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WithdrawnNCT01692912PRC-05-2011Updated Apr 7, 2017

Psoriatic Arthritis Treat to Target vs. Usual Care

An interventional study of Intensive Care in Psoriatic Arthritis (PsA), sponsored by Pope Research Corporation. Withdrawn at 4 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-04-07.

Sponsored by Pope Research Corporation · Not applicable, Interventional, and Supportive care

Why this study was withdrawn
no enrollment
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Canadian Rheumatologists will be randomized to treat their participants with active Psoriatic Arthritis to a target (disease activity score \<2.6), or as per their routine care. The aim of this study is to determine whether treating to a target results in greater disease improvement than treating patients using routine care.

Read the detailed description

Canadian Rheumatologists will be randomized to treat their participants with active Psoriatic Arthritis to a target (disease activity score \<2.6), or as per their routine care. The aim of this study is to determine whether treating to a target results in greater disease improvement than treating patients using routine care.

02

Conditions studied

  • Psoriatic Arthritis (PsA)

Keywords

  • Psoriatic Arthritis
  • Randomized
  • Single blind
  • Treat to target
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In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 318 are open to participants now.

Browse Arthritis studies →

Lead sponsor

Pope Research Corporation is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Psoriatic Arthritis as diagnosed by a rheumatologist and meeting ACR classification criteria for PsA or CASPAR criteria
  • The subject must provide written informed consent for participation in the study before any study specific procedures are performed
  • Subject has 3 or more SJC on 28 joint count
  • Age >=18

Exclusion criteria

Exclusion Criteria:

  • Subject has a history of being non-compliant
  • Serious concomitant illnesses that in the investigator's opinion negate ability to optimally treat the patient
  • If treating with TNF inhibitor, positive PPD > 5mm who have not received INH for recommended course or untreated TB (ie CXR evidence of latent infection). Usual screening is in place for standard of care.
  • Pregnancy, breast-feeding or considering pregnancy over the next 12 months
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Intensive Care (IC)

    Rheumatologists treating to target of DAS28\<2.6

    Other: Intensive Care

  • No intervention
    Routine Care (RC)

    Participants treated in the routine manner by their rheumatologist (not treated to the target of DAS28\<2.6)

Interventions

  • OtherIntensive Care

    Rheumatologist aims to treat participant in order to achieve a disease activity score improvement of DAS28\<2.6

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What researchers measure

Primary outcomes

  1. Percentage of patients achieving low DAS

    The primary outcome measure will be the percentage of patients achieving low Disease Activity Score (DAS\<2.6) in each patient group (Intensive Care vs. Routine Care) at the end of the study.

    Time frame: Month 9 Visit

Secondary outcomes

  1. Time to achieving DAS28<2.6

    Compares the effectiveness of Intensive Care and Routine Care groups, as measured by the time to achieving target of DAS28\<2.6

    Time frame: Month 3 Visit, Month 6 Visit, and Month 9 Visit

  2. Absolute change in DAS28

    To compare the effectiveness of Intensive Care and Routine Care in improving the patient DAS28.

    Time frame: Month 3 Visit, Month 6 Visit, Month 9 Visit

  3. Percentage of Patients achieving ACR 20, 50, and 70

    ACR 20/50/70 defined as: * 20%, 50%, or 70% reduction in tender joint count, and * 20%, 50%, or 70% reduction in swollen joint count, and * a 20%, 50%, or 70% reduction in 3 of the following 5 measures: * Patient and physician global assessments (VAS) * Patient pain score (VAS) * HAQ-DI * ESR or CRP

    Time frame: Month 3 Visit, Month 6 Visit, Month 9 Visit

  4. Percentage of patients achieving PsARC

    PsARC defined as improvement in at least 2 of the 4 following measures, one of which must be joint swelling or tenderness, and no worsening in any of the 4 measures: * MDGA (0-5 point scale): reduction by 1 point. * PGA (0-5 point scale): reduction by 1 point. * TJC (76 or 68): reduction by \>=30%. * SJC (76 or 68): reduction by \>=30%.

    Time frame: Month 3 Visit, Month 6 Visit, Month 9 Visit

  5. Absolute change in HAQ-DI

    HAQ-DI is a self-administered questionnaire using the patient's functional ability during the last week. It consists of 20 items converging to 8 scales measuring dressing and grooming, arising, eating, walking, hygiene, reach, grip and common daily activities. The patients rate each activity as 0 = without any difficulty, 1 = some difficulty, 2 = much difficulty and 4 = unable. The final score ranges from 0 to 3 with higher scores indicating more disability.

    Time frame: Month 3 Visit, Month 6 Visit, Month 9 Visit

07

Study locations

4 sites
  • Pope Research Corp., 68 Green Acres Drive
    London, Ontario N6G 2S3, Canada
  • The Arthritis Program Research Group
    Newmarket, Ontario, Canada
  • Arthur Karasik
    Toronto, Ontario M9C 5N2, Canada
  • Institut de Rheumatologie de Montreal
    Montreal, Quebec H2L 1S6, Canada
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01692912
Lead sponsor
Pope Research Corporation
Collaborators
Amgen
Responsible party
Sponsor
First posted
Sep 25, 2012
Start date
Oct 2012
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Apr 7, 2017

Study contacts

Janet E. Pope, MD, MPH, FRCPC
principal investigator · Pope Research Corp., University of Western Ontario, St. Joseph's Health Care London

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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