Evaluation of the Role of Inflammatory and Structural Ultrasound Abnormalities by Explaining the Perspective of Patients With Psoriatic Arthritis

NCT ID: NCT04325724

Last Updated: 2020-04-06

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

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-30

Study Completion Date

2020-04-30

Brief Summary

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The perspective of the patient is defined by the patient reported outcomes (PROs). This is a main part of the care in psoriatic arthritis. However , PROs can be influenced by environmental parameters.

Ultrasound represents an objective instrument in the context of psoriatic rheumatism (RhPso) care because it measures inflammatory activity and structural damage at joint and periarticular level.

it is the first study to evaluate the role of inflammatory and structural ultrasound abnormalities as a cause of modification of the patient's perspective measured by PROs in patients with RhPso.

Detailed Description

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It is an interventional study. Patients will be enrolled in the rheumatology department Of Ambroise Paré Hospital in collaboration with the dermatology departments of the hospital.

All patients with psoriatic arthritis, beginner or established, or patients with psoriasis suspecting the beginning of rheumatism who will consult or are already followed in those departments and give their approval for the study will undergo

* a clinical rheumatologic assessment (number of painful or swollen joints, enthesitic pain, inflammatory spinal pain)
* an ultrasound assessment (peripheral joints, tendon and enthesitic structures and nails).

Those assessment will be made the same day of their consult in one those departments. They will be asked to complete questionnaires (PROs) on the overall assessment of the disease, pain, quality of life, tiredness, physical limitation / disability and the impact of the disease.

Conditions

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Psoriatic Arthritis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators
ultrasound evaluation will be on masking from clinical evaluation

Study Groups

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Beginner psoriatic arthritis patients

Every patients consulting in dermatologic or rheumatologic department for a skin psoriasis with clinical symptoms which may lead to the suspicion of psoriatic arthritis

Group Type OTHER

General evaluation

Intervention Type OTHER

Demographic characteristic, psoriasis duration, disease duration, treatments

Dermatological evaluation

Intervention Type OTHER

treatment and evaluation

Rheumatological evaluation

Intervention Type OTHER

joints, enthesis, tendons, and other ultrasound abnormalities

para clinical data

Intervention Type OTHER

biological data, medical imaging data

Patient reported outcomes (PROs)

Intervention Type OTHER

Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36

Confirmed psoriatic arthritis patients

Every patients with psoriatic arthritis followed in rheumatologic department

Group Type OTHER

General evaluation

Intervention Type OTHER

Demographic characteristic, psoriasis duration, disease duration, treatments

Dermatological evaluation

Intervention Type OTHER

treatment and evaluation

Rheumatological evaluation

Intervention Type OTHER

joints, enthesis, tendons, and other ultrasound abnormalities

para clinical data

Intervention Type OTHER

biological data, medical imaging data

Patient reported outcomes (PROs)

Intervention Type OTHER

Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36

Rheumatoid arthritis or Digital osteoarthritis patients

Followed in rheumatologic department

Group Type OTHER

General evaluation

Intervention Type OTHER

Demographic characteristic, psoriasis duration, disease duration, treatments

Rheumatological evaluation

Intervention Type OTHER

joints, enthesis, tendons, and other ultrasound abnormalities

para clinical data

Intervention Type OTHER

biological data, medical imaging data

Patient reported outcomes (PROs)

Intervention Type OTHER

Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36

Skin psoriasis patients without any articular symptoms

Group Type OTHER

General evaluation

Intervention Type OTHER

Demographic characteristic, psoriasis duration, disease duration, treatments

Dermatological evaluation

Intervention Type OTHER

treatment and evaluation

Rheumatological evaluation

Intervention Type OTHER

joints, enthesis, tendons, and other ultrasound abnormalities

para clinical data

Intervention Type OTHER

biological data, medical imaging data

Patient reported outcomes (PROs)

Intervention Type OTHER

Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36

Interventions

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General evaluation

Demographic characteristic, psoriasis duration, disease duration, treatments

Intervention Type OTHER

Dermatological evaluation

treatment and evaluation

Intervention Type OTHER

Rheumatological evaluation

joints, enthesis, tendons, and other ultrasound abnormalities

Intervention Type OTHER

para clinical data

biological data, medical imaging data

Intervention Type OTHER

Patient reported outcomes (PROs)

Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients of both genders above 18 years old
* Capable of adhering to the protocol
* Consent given
* Present one of those disease:
* RhPso (confirmed diagnosis) according to The Classification for Psoriatic arthritis criteria (CASPAR)
* Rheumatoid arthritis according to ACR/EULAR criteria (American College of Rheumatology/ European League Against Rheumatism)
* Digital osteoarthritis according to american college of rheumatology (ACR) criteria
* Cutaneous psoriasis
* Having signed a consent form
* Affiliated to a regimen of health insurance

Exclusion Criteria

* Patient refusing the study
* The association of two rheumatic diseases (for example: psoriatic arthritis and gout, rheumatoid arthritis and arthritis etc)
* The association of another chronic pathology likely to lead to joint manifestations (systemic diseases, bowel chronic inflammatory diseases, overload diseases, ...)
* Patient under trusteeship or protection of vulnerable adults
* Pregnant or nursing women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maria-Antonietta D'AGOSTINO, PhD

Role: PRINCIPAL_INVESTIGATOR

Rheumatology Department, Ambroise Paré Hospital

Central Contacts

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Maria-Antonietta D'AGOSTINO, PhD

Role: CONTACT

+331 49 09 56 74

Other Identifiers

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2019-A01839-48

Identifier Type: OTHER

Identifier Source: secondary_id

APHP 190620

Identifier Type: -

Identifier Source: org_study_id

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