ISRCTN ISRCTN30714266
DOI https://doi.org/10.1186/ISRCTN30714266
Protocol serial number TRALIS001
Sponsor Addenbrooke's NHS Foundation Trust (UK)
Funders The Evelyn Trust, Cambridge Arthritis Research Endeavour (registered charity number: 802862)
Submission date
19/12/2005
Registration date
05/04/2006
Last edited
14/06/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Frances Hall
Scientific

Box 157
Department of Clinical Medicine
Addenbrooke's Hospital
Cambridge
CB2 2QQ
United Kingdom

Study information

Primary study designInterventional
Study designRandomised double-blind placebo-controlled dual-arm study
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleTrial in Rheumatoid Arthritis of Lisinopril
Study acronymTRALIS
Study objectivesThat the angiotensin converting enzyme (ACE) inhibitor, lisinopril will:
1. Reduce rheumatoid disease activity
2. Improve vascular correlates of active rheumatoid arthritis
Ethics approval(s)Trent Multicentre Research Ethics Committee, 01/02/2006, ref: 05/MRE04/93
Health condition(s) or problem(s) studiedRheumatoid arthritis
InterventionTreatment with lisinopril 20 mg once daily versus placebo
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Lisinopril
Primary outcome measure(s)

Rheumatoid disease activity score 28 (DAS28)

Key secondary outcome measure(s)

1. Swollen joint count
2. Flow-mediated dilatation (FMD)
3. Aortic pulse wave velocity (PWV)
4. Aortic augmentation index (AIx)
5. High sensitivity C-reactive protein
6. Serum cartilage oligomeric matrix protein (marker of cartilage breakdown)
7. Serum soluble intercellular adhesion molecule (ICAM-1) (marker of endothelial activation)

Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration200
Key inclusion criteria1. Age ≥18 years and ≤80 years
2. Diagnosis of rheumatoid arthritis
3. Stable dose of disease-modifying anti-rheumatic drug (DMARD) (conventional or biological) over one month preceding the trial
4. Residual disease activity - disease activity score 28 (DAS28) >3.5
5. Use of adequate contraception in females of child-bearing potential
Key exclusion criteria1. Major surgery within six weeks
2. Other systemic inflammatory diseases or inflammatory arthritis (e.g. systemic lupus erythematosus [SLE], scleroderma, vasculitis, spondyloarthropathy, crystal arthropathy)
3. Functional class IV unable to mobilise without assistance from another individual or wheelchair-user
4. Treatment with another investigational agent within four weeks
5. Intra-articular or parenteral corticosteroids within four weeks of screening visit
6. Chronic use of corticosteroid >7.5 mg prednisolone (or equivalent)
7. Variation in dose of corticosteroid <7.5 mg prednisolone (or equivalent) in one month prior to screening visit
8. Current use of ACE inhibitor or angiotensin receptor blocker
9. Allergy to ACE inhibitor or angiotensin receptor blocker
10. Blood pressure (BP) ≤100/60; BP ≥180/100
11. Left ventricular failure
12. Major infective episode requiring hospitalisation or treatment with intravenous (IV) antibiotics within four weeks of screening or oral antibiotics within two weeks prior to screening
13. Current solid organ or haematological malignancy
14. Pregnancy or breastfeeding
15. Renal impairment with estimated creatinine clearance of <50 ml/min
16. Aspartate aminotranferase (AST) and alanine aminotransferase (ALT) AST/ALT >100 IU/l
17. Neutrophils <2.0 x 10^9/l, platelets <100 x 10^9/l, haemoglobin <10 g/dl
18. Known lactose intolerance
Date of first enrolment23/01/2006
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Addenbrooke's Hospital
Cambridge
CB2 2QQ
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

14/06/2017: No publications found in PubMed, verifying study status with principal investigator.