- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05458531
Monitoring of Inflammatory Conditions
Exploring Patient and Healthcare Professional Views and Experiences of the Current and Recommended Monitoring Strategies for Inflammatory Conditions Treated With Commonly Used Immune Suppressing Drugs
People with inflammatory diseases treated with immune-suppressing medication are recommended to have regular blood-tests to monitor for potential side-effects of this treatment on their blood count, liver and kidneys. However, it is not clear that monitoring is needed as frequently as currently recommended in the long-term, with side-effects being rare after one year of treatment. A study is currently underway to determine the optimal blood-test monitoring strategy which is cost-effective but still safe. Any changes in the monitoring strategy must be acceptable to patients and the healthcare professionals (HCP) that treat them.
This study aims to measure how often patients' with common inflammatory conditions on long-term immune suppressing medication attend their monitoring blood tests as currently recommended, and uncover patients' and HCP views and experiences of the current blood-test monitoring strategy, and the acceptability of potential changes to this in the future.
Firstly, patients with an inflammatory condition on long-term immune suppressing treatment will be invited to complete a questionnaire which will ask about their demographic information, medical condition(s), immune-suppressing treatment, adherence to the monitoring blood tests and willingness to take part in an interview. Then, both patients and HCPs who care for such patients will be invited to take part in a single, semi-structured interview. Interviews will be face-to-face, by telephone or video-call, last up to one hour and digitally audio-recorded. Patient interviews will explore their perceptions of risk, benefits and experiences of current testing, and views on the new testing frequencies emerging from the study prior. HCP interviews will explore their perceptions of current testing including, the practicalities, usefulness, risks and benefits of the blood tests, and views on the new testing frequencies emerging from the study prior.
The findings will shape the recommendations for a new monitoring strategy, ensuring it is acceptable to patients and HCPs.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Amy Fuller
- Phone Number: 01158231761
- Email: amy.fuller@nottingham.ac.uk
Study Contact Backup
- Name: Abhishek Abhishek
- Email: abhishek.abhishek@nottingham.ac.uk
Study Locations
-
-
Nottinghamshire
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Nottingham, Nottinghamshire, United Kingdom, NG5 1PB
- University of Nottingham
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 18 years and over
- Ability to give informed consent
- Diagnosis with one of the following inflammatory diseases: rheumatoid arthritis, inflammatory arthritis, inflammatory bowel disease, psoriasis +/- arthritis, ankylosing spondylitis, systemic lupus erythematosus, or reactive arthritis, and
- Currently treated with one of the following immune suppressing treatments for six months or longer: methotrexate, azathioprine, 5-acetyl salicylates, sulfasalazine, mycophenolate mofetil, leflunomide or biologics (anti-TNF-α agents e.g. etanercept, adalimumab, infliximab, golimumab, or certolizumab or their biosimilar).
Exclusion Criteria:
- Chronic kidney disease: stage 4 or stage 5
- Chronic liver disease: Autoimmune hepatitis, hepatitis B or C, cirrhosis.
- Pre-existing haematological abnormalities: Myelodysplasia, primary haematological diseases with neutropenia or thrombocytopenia.
- Dementia.
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Cross-Sectional
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients with an inflammatory disease taking immune-suppressing medication
Aged 18 years and over, able to give consent, diagnosed with one of the above inflammatory conditions and currently treated with one of the following immune-suppressing treatments for six months or longer: methotrexate, azathioprine, 5-acetyl salicylates, sulfasalazine, mycophenolate mofetil, leflunomide or biologics.
|
A single questionnaire
A single semi-structured qualitative interview conducted face-to-face or by telephone or video-conference call.
|
Healthcare professionals
Consultants, general practitioners (GPs), nurse specialists, practice nurses and pharmacists with experience of prescribing and monitoring long-term immune-suppressing treatments for the above inflammatory diseases
|
A single semi-structured qualitative interview conducted face-to-face or by telephone or video-conference call.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To explore patient and HCP views and experiences of the current monitoring strategies.
Time Frame: 1 day
|
This will be determined through interview
|
1 day
|
To measure patient adherence with current monitoring recommendations.
Time Frame: 1 day
|
This will determined through patient questionnaire
|
1 day
|
To explore the acceptability of the new recommended monitoring strategy emerging from a prior modelling exercise, to patients and HCPs.
Time Frame: 1 day
|
This will be determined through interview
|
1 day
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Abhishek Abhishek, University of Nottingham
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
- Digestive System Diseases
- Pathologic Processes
- Skin Diseases
- Infections
- Immune System Diseases
- Autoimmune Diseases
- Disease Attributes
- Gastrointestinal Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Connective Tissue Diseases
- Gastroenteritis
- Intestinal Diseases
- Skin Diseases, Papulosquamous
- Spinal Diseases
- Bone Diseases
- Inflammatory Bowel Diseases
- Spondylarthropathies
- Spondylarthritis
- Spondylitis
- Arthritis, Infectious
- Chronic Disease
- Post-Infectious Disorders
- Arthritis
- Lupus Erythematosus, Systemic
- Psoriasis
- Crohn Disease
- Arthritis, Psoriatic
- Arthritis, Reactive
Other Study ID Numbers
- 21042
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
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