Evolution of Adipokines and Body Composition in Rheumatoid Arthritis Patients Receiving Tocilizumab Therapy (ADIPRAT)
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ClinicalTrials.gov Identifier: NCT02843789 |
Recruitment Status :
Completed
First Posted : July 26, 2016
Last Update Posted : February 13, 2018
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Condition or disease | Intervention/treatment | Phase |
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Arthritis, Rheumatoid | Drug: Tocilizumab | Phase 4 |
Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with cardiovascular morbidity. Tocilizumab (TCZ), a monoclonal antibody against the interleukin-6 receptor is an effective new biotherapy for the treatment of RA. This treatment is associated with increased LDL and HDL-cholesterol lipid parameters. Adipokines are adipose tissue-specific secreted molecules, which have many functions such as regulation of appetite, blood glucose or immune response. Among the adipokines, adiponectin exerts beneficial effects on the cardiovascular system. Patients with RA also exhibit body composition changes, including an increase in abdominal visceral fat. The impact of tocilizumab therapy in RA patients on adipokines and body composition is not known.
This project aims to explore the evolution of circulating adiponectin and other adipokines during tocilizumab therapy in RA. Body composition and its variations under tocilizumab therapy will also be analyzed.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 109 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Evolution of Adipokines and Body Composition in Rheumatoid Arthritis Patients Receiving Tocilizumab Therapy |
Study Start Date : | March 2013 |
Actual Primary Completion Date : | November 2017 |
Actual Study Completion Date : | November 2017 |

Arm | Intervention/treatment |
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Experimental: Adiponectin evaluation
Patients evaluated for serum adiponectin level and for body composition before each infusion of Tocilizumab
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Drug: Tocilizumab |
- Serum total adiponectin (ng/ml) [ Time Frame: 12 months ]
- Serum high-molecular weight adiponectin (ng/ml) [ Time Frame: 12 months ]

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Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with a diagnosis of RA and requiring Tocilizumab therapy
- Subject has provided written informed consent
Exclusion Criteria:
- Corticosteroid therapy (10 mg/day of prednisone or equivalent)
- Pregnant or lactating women
- Uncontrolled type 1 or type 2 diabetes
- Uncontrolled dyslipidemia
- Elevated transaminases (> three times higher than the normal range)
- History of diverticulitis or intestinal perforation
- Tocilizumab contraindications: Severe or active infections, Hypersensitivity to the active substance or to any of the excipients

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02843789
France | |
University Hospital | |
Besançon, France |
Principal Investigator: | Eric Toussirot, Professor | University Hospital, Besançon, France |
Responsible Party: | Centre Hospitalier Universitaire de Besancon |
ClinicalTrials.gov Identifier: | NCT02843789 |
Other Study ID Numbers: |
P/2011/118 |
First Posted: | July 26, 2016 Key Record Dates |
Last Update Posted: | February 13, 2018 |
Last Verified: | February 2018 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Adipokines Tocilizumab |
Arthritis Arthritis, Rheumatoid Joint Diseases Musculoskeletal Diseases |
Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |