Identification of New Biomarkers to Promote Personalized Treatment of Patients With Inflammatory Rheumatic Diseases

NCT ID: NCT03214263

Last Updated: 2024-01-09

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

RECRUITING

Total Enrollment

20000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-05-31

Study Completion Date

2024-12-31

Brief Summary

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Introduction: The medical treatment of inflammatory rheumatic diseases has improved dramatically during the last decades primarily due to the introduction of biological disease modifying anti-rheumatic drugs (bDMARDs). However, bDMARD treatment failure occurs in 30-40% of patients due to lack of effectiveness or side effects. The tools to predict treatment outcomes in the individual patient are currently limited. The objective of the present study is to identify diagnostic, prognostic and predictive biomarkers, which can be used to 1) diagnose inflammatory rheumatic diseases early in the disease course with high specificity and sensitivity, 2) improve prognostication or 3) predict treatment effectiveness and tolerability for the individual patient.

Methods and analysis: Observational and translational open cohort study with prospective collection of clinical data and biological materials in patients with inflammatory rheumatic diseases treated in routine care. Patients contribute one cross-sectional blood sample (i.e. whole blood, serum, EDTA-plasma and -buffy coat, and blood in PAXgene RNA tubes) and/or are enrolled for longitudinal follow-up upon start of new DMARD (blood sampling after 0/3/6/12/24/36/48/60 months' treatment). Demographics, disease characteristics, comorbidities and lifestyle factors are registered at inclusion; DMARD treatment and outcomes are collected repeatedly during follow-up. Currently (June 2017) \>5,000 samples from ≈3,000 patients have been collected. Data will be analysed using appropriate statistical analyses.

Ethics and dissemination: The protocol is approved by the Danish Ethics Committee and The Danish Data Protection Agency. All participants give written informed consent. Biomarkers will be evaluated and published according to REMARK, STROBE and STARD guidelines. Results will be published in peer-reviewed medical journals and presented at international conferences.

Detailed Description

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Conditions

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Arthritis, Rheumatoid Psoriatic Arthritis Axial Spondyloarthritis Connective Tissue Diseases Gout

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cross-sectional samples:

Any patient followed in the DANBIO registry may be invited to participate when they meet for a scheduled routine clinical visit. These patients provide one cross-sectional blood sample.

No interventions assigned to this group

Longitudinal samples:

Any patient followed in the DANBIO registry will be invited to participate when they start treatment with a new DMARD. Switching from csDMARD to bDMARD, or from one bDMARD to another bDMARD indicates a new baseline.

No interventions assigned to this group

Samples of other biological material:

Patients followed in the DANBIO registry may be invited to participate if scheduled for one of the following procedures: joint puncture with extraction of synovial fluid, surgery or tissue sampling involving synovia, cartilage, bone, bone-marrow or other tissues. Representative samples from the synovial fluid or relevant tissue are collected after routine diagnostic or therapeutic analyses have been done

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with or suspected for the following diseases: rheumatoid arthritis (RA), psoriatic arthritis (PsA), axial spondyloarthritis (axSpA) or other inflammatory rheumatic diseases, connective tissue disorders or gout
* Aged 18 year or older
* Able to give informed consent

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Gentofte, Copenhagen

OTHER

Sponsor Role collaborator

Copenhagen University Hospital at Herlev

OTHER

Sponsor Role collaborator

King Christian X´Hospital for Rheumatic Diseases

OTHER

Sponsor Role collaborator

Svendborg Hospital

OTHER

Sponsor Role collaborator

Zealand University Hospital

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

Sygehus Lillebaelt

OTHER

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role collaborator

Hillerod Hospital, Denmark

OTHER

Sponsor Role collaborator

Randers Regional Hospital

OTHER

Sponsor Role collaborator

University Hospital Bispebjerg and Frederiksberg

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Merete L Hetland

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Merete L Hetland, Professor

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Glostrup, Denmark

Locations

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Department of Rheumatology, Aalborg University Hospital

Aalborg, , Denmark

Site Status RECRUITING

Department of Rheumatology, Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Department of Rheumatology, Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Dept. of Rheumaology, University Hospital Bispebjerg and Frederiksberg

Copenhagen, , Denmark

Site Status RECRUITING

Dept. of Rheumaology, North Denmark Regional Hospital

Hjørring, , Denmark

Site Status RECRUITING

Department of Rheumatology, Zealand University Hospital Køge

Køge, , Denmark

Site Status RECRUITING

Department of Rheumatology, Odense University Hospital

Odense, , Denmark

Site Status RECRUITING

Dept. of Rheumaology, Randers Regional Hospital

Randers, , Denmark

Site Status RECRUITING

Department of Rheumatology, Svendborg Hospital

Svendborg, , Denmark

Site Status RECRUITING

Danish Arthritis Hospital

Sønderborg, , Denmark

Site Status RECRUITING

Department of Rheumatology, Hospital Lillebaelt

Vejle, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Merete L Hetland, Professor, MD, DMSc, PhD

Role: CONTACT

0045-38633330

References

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Kringelbach TM, Glintborg B, Hogdall EV, Johansen JS, Hetland ML; Biomarker Protocol Study Group. Identification of new biomarkers to promote personalised treatment of patients with inflammatory rheumatic disease: protocol for an open cohort study. BMJ Open. 2018 Feb 1;8(2):e019325. doi: 10.1136/bmjopen-2017-019325.

Reference Type DERIVED
PMID: 29391382 (View on PubMed)

Related Links

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http://www.regioner.dk/rbgb

Bio- and GenomeBank Denmark and Danish Rheumatologic Biobank

Other Identifiers

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REUM BIOMARKØRER 2014-10-30

Identifier Type: -

Identifier Source: org_study_id

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