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Evaluation of bone mineral density and bone metabolism during treatment with the januskinaseinhibitor upadacitinib in patients with rheumatoid arthritis

Recruiting
Conditions
M06.8
M05.8
Other specified rheumatoid arthritis
Other seropositive rheumatoid arthritis
Registration Number
DRKS00021182
Lead Sponsor
Campus Kerckhoff der Jusuts-Liebig-Universität Gießen, Abteilung für Rheumatologie, Immunologie, Osteologie und Physikalische Medizin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

Patients > 18 years with moderate to severe active rheumatoid arthritis who are going to receive treatment with upadacitinib [Rinvoq®]. The indication for treatment with upadacitinib needs to be given by the treating rheumatologist. Only patients with RA fulfilling the ACR/EULAR classification criteria are eligible.

Exclusion Criteria

Contraindications to treatment with upadacitinib [Rinvoq®].
Incompatible language barriers
Missing consent
During study: inadherence to pharmacological treatment

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
change of bone mineral density (BMD) using DEXA measurement (peripheral and axial skeleton) at baseline (0 month) and after 24 months under treatment with upadacitinib
Secondary Outcome Measures
NameTimeMethod
To evaluate secondary objectives secondary endpoints will assess the change between baseline (0 months) and<br>i) 12 months follow-up<br>ii) 24 months follow-up<br><br>• biochemical markers of bone metabolism: ALP, TRAP5b, BALP, CTX-1, osteocalcin, ß-crossLaps, RANKL/OPG quotient<br>• molecular parameters of inflammation: CRP and ESR<br>• patient global assessment and pain level (VAS, NRS) of the last 7 days<br>• PROs (Patient Reported Outcomes) on functional impairment (FFbH, HAQ)<br>• disease activity (DAS28, cDAI, sDAI)<br>
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