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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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EUCTR |
Last refreshed on:
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25 November 2019 |
Main ID: |
EUCTR2009-012424-87-GB |
Date of registration:
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14/10/2009 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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T cells and TNF: The impct of TNF blockade on effector T cell populations in rheumatoid arthritis and other conditions treated with anti-TNF-alpha agents. - T cells and TNF
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Scientific title:
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T cells and TNF: The impct of TNF blockade on effector T cell populations in rheumatoid arthritis and other conditions treated with anti-TNF-alpha agents. - T cells and TNF |
Date of first enrolment:
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26/11/2009 |
Target sample size:
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55 |
Recruitment status: |
Not Recruiting |
URL:
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https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2009-012424-87 |
Study type:
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Interventional clinical trial of medicinal product |
Study design:
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Controlled: no Randomised: no Open: no Single blind: no Double blind: no Parallel group: no Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: no Other: no
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Phase:
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Human pharmacology (Phase I): no
Therapeutic exploratory (Phase II): no
Therapeutic confirmatory - (Phase III): no
Therapeutic use (Phase IV): yes
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Countries of recruitment
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United Kingdom
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Key inclusion & exclusion criteria
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Inclusion criteria: - Anti-TNF naive patients - Patients due to start treatment with anti-TNF blocking drugs - etanercept or adalimumab - Patients with rheumatoid arthritis should meet the 1987 American College of Rheumatology (ACR) revised classification criteria, should have active rheumatoid arthritis as defined by a DAS28 score >5.1 and should be on a stable dose of disease-modifying drugs for the previous 1 month and a stable dose of glucocorticoids for at least 4 weeks prior to study entry. -Patients with psoriatic arthritis should have a secure diagnosis confirmed by a rheumatologist and concurrent psoriatic skin lesions. If on disease-modifying therapy, patients should be on a stable dose for the the previous 1 month prior to study entry. -Patients with ankylosing spondylitis should fulfill the Modified New York Criteria for diagnosis of ankylosing spondylitis and if taking disease-modifying therapy, they should be on a stable dose for the previous 1 month prior to study entry. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria: - Patients who have been previously treated with anti-TNF therapy for whatever reason - Patients with rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis who do not fulfill the diagnostic criteria for these conditions as above. - Patients who have received an intra-articular injection of steroids or have received an intramuscular injection of depot steroid to treat disease flare in the preceding 4 weeks prior to commencing anti-TNF therapy. - Patients with intercurrent, active infection of any type, excluding the common cold.
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Gender:
Female: yes Male: yes
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Health Condition(s) or Problem(s) studied
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Rheumatoid arthritis
Psoriatic arthritis
Ankylosing spondylitis
MedDRA version: 12.0
Level: LLT
Classification code 10039073
Term: Rheumatoid arthritis
MedDRA version: 12.0
Level: LLT
Classification code 10037160
Term: Psoriatic arthritis
MedDRA version: 12.0
Level: LLT
Classification code 10002556
Term: Ankylosing spondylitis
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Intervention(s)
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Trade Name: Enbrel Pharmaceutical Form: Solution for injection INN or Proposed INN: etanercept CAS Number: 185243690 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 50-
Trade Name: Humira Pharmaceutical Form: Solution for injection INN or Proposed INN: adalimumab CAS Number: 331731-18-1 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 40-
Trade Name: Enbrel Pharmaceutical Form: Powder and solvent for solution for injection INN or Proposed INN: etanercept CAS Number: 185243690 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 25-
Trade Name: Enbrel Pharmaceutical Form: Solution for injection INN or Proposed INN: Etanercept CAS Number: 185243690 Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 25-
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Primary Outcome(s)
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Main Objective: The primary objective of our research is to determine the effect of anti-TNF-alpha treatment on the levels of a cell type of the immune system, called Th17 cells and their product, IL-17 in blood samples and joint biopsies from patients with rheumatoid arthritis at different time points during treatment and how these changes correlate with parameters of systemic and local disease activity.
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Primary end point(s): TNF-alpha blockade will improve disease activity in patients with rheumatoid arthritis and this will correlate with a reduction in effector T cells and IL-17 in arthritic joints and an increase in effector T cells and IL-17 in peripheral blood.
There will be differences in cytokine expression and T cell populations in RA patients before and at different time points during anti-TNF treatment.
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Secondary Objective: We would also like to determine the effect of anti-TNF-alpha treatment on levels on Th17 cells and IL-17 in other inflammatory conditions treated with anti-TNF therapies - psoriatic arthritis and ankylosing spondylitis and correlate these changes with systemic and local parameters of disease activity. This will help determine if anti-TNF treatment has similar or different effects on components of the immune system in the different conditions it is used to treat.
In addition we would like to determine the effects of anti-TNF-alpha therapy on various populations of immune system cells, called T cells and their products, called cytokines before and at different time points during treatment in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis.
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Source(s) of Monetary Support
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Ethics review
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Status: Approved
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Results
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Results available:
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