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CTRI Number  CTRI/2024/09/073987 [Registered on: 17/09/2024] Trial Registered Prospectively
Last Modified On: 12/09/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   A real world evidence study 
Study Design  Other 
Public Title of Study   A prospective study across 10 centers to evaluate persistence on treatment with advanced therapies in rheumatoid arthritis management in routine clinical practice.  
Scientific Title of Study   A multicenter evaluation of the treatment persistence of advanced therapies (Biological disease-modifying agents and Targeted synthetic Disease Modifying Anti-Rheumatic Drugs) in the treatment of rheumatoid arthritis (RA): A Real World Evidence (RWE) study from India. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
A3921433, Version 2.0 Dated 26 January 2024.   Protocol Number 
EUPAS103727  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amod Tilak 
Designation  Medical Advisor  
Affiliation  Pfizer Limited 
Address  The Capital Plot No. C, The Capital, 1802, 18th Floor, 70, G Block Rd, Bandra Kurla Complex, Bandra East,

Mumbai
MAHARASHTRA
400051
India 
Phone    
Fax    
Email  amodmadhav.tilak@pfizer.com  
 
Details of Contact Person
Scientific Query
 
Name  Amod Tilak 
Designation  Medical Advisor  
Affiliation  Pfizer Limited 
Address  The Capital Plot No. C, The Capital, 1802, 18th Floor, 70, G Block Rd, Bandra Kurla Complex, Bandra East,

Mumbai
MAHARASHTRA
400051
India 
Phone  18008793477  
Fax    
Email  amodmadhav.tilak@pfizer.com  
 
Details of Contact Person
Public Query
 
Name  Amod Tilak 
Designation  Medical Advisor  
Affiliation  Pfizer Limited 
Address  The Capital Plot No. C, The Capital, 1802, 18th Floor, 70, G Block Rd, Bandra Kurla Complex, Bandra East,


MAHARASHTRA
400051
India 
Phone  18008793477  
Fax    
Email  amodmadhav.tilak@pfizer.com  
 
Source of Monetary or Material Support  
Pfizer Limited, The Capital Address: Plot No. C, The Capital, 1802, 18th Floor, 70, G Block Rd, Bandra Kurla Complex, Bandra East, Mumbai, Maharashtra 400051 
 
Primary Sponsor  
Name  Pfizer Limited 
Address  The Capital Address: Plot No. C, The Capital, 1802, 18th Floor, 70, G Block Rd, Bandra Kurla Complex, Bandra East, Mumbai, Maharashtra 400051 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Arghya Chattopadhyaya  Asian Institute of Immunology and Rheumatology  111, PRE. NO-4, Smart Workspace, CBD, 0378, Action Area, New Town, 700156
Kolkata
WEST BENGAL 
8777485459

dr.a.chattopadhyay@gmail.com 
Dr Arvind Chopra  Center for Rheumatic Diseases  Hermes Doctor House, Center for Rheumatic Diseases, 11 Hermes Elegance, 1988, Convent Street, Camp, 411001
Pune
MAHARASHTRA 
9822039297

arvindchopra60@hotmail.com 
Dr A K Khan  Centre for Rheumatic Diseases and Regenerative Clinical Medicine  Arthritis and rheumatology Clinic, Prime Clinics, Gole Market, Shergarhi, Karan Nagar,190010
Srinagar
JAMMU & KASHMIR 
9419000636

akkhan1234@yahoo.com 
Dr Atanu Pal  Institute Of Post Graduate Medical Education & Research, SSKM Hospital  Department of Nephrology, Institute Of Post Graduate Medical Education & Research, SSKM Hospital, Bhowanipore,700020
Kolkata
WEST BENGAL 
9433121697

dratanupal@gmail.com 
Dr Sakir Ahmed  Kalinga Institute of Medical Sciences  Dept of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT road, Bhubaneswar, 751024
Khordha
ORISSA 
9706023644

sakir005@gmail.com 
Dr Shashank Akerkar  Mumbai Arthritis Clinic and Research Center  Shop 15-16, Mayuresh Srishti Complex, Bhandup, Rajiv Gandhi Nagar
Mumbai
MAHARASHTRA 
9987027842

mumbaiarthritisclinic@gmail.com 
Dr Firdous Fathima  Olive Hospital- Hyderabad, TG, AB Rheumatology centre  5-9-1032/2, Bhartiya Vidya Bhavan Road Gun Foundry, Bhasheer Bagh, mosque Lane, Behind Bahar café, Hyderguda,500029
Hyderabad
TELANGANA 
7794848588

firdaus674@yahoo.com 
Dr Sharath Kumar  Optima Arthritis and rheumatology clinic  No. 9, 187, 1st Main Rd, behind Mahalakshmi METRO station, Mahalakshmipuram Layout, Mahalakshmi Layout,560086
Bangalore
KARNATAKA 
9663654655

arthritisdoctor.in@gmail.com 
Dr Deepti Challa  Sri Deepti Rheumatology Center  6-2-45/8, P & T Officers Colony, Chintal, 500004 
Hyderabad
TELANGANA 
7794848588

dipsrao@gmail.com 
Dr M Hema  Stanley Medical College  Department of Rheumatology, 6th Floor, Stanley Medical College, Chennai, Tamilnadu, No.1, Old Jail Road,600 001
Chennai
TAMIL NADU 
9094827988

drhema.28@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Centre for Rheumatic Diseases and Regenerative Clinical Medicine  Submittted/Under Review 
CLINIMED INDEPENDENT ETHICS COMMITTEE  Approved 
CLINIMED INDEPENDENT ETHICS COMMITTEE  Approved 
Ethics Committee Inamdar Multispeciality Hospital   Submittted/Under Review 
Gurushree Hitech multispeciality hospital  Approved 
Independent Ethics Committee - Shubhdisha Business Solutions  Approved 
Independent Ethics Committee -  Shubhdisha Business Solutions  Approved 
Kalinga Institute of Medical Sciences  Approved 
Stanley Medical College  Submittted/Under Review 
Suraksha Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M069||Rheumatoid arthritis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NON-INTERVENTIONAL STUDY  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients aged 18 years and over diagnosed with RA eligible for treatment with advanced therapies (bDMARDs as well as tsDMARDs)
2. Agree to a minimum of 3 follow up visits with the rheumatologist.
3. Evidence of a personally signed and dated informed consent document indicating that the patient (or a legally acceptable representative) has been informed of all pertinent aspects of the study. 
 
ExclusionCriteria 
Details  1. Patients not willing to sign the informed consent document
2. Patients not willing to follow up for a duration of 1 year
3. Participation in a clinical trial during the past 6 months before enrolment into the study
4. Patients on therapy with bDMARDs/tsDMARDs for over 3 months. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Evaluate the treatment persistence/drug survival in patients on the advanced therapies
for rheumatoid arthritis. 
1 year 
 
Secondary Outcome  
Outcome  TimePoints 
To study the effectiveness parameters as per the routine clinical practice and understand the real-world practice towards management of rheumatological disorders (DAS 28 scores, HAQ-DI scores or any other routine parameters evaluated).
Record the adverse events including serious adverse events, non-serious adverse events while on treatment during the study inclusion.
To study patient factors, disease factors or other determinants for treatment switch and time to first and subsequent switch to advanced therapies.
Understand the use of branded and generic Tofacitinib in treatment of RA and persistence on the innovator versus the generic brands of Tofacitinib in India.
Evaluation of the reduction in the need for concomitant therapies like NSAIDs, corticosteroids.
Demographic characteristics of patients enrolled in the study. 
1 year 
 
Target Sample Size   Total Sample Size="225"
Sample Size from India="225" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   23/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
The aim of this study is to define treatment persistence, the parameters to change the therapy, the prescribing patterns of advanced therapies and to evaluate the effectiveness and safety of persistence of these therapies in the management of rheumatoid arthritis in a real world setting.
 
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