Defining the Molecular and Radiologic Phenotype of Progressive RA Interstitial Lung Disease

NCT ID: NCT06397677

Last Updated: 2024-05-03

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

450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-22

Study Completion Date

2034-01-31

Brief Summary

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A study to identify patients with Rheumatoid Arthritis - Associated Interstitial Lung Disease (RA-ILD) that are at the highest risk for progression.

The goal of the investigators is to recruit a group of patients with RA-ILD and collect information to help us understand more about disease progression. The investigators will do this using a combination of clinical, radiologic, and biologic features.

Detailed Description

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The central hypothesis is that novel quantitative imaging and specific blood markers will be associated with progressive RA-ILD. The hypothesis will be tested through collection and analysis of peripheral blood, in addition to the analysis of HRCT (high-resolution computed tomography) scans performed as standard of care (clinical) on research subjects.

Procedures performed:

Baseline Year 0: Blood sample, buccal (cheek) swab, questionnaires and if performed clinically - Pulmonary Function tests, 6 Minute Walk Test, and HRCT scan of lungs

Every 4 months (at clinic visit): Blood sample, questionnaires

Year 1 and Year 2 Follow-ups: Blood sample, buccal (cheek) swab, questionnaires and if performed clinically - Pulmonary Function tests, 6 Minute Walk Test, and HRCT scan of lungs

Conditions

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Rheumatoid Arthritis Interstitial Lung Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with RA-ILD

Assessments include:

* Clinical: height, weight, oxygen saturation at rest, and 6-minute walk test.
* Rheumatological: study Rheumatologist will document rheumatoid arthritis symptoms and clinical findings at baseline and follow-up.
* Pulmonary Function Testing: data will be collected from clinically performed spirometry and diffusing capacity for carbon monoxide.
* High-resolution computed tomography (HRCT) imaging: HRCT scans will be collected at baseline and 12 months in line with standard of care for treatment of RA-ILD.
* Lab specimens: peripheral blood will be obtained for DNA, RNA, serum, and plasma at baseline and at 12 months for all sites or every 3-4 months in Colorado. Buccal swabs (cheek) will also be collected once each year.
* Information collected: will include demographics, co-morbidities, disease history, medication history, pulmonary function, radiographic imaging, and transplant/survival status through questionnaires and medical chart review.

Research Testing Performed (Laboratory)

Intervention Type GENETIC

Blood collection (DNA, RNA)

Information Collected as Standard of Care

Intervention Type DIAGNOSTIC_TEST

High Resolution CT Scan (Chest), Pulmonary Function Testing (PFT), 6-Minute Walk Test (6MWT)

Research Testing Performed

Intervention Type OTHER

Blood collection (non-genetic), Buccal Swab, Rheumatologic Assessment, Pulmonary Assessment, Questionnaires

Interventions

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Research Testing Performed (Laboratory)

Blood collection (DNA, RNA)

Intervention Type GENETIC

Information Collected as Standard of Care

High Resolution CT Scan (Chest), Pulmonary Function Testing (PFT), 6-Minute Walk Test (6MWT)

Intervention Type DIAGNOSTIC_TEST

Research Testing Performed

Blood collection (non-genetic), Buccal Swab, Rheumatologic Assessment, Pulmonary Assessment, Questionnaires

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Multidisciplinary diagnosis of RA-ILD based on the 2010 American College of Rheumatology criteria
* 18 years of age or older

Exclusion Criteria

* Prior medication treatment specifically for RA-ILD
* Inability to give informed consent
* Pregnant women
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role collaborator

University of Kansas

OTHER

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joyce S Lee

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of California San Francisco

San Francisco, California, United States

Site Status RECRUITING

University of Colorado Denver

Aurora, Colorado, United States

Site Status RECRUITING

University of Kansas

Kansas City, Kansas, United States

Site Status RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Haylie Lengel

Role: CONTACT

970-376-8303

Joyce S Lee

Role: CONTACT

303-724-6109

Facility Contacts

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Paul Wolters, MD

Role: primary

Haylie A Lengel

Role: primary

970-376-8303

Scott Matson, MD

Role: primary

Justin Oldham, MD

Role: primary

Other Identifiers

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1R01HL168126-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

23-0295

Identifier Type: -

Identifier Source: org_study_id

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