Effectiveness and Patient-reported Outcomes in Patients With Spondyloarthropathies Treated With Biological Agents
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spondyloarthropathy
- Sponsor
- Svendborg Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Ankylosing Spondylitis Disease Activity Index BASDAI 50 %
- Last Updated
- 7 years ago
Overview
Brief Summary
The objective of the study is to investigate extra-articular manifestations, pain mechanisms, patient-reported outcomes, comorbidities and association between these conditions in patients with spondyloarthropathy (SpA) treated with Biologics. Further, to assess the predictive value of baseline pain profile on treatment outcome after ≥ 3 months.
Detailed Description
Patients with spondyloarthropaty, who initiate or switch biologics in routine care due to an active disease state, will be enrolled in this observational study. The overall aim is to investigate extra-articular manifestations, pain mechanisms and patient-reported outcomes and elucidate if these factors - independently or by interaction - influence treatment response after ≥ 3 months. Patients will have a baseline visit, an eye examination and a follow up visit after ≥ 3 months. Clinical examinations will be performed at both time points and include: 1. Clinical examination (the spinal movement) 2. Assessment of pain mechanisms by clinical evaluation (BASDAI, tender points,) and pain questionnaires (PainDETECT). 3. The SPARCC Enthesitis Index will be used to enthesitis count. 4. Interview and questionnaires regarding lifestyle, comorbidity, function and quality of life 5. Blood samples 6. Urine samples 7. Stool samples Clinical as well as patient-reported and observer-based outcomes will be described for the overall study population and the prognostic influence of extra-articular manifestations, comorbidity and pain mechanisms will be analysed.
Investigators
Rikke Asmussen Andreasen
MD
Svendborg Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients diagnosed with SpA
- •≥18 years of age at time of consent
- •Ability and willingness to give written informed consent and to meet the requirements of this protocol
- •Patients must have a history of active disease and a BASDAI \>40 (10-100) or elevated C-reactive protein, despite current or previous NSAIDs therapy
Exclusion Criteria
- •Age \< 18 years
- •No consent
- •Pregnancy
- •Active or latent TB
- •Diagnosed Human immunodeficiency virus
- •Diagnosed hepatitis
- •Current or past malignant disease
- •Recurrent or chronic infection (viral, fungal or bacterial)
- •Multiple sclerosis
- •Heart failure (NYHA class III/IV)
Outcomes
Primary Outcomes
Ankylosing Spondylitis Disease Activity Index BASDAI 50 %
Time Frame: ≥ 3 month from baseline
composite measures of improvement in disease state (50% improvement)
Secondary Outcomes
- Change in Ankylosing Spondylitis Disease Activity Score (ASDAS)(≥ 3 month from baseline)