This nationwide, multicenter, single arm, prospective, non-interventional study will evaluate the quantitative pattern of NSAID use and the impact of treatment with tocilizumab on NSAID use in a representative cohort of participant with moderate to severe active RA who have either responded inadequately to, or who were intolerant to previous therapy with one or more synthetic disease modifying anti-rheumatic drug (sDMARD), and for whom the physician has made the individual decision to initiate tocilizumab (subcutaneous \[SC\] or intravenous \[IV\]) as first biological disease modifying anti-rheumatic drug (DMARD) therapy according to the summary of product characteristics (SPC).
Study Type
OBSERVATIONAL
Enrollment
135
Tocilizumab (SC or IV) will be prescribed according to local clinical practice and the SPC.
Participants may receive NSAIDs, as prescribed by the treating physician or by self medication. Study protocol does not enforce any particular NSAID.
Rheumazentrum Kupka
Altenburg, Germany
Praxis für Rheumatologie.
Amberg, Germany
Kerckhoff-Klinik; Rheumatologie&klin.Immunologie
Bad Nauheim, Germany
Charité Campus Mitte, Med.Klinik, Rheumatologie und Klinische Immunologie
Berlin, Germany
Praxis für Innere Medizin - Rheumatologie
Berlin, Germany
Rheuma Praxis Berlin Sven Remstedt
Berlin, Germany
Praxis Dr. Silke Zinke
Berlin, Germany
Schwerpunktpraxis für Rheumatologie und klinische Immunologie an den Kreiskliniken
Burghausen, Germany
Universitätsklinikum "Carl Gustav Carus"; Medizinische Klinik III
Dresden, Germany
Praxis Dr. med. Semmler; Facharzt für Innere Medizin
Güstrow, Germany
...and 17 more locations
Amount of NSAIDs Used During 14 Days Prior to First Tocilizumab Administration
Time frame: Day -14 to Day 0 (Baseline)
Amount of NSAIDs Used During 14 Days After 6-8 Weeks of Tocilizumab Administration
Time frame: 14 days after 6-8 weeks of tocilizumab administration
Amount of NSAIDs Used During 14 Days After 12-16 Weeks of Tocilizumab Administration
Time frame: 14 days after 12-16 weeks of tocilizumab administration
Percentage of Participants by NSAIDs Dose Categories (Low-Dose and High-Dose) During 14 Days Prior to First Tocilizumab Administration
NSAIDs high-dose refers to mean defined daily dose (DDD) greater than (\>) 100 percent (%) and low-dose refers to mean DDD lesser than or equal to (\</=) 100%.
Time frame: Day -14 to Day 0 (Baseline)
Percentage of Participants by NSAIDs Dose Categories (Low-Dose and High-Dose) During 14 Days After 6-8 Weeks of Tocilizumab Administration
NSAIDs high-dose refers to mean DDD \>100% and low-dose refers to mean DDD \</=100%.
Time frame: 14 days after 6-8 weeks of tocilizumab administration
Percentage of Participants by NSAIDs Dose Categories (Low-Dose and High-Dose) During 14 Days After 12-16 Weeks of Tocilizumab Administration
NSAIDs high-dose refers to mean DDD \>100% and low-dose refers to mean DDD \</=100%.
Time frame: 14 days after 12-16 weeks of tocilizumab administration
Percentage of Participants Who Take NSAIDs
Time frame: Day -14 up to approximately Day 126
Average Daily Dose of NSAIDs
Time frame: Day -14 up to approximately Day 126
Percentage of Participants Who Take NSAIDs Despite the Presence of Contraindications and Risk Factors
Time frame: Day -14 up to approximately Day 126
Percentage of Participants Who do not Take Gastro-Protection (Proton-Pump Inhibitors [PPIs]) While Using NSAIDs
Time frame: Day -14 up to approximately Day 126
Percentage of NSAID-Prescribers
Time frame: Day -14 up to approximately Day 126
Percentage of NSAID Self-Medication
Time frame: Day -14 up to approximately Day 126
Percentage of Participants Using NSAIDs by Disease Activity
Time frame: Day -14 up to approximately Day 126
Percentage of Participants Using NSAIDs by Disease Duration
Time frame: Day -14 up to approximately Day 126
Percentage of Participants Using NSAIDs by Health Assessment Questionnaire-Disability Index (HAQ-DI) Score
Time frame: Day -14 up to approximately Day 126
HAQ-DI Score
Time frame: Screening (up to 28 days prior to first tocilizumab administration); Day 0 (Baseline); Weeks 6-8; Weeks 12-16
Disease Activity Score Based on 28 Joints (DAS28)
Time frame: Screening (up to 28 days prior to first tocilizumab administration); Day 0 (Baseline); Weeks 6-8; Weeks 12-16
Clinical Disease Activity Index (CDAI) Score
Time frame: Screening (up to 28 days prior to first tocilizumab administration); Day 0 (Baseline); Weeks 6-8; Weeks 12-16
Simplified Disease Activity Index (SDAI) Score
Time frame: Screening (up to 28 days prior to first tocilizumab administration); Day 0 (Baseline); Weeks 6-8; Weeks 12-16
Percentage of Participants With Adverse Events (AEs)
Time frame: From Baseline up to approximately Week 28
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