Biomarker Signature and Musculoskeletal Ultrasound Profile in Rheumatoid Arthritis Patients

NCT ID: NCT02476084

Last Updated: 2022-05-20

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

COMPLETED

Total Enrollment

43 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-10-13

Study Completion Date

2021-10-01

Brief Summary

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The purpose of this study is to determine the kinetics of change in quantitative measures of joint inflammation by state of the art power Doppler vascular imaging and to identify biomarkers in biological samples (synovial biopsies, DNA, RNA, PBMC, serum, plasma, urine and stool samples) from parallel cohorts of RA patients undergoing different treatments. This will be achieved implementing MSUS assessments, standard laboratories techniques (such as ELISAs, gene profiling, transcriptome analysis etc.) and the novel CyTOF™ technology.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Conventional synthetic DMARD naïve

Naive RA patients commencing Methotrexate and Hydroxychloroquine.

Musculoskeletal Ultrasound imaging, synovial biopsy, biological samples collection, questionnaires.

Musculoskeletal Ultrasound Imaging

Intervention Type OTHER

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Synovial biopsy

Intervention Type OTHER

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Biological samples collection

Intervention Type OTHER

Draw of research blood samples.

Questionnaires

Intervention Type OTHER

Administration of validated patients' questionnaires.

DMARD-IR: anti-TNF

Conventional synthetic DMARD inadequate responders commencing Anti-TNF

Musculoskeletal Ultrasound imaging, synovial biopsy, biological samples collection, questionnaires.

Musculoskeletal Ultrasound Imaging

Intervention Type OTHER

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Synovial biopsy

Intervention Type OTHER

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Biological samples collection

Intervention Type OTHER

Draw of research blood samples.

Questionnaires

Intervention Type OTHER

Administration of validated patients' questionnaires.

DMARD-IR: anti-IL6

Conventional synthetic DMARD inadequate responders commencing anti-IL6

Musculoskeletal Ultrasound imaging, synovial biopsy, biological samples collection, questionnaires.

Musculoskeletal Ultrasound Imaging

Intervention Type OTHER

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Synovial biopsy

Intervention Type OTHER

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Biological samples collection

Intervention Type OTHER

Draw of research blood samples.

Questionnaires

Intervention Type OTHER

Administration of validated patients' questionnaires.

DMARD-IR: anti-CTLA-4

Conventional synthetic DMARD inadequate responders commencing anti-CTLA-4

Musculoskeletal Ultrasound imaging, synovial biopsy, biological samples collection, questionnaires.

Musculoskeletal Ultrasound Imaging

Intervention Type OTHER

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Synovial biopsy

Intervention Type OTHER

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Biological samples collection

Intervention Type OTHER

Draw of research blood samples.

Questionnaires

Intervention Type OTHER

Administration of validated patients' questionnaires.

DMARD-IR: anti-CD20

Conventional synthetic DMARD inadequate responders commencing anti-CD20

Musculoskeletal Ultrasound imaging, synovial biopsy, biological samples collection, questionnaires.

Musculoskeletal Ultrasound Imaging

Intervention Type OTHER

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Synovial biopsy

Intervention Type OTHER

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Biological samples collection

Intervention Type OTHER

Draw of research blood samples.

Questionnaires

Intervention Type OTHER

Administration of validated patients' questionnaires.

Interventions

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Musculoskeletal Ultrasound Imaging

B-mode and PD musculoskeletal ultrasound examination of selected joints.

Intervention Type OTHER

Synovial biopsy

US guided synovial biopsy of an inflamed joint including wrists, MCP joints and knees.

Intervention Type OTHER

Biological samples collection

Draw of research blood samples.

Intervention Type OTHER

Questionnaires

Administration of validated patients' questionnaires.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Written confirmed diagnosis of Rheumatoid Arthritis as per ACR/EULAR 2010 criteria.
* If patient is on oral corticosteroids, dose must be stable for 6 weeks prior to baseline visit.
* Willingness and ability to comply with all the study procedures.

Exclusion Criteria

* Any systemic inflammation conditions (other than RA), connective tissue disease or chronic pain disorders that may interfere with the interpretation of the outcome data. Examples include psoriatic arthritis, reactive arthritis, gout, systemic lupus erythematosus (SLE), polymyalgia rheumatic and/or temporal arteritis, Lyme's disease, fibromyalgia and chronic fatigue syndromes.
* Major surgery planned within 8 weeks prior to screening or planned surgery throughout the study period.
* Treatment with any investigational agent ≤ 4 weeks prior to baseline (or 5 ≤ half-lives of the investigational drug, whichever is the longer).
* Intramuscular/intra-articular glucocorticoids for 6 weeks prior to baseline visit.
* Active infection.
* Septic arthritis within a native joint within the last 12 months.
* Sepsis of a prosthetic joint within 12 months or indefinitely if the joint remains in situ.
* Known HIV or hepatitis B/C infection.
* Latent TB infection unless they have completed adequate antibiotic prophylaxis.
* Malignancy (other than basal cell carcinoma) within the last 10 years.
* New York Heart Association (NYHA) grade 3 or 4 congestive cardiac failure.
* Demyelinating disease.
* Presence of a transplanted organ (with the exception of a corneal transplant \> 3 months prior to screening).
* Known recent substance abuse (drug or alcohol).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter C Taylor, PhD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Kennedy Institute of Rheumatology, University of Oxford

Locations

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Nuffield Orthopaedic Centre

Oxford, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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149600

Identifier Type: -

Identifier Source: org_study_id

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