoid arthritis(RA).
- Conditions
- Rheumatoid Arthritis
- Being tested
- Tacrolimus with Methotrexate
- Keywords
- rheumatoid arthritis, RA, tacrolimus, Disease Activity Score 28, EULAR
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tacrolimus with MethotrexateDrug
Also called TacroBell® with MTX
Tacrolimus 1 mg for 0~week4, 2mg for week4~week8, 3mg for week8~week24 with MTX ≤20mg/week
| Study group | Role | What they receive |
|---|---|---|
| Tacrolimus with Methotrexate | Experimental | Subjects have tacrolimus per oral once daily with methotrexate for 24weeks. Tacrolimus increased dosing regimen: 1mg for 0~4 weeks, 2mg for 4 weeks~8 weeks, 3mg for 8 weeks~24 weeks Receives: Drug: Tacrolimus with Methotrexate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline European League Against Rheumatism(EULAR) response at 24weeks
Measured: baseline, 24weeks
Secondary outcomes (7)
Change from baseline Simplified Disease Activity Index(SDAI) at 24weeks
Measured: baseline, 24weeks
Change from baseline Korean Health Assessment Questionnaire(KHAQ-20) at 24weeks
Measured: baseline, 24weeks
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 16weeks
Measured: baseline, 16weeks
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 24weeks
Measured: baseline, 24eeks
Change from baseline C-Reactive Protein(CRP) at 16weeks
Measured: baseline, 16weeks
Change from baseline C-Reactive Protein(CRP) at 24weeks
Measured: baseline, 24weeks
Change from baseline European League Against Rheumatism(EULAR) response at 16weeks
Measured: baseline, 16weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Dec 2012 (estimated)
- Study startAug 2012
- Primary completionJun 2015
- Study completionJun 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- More trials run by Chong Kun Dang PharmaceuticalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 111 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chong Kun Dang Pharmaceutical
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Seung -Jae Hong, phD, Dr, Study chair, Kyung Hee University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01746680
- Sponsor's protocol ID
- m308RAP11M
- Acronym
- TIARA
- Status last verified
- Jul 2015
- First submitted
- 4 Dec 2012
- Last updated
- 11 Aug 2015
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 11 Aug 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase IV STudy of Tacrobell in Active Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT01746680
- Acronym / sponsor ID
- TIARA / m308RAP11M
- Conditions
- Rheumatoid Arthritis
- Keywords
- rheumatoid arthritis, RA, tacrolimus, Disease Activity Score 28, EULAR
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 111 participants (actual)
- Lead sponsor
- Chong Kun Dang PharmaceuticalIndustry (pharma, biotech, devices)
- Study start
- Aug 2012
- Primary completion
- Jun 2015 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 11 Dec 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aims of this study are to assess the efficacy and safety of tacrolimus in patients with active rheumatoid arthritis(RA). EULAR(European League Against Rheumatism) response at week 24 compared to baseline will be evaluated to assess the efficacy of Tacrolimus.
Detailed description
A Phase IV, Open labeled, Multi-Center Trial to Assess the Efficacy and Safety of Tacrolimus(Tacrobell®)in patients with active rheumatoid arthritis(RA).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Tacrolimus with Methotrexate | Experimental | Drug: Tacrolimus with MethotrexateSubjects have tacrolimus per oral once daily with methotrexate for 24weeks. Tacrolimus increased dosing regimen: 1mg for 0~4 weeks, 2mg for 4 weeks~8 weeks, 3mg for 8 weeks~24 weeks |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female aged ≥20years
- Signed and dated informed consent document indicating that the patient
- Women of childbearing potential must have a negative serum or urine pregnancy test at the screening visit. Except in the case of surgically sterile or amenorrhea for one year.
- Female patients must agree to use adequate contraception measures during the period of therapy which should be continued for 4 weeks.
- have RA and meet all of the following criteria; RA occurring ≥ 3months and less than 15 years and diagnosed based on 1987 ACR classification criteria for rheumatoid arthritis; Active RA patients with MTX and among them who has insufficiency response to DMARDs as defined DAS28>3.2 in active RA patient. Insufficiency response is defined despite MTX therapy for > 12 weeks, RA activity≥ more than moderate and confirmable during 12 weeks, sequence of taking MTX >7.5mg/week for more than 6 weeks; ESR≥28mm/h or CRP≥1.0mg/dl; Tender Joint Counts must be more than 6 and Swollen Joint Counts must be more than 3
Key exclusion criteria (12 listed)
- Inflammatory joint diseases, Systematic inflammatory disease
- Prosthesis and had an event of infected in it.
- Medical history of chronic infection, moderate infection or possibly to life threatening or signs and symptoms of serious infection.
- Patients have received treatment with a live vaccine from baseline within 8 weeks.
- HBsAg positive and hepatitis C virus positive patient.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tacrolimus with MethotrexateAlso: TacroBell® with MTXTacrolimus 1 mg for 0~week4, 2mg for week4~week8, 3mg for week8~week24 with MTX ≤20mg/week | Drug | Tacrolimus with Methotrexate |
Primary outcome
Change from baseline European League Against Rheumatism(EULAR) response at 24weeks
Time frame: baseline, 24weeks
7 secondary outcomes
Change from baseline Simplified Disease Activity Index(SDAI) at 24weeks
Time frame: baseline, 24weeks
Change from baseline Korean Health Assessment Questionnaire(KHAQ-20) at 24weeks
Time frame: baseline, 24weeks
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 16weeks
Time frame: baseline, 16weeks
Change from baseline Erythrocyte Sedimentation Rate(ESR) at 24weeks
Time frame: baseline, 24eeks
Change from baseline C-Reactive Protein(CRP) at 16weeks
Time frame: baseline, 16weeks
Change from baseline C-Reactive Protein(CRP) at 24weeks
Time frame: baseline, 24weeks
Change from baseline European League Against Rheumatism(EULAR) response at 16weeks
Time frame: baseline, 16weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Aug 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Seung -Jae Hong, phD, Dr study chair
Kyung Hee University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Tacrolimus with Methotrexate in people with Rheumatoid Arthritis, run by Chong Kun Dang Pharmaceutical at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline European League Against Rheumatism(EULAR) response at 24weeks (time frame: baseline, 24weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2015.