Aiming for Remission in Rheumatoid Arthritis: a Randomized Trial Examining the Benefit of Ultrasonography in a Clinical TIght Control Regimen
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Rheumatoid Arthritis
- Sponsor
- Espen A. Haavardsholm
- Enrollment
- 238
- Locations
- 11
- Primary Endpoint
- Complete clinical Disease Activity Score (DAS) remission
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The ultimate goal of treatment in early rheumatoid arthritis (RA) is remission, i.e. an absence of signs and symptoms of the disease. However, the optimal way of reaching this goal is not known.
Ultrasonography (US) is an imaging modality which application is rapidly growing. It has a number of advantages over other advanced imaging techniques such as magnetic resonance imaging (MRI), including low cost, good accessibility, and ability to scan many joints in a short period of time. However, the additional benefit of using this modality in terms of patient outcomes has not been demonstrated. Thus, clarification is needed if the use of US leads to better care for RA patients.
This study will assess if the use of a treatment strategy incorporating information from ultrasonography assessment will allow for better outcomes of patients with RA, than a strategy based on clinical and laboratory assessments alone.
Investigators
Espen A. Haavardsholm
Post. doctoral Researcher, MD Ph.D.
Diakonhjemmet Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Complete clinical Disease Activity Score (DAS) remission
Time Frame: 24 months
Specifically, the primary endpoint will be the proportion of patients with all the following criteria met at the end of the study (at 24 months): * DAS score \< 1.6 at visits 11, 12 and 13 (after 16, 20 and 24 months) * Absence of swollen joints at visits 11, 12 and 13 (after 16, 20 and 24 months) * No radiological progression between visit 11 (16 months) and visit 13 (24 months)
Secondary Outcomes
- Magnetic Resonance Imaging (MRI) of dominant hand(12 months)
- American College of Rheumatology (ACR) response(12 months)
- Remission(12 months)
- European League Against Rheumatism (EULAR) response(12 months)
- Medical Outcomes Study Short-Form 36-item (SF-36)(12 months)
- Work performance(12 months)
- Conventional radiography(12 months)
- EuroQol-5 Dimension (EQ-5D)(24 months)
- The RA Impact of Disease (RAID) score(12 months)
- Health Assessment Questionnaire (HAQ-PROMIS)(12 months)
- Dual Energy X-ray Absorptiometry (DEXA) of spine and hip(12 months)
- Disease Activity Score (DAS)(12 months)
- Ultrasonography (synovitis)(12 months)