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MRI to monitor the effect of zoledronic acid in erosive psoriatic arthritis

Phase 1
Recruiting
Conditions
Psoriatic arthritis
Inflammatory and Immune System - Other inflammatory or immune system disorders
Registration Number
ACTRN12605000583640
Lead Sponsor
niversity of Auckland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

Psoriatic arthritis (according to Vasey and Espinoza criteria)Erosive PsA (bone lysis/ erosion peripheral joints on XR confirmed by a radiologist). Disease duration > 6 months. Suitable for MR scan* Adequate contraception if applicable DMARD, on a stable dose for 8 weeks prior to randomization Oral Prednisone no > 10mg daily at least 3 swollen and 3 tender joints.

Exclusion Criteria

Severe kidney, liver or heart disease Deranged calcium or Vit D levelsUveitis, Iritis, or chronic Conjunctivitis (or history of these conditions)Diabetic eye or kidney disease Uncontrolled diabetes, Hb1AC > 10 % Cancer (metastatic cancer or cancer diagnosed < 2 years ago) Is pregnant or planning pregnancy Severe dental problems or current dental infection, recent or impending dental surgery within three months of enrolmentOrthopaedic surgery within 3 months of enrolment Fractures (within the last 3 months) Use of Bisphosphonate therapy Participant in any biologics trial within 6 months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To monitor MRI scans of dominant wrist and hand for change in bone erosion[];To monitor MRI scans of dominant wrist and hand for change in bone oedema score[]
Secondary Outcome Measures
NameTimeMethod
To monitor change in Sharp score (hands and feet) - both total and separately the erosion score component.[];To examine blood and urinary markers of bone turnover at 6 monthly intervals and compare these between the 2 groups.[];To examine bone mineral density (BMD) in the two groups.[];To examine osteoclast function at baseline and after 12 months in the 2 groups.[]
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