The CORRONA Treat to Target Trial: Outcomes and Feasibility in a US Population
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ClinicalTrials.gov Identifier: NCT01407419 |
Recruitment Status :
Completed
First Posted : August 2, 2011
Last Update Posted : August 23, 2018
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Condition or disease | Intervention/treatment | Phase |
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Rheumatoid Arthritis | Other: Treatment Acceleration Other: Monthly Assessment | Not Applicable |

Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 538 participants |
Allocation: | Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Treating to Target (T2T) for Patients With Rheumatoid Arthritis in a US Population: Outcomes and Feasibility |
Study Start Date : | July 2011 |
Actual Primary Completion Date : | July 2014 |
Actual Study Completion Date : | July 2014 |

Arm | Intervention/treatment |
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Experimental: Treat to Target Intervention Strategy
Subjects at sites randomized to this arm will be expected to return to the clinic for Monthly Assessments until low disease activity (LDA) defined as CDAI of 10 or less has been achieved. Providers are prompted to accelerate therapy (Treatment Acceleration) at each visit that CDAI is >10 (unless not felt to be medically appropriate or refused by the subject.) Accelerations are expected at least every 3 months, until/unless LDA has been achieved.
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Other: Treatment Acceleration
Subjects in the intervention group will be seen as frequently as monthly for subjects not achieving low disease activity (LDA) as defined as CDAI ≤10. Treatment acceleration will be expected to occur as frequently as monthly and at least every 3 months in these subjects, unless contraindicated. Treatment acceleration for the purposes of this trial include the following options: Change in prescribed treatment or dosage of "traditional" or "biologic" Disease Modifying Anti Rheumatic Drugs (DMARDs) or a change in the route of Methotrexate administration (from oral to subcutaneous) Other: Monthly Assessment Monthly disease assessments are expected to be scheduled until the subject has achieved a CDAI of 10 or less (low disease activity).
Other Name: Monthly follow-up visits to rheumatologist |
No Intervention: Control Group Treated with Usual Care
Subjects in this arm will be expected to complete study visits with their rheumatologist/study doctor at Baseline, Month 3, Month 6, Month 9 and Month 12. Data collection will occur at each of those visits. Subjects and Providers will continue managing disease per usual practices and do not receive protocol prompts relative to visit frequency or acceleration of therapy, regardless of disease activity level (by CDAI)
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- Disease Activity, probability of treatment acceleration conditional on disease activity. [ Time Frame: 1 year ]CDAI Score, rates of acceleration, frequency of visits, time to next visit conditional on disease activity, and probability of acceleration conditional on disease activity.
- Disease activity scores, reasons for ineligibility for treatment acceleration, frequency of toxicity, frequency of TAEs. [ Time Frame: 1 year ]CDAI scores, DAS 28, RAPID 3, reasons/frequency of ineligibility for treatment acceleration, frequency of suspected (RA) drug-related toxicity, frequency of TAEs

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients eligible for the study will be both male and female adult (at least 18 years of age) patients who have a documented diagnosis of RA, are enrolled or willing to be enrolled in the CORRONA registry for the duration of the trial, have signed appropriate informed consent documents, are willing to participate in the trial, are medically appropriate for participation in the opinion of the investigator, and have moderate to severe RA disease activity as defined by CDAI >10.
Exclusion Criteria:
- Patients under the age of 18
- Women who are pregnant, breastfeeding or planning to become pregnant during the study period.
- Patients with chronic or acute pain condition(s) other than active RA which, in the opinion of the investigator, is likely to confound or interfere with assessments of RA disease activity.
- Functional class IV as defined by the ACR classification of functional status
- Patients receiving a daily dose of prednisone of >10 mg within the 4 weeks prior to enrollment.
- History of positive tuberculin skin test or equivalents that have not received documented treatment for latent tuberculosis (TB).
- Patients with a significant, uncontrolled concomitant illness such as, but not limited to cardiovascular, renal, neurological, endocrinological, gastrointestinal, hepatic, metabolic, pulmonary or lymphatic disease.

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): NCT01407419
United States, New York | |
The Center for Rheumatology | |
Albany, New York, United States, 12206 |
Principal Investigator: | Joel Kremer, MD | CORRONA, Inc. |
Responsible Party: | CorEvitas |
ClinicalTrials.gov Identifier: | NCT01407419 |
Other Study ID Numbers: |
NEIRB 11-216 |
First Posted: | August 2, 2011 Key Record Dates |
Last Update Posted: | August 23, 2018 |
Last Verified: | June 2015 |
Rheumatoid Arthritis |
Arthritis Arthritis, Rheumatoid Joint Diseases Musculoskeletal Diseases |
Rheumatic Diseases Connective Tissue Diseases Autoimmune Diseases Immune System Diseases |