Study Evaluating the Clinical Remission in Early Aggressive Rheumatoid Arthritis

Study Overview
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Brief Summary
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This is an observational prospective, multicenter study. The aim of the study is to evaluate how the Italian population of patients are treated with early aggressive RA, defined by the Italian Society of Rheumatology Guidelines, (GIARA Registry Study Group. Clin Exp Rheumatol 2003;21(Suppl. 31):S129-S132), in rheumatologic clinical practice and whether recent scientific evidence or new treatments available to rheumatologists can change their practice in a 2 year follow-up. The observation will primarily focus on the disease activity and clinical remission in patients who are receiving different treatment strategies. The primary goal is to define prevalence of clinical remission, according to the (Disease Activity Score) DAS 28 definition of clinical remission, in patients with early aggressive RA receiving different therapies at 1 year. Secondary objective are assessment of: Prevalence of Remission at the second year Disease activity at the first and second year. ACR 20%, 50%, 70% response at the first and second year. Quality of Life in patients with or without remission at the first and second year Safety Evaluations

Detailed Description
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It was expected that approximate 200 patients were enrolled in the study. Have been enrolled 152 patients. A Statistical Analysis Plan will contain a detailed description of criteria for valuable patients for analyses and a description of statistical analyses. In general, all patients who respond inclusion/exclusion criteria at baseline will be considered valuable for the study. The summaries will include descriptive statistics (mean, standard deviation, sample size) for the continuous parameters, and absolute frequencies and percentages for the remaining categorical parameters.

Official Title
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An Observational Study To Evaluate The Clinical Remission In Early Aggressive Rheumatoid Arthritis (Artrite Reumatoide Precoce Aggressiva Italian Study)

Conditions
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Rheumatoid Arthritis

Intervention / Treatment
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* Other: as clinical practice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusion Criteria Based On Clinical Practice of Aggressive RA Diagnosis of early aggressive RA in accordance with local guideline Disease duration < 2 years and at least six months since onset of symptoms Patients naïve to anti-TNFa drugs and DMARDs, including MTX, or assuming one or more DMARD without complete response Exclusion Criteria: Exclusion Criteria Based on Clinical Practice of Aggressive RA Patients should not be included in the study if they have participated in any interventional clinical trial within the previous 2 years.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1.0<br>As per routinary clinical practice | Other: as clinical practice<br>* Dosage, form, frequency and duration as per ordinary clinical practice<br>* Other names: observational study;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of clinical remission, according to the DAS 28 definition of clinical remission, in patients with early aggressive RA receiving different therapies at 1 year. |  | 12-24 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| -Prevalence of Remission at the second year. |  | 12-24 months | 
| Disease activity at the 1st and 2nd year |  | 12-24 months | 
| ACR 20%, 50%, 70% response at the 1st and 2nd year |  | 12-24 months | 
| QoL in patients with or without remission at the first and second year |  | 12-24 months | 
| Safety Evaluations |  | 12-24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Arthritis