- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03918356
Application of Electrical Impedance Myography (EIM) as a Potential Biomarker of Idiopathic Inflammatory Myopathies
Application of Electrical Impedance Myography (EIM) to Establish Muscle Impedance Parameters as a Potential Biomarker of Idiopathic Inflammatory Myopathies (IIMs)
- To assess changes in impedance parameters in Idiopathic Inflammatory Myopathies (IIMs).
- To assess whether EIM parameters are reflective of disease severity, based on clinical outcome measures of IIMs.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
- To assess changes in impedance parameters in Idiopathic Inflammatory Myopathies (IIMs) There are structural and compositional changes in muscles, such as edema, adipose infiltration, and/or atrophy, in IIMs. Electrical impedance myography (EIM) is sensitive to such changes. EIM parameters will be different when compared to healthy controls in IIMs.
- To assess whether EIM parameters are reflective of disease severity, based on clinical outcome measures of IIMs.
Clinical outcome measures reflect on disease severity which is an indirect measure of muscle involvement in IIMs. If EIM parameters correlate with clinical outcome measure, it would indirectly prove that EIM can reflect disease severity in IIMs
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Connecticut
-
New Haven, Connecticut, United States, 06510
- Bhaskar Roy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- duration of weakness >12 months.
- ages 18 to 80 years old.
- serum CK level no greater than 15 times the upper limit of normal.
- quadriceps weakness >hip flexor weakness and/or finger flexor weakness >shoulder abduction weakness.
- one or more of the following pathological findings:
- endomysial inflammatory infiltrate.
- rimmed vacuoles.
- protein accumulation or 15-18 mm filaments.
DM/PM inclusion criteria:
- ages 18 to 80
- Symmetric proximal weakness
- Elevated CK
- EMG suggestive of myopathy with evidence of muscle membrane irritation
- Muscle biopsy suggestive of inflammatory myositis (degeneration, regeneration, necrosis, and interstitial mononuclear infiltrates)
- Typical skin rashes of DM (Heliotrope rash or Gottron sign)
Key inclusion criteria for the control group:
- no active neuromuscular disorders or known history of neuromuscular disorders.
- no sign or symptoms of muscle weakness.
- no family history of muscular dystrophies or ALS.
- ages 18 to 80
Exclusion Criteria:
- Patients with decompensated congestive heart failure
- Patients with chronic kidney disease on hemodialysis
- Patients with active cancer on chemotherapy or radiotherapy
- Patients with severe disease who are already wheel chair bound
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Inclusion Body Myositis patients
Subjects with clinically or clinico-pathologically defined IBM will be included in this study.
Patients with consistent clinical and laboratory features including ages 18 to 80 years, duration of symptoms> 12 months, serum creatine kinases (CK) no greater than 15 times upper limit of normal, prominent weakness of quadriceps and/or finger flexor weakness>shoulder abduction weakness along with some characteristic histopathological findings of endomysial inflammatory infiltrate, rimmed vacuoles and protein accumulation or 15-18 nm filaments will be considered as clinically or clinicopathologically defined IBM as proposed by the European Neuromuscular Center (ENMC IBM working group, 2013).
|
Electrical impedance myography (EIM) is a new electrodiagnostic method of quantitative muscle evaluation.
It utilizes concepts of bio impedance, the ability of biological tissue to impede externally applied electrical current.
|
Experimental: Idiopathic Inflammatory Myopathies patients
Subjects with more than 2 of the following criteria, symmetric proximal weakness, elevated CK, electromyography (EMG) suggesting myositis, muscles biopsy showing inflammatory changes, and typical skin rashes of dermatomyositis (DM) will be recruited as dermatomyositis and polymyositis (DM/PM) based on Bohan and Peter criteria.
|
Electrical impedance myography (EIM) is a new electrodiagnostic method of quantitative muscle evaluation.
It utilizes concepts of bio impedance, the ability of biological tissue to impede externally applied electrical current.
|
Placebo Comparator: control
Healthy controls without any known neuromuscular disorders and no family history of Amyotrophic lateral sclerosis (ALS) will be recruited for the study.
|
healthy control
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Manual Muscle Testing Score
Time Frame: 2 years
|
This scale reflects on muscle strength.
It is based on Medical Research Council scale for muscle power, where muscle strength can have a score of 0-5 (0 means no strength and 5 means full strength).Several muscles are examined in Manual Muscle Testing (MMT) and the total strength is reported as the sum of the Medical Research Council (MRC) muscles scale score of each muscles.
Total MMT score for this study can range from 0-160, where 0 means no strength in any muscles and 160 means full strength in all the muscles examined.
|
2 years
|
IBM-Functional rating scale (IBM-FRS)
Time Frame: 2 years
|
This scale measure the limitations in daily life from IBM.
It ask 10 questions regarding the activities of daily life and each question is scored between 0-4 (Where 4 means no difficulty and 0 means maximum difficulty).
Total score can vary from 0-40, and 40 means no limitations in daily life from IBM.
|
2 years
|
Grip test
Time Frame: 2 years
|
A change in grip strength using a Jamar hand dynamometer to assess the grip strength in every participant.
Best of three attempts will be used.
|
2 years
|
Get up and go test
Time Frame: 2 years
|
Time will be measured for a participant to stand up from a chair (using arms if necessary), walk 3 meters, turn around, return to the chair, and sit down.
The better of two trials will be used.
|
2 years
|
Six minute walk
Time Frame: 2 years
|
Distance walked in 6 minutes will be measured.
This has been used as a primary and secondary outcome measures in several clinical trials in various neuromuscular disorders.
|
2 years
|
Quality of Health and Well Being
Time Frame: 2 years
|
Short Form-36 (SF-36) is a measure of the global quality of health and well-being. The SF-36 is an eight-scaled score, which are the weighted sums of the questions in their corresponding section. Each scale can be transformed into a 0-100 scale. Lower score means more disability. SF-36 will be scored utilizing a standardized scoring manual. We will obtain a physical component summary scale and a mental component summary scale. |
2 years
|
Myositis Intention to Treat Activities Index (MITAX)
Time Frame: 2 years
|
MITAX is a scale assessing the extra-muscular disease severity of myositis.
It contains 24 questions covering 7 extra muscular organ systems.
Each question is scored between 0-4, where 0 = not present, 1= improving, 2= same, 3= worse, and 4= new.
This score is then converted to a final score ranging from A-E for each system based on a predefined scoring schema.
Total MITAX score can range between 0 to 54.
|
2 years
|
Physician Global Assessment Score
Time Frame: 2 years
|
This is recorded on a 10-cm visual analog scale (VAS) by the physician at the time of evaluation.
The score should reflect on the individual's appearance, medical history, physical examination, laboratory testing, and prescribed medical therapy.
In this scale 0 means no evidence of disease related damage and 10 means extremely severe damage.
|
2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Bhaskar Roy, MD, Yale University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2000024786
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Idiopathic Inflammatory Myopathies
-
University of ManchesterKing's College Hospital NHS Trust; Northern Care Alliance NHS Foundation Trust and other collaboratorsActive, not recruitingMyositis | Idiopathic Inflammatory MyopathyUnited Kingdom
-
RenJi HospitalNot yet recruitingIdiopathic Inflammatory Myopathies
-
Janssen Research & Development, LLCRecruitingMyositisUnited States, Korea, Republic of, Italy, United Kingdom, Hungary, Spain, Japan, Czechia, France, Germany, Canada, Mexico, Poland
-
The First Affiliated Hospital of Xiamen UniversityRecruiting
-
Peking University People's HospitalRecruitingIdiopathic Inflammatory MyopathiesChina
-
University Hospital, BrestRecruiting
-
Peking University People's HospitalUnknownInflammatory Myopathy
-
Peking University People's HospitalUnknown
-
University of ManchesterKarolinska Institutet; Eli Lilly and Company; Clinical Trials Unit, ManchesterCompletedIdiopathic Inflammatory MyopathiesUnited Kingdom
-
Benha UniversityUnknownIdiopathic Inflammatory MyopathiesEgypt
Clinical Trials on electrical impedance myography
-
Yale UniversityCompletedInclusion Body Myositis | IBMUnited States
-
Duke UniversityGenzyme, a Sanofi CompanyCompleted
-
McGill University Health Centre/Research Institute...UnknownLower Limb Injury | Injury TraumaCanada
-
Beth Israel Deaconess Medical CenterMassachusetts General HospitalRecruitingMyofascial Pain | Trigger Point Pain, MyofascialUnited States
-
Skulpt, Inc.CompletedMultiple Sclerosis | Charcot-Marie-Tooth Disease | Motor Neuron Disease | Amyotrophic Lateral SclerosisUnited States
-
Skulpt, Inc.National Institute of Neurological Disorders and Stroke (NINDS); National Institutes...CompletedAmyotrophic Lateral Sclerosis (ALS)United States
-
University of Kansas Medical CenterNational Institute of Neurological Disorders and Stroke (NINDS)Active, not recruitingFacioscapulohumeral Muscular DystrophyUnited States
-
Montefiore Medical CenterCompleted
-
Southeast University, ChinaRecruitingClinical OutcomesChina
-
Boston Children's HospitalWithdrawnAcute Respiratory Distress SyndromeUnited States