Ultrasound Assessment of Rheumatoid Arthritis Patients Who Changed Diet

NCT ID: NCT02881307

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

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2022-05-31

Brief Summary

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The purpose of this research study is to evaluate if a weight loss intervention will improve your rheumatoid arthritis disease activity.

Detailed Description

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This is a pilot 12-week RCT (Randomized Clinical Trial) in 60 obese RA (Rheumatoid Arthritis) patients to evaluate if a weight loss intervention will improve PDUS (Power Doppler Ultra Sound), traditional disease activity measures (DAS28, Disease Activity Score - 28), and adipokine/MBDA (Multi-Biomarker Disease Activity) assessments. While there have been observational weight loss RA studies, none were RCTs and they did not utilize objective measures (PDUS or MBDA).

Conditions

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Rheumatoid Arthritis Overweight

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Controlled Clinical Trial
Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors
Ultrasonographer and joint assessor are blinded to the diet intervention and to each others assessments.

Study Groups

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Dietary Supplement

Group Type EXPERIMENTAL

Whey Protein&Prebiotic Supplement

Intervention Type DIETARY_SUPPLEMENT

Dietary supplement (protein drink) commercially available protein shakes

Dietary recommendations

Intervention Type BEHAVIORAL

recommendations for one meal per day including lean protein and vegetables

Dietary Counseling

Group Type ACTIVE_COMPARATOR

Dietary Counseling

Intervention Type BEHAVIORAL

Dietary Counseling

Interventions

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Whey Protein&Prebiotic Supplement

Dietary supplement (protein drink) commercially available protein shakes

Intervention Type DIETARY_SUPPLEMENT

Dietary Counseling

Dietary Counseling

Intervention Type BEHAVIORAL

Dietary recommendations

recommendations for one meal per day including lean protein and vegetables

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Patient must meet 1987 ACR (American College of Rheumatology) criteria
2. Age \> 18 years of age
3. Baseline DAS28/ESR\>3.2 (ESR-erythrocyte sedimentation rate)
4. Stable DMARDs or biologic therapy for at least 12 weeks, or stable off RA therapy 12 weeks.
5. Willingness to participate in a weight loss program
6. BMI \> 30
7. Prednisone ≤ 10 mg
8. Patient has provided informed consent

Exclusion Criteria

1. Major surgery (including joint surgery) within 8 weeks prior to baseline or planned major surgery within 3 months after baseline
2. Evidence of serious uncontrolled concomitant cardiovascular, nervous system, pulmonary, renal, hepatic, endocrine, or gastrointestinal disease
3. Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other infections (as this may falsely elevate biomarkers)
4. Any major episode of infection requiring hospitalization or treatment with IV antibiotics within 4 weeks of baseline or oral antibiotics within 2 weeks prior to baseline
5. Pregnant women or nursing (breast feeding) mothers
6. Neuropathies or other conditions that might interfere with pain evaluation unless related to primary disease under investigation
7. History of an eating disorder
8. History of bariatric surgery
9. EKG results deeming patient to unsafe for study intervention
10. Allergy to study intervention
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Veena Ranganath, MD, MS

OTHER

Sponsor Role lead

Responsible Party

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Veena Ranganath, MD, MS

Associate Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Veena K Ranganath, M.D., M.S.

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Locations

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UCLA David Geffen School of Medicine, Division of Rheumatology

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Ranganath VK, La Cava A, Vangala S, Brook J, Kermani TA, Furst DE, Taylor M, Kaeley GS, Carpenter C, Elashoff DA, Li Z. Improved outcomes in rheumatoid arthritis with obesity after a weight loss intervention: randomized trial. Rheumatology (Oxford). 2023 Feb 1;62(2):565-574. doi: 10.1093/rheumatology/keac307.

Reference Type DERIVED
PMID: 35640116 (View on PubMed)

Other Identifiers

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Weight Loss Ultrasound RA Proj

Identifier Type: -

Identifier Source: org_study_id

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