NCT05092984 Evaluation of Spironolactone Efficacy in Patient with Rheumatoid Arthritis (RA)

Eligibility & Interventions

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

Phase 3 trials are large pivotal studies comparing the treatment to current standard of care or placebo. Your participation directly contributes to the evidence needed for regulatory approval.

This trial targets 154 participants in total. It began in 2022-06-22 with a primary completion date of 2026-03.

Brief Summary

Evaluation of spironolactone, a well-known cardiological treatment, in patients with rheumatoid arthritis (RA). The hypothesis is that spironolactone, through its anti-inflammatory and anti-fibrosis actions, decreases RA's activity. The primary objective is to assess the efficacy of spironolactone on RA activity by evaluating the proportion of patients achieving DAS28-CRP \< 3.2 at 3 months (comparison between spironolactone and placebo arms). CRP (C reactive protein)

Eligibility Criteria

Inclusion Criteria: * patients 18 years of age and over * diagnosis of RA according to EULAR/ACR 2010 classification criteria * active RA: DAS28-CRP ≥ 3.2 * insufficient response despite a stable DMARD treatment (cDMARD/tsDMARD(targeted synthetic DMARD)/bDMARD) ≥ 12 weeks * stable dose of corticosteroids for at least 4 weeks prior to inclusion * patient able to understand the objectives and risks of the study and to provide a written informed consent to participate in the study, dated and signed before initiating any trial-related procedure * patient having been informed about the results of the preliminary medical visit * if woman of childbearing, they should have no desire to procreate for the duration of their participation in the study, agreeing to use an effective contraception method\* during the study and until 5 days following the last visit or last dose of treatment in case of early stop; acceptable birth control methods: * progestogen-only oral hormonal contraception, where inhibition of ovulation is not the primary mode of action * male or female condom with or without spermicide\* * cap, diaphragm or sponge with spermicide\* * a combination of male condom with either cap, diaphragm or sponge with spermicide (double barrier methods) are also considered acceptable, but not highly effective, birth control methods * affiliation to a social security regime Exclusion Criteria: * severe or acute renal insufficiency, defined by eGFR \< 30 mL/min * hyperkalemia, with K+ \> 5,1 mmol/L * end-stage liver failure, cirrhosis * hypersensitivity to the active ingredients or intolerance to any of the excipients including lactose * Addison's disease * patient currently being treated with spironolactone, or previous spironolactone treatment in the last 3 months * concomitant treatment with: * mitotane, * other potassium-sparing diuretics (alone or in combination) such as amiloride, potassium canrenoate, eplerenone, triamterene * other inflammatory arthritis except associated Sjögren's syndrome * pregnancy (women of childbearing potential : positive blood pregnancy test at the inclusion visit (V0)) * breastfeeding * participation in a clinical study with an investigational product within 4 weeks prior to the start of the study treatment or still under the exclusion period * unwillingness or incapacity to adhere to study protocol (language barriers, cognitive disorders, etc.). * subjects who are compulsorily detained for treatment of either a psychiatric or physical (e.g., infectious disease) illness. * patient who cannot be followed for 6 months * patient over the age of legal majority who are protected, or deprived of liberty by judicial or administrative decision (vulnerable subjects)

Contact & Investigator

Frequently Asked Questions

Related Trials

Related Intelligence Guides

In-depth guides covering this condition's trials, eligibility, and what to expect.