TOward the Lowest Effective DOse of Abatacept or Tocilizumab
Summary
Ever since the biotherapy agents have entered the market, the recommended therapeutic objective in Rheumatoid arthritis, has been remission. Once obtained, it is advised to try to reduce or cease these biotherapy agents, for which, their efficacy is counterbalanced to their tolerance in the medium and long term as well as their high price. Nevertheless, we do not dispose considerable data on the risks of relapse or structural progression during such a step down strategy. A few studies on anti-TNF agents have shown the possibility of such therapy reduction. A national study, " STRASS ", coordinated by Bruno FAUTREL, has evaluated the possibility of spacing or even stopping the injections of anti-TNF(s). To date, no data concerning Abatacept or Tocilizumab has been published. As the expected result, this study is aimed to test the feasibility of a step down strategy on 2 biological agents, Abatacept and Tocilizumab, in RA patients in remission.
Timeline
- Start
- 2012-04
- Primary completion
- 2019-11-08
- Completion
- 2019-11-08
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | Abatacept | Other / unclassified | 125 mg | Intravenous |
| Comparator | Abatacept | Other / unclassified | 500 mg | Intravenous |
| Comparator | Abatacept | Other / unclassified | 1000 mg | Intravenous |
| Comparator | Tocilizumab | Monoclonal antibody | 4 mg/kg | Intravenous |
| Comparator | Tocilizumab | Monoclonal antibody | 8 mg/kg | Intravenous |
| Comparator | Tocilizumab | Monoclonal antibody | 162 mg | Intravenous |