Improvement of Hand Dysfunction by Arthritis in Systemic Sclerosis

NCT ID: NCT01834157

Last Updated: 2015-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

160 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-04-30

Study Completion Date

2017-11-30

Brief Summary

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Systemic sclerosis (SSc) is an orphan, multiorgan disease affecting the connective tissue of the skin and several internal organs. Beside skin involvement, digital ulcers, tendinitis, calcinosis and flexion contractures, the presence of hand arthritis is a major contributor to impairment of hand function in systemic sclerosis. Several immunomodulatory drugs used in other rheumatic diseases (including methotrexate, leflunomide, azathioprine, mycophenolate mofetil and low-dose corticosteroids) can potentially improve arthritis and consequently hand function in systemic sclerosis. For the assessment of arthritis, the CDAI (clinical disease activity index) is validated in rheumatoid arthritis, and may be useful for SSc-related arthritis, too.

This observational trial is part of the collaborative project "DeSScipher", one out of five observational trials to decipher the optimal management of systemic sclerosis. Aim of this observational trial is to:

* investigate the efficacy and safety of different treatments on hand dysfunction in systemic sclerosis patients with hand arthritis and
* to validate the CDAI for arthritis in systemic sclerosis.

Detailed Description

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Conditions

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Systemic Sclerosis Arthritis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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methotrexate

methotrexate with or without low-dose corticosteroids

No interventions assigned to this group

other DMARDs

other DMARDs (leflunomide, azathioprine, mycophenolate mofetil) with or without low-dose corticosteroids

No interventions assigned to this group

low-dose corticosteroids

low-dose corticosteroids without DMARDs

No interventions assigned to this group

No DMARD or corticosteroids

No DMARD or corticosteroid treatment

No interventions assigned to this group

CPH/CSA - Exploratory cohort

cyclophosphamide or cyclosporine-A with or without other DMARDs or low-dose corticosteroids

No interventions assigned to this group

Biologics - Exploratory cohort

Biologic therapy with or without other DMARDs or low-dose corticosteroids

No interventions assigned to this group

Combinations - Exploratory cohort

Combination of two or more DMARDs with or without low-dose corticosteroids

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Juvenile and adult Systemic sclerosis patients, with diagnosis according to the ACR/EULAR adult SSc criteria and PRES/ACR/EULAR juvenile SSc criteria respectively
* Clinical signs of arthritis (defined as ≥2 tender and swollen joints)

Exclusion Criteria

* Presence of significant, long standing articular pain due to other cause than autoimmune disease
* Presence of hand disability caused by other, than autoimmune disease
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Union

OTHER

Sponsor Role collaborator

University of Giessen

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role collaborator

University of Paris 5 - Rene Descartes

OTHER

Sponsor Role collaborator

University of Florence

OTHER

Sponsor Role collaborator

University of Campania Luigi Vanvitelli

OTHER

Sponsor Role collaborator

University of Basel

OTHER

Sponsor Role collaborator

University College, London

OTHER

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

University of Leeds

OTHER

Sponsor Role collaborator

Schoen Klinik Hamburg Eilbek

OTHER

Sponsor Role collaborator

Prof. Laszlo Czirjak

OTHER

Sponsor Role lead

Responsible Party

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Prof. Laszlo Czirjak

Prof. Laszlo Czirjak

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ulf Müller-Ladner, Prof.

Role: STUDY_CHAIR

Justus-Liebig-University Gießen, Kerckhoff Clinic, Departement of Rheumatology and Clinical Immunology

Laszlo Czirjak, Prof

Role: PRINCIPAL_INVESTIGATOR

PECSI TUDOMANYEGYETEM - UNIVERSITY OF PECS

Locations

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University of Ghent, Department of Rheumatology

Ghent, , Belgium

Site Status RECRUITING

Dubrava University Hospital

Zagreb, , Croatia

Site Status RECRUITING

Assiut and Sohage University Hospital Rheumatology Department Assiut University Hospital

Asyut, , Egypt

Site Status RECRUITING

Department of Internal Medicine Hôpital Claude Huriez

Lille, , France

Site Status RECRUITING

Université Paris Descartes, Hôpital Cochin, Service de Rhumatologie A & INSERM 1016

Paris, , France

Site Status RECRUITING

Justus-Liebig-University Gießen, Kerckhoff Clinic, Departement of Rheumatology and Clinical Immunology

Bad Nauheim, , Germany

Site Status RECRUITING

Charité Universitätsmedizin Berlin, Charité Centrum 12 für Innere Medizin und Dermatologie, Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie

Berlin, , Germany

Site Status RECRUITING

Universitätshautklinik Köln

Cologne, , Germany

Site Status RECRUITING

Universitätsklinikum Erlangen

Erlangen, , Germany

Site Status RECRUITING

Endokrinologikum Frankfurt

Frankfurt, , Germany

Site Status RECRUITING

Centre for Pediatric Rheumatology, Klinikum Eilbek

Hamburg, , Germany

Site Status RECRUITING

Medizinische Universitätsklinik Abt. II

Tübingen, , Germany

Site Status RECRUITING

Krankenhaus St. Josef

Wuppertal, , Germany

Site Status RECRUITING

Pecsi Tudomanyegyetem - University of Pecs

Pécs, , Hungary

Site Status RECRUITING

Istituto di Clinica Medica Generale, Ematologia ed Immunologia Clinica, Università Politecnica delle Marche, Polo Didattico, University of Ancona

Ancona, , Italy

Site Status RECRUITING

University of Florence, Denothe Centre, Division of Rheumatology AOUC, Department of Biomedicine

Florence, , Italy

Site Status RECRUITING

Department of Rheumatology, University of Cagliari-Policlinico Universitario

Monserrato, , Italy

Site Status RECRUITING

Policlinico, Via Pansini

Napoli-Italia, , Italy

Site Status RECRUITING

University of Padova

Padua, , Italy

Site Status RECRUITING

Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I

Roma, , Italy

Site Status RECRUITING

Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital

Bucharest, , Romania

Site Status RECRUITING

Reumatologie, University of Medicine & Pharmacy,"Iuliu Hatieganu" Cluj

Cluj-Napoca, , Romania

Site Status RECRUITING

GR.T.Popa Center for Biomedical Research, European Center for Translational Research, "GR.T.Popa" University of Medicine and Pharmacy, Rehabilitation Hospital

Iași, , Romania

Site Status RECRUITING

Clinic of Nephrology, Internal and Occupational Diseases

Moscow, , Russia

Site Status RECRUITING

Institute of Rheumatology, Russian Academy of Medical Science

Moscow, , Russia

Site Status RECRUITING

Institute of Rheumatology Belgrade

Belgrade, , Serbia

Site Status RECRUITING

Hospital Universitario Madrid Norte Sanchinarro

Madrid, , Spain

Site Status RECRUITING

Felix-Platter Spital

Basel, , Switzerland

Site Status RECRUITING

University of Zurich, Department of Rheumatology

Zurich, , Switzerland

Site Status RECRUITING

University of Marmara, Department of Rheumatology

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

The Universitiy of Leeds, Division of Rheumatic and Musculoskeletal Disease, St James's University Hospital

Leeds, , United Kingdom

Site Status RECRUITING

Royal Free Hospital, University College London

London, , United Kingdom

Site Status RECRUITING

University of Manchester, Rheumatic Diseases Centre, Clinical Sciences

Manchester,Salford, , United Kingdom

Site Status RECRUITING

Countries

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Belgium Croatia Egypt France Germany Hungary Italy Romania Russia Serbia Spain Switzerland Turkey (Türkiye) United Kingdom

Central Contacts

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Laszlo Czirjak, Prof.

Role: CONTACT

Email: [email protected]

Other Identifiers

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HEALTH-F5-2012-305495-OT2

Identifier Type: -

Identifier Source: org_study_id