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Related Studies
Leflunomide + Methotrexate in Rheumatoid Arthritis
This study has been completed.
First Received: November 21, 2007   Last Updated: December 3, 2007   History of Changes
Sponsor: Sanofi-Aventis
Information provided by: Sanofi-Aventis
ClinicalTrials.gov Identifier: NCT00563849
  Purpose

To determine the efficacy and safety of the combination of leflunomide and methotrexate for treating active rheumatoid arthritis (RA) in an open noncomparative multicenter trial.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: Leflunomide
Phase IV

Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment
Official Title: An Open-Label, Multi-Center Study to Evaluation of Leflunomide Plus Methotexate for the Treatment of Rheumatoid Arthritis in DMARDs:(Disease-Modifying Antirheumatic Drug) na¿ve or Restart (Skip DMARDs More Than 4 Weeks) Subjects.

Resource links provided by NLM:


Further study details as provided by Sanofi-Aventis:

Primary Outcome Measures:
  • The primary end point was a 20% improvement in the American College of Rheumatology criteria (ACR 20) at 20 weeks [ Time Frame: 20 weeks ]

Enrollment: 74
Study Start Date: May 2003
Study Completion Date: August 2004
Intervention Details:
    Drug: Leflunomide
    concomitantly leflunomide (no loading dose, 10 mg/day) and methotrexate (starting at 7.5 mg/week and titrating up to 15 mg/week) for 20 weeks.
  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female between ages of 18 and 75 years old.
  • Female subjects must be of nonchildbearing potential (i.e., surgically sterile or at least 2 years postmenopausal) OR their participation is contingent upon the following:
  • They are practicing a medically accepted contraceptive regimen (acceptable methods must include one of the following: systemic contraceptive, oral or implanted estrogen/progestin; diaphragm with intravaginal spermicide; cervical cap; intrauterine device; or condom with intravaginal spermicide) AND
  • they are demonstrated not to be pregnant (by serum pregnancy test) or breast-feeding at the time of study entry AND

    • they intend to continue the contraceptive regimen and remain not pregnant throughout the study AND
    • they are willing to undergo pregnancy testing (serum) at screening and (urine) monthly thereafter AND
    • they are fully informed as to the risks of entering the trial and provide written consent to enter the trial; female patients not sexually active should also be adequately informed about appropriate methods of contraception AND
    • they agree to not get pregnant for 24 months after discontinuation of treatment with study medication or they undergo a washout procedure with cholestyramine or charcoal.
  • Male subjects must consent to practice contraception during the study. The subject needs to have clinically diagnosed rheumatoid arthritis including diagnosis of RA by ACR criteria greater than or = to 6 months prior to enrollment active disease by ACR criteria . Men wishing to father a child should consider discontinuing use of study drug and taking cholestyramine 8 gm 3 times daily for 11 days. In addition, males should consider discontinuation of methotrexate treatment and waiting an additional three months.
  • Active disease by ACR criteria despite methotrexate therapy for three of the following four criteria:

    • greater than or = to 9 tender joints
    • greater than or = to 6 swollen joints
    • greater than or = to 45 minutes of morning stiffness
    • ESR greater than or = to 28mm/hr

      • Subject must remain on unchanged doses of NSAIDs for at least 4 weeks prior to study drug administration and throughout the timecourse of the study.
      • Concomitant therapy will be permitted with corticosteroids at a dose of less than or = to 10 mg prednisone daily (or the steroid equivalent administered orally), provided the dose has been stable for at least 4 weeks prior to the study drug administration; dose must remain constant throughout the timecourse of the study.
      • Subjects must not receive intramuscular, intra-articular or intravenous corticosteroids within 4 weeks prior to initiating study participation or during the study.
      • Subjects must be able and willing to comply with the terms of this protocol. Informed consent must be obtained for all subjects before enrollment in the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00563849

Locations
Korea, Republic of
Sanofi-aventis
Pusan, Korea, Republic of
Sponsors and Collaborators
Sanofi-Aventis
Investigators
Study Director: Choe Seong Choon Sanofi-Aventis
  More Information

Additional Information:
No publications provided

Study ID Numbers: HWA486_4021
Study First Received: November 21, 2007
Last Updated: December 3, 2007
ClinicalTrials.gov Identifier: NCT00563849     History of Changes
Health Authority: Korea: Chonnam National University Hospital

Additional relevant MeSH terms:
Autoimmune Diseases
Immunologic Factors
Immune System Diseases
Molecular Mechanisms of Pharmacological Action
Joint Diseases
Leflunomide
Physiological Effects of Drugs
Arthritis, Rheumatoid
Enzyme Inhibitors
Rheumatic Diseases
Immunosuppressive Agents
Pharmacologic Actions
Musculoskeletal Diseases
Therapeutic Uses
Arthritis
Connective Tissue Diseases
Antirheumatic Agents

ClinicalTrials.gov processed this record on November 27, 2009