Doppler Evaluation in RA Patients After Adalimumab.

Study Overview
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Brief Summary
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The purpose is to study the relationship between RA disease activity based on Doppler quantification and the subsequent clinical response (EULAR response) to treatment with Adalimumab during 12 months. The purpose is also to compare the Doppler quantification with conventional clinical methods and semiquantitative Doppler assessment.

Official Title
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Doppler Quantitative Evaluation and Follow-up Over 12 Months in RA Patients With Moderate and High Disease Activity Who Are Candidates for Biologic add-on Therapy With Adalimumab

Conditions
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Rheumatoid Arthritis

Intervention / Treatment
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* Biological: Adalimumab


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patient (> 18 years of age), male or female Rheumatoid arthritis according to the 1987 ACR or 2010 EULAR/ACR classification criteria Moderate to high disease activity Ongoing anti-rheumatic treatment with DMARD, with stable dosage during the last 3 months, and being a candidate for anti-TNF add-on therapy OR ongoing treatment with first anti-TNF therapy and being a candidate for switch to another anti-TNF therapy Women with child-bearing potential: use of an adequate method of contraception to avoid pregnancy throughout the study Signed Informed Consent *Signed Informed Consent must be obtained before any study specific procedures take place. Exclusion Criteria: Biologic treatment with Adalimumab before inclusion Two or more ongoing biologic treatments before inclusion Treatment with other biologic treatment than anti-TNF therapy before inclusion Any contraindication for treatment with Adalimumab Intraarticular corticosteroid injection during the last 4 weeks before each follow-up visit Positive for tuberculosis or hepatitis B. Ongoing pregnancy or lactation

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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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm 1<br>Adalimumab | Biological: Adalimumab<br>* Adalimumab 40 mg eow (totally 27 doses/patient) manufactured by Abbott will be distributed as add-on therapy to DMARD<br>* Other names: Humira;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The proportion of different clinical (EULAR) response | The primary endpoint will be the proportion of different clinical (EULAR) response (good, moderate, no response)* to add-on therapy with anti-TNF treatment at 6 months follow-up visit in patients with activity versus in those without activity measured by Doppler ultrasound at baseline. | 6 months from BL | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The proportion of patients with good response to add-on therapy | The proportion of patients with good response to add-on therapy (measured by both Doppler and clinical assessment) at 6 and 12 months follow-up visits in two groups of patients, those who achieve low disease activity according to Doppler assessment at 3 months visit versus those who did not. | 6 and 12 months from BL |