Rheumatoid arthritis (RA) is a complex and multifactorial autoimmune disease. The biological treatments that are currently available for the treatment of RA are the TNF-alpha inhibitors. Tumor necrosis factor (TNF) is a dominant cytokine in the inflammatory process of rheumatoid arthritis. The anti-TNFs were the first to enter the market, and they revolutionised the prognoses of patients with RA. They remain the most common first-line biotherapy and are the most used at this time. The French Society of Rheumatologists intends to coordinate a prospective national registry study for this follow-up. This registry will include 1500 RA patients from the start of treatment with anti-TNF-α and then followed for 5 years, regardless of the therapeutic modifications occurring thereafter. This registry is an observational, multicentre, longitudinal, prospective registry study The objectives of this registry is to contribute 1) to evaluate the therapeutic management of patients; and 2) to improve this therapeutic management.

Population

Target population : Patients with rheumatoid arthritis initiating anti-TNF therapy, whatever the treatment line

Brief Title

French National Registry: ART REGISTRY (Observational Study)

Official Title

"ART REGISTRY : Rheumatoid Arthritis and Anti-TNF"

Brief Summary

Rheumatoid arthritis (RA) is a complex and multifactorial autoimmune disease. The biological<br /> treatments that are currently available for the treatment of RA are the TNF-alpha inhibitors.<br /> Tumor necrosis factor (TNF) is a dominant cytokine in the inflammatory process of rheumatoid<br /> arthritis. The anti-TNFs were the first to enter the market, and they revolutionised the<br /> prognoses of patients with RA. They remain the most common first-line biotherapy and are the<br /> most used at this time.<br /><br /> The French Society of Rheumatologists intends to coordinate a prospective national registry<br /> study for this follow-up.<br /><br /> This registry will include 1500 RA patients from the start of treatment with anti-TNF-α and<br /> then followed for 5 years, regardless of the therapeutic modifications occurring thereafter.<br /><br /> This registry is an observational, multicentre, longitudinal, prospective registry study The<br /> objectives of this registry is to contribute 1) to evaluate the therapeutic management of<br /> patients; and 2) to improve this therapeutic management.

Detailed Description

Design: Observational, multicentre, longitudinal, prospective registry Primary objective: To
evaluate the real life efficacy and safety of anti-TNF inhibitors in patients with RA using a
prospective national registry.

Target population: Patients initiating anti-TNF therapy for RA (including infliximab,
adalimumab, etanercept, certolizumab and golimumab, and their respective biosimilar according
to their arrival on the market) Number of patients and centres : More than 80 centers in
France (hospital-based, public and private practice) Recruitment period: 3 years Follow-up: 5
years

Outcome Measures

Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.

Inclusion Criteria:

  -  Adult patients with RA,

  -  Patient in whom the specialist physician decides to start treatment with an anti-TNF
     drug, regardless of the treatment line and regardless of the anti-TNF, including
     infliximab, adalimumab, etanercept, certolizumab and golimumab, and their respective
     biosimilar according to their arrival on the market

  -  Clinicians (hospital-based and private practice) who agree to adhere to the yearly
     renewal of the hospital prescription

Exclusion Criteria:

  -  Patient already treated by the same anti-TNF in the past (same drug).