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The aim of this study is to investigate the safety and effectiveness of tocilizumab (Actemra®) using Chinese Rheumatology Information Platform (CRIP) on Chinese Rheumatology Data Centre (CRDC, http://www.crdc.org.cn/) in Chinese RA patients.
Tocilizumab (Actemra®) is a humanized monoclonal antibody targeting the human IL-6 receptor, which inhibits the binding of this cytokine to its receptor. It is the first monoclonal antibody developed for RA treatment with this mechanism of action and has been approved by regulatory authorities in China since 2013. Data from five phase III studies with over 4000 recruited patients have shown that tocilizumab at a dose of 8 mg/kg, in combination with methotrexate/DMARDs or as monotherapy, can produce a quick and clinically relevant improvement in RA signs and symptoms, health status, and prevent joint damage, for both patients who have not been previously treated with and refractory to methotrexate, other DMARDs or anti-TNF agents. However, in real-world clinical setting, the safety profile and treatment pattern with regard to the persistence on tocilizumab and the efficacy are not clear in China. The aim of this study is to investigate the safety and effectiveness of tocilizumab using Chinese Rheumatology Information Platform (CRIP) on Chinese Rheumatology Data Centre (CRDC, http://www.crdc.org.cn/) in Chinese RA patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chinese RA patients | Chinese RA patients who used tocilizumab in real world clinical practice |
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| Measure | Description | Time Frame |
|---|---|---|
| Safety endpoints change from baseline to week 52 | Incidence of AEs, SAEs and AESIs with severity determined through use of NCI-CTCAE version 4.03 in full RA population, as well as the causalities between AEs and Tocilizumab. | Baseline, Week 52 |
| Safety endpoints change from baseline to week 52 | Incidence and severity of unexpected AE/ adverse drug reaction(ADR)in RA patients | Baseline, Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of RA patients achieving treatment target measured by DAS28, CDAI, SDAI. | Effectiveness endpoints | Baseline, Week 52 |
| Mean changes from baseline in Health Assessment Questionnaire Disability Index score |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients still on TCZ treatment after treatment initiation. | Exposure endpoints | Baseline, Week 52 |
| Mean dose of tocilizumab | Exposure endpoints |
Inclusion Criteria:
Exclusion Criteria:
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Approximately 2500 participants will be enrolled in this study from Approximately 50 investigational centers in China. The study population will include patients with RA, according to 2010 ACR criteria, in whom the treating physician has made the decision to treat with Tocilizumab. Furthermore, patients must have given their informed consent and must not meet any of the exclusion criteria.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| jiuliang Zhao, MD | Contact | +861069158793 | zjlpumc@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Recruiting | Beijing | Beijing Municipality | 100005 | China |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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Effectiveness endpoints ( It consists of 20 questions referring to 8 component sets. The questionnaire will be scored based on the instructions from the Stanford University Medical Center and higher scores mean a worse outcome).
| Baseline, Week 52 |
| Baseline, Week 52 |
| Mean duration (weeks) of tocilizumab treatment measured by the weeks of continuous tocilizumab administrated, regardless of dose reduction | Exposure endpoints | Baseline, Week 52 |
| Proportion of patients with dose decrease, dose discontinuation (subject stopped Tocilizumab treatment and did not take any administration of tocilizumab till the end of study) and dose interruption and the possible reason. | Exposure endpoints | Baseline, Week 52 |
| Mean dose interval as measured by weeks between tocilizumab infusions. | Exposure endpoints | Baseline, Week 52 |
| Proportion of patients discontinued from tocilizumab for safety and efficacy. | Exposure endpoints | Baseline, Week 52 |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |