ISRCTN ISRCTN56637846
DOI https://doi.org/10.1186/ISRCTN56637846
Secondary identifying numbers N/A
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
17/12/2008
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 D. van Schaardenburg
Scientific

Jan van Breemen Instituut
Dr. Jan van Breemenstraat 2
Amsterdam
1056 AB
Netherlands

Phone +31 (0)20 5896589
Email d.v.schaardenburg@janvanbreemen.nl

Study information

Study designRandomised single blind active controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymSTREAM
Study objectivesAfter 2 years of treatment with a combination of anti-rheumatic drugs including adalimumab with the aim of achieving and maintaining remission in patients with mild arthritis, there is less radiographic progression than in patients treated with usual care.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedPolyarthritis/rheumatoid arthritis
InterventionMethotrexate, in case of insufficient response followed by adalimumab, and then by a combination of methotrexate, sulfasalazine, hydroxychloroquine and prednisone depending on achievement of remission versus usual care according to preference physician.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Adalimumab, methotrexate, sulfasalazine, hydroxychloroquine, prednisone
Primary outcome measureProgression of radiographic damage score after 2 years.
Secondary outcome measures1. Functional capacity
2. Quality of life
3. Disease activity
Overall study start date01/07/2004
Completion date01/07/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80
Key inclusion criteria1. Aged 18+ years
2. Symptom duration less than 3 years
3. Swelling in two to five joints
Key exclusion criteria1. Earlier treatment with disease modifying antirheumatic drugs except hydroychloroquine
2. Prednisone use within 3 months
3. Bacterial arthritis, crystal induced arthritis, reactive arthritis, sarcoidosis, osteoarthritis or systemic autoimmune disease other than rheumatoid arthritis (RA)
4. Pregnancy
5. Erosive disease
Date of first enrolment01/07/2004
Date of final enrolment01/07/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Jan van Breemen Instituut
Amsterdam
1056 AB
Netherlands

Sponsor information

Jan van Breemen Institute (Netherlands)
Research organisation

Dr. Jan van Breemenstraat 2
Amsterdam
1056 AB
Netherlands

Website http://www.janvanbreemen.nl
ROR logo "ROR" https://ror.org/00bp9f906

Funders

Funder type

Industry

Abbott (Netherlands) - study is investigator driven

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan