Ultrasound Characteristics of the Salivary Glands in Patients With Rheumatoid Arthritis

NCT ID: NCT05782049

Last Updated: 2023-03-23

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

Clinical Phase

NA

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-02

Study Completion Date

2026-02-02

Brief Summary

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The prevalence of Sjogren's syndrome (SS) in rheumatoid arthritis (RA) patients varies from 3.5 to 31%. Between 30% and 90% of patients with (RA) have dry eye and/or mouth syndrome. To date, no studies have assessed whether RA patients have echostructural changes in their salivary glands suggestive of SS and the factors associated with these changes.The aim of this study is to investigate if there are changes in the echostructure of the salivary glands of RA patients, especially in patients with dry syndrome.

Detailed Description

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The EchoPR study is an exploratory pathophysiology, cross-sectional, case-control study.

The aim is to study the echo-structure of the salivary glands of patients with RA ( group of 70 patients), in comparison to patients with SS (suspected of strong alteration of the echo-structure)(group of 70 patients) and patients with sicca, asthenia, polyalgia syndrome (SAPS)(group of 70 patients).

After a standard consultation with the rheumatologist, patients in each group will have an salivary gland ultrasound to assess the homogeneity of the echostructure of the parotid and submandibular salivary glands. A salivary flow measurement for 15 minutes and a Schirmer test to determine tear secretion for 5 minutes are also performed. All of these tests are performed during a single visit, so the total study time for the patient is one hour. Patient recruitment is expected to last 1 year.

Conditions

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Rheumatoid Arthritis Sjogren's Syndrome Sicca, Asthenia, Polyalgia Syndrome (SAPS)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

It's a cross-sectional case-control study. The study will include patients with rheumatoid arthritis compared to patients with Sjögren's syndrome or Sicca, Asthenia, Polyalgia syndrome (SAPS).
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Group of case patients

1. Patients with Rheumatoid Arthritis
2. Patients with Sjögren's Syndrome

Group Type OTHER

Ultrasound of the salivary glands

Intervention Type OTHER

Salivary gland ultrasound is, a non-invasive, non-irradiating and easily accessible examination, offers promising results for the diagnosis of primary SS. It allows the identification of changes in the homogeneity of the echostructure of the main salivary glands in the parotid and submandibular region.The patient lies on the examination table with the head slightly turned to the side opposite the gland being examined. The examination will be done on the parotid and submandibular glands on both sides.The parotid glands will be measured in length and width.The surface of the gland will be calculated: (length x width)/2.The sub-maxillary glands will be measured in length and surface.

The exam will be performed in 10 minutes.

Measurement of salivary flow

Intervention Type OTHER

Saliva flow measurement, which consists of measuring the quantity of saliva that the patient can emit in 15 minutes

A Schirmer test

Intervention Type OTHER

A strip of blotting paper graduated from five to five millimeters is placed in the eye for 5 minutes, avoiding any corneal contact.

Group of control patients

Patients with Sicca, Asthenia, Polyalgia Syndrome (SAPS)

Group Type OTHER

Ultrasound of the salivary glands

Intervention Type OTHER

Salivary gland ultrasound is, a non-invasive, non-irradiating and easily accessible examination, offers promising results for the diagnosis of primary SS. It allows the identification of changes in the homogeneity of the echostructure of the main salivary glands in the parotid and submandibular region.The patient lies on the examination table with the head slightly turned to the side opposite the gland being examined. The examination will be done on the parotid and submandibular glands on both sides.The parotid glands will be measured in length and width.The surface of the gland will be calculated: (length x width)/2.The sub-maxillary glands will be measured in length and surface.

The exam will be performed in 10 minutes.

Measurement of salivary flow

Intervention Type OTHER

Saliva flow measurement, which consists of measuring the quantity of saliva that the patient can emit in 15 minutes

A Schirmer test

Intervention Type OTHER

A strip of blotting paper graduated from five to five millimeters is placed in the eye for 5 minutes, avoiding any corneal contact.

Interventions

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Ultrasound of the salivary glands

Salivary gland ultrasound is, a non-invasive, non-irradiating and easily accessible examination, offers promising results for the diagnosis of primary SS. It allows the identification of changes in the homogeneity of the echostructure of the main salivary glands in the parotid and submandibular region.The patient lies on the examination table with the head slightly turned to the side opposite the gland being examined. The examination will be done on the parotid and submandibular glands on both sides.The parotid glands will be measured in length and width.The surface of the gland will be calculated: (length x width)/2.The sub-maxillary glands will be measured in length and surface.

The exam will be performed in 10 minutes.

Intervention Type OTHER

Measurement of salivary flow

Saliva flow measurement, which consists of measuring the quantity of saliva that the patient can emit in 15 minutes

Intervention Type OTHER

A Schirmer test

A strip of blotting paper graduated from five to five millimeters is placed in the eye for 5 minutes, avoiding any corneal contact.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patient, male or female, over 18 years of age, followed in the Rheumatology Department of the Clermont-Ferrand University Hospital, capable of giving informed consent to participate in the research.

* For RA subjects: Diagnosis of rheumatoid arthritis meeting the ACR/EULAR 2010 classification criteria.
* For SS subjects: Diagnosis of primary Sjögren's syndrome meeting the ACR/EULAR 2016 criteria.
* For SAPS subjects: Patients with dry syndrome not meeting the criteria for SS

Exclusion Criteria

* Not covered by social security
* Minors or adults under the protection of the law or under the protection of justice.
* Pregnant or breastfeeding women
* Refusal to participate
* Interference with results or classification bias: secondary causes of dry syndrome: Previous radiotherapy of the face and neck, AIDS, Hepatitis C, Sarcoidosis, Amyloidosis, Hyper-IgG4 syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marion Couderc

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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CHU de Clermont-Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Lise LACLAUTRE

Role: CONTACT

+33473754963

Facility Contacts

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Lise Laclautre

Role: primary

+33473754963

Other Identifiers

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RBHP 2019 COUDERC

Identifier Type: -

Identifier Source: org_study_id

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