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Rheumatoid ArthritisSIC2NCT05424926

Sub-cutaneous Infliximab in Inflammatory Rheumatic Disease

An observational study of Rheumatoid Arthritis and Spondyloarthritis, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

TNFα inhibitors have revolutionized the management of patients suffering from inflammatory diseases in the field of rheumatology. Infliximab remains widely used in France, and infliximab biosimilars have been routinely used since 2015 in Cochin Hospital with an interchangeability strategy validated by two real life… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
collection of clinical parameters and blood sample
How many people
22 participants
Where
1 siteFrance
Study dates
24 Feb 2023to 16 Dec 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Adult, Older adult

Study population: Primary care clinic

Who may be able to join

  • Patients aged 18 or older
  • Patients who has received at least 3 IV infliximab infusions and suffer from chronic inflammatory rheumatic condition
  • Absence of disease flare / progressive disease preventing the continuation of infliximab
  • Patient affiliated to national insurance

Who cannot join

  • Any patient whose doctor considers that he will not be able to comply with the obligations of the trial
  • Patients under curatorship or tutorship
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

France1 site
  • Rheumatology Department, Cochin Hospital

    Paris, IDF, 75014

Other trials in France

About this study

Official title: Switch From Intravenous to Subcutaneous Infliximab (REMSIMA®) in Clinical Practice in the Rheumatology Department of Cochin Hospital

TNFα inhibitors have revolutionized the management of patients suffering from inflammatory diseases in the field of rheumatology. Infliximab remains widely used in France, and infliximab biosimilars have been routinely used since 2015 in Cochin Hospital with an interchangeability strategy validated by two real life studies. REMSIMA® 120 mg is the first authorized subcutaneous (SC) form of infliximab to be administered at a fixed dose of 120 mg every 2 weeks. Scarce information is available regarding the safety and efficacy of proposing a switch from IV infliximab to SC REMSIMA® in the subsets of patients suffering from different rheumatic diseases in daily care. The primary objective of the SIC2 study will be determine the retention rate of Remsima SC at 6 months. The investigators will recruit adult patients with rheumatoid arthritis, spondyloarthritis, psoriatic arthritis.

Read the detailed description

TNFα inhibitors have revolutionized the management of patients suffering from inflammatory diseases in the field of rheumatology. Infliximab remains widely used in France, and infliximab biosimilars have been routinely used since 2015 in Cochin Hospital with an interchangeability strategy validated by two real life studies. REMSIMA® 120 mg is the first authorized subcutaneous (SC) form of infliximab to be administered at a fixed dose of 120 mg every 2 weeks. Scarce information is available regarding the safety and efficacy of proposing a switch from IV infliximab to SC REMSIMA® in the subsets of patients suffering from different rheumatic diseases in daily care. The primary objective of the SIC2 study will be determine the retention rate of Remsima SC at 6 months. The investigators will recruit adult patients with rheumatoid arthritis, spondyloarthritis, psoriatic arthritis. Main inclusion criteria will be patients who have received at least 3 IV infliximab infusions and suffer from chronic inflammatory rheumatic condition with the absence of disease flare / progressive disease preventing the continuation of infliximab. The primary endpoint will be the percentage of patients who have agreed to receive SC REMSIMA® and who continued this treatment for at least 3 months. Secondary objectives will be the reasons of switching or not to Remsima, the need for patients to be re-established on iv infliximab, SC Remsima® discontinuation and adherence, changes in disease activity between the inclusion visit and the last visit, the safety profile of sc remsima®, the immunogenicity profile of sc remsima®.

Being tested
collection of clinical parameters and blood sample
Keywords
Chronic inflammatory diseases, Biosimilar, Sub-cutaneous route
Medical subject headings
Arthritis, Rheumatoid, Spondylarthritis, Arthritis, Psoriatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • collection of clinical parameters and blood sampleOther

    • A baseline visit, with collection of clinical parameters and blood sample to measure anti-infliximab antibodies and infliximab trough levels.
    • Follow-up visits at 3 months (in outpatient clinic for clinical evaluation), 6 months and 12 months (in day hospitalization for clinical evaluation and blood sample collection for ADA detection and infliximab trough level measurement).
Study groups in NCT05424926
Study groupRoleWhat they receive
PatientsPatients
Receives: Other: collection of clinical parameters and blood sample

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of patients who have agreed to receive SubCutaneous (SC) REMSIMA® and who continued this treatment for at least 6 months.

    Therapeutic maintenance of SC REMSIMA® at 6 months, defined by the percentage of patients who have agreed to receive SC REMSIMA® and who continued this treatment for at least 6 months.

    Measured: Month 6

Secondary outcomes (50)
  1. Percentage of patients switching or not switching to remsima® SC

    Percentage of patients switching or not switching to remsima® sc (refusal, need to maintain iv, etc.) with the analysis of the reasons of non-switching

    Measured: Day 0

  2. Number of patients who requested to be re-established on intravenous(IV) infliximab

    Number of patients who requested to be re-established on iv infliximab

    Measured: Month 3

  3. Number of patients who requested to be re-established on iv infliximab

    Number of patients who requested to be re-established on iv infliximab

    Measured: Month 6

  4. Number of patients who requested to be re-established on iv infliximab

    Number of patients who requested to be re-established on iv infliximab

    Measured: Month 12

  5. Number of sc remsima® discontinuation

    Number of sc remsima® discontinuation

    Measured: Month 3

  6. Questionnaire about reasons explaining Remsina discontinuation

    Reasons of sc remsima® discontinuation

    Measured: Month 3

  7. Number of sc remsima® discontinuation

    Number of sc remsima® discontinuation

    Measured: Month 6

  8. Questionnaire about reasons explaining Remsina discontinuation

    Reasons of sc remsima® discontinuation

    Measured: Month 6

  9. Number of sc remsima® discontinuation

    Number of sc remsima® discontinuation

    Measured: Month 12

  10. Questionnaire about reasons explaining Remsina discontinuation

    Reasons of sc remsima® discontinuation

    Measured: Month 12

  11. Number of missing SC injections

    Number of missing SC injections

    Measured: Month 3

  12. Questionnaire about reasons explaining the missing of a scheduled Remsina injection

    Reasons of missing SC injections

    Measured: Month 3

  13. Number of missing SC injections

    Number of missing SC injections

    Measured: Month 6

  14. Questionnaire about reasons explaining the missing of a scheduled Remsina injection

    Reasons of missing SC injections

    Measured: Month 6

  15. Number of missing SC injections

    Number of missing SC injections

    Measured: Month 12

  16. Questionnaire about reasons explaining the missing of a scheduled Remsina injection

    Reasons of missing SC injections

    Measured: Month 12

  17. Frequencies of serious adverse effects

    Safety profile of sc remsima®

    Measured: Month 3

  18. Frequencies of serious adverse effects

    Safety profile of sc remsima®

    Measured: Month 6

  19. Frequencies of serious adverse effects

    Safety profile of sc remsima®

    Measured: Month 12

  20. Percentage of positive ADA

    Immunogenicity profile of sc remsima®, consisting on the percentage of positive ADA at 6 months

    Measured: Month 6

  21. Percentage of positive ADA

    Immunogenicity profile of sc remsima®, consisting on the percentage of positive ADA at 12 months

    Measured: Month 12

  22. Infliximab trough levels

    Immunogenicity profile of sc remsima®, consisting on the course of infliximab trough levels between the inclusion visit and the 6 months visit

    Measured: Month 6

  23. Infliximab trough levels

    Immunogenicity profile of sc remsima®, consisting on the course of infliximab trough levels between the inclusion visit and the 12 months visit.

    Measured: Month 12

  24. Presence or absence of inflammatory flare since the last infusion

    Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  25. Presence or absence of inflammatory flare since the last infusion

    Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  26. Presence or absence of inflammatory flare since the last infusion

    Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  27. Number of flares of disease

    Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  28. Number of flares of disease

    Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  29. Number of flares of disease

    Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  30. Scale of global appreciation of the activity (by the patient)

    Scale of global appreciation of the activity (patient) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  31. Scale of global appreciation of the activity (by the patient)

    Scale of global appreciation of the activity (patient) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  32. Scale of global appreciation of the activity (by the patient)

    Scale of global appreciation of the activity (patient) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  33. Scale of global appreciation of the activity (by the investigator)

    Scale of global appreciation of the activity (by the investigator) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  34. Scale of global appreciation of the activity (by the investigator)

    Scale of global appreciation of the activity (by the investigator) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  35. Scale of global appreciation of the activity (by the investigator)

    Scale of global appreciation of the activity (by the investigator) : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  36. Number of swollen/painful joints (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  37. Number of swollen/painful joints (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  38. Number of swollen/painful joints (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  39. Disease Activity Score DAS28 VS (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 3 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 3

  40. Disease Activity Score DAS28 VS (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 6 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 6

  41. Disease Activity Score DAS28 VS (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 12 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 12

  42. Disease Activity Score DAS28 CRP (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 3 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 3

  43. Disease Activity Score DAS28 CRP (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 6 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 6

  44. Disease Activity Score DAS28 CRP (Rheumatoid arthritis patient)

    Parameter measuring disease activity between the inclusion visit and the 12 months visit (< 2.6 remission, 2.6-3.2 low activity, 3.2-5.1 moderate activity, >5.1 strong activity)

    Measured: Month 12

  45. BASDAI : Bath Ankylosing Spondylitis Disease Activity Index (Ankylosing Spondylitis patient)

    Score : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 3 months visit

    Measured: Month 3

  46. BASDAI : Bath Ankylosing Spondylitis Disease Activity Index (Ankylosing Spondylitis patient)

    Score : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 6 months visit

    Measured: Month 6

  47. BASDAI : Bath Ankylosing Spondylitis Disease Activity Index (Ankylosing Spondylitis patient)

    Score : 0 to 100 (0 = lowest activity, 100 = highest activity) Parameter measuring disease activity between the inclusion visit and the 12 months visit

    Measured: Month 12

  48. Ankylosing Spondylitis Disease Activity Score with CRP (ASDAS-CRP) (Ankylosing Spondylitis patient)

    Parameter measuring disease activity between the inclusion visit and the 3 months visit (< 1.3 inactive disease, 1.3-2.1 low activity, 2.1-3.5: high activity, > 3.5 very high activity)

    Measured: Month 3

  49. Ankylosing Spondylitis Disease Activity Score with CRP (ASDAS-CRP) (Ankylosing Spondylitis patient)

    Parameter measuring disease activity between the inclusion visit and the 6 months visit (< 1.3 inactive disease, 1.3-2.1 low activity, 2.1-3.5: high activity, > 3.5 very high activity)

    Measured: Month 6

  50. Ankylosing Spondylitis Disease Activity Score with CRP (ASDAS-CRP) (Ankylosing Spondylitis patient)

    Parameter measuring disease activity between the inclusion visit and the 12 months visit (< 1.3 inactive disease, 1.3-2.1 low activity, 2.1-3.5: high activity, > 3.5 very high activity)

    Measured: Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2022
  2. Study start24 Feb 2023
  3. Primary completion14 Dec 2023
  4. Study completion16 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05424926
Sponsor's protocol ID
APHP211217
Other IDs
2021-A02060-41
Acronym
SIC2
Status last verified
Apr 2026
First submitted
6 Dec 2021
Last updated
8 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Rheumatoid Arthritis and Spondyloarthritis, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of patients who have agreed to receive SubCutaneous (SC) REMSIMA® and who continued this treatment for at least 6 months. (time frame: Month 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2026.

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