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Use of Acthar in Rheumatoid Arthritis (RA) Related Flares
Plain-language guide to NCT02541955: phase 4 randomized trial of ACTH (Corticotropin), rheumatoid arthritis, 40 participants. Who took part, design and what was measured.
Key Facts
- Registry ID
- NCT02541955
- Phase
- phase 4
- Status
- completed
- Start
- 2017-07-20
- Completion (planned or actual)
- 2025-05-06
- Participants
- 40 (actual)
- Design
- randomized, open label (everyone knows who gets what), diagnostic
- Conditions studied
- Rheumatoid Arthritis (RA)
- Results posted
- yes
What This Study Did, in Plain Language
What Was Tested
The trial (phase 4) is built around ACTH (Corticotropin) for rheumatoid arthritis.
This is a Rheumatoid Arthritis (RA) study.
It had two arms (groups): one (active comparator) and one (active comparator).
The registry classes the interventions as drug.
More on the Plan
Both arms will be taking the drug for 4 weeks.
Each participant will be coming back for visits at 2 weeks, 1 month and 3 months after the initial baseline visit.
During these visits the following information will be collected: MSUS of joints, DAS28, and Health Assessment Questionnaire-Disability Index (HAQ-DI).
Participants will also be asked to fill out a questionnaire about their health status.
Who Took Part
The registry lists 40 actual participants took part.
It was open to people of any sex aged from 18 years with no upper age limit.
Healthy volunteers were not accepted; participants needed the condition being studied.
Examples of who could join: Patient must meet 1987 ACR criteria. Age \> 18 years of age. Baseline DAS28/Erythrocyte Sedimentation Rate (ESR) \>=3.2. Stable concomitant Disease Modifying Anti-Rheumatic Drugs (DMARDs). Power Doppler score of \>=10.
The full record lists 6 inclusion and 3 exclusion criteria; among the exclusions: prior treatment with acthar in the past 2mos; meet one of the above ra flare requirements.
How the Study Was Run
The set-up was randomized, parallel-group and open-label.
The rheumatoid arthritis participants were allocated by chance, so the ACTH (Corticotropin) group and the comparison group should start out alike.
Groups ran in parallel: each of the rheumatoid arthritis participants stayed in one arm throughout.
Being open-label, the ACTH (Corticotropin) study did not mask who received what.
It started in 2017-07-20 with completion listed for 2025-05-06.
It ran at 1 site in United States.
Its stated primary purpose is diagnostic.
What Was Measured
The main thing measured (primary outcome): DAS28 (time frame: Baseline to 4 Weeks). Power Doppler Ultrasound Score (time frame: Baseline to 4 Weeks).
It also tracked 2 secondary outcomes, for example Ultrasound Grey Scale Synovial Hypertrophy Score and HAQ-DI.
What This Means in Plain Language
Put simply, this is a phase 4, randomized trial of ACTH (Corticotropin) in 40 people with rheumatoid arthritis.
The trial is marked completed; results are posted on the registry, and this page does not restate them.
More context: the ACTH (Corticotropin) compound page, Rheumatoid arthritis research.
Our Notes on the Compound
ACTH (Corticotropin): The 39-amino-acid pituitary hormone that drives cortisol production; given as repository corticotropin (Acthar Gel).
Related Pages
Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.