Pilot Study of Ultrasound in Rheumatoid Arthritis

June 25, 2015 updated by: Newcastle-upon-Tyne Hospitals NHS Trust

A Pilot Study of Musculoskeletal Ultrasound Assessment in Patients With Rheumatoid Arthritis

Little is currently known as to the predictive value of ultrasound in guiding the decision to taper drug treatment in patients with stable rheumatoid arthritis, nor the influence that patients' views and opinions regarding their medications may have upon this. In this study, patients with stable rheumatoid arthritis will undergo a simple examination of their joints to look for any swelling or tenderness followed by an ultrasound scan to look for joint inflammation. Half of the patients will also complete an interview to assess their views and opinions of arthritis drug treatment. The study will be completed in a single patient visit - no invasive tests will be performed, and no changes to treatment will be made.

This study is being conducted as part of a Masters degree from Newcastle University. The results of this study will be used to inform the feasibility of inclusion of ultrasound assessment within the design of a future PhD study to investigate potential markers of remission in patients with rheumatoid arthritis.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

17

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

  • United Kingdom
      • Newcastle upon Tyne, United Kingdom, NE7 7DN
        • Musculoskeletal Outpatient Department, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust

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

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Secondary care rheumatology outpatient clinic

Description

Inclusion Criteria:

  • Diagnosis of rheumatoid arthritis with symptom onset at least 12 months previously
  • Current disease-modifying anti-rheumatic drug (DMARD) therapy or biologic therapy
  • Currently stable arthritis defined as no change in DMARD treatment over previous 6 months, and no use of steroids (enteral, parenteral or intra-articular) over previous 6 months

Exclusion Criteria:

  • Inability to provide informed consent
  • Current or recent (within 4 months) participation within another clinical trial

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
Intervention / Treatment
Observational study group
Musculoskeletal ultrasound (all patients) and semi-structured patient interview (anticipated maximum 15 patients)
Other: Musculoskeletal Ultrasound
7-joint musculoskeletal ultrasound scan
Other: Semi-structured patient interview
Semi-structured patient interview

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evidence of reliability of intra- and inter-rater ultrasound agreement for power Doppler synovitis score
Time Frame: At recruitment
Defined as Kappa statistic of at least 0.4.
At recruitment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Qualitative data relating to patients' views and opinions of their arthritis medication
Time Frame: At recruitment
Based upon data collected by a semi-structured interview approach and analysed using standard qualitative techniques.
At recruitment
Simplified Disease Activity Index (SDAI)
Time Frame: At recruitment
At recruitment
Disease Activity Score in 28 joints (DAS-28)
Time Frame: At recruitment
At recruitment
Disease Activity Score (DAS)
Time Frame: At recruitment
At recruitment

Collaborators and Investigators

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

Sponsor

Newcastle-upon-Tyne Hospitals NHS Trust

Collaborators

Wellcome Trust
Newcastle University

Investigators

  • Principal Investigator: John D Isaacs, PhD, MB BS, Newcastle University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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

February 1, 2014

Primary Completion (Actual)

July 1, 2014

Study Completion (Actual)

July 1, 2014

Study Registration Dates

First Submitted

February 14, 2014

First Submitted That Met QC Criteria

February 14, 2014

First Posted (Estimate)

February 17, 2014

Study Record Updates

Last Update Posted (Estimate)

June 26, 2015

Last Update Submitted That Met QC Criteria

June 25, 2015

Last Verified

June 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NUTH6919

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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