Rheumatoid Arthritis-Associated Interstitial Lung Disease: Characterization of Lung Disease Progression (BERTHA)

June 28, 2023 updated by: Hospital do Coracao

BERTHA Study: Rheumatoid Arthritis-Associated Interstitial Lung Disease: Characterization of Lung Disease Progression. A Multicenter, Observational Study

BERTHA study´s primary objective is to characterize Rheumatoid Arthritis-associated Interstitial Lung Disease (RA-ILD) progression and to define a combination of biomarkers, genetic and clinical variables capable of identifying patients at risk of RA-ILD progression

Study Overview

Status

Active, not recruiting

Conditions

Detailed Description

BERTHA is a multicentric, observational study that will enroll 100 RA-ILD patients to be followed for 2 years.

Interstitial Lung Disease (ILD) progression will be ascertained by quantitative image analysis and functional parameters. Variables associated with progression with be identified.

Additionally, RA-ILD endotypes will be investigated as well as their association with RA-ILD progression.

Study Type

Observational

Enrollment (Estimated)

100

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Campinas, Brazil
        • Universidade Estadual de Campinas (UNICAMP)
      • Florianopolis, Brazil
        • LABOX - Federal University of Santa Catarina (UFSC)
      • Florianopolis, Brazil
        • LAPOGE - Federal University of Santa Catarina (UFSC)
    • DF
      • Brasília, DF, Brazil, 70840-901
        • Hospital Universitário de Brasilia (HUB)
    • SP
      • Sao Paulo, SP, Brazil, 05403-000
        • Hospital das Clinicas - FMUSP

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

RA-ILD patients defined by altered imaging and associated functional derangements and/ or symptoms

Description

Inclusion Criteria:

  1. Consecutive adult patients (aged >18 years) meeting RA diagnostic criteria in accordance with ACR 2010
  2. Presence of interstitial lung disease 2.1 ILD Definition: presence of interstitial alterations in HRCT associated to functional derangements and/or symptoms
  3. Patient agrees with having follow-up visits every 6 months for 2 years

Exclusion Criteria:

  1. Pregnancy or intending to become pregnant
  2. Overlap with other diseases that occurs with ILD (other collagenoses, vasculitis, inflammatory bowel disease)
  3. Presence of advanced ILD, characterized by:

    a. Dyspnea rated as modified Medical Research Council 4 (mMRC4) on routine visit

  4. Presence of significant Arterial Pulmonary Hypertension:

    1. Evidence of Right ventricular failure evidence by echocardiography
    2. Previous right chamber catheterism showing cardiac index < 2 liters/min/m²
  5. Significant co-morbidity impacting respiratory system (e.g., congestive heart failure, lung neoplasm, active tuberculosis)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
RA-ILD

Consecutive adult patients (aged >18 years) with RA* and interstitial lung disease

*in accordance with the American College of Rheumatology (ACR) classification criteria of 2010

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Interstitial Lung Disease progression - FVC
Time Frame: 2 years
FVC longitudinal behavior (continuous variable)
2 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Interstitial Lung Disease progression - imaging
Time Frame: 2 years
quantitative overall disease progression (continuous variable) & %VRS (vessel related structures) > 4.4% if access to CALIPER software
2 years
Interstitial Lung Disease progression - death
Time Frame: 2 years
Time to death or lung transplant
2 years
Interstitial Lung Disease progression - FVC dichotomous variable
Time Frame: 2 years

Proportion of patients with a change from baseline in the %Forced Vital Capacity (FVC):

  1. greater or equal to 10% or
  2. between 5 and 10% and worsening of symptoms
2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Chair: Prof. Alexandra Latini, PhD, Federal University of Santa Catarina
  • Study Chair: Leticia Kawano-Dourado, MD, HCOR Research Institute, Hospital do Coracao, São Paulo, Brazil

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2021

Primary Completion (Estimated)

May 31, 2024

Study Completion (Estimated)

May 31, 2024

Study Registration Dates

First Submitted

October 21, 2019

First Submitted That Met QC Criteria

October 21, 2019

First Posted (Actual)

October 23, 2019

Study Record Updates

Last Update Posted (Actual)

June 29, 2023

Last Update Submitted That Met QC Criteria

June 28, 2023

Last Verified

June 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • BERTHA_IM101-839

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Under development

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • ANALYTIC_CODE
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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