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Clinical Trial on the Efficacy of Raloxifene on Disease Activity in Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Raloxifene hydrochloride
Placebo Oral Tablet
Sponsored by
Sara Saeidi Shahri
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Rheumatoid arthritis, Raloxifene, Disease activity

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients are postmenopausal women.
  • Patients should fit at least 4 criteria of ACR-1987 criteria for rheumatoid arthritis.
  • Patients should be in range of 2.5 <DAS28-ESR <5.5

Exclusion Criteria:

  • Patients with history of thrombotic events
  • Patients suffering from another rheumatic diseases simultaneously
  • Patients with sever symptoms of menopause
  • Patients with known psychological diseases

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    Evista

    Placebo

    Arm Description

    20 postmenopausal women suffering from rheumatoid arthritis that take raloxifene hydrochloride 60 mg oral tablets every day for one year.

    20 postmenopausal women suffering from rheumatoid arthritis that take placebo pills every day for one year.

    Outcomes

    Primary Outcome Measures

    Evaluation of DAS-28 criteria
    Assessing of complications

    Secondary Outcome Measures

    DAS-28 criteria
    Complications
    EULAR criteria
    HAQ-DI criteria
    Assessing of Bone Marrow Density score

    Full Information

    First Posted
    December 1, 2016
    Last Updated
    December 1, 2021
    Sponsor
    Sara Saeidi Shahri
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02982083
    Brief Title
    Clinical Trial on the Efficacy of Raloxifene on Disease Activity in Rheumatoid Arthritis
    Official Title
    Clinical Trial on the Efficacy of Raloxifene on Disease Activity and Glucocorticoid-induced Osteoporosis in Postmenopausal Women With Rheumatoid Arthritis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2021
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2015 (Actual)
    Primary Completion Date
    December 2019 (Actual)
    Study Completion Date
    September 2020 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Sara Saeidi Shahri

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The investigators select 40 postmenopausal women suffering from RA with 2.5<DAS28<5.5 referring to rheumatology clinics of Mashhad university of medical sciences and randomly divide them into intervention group and placebo group. Evista tab 60mg/day and placebo are administered double blind. In the beginning, total bone mineral density (BMD) assessment is carried out from all patients and then Alendronate is discontinued in 2 groups. In first 3 months, in addition to Evista and placebo, MTX tab 2.5mg is given to patients and they are allowed to consume NSAID with accurate record of its dosage. Patients visit rheumatologist monthly in these 3 months and NSAID should be discontinued 48 hours before every visit. At the end of month 3, disease activity and probable complications are evaluated and compared in 2 groups. Classic regimen should be started for every patient who doesn't enter remission phase in first 3 months. In 4th month, DMARD regimen is administered and then patients are visited every 2 months. Clinical findings are collected in month 0, 1, 2, 3, 6, 8, 10, 12. After 12 months, another total BMD test is carried out and then data are analyzed including changes in BMD, DAS28, EULAR response criteria and HAQ-DI score.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rheumatoid Arthritis
    Keywords
    Rheumatoid arthritis, Raloxifene, Disease activity

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare Provider
    Allocation
    Randomized
    Enrollment
    34 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Evista
    Arm Type
    Active Comparator
    Arm Description
    20 postmenopausal women suffering from rheumatoid arthritis that take raloxifene hydrochloride 60 mg oral tablets every day for one year.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    20 postmenopausal women suffering from rheumatoid arthritis that take placebo pills every day for one year.
    Intervention Type
    Drug
    Intervention Name(s)
    Raloxifene hydrochloride
    Other Intervention Name(s)
    Evista
    Intervention Description
    20 patients consume raloxifene hydrochloride oral tablet daily for one year.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Oral Tablet
    Intervention Description
    20 patients consume placebo oral tablets daily for one year.
    Primary Outcome Measure Information:
    Title
    Evaluation of DAS-28 criteria
    Time Frame
    3 months
    Title
    Assessing of complications
    Time Frame
    3 months
    Secondary Outcome Measure Information:
    Title
    DAS-28 criteria
    Time Frame
    12 months
    Title
    Complications
    Time Frame
    12 months
    Title
    EULAR criteria
    Time Frame
    12 months
    Title
    HAQ-DI criteria
    Time Frame
    12 months
    Title
    Assessing of Bone Marrow Density score
    Time Frame
    12 months

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients are postmenopausal women. Patients should fit at least 4 criteria of ACR-1987 criteria for rheumatoid arthritis. Patients should be in range of 2.5 <DAS28-ESR <5.5 Exclusion Criteria: Patients with history of thrombotic events Patients suffering from another rheumatic diseases simultaneously Patients with sever symptoms of menopause Patients with known psychological diseases
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Maryam Sahebari, Professor
    Organizational Affiliation
    Mashhad University of Medical Sciences
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Clinical Trial on the Efficacy of Raloxifene on Disease Activity in Rheumatoid Arthritis

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