Developing a Screening Tool for Interstitial Lung Disease in People With Rheumatoid Arthritis Using Risk Factors

NCT ID: NCT05855109

Last Updated: 2025-11-12

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

1304 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-27

Study Completion Date

2025-06-26

Brief Summary

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The overall aim of the study is to develop and validate a Rheumatoid Arthritis-Interstitial Lung Disease (RA-ILD) clinical prediction model (screening tool) based on risk factors to guide screening for ILD in patients with RA using High Resolution Computed Tomography (HRCT).

Detailed Description

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Conditions

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Arthritis, Rheumatoid Lung Diseases, Interstitial

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with Rheumatoid Arthritis (RA)

RA and 2 or more risk factors for developing Interstitial Lung Disease (ILD)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Adult patients with RA according to 1987 American College of Rheumatology (ACR) or 2010 ACR / European League Against Rheumatism (EULAR) classification of RA, with any RA duration
2. Patient must have ≥ 2 of the following risk factors for ILD (i.e., any 2 or more):

* Male
* Current or previous smoker
* Age of ≥ 60 years at RA diagnosis
* Rheumatoid factor high-positive (titer \> 3x upper limit of normal) AND/OR anti-cyclic citrullinated peptide (anti-CCP) high-positive (titer \> 3x upper limit of normal) at RA diagnosis or any time after RA diagnosis
* High/severe RA disease activity score at screening visit or within 12 months of screening visit, as defined with any of the following measures: Disease Activity Score-28 (DAS-28), Clinical Disease Activity Index (CDAI), Routine Assessment of Patient Index Data 3 (RAPID-3), Simple Disease Activity Index (SDAI), Patient Activity Scale (PAS), PAS-II
* Presence or history of these extra-articular manifestations of RA: vasculitis, Felty's syndrome, secondary Sjogren's syndrome, cutaneous rheumatoid nodules, serositis and/or scleritis/uveitis

Exclusion Criteria

1. Patients previously diagnosed with any ILD or interstitial lung abnormality (ILA)
2. Patients who have had a chest computerized tomography (CT) in the past 2 years
3. Pregnancy at time of HRCT (to be checked in women of child-bearing potential before scan)
4. Unwilling or unable to obtain HRCT
5. Patients previously received drugs or treatments that are known to induce ILD (e.g., radiation therapy to chest region, bleomycin). Note: All disease-modifying antirheumatic drugs (DMARDs) including methotrexate and biologics are allowed.
6. Patients who have had a lung transplant
7. Patients suspected of having developed ILD due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection / coronavirus disease 19 (COVID-19) (based on Investigators' judgement)
8. Patients diagnosed with another autoimmune disorders overlapping with RA-associated with the development of ILD (systemic sclerosis, myositis, dermatomyositis, mixed connective tissue disease, systemic lupus erythematosus, antineutrophilic cytoplasmic antibody (ANCA)-associated vasculitis or primary Sjogren's syndrome)
9. Patients currently enrolled in an investigational new drug trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Stanford University School of Medicine

Palo Alto, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

Harvard Medical School - Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Clinique de l'infirmerie Protestante

Caluire-et-Cuire, , France

Site Status

Assistance Publique - Hopitaux de Paris (AP-HP) - Hopital Cochin

Paris, , France

Site Status

Hopital Bichat, APHP

Paris, , France

Site Status

Centre Hospitalier Universitaire (CHU) de Saint-Etienne - Hopital Nord

Saint-Priest-en-Jarez, , France

Site Status

Rheumazentrum Prof. Dr. med Gunther Neeck

Bad Doberan, , Germany

Site Status

Charite - Universitaetsmedizin Berlin - Campus Charite Mitte (CCM)

Berlin, , Germany

Site Status

Dr. Jochen Walter MD, Office Of

Rendsburg, , Germany

Site Status

Di.M.I. Irccs A.O.S.Martino (U.O.Clinica Reumatological)

Genova, , Italy

Site Status

Fondazione Irccs Ca' Granda Ospedale Maggioe Policlinico Di Milano

Milan, , Italy

Site Status

Azienda Ospedaliero-Universitaria Policlinico di Modena

Modena, , Italy

Site Status

AOU di Padova

Padua, , Italy

Site Status

Fondazione Policlinico Universitario - Agostino Gemelli, Universita Cattolica del Sacro Cuore

Roma, , Italy

Site Status

Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Borgo Roma

Verona, , Italy

Site Status

Hospital Clinic de Barcelona (Hospital Clinic i Provincial)

Barcelona, , Spain

Site Status

Hospital Universitario Reina Sofia

Córdoba, , Spain

Site Status

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital General Universitario De Valencia

Valencia, , Spain

Site Status

Hospital Do Meixoeiro

Vigo, , Spain

Site Status

Nottingham University Hospitals NHS Trust - Nottingham City Hospital

Nottingham, , United Kingdom

Site Status

Southampton General Hospital - University Hospital Southampton NHS Foundation Trust

Southampton, , United Kingdom

Site Status

Leeds University

West Yorkshire, , United Kingdom

Site Status

Southend University Hospital - Mid Essex Hospital Services NHS Trust

Westcliff-on-Sea, , United Kingdom

Site Status

Countries

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United States France Germany Italy Spain United Kingdom

References

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Sparks JA, Dieude P, Hoffmann-Vold AM, Burmester GR, Walsh SL, Kreuter M, Stock C, Sambevski S, Alves M, Emery P. Design of ANCHOR-RA: a multi-national cross-sectional study on screening for interstitial lung disease in patients with rheumatoid arthritis. BMC Rheumatol. 2024 May 21;8(1):19. doi: 10.1186/s41927-024-00389-4.

Reference Type DERIVED
PMID: 38773593 (View on PubMed)

Related Links

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Other Identifiers

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1199-0510

Identifier Type: -

Identifier Source: org_study_id