Efficacy of a Sequential Treatment Strategy in Rheumatoid Arthritis

PHASE3RecruitingINTERVENTIONAL
Enrollment

220

Participants

Timeline

Start Date

November 28, 2022

Primary Completion Date

November 30, 2026

Study Completion Date

November 30, 2027

Conditions
Rheumatoid Arthritis
Interventions
DRUG

Abatacept (W12-W48)

"The experimental strategy will evaluate abatacept 125 mg/week following 12 weeks of anti-TNF prescribed in usual care. Concomitant treatment with stable doses of csDMARD, non-steroidal anti-inflammatory drugs, analgesic agents, glucocorticoids (≤10 mg of prednisone or the equivalent per day), or a combination of these drugs will be permitted.~Patients will continue to take methotrexate or leflunomide for the duration of the study."

DRUG

TNF Inhibitor (W12-W48)

In the control group, the 88 randomized RA patients will be treated with TNF inhibitor subcutaneous for 36 weeks. In case of insufficient response to a first TNF inhibitor at 24 or 36 weeks, a second TNF inhibitor will be proposed.

DRUG

TNF Inhibitor (W0-W12)

All included patients will receive TNF inhibitors subcutaneous for 12 weeks.

Trial Locations (17)

34295

RECRUITING

Centre Hospitalier Universitaire de Montpellier, Montpellier

Unknown

RECRUITING

CHU Bordeaux groupe Pellegrin, Bordeaux

RECRUITING

CHU de Brest La Cavale Blanche, Brest

NOT_YET_RECRUITING

Centre Hospitalier de Cahors, Cahors

RECRUITING

CHD Vendée, La Roche-sur-Yon

RECRUITING

CH du Mans, Le Mans

RECRUITING

CHU de Nantes, Nantes

RECRUITING

CHU de Nice, Nice

NOT_YET_RECRUITING

CHU de Nîmes Carémeau, Nîmes

RECRUITING

CHR Orléans Nouvel hôpital d'Orléans, Orléans

NOT_YET_RECRUITING

APHP Bicêtre, Paris

RECRUITING

APHP Cochin, Paris

RECRUITING

APHP La Pitié Salpetrière, Paris

NOT_YET_RECRUITING

CHU de Strasbourg Hautepierre, Strasbourg

NOT_YET_RECRUITING

Chu Purpan, Toulouse

RECRUITING

CHU de Tours - Hopital Trousseau, Tours

RECRUITING

Centre hospitalier Princesse Grace, Monaco

All Listed Sponsors
lead

University Hospital, Montpellier

OTHER