- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT06405152
Bedömning av makrofagaktiveringssyndrom vid STill's Disease (AMETHYST)
Bedömning av makrofagaktiveringssyndrom vid STills sjukdom: retrospektiv diagramanalys av patienthistorik, symtomlösning och behandlingsegenskaper
Assessment of Macrophage activation syndrome in STill's disease: retrospective chart analysis of patient History, Symptom resolution and Treatment characteristics
Studieöversikt
Status
Intervention / Behandling
Detaljerad beskrivning
This is an observational, retrospective cohort study on the treatment utilization and outcomes of Macrophage Activation Syndrome (MAS) refractory to glucocorticoids (GC) in patients with Still's disease. The study will be conducted entirely through medical chart abstraction; all data will be taken from the patient's medical record, with no additional assessments.
Studietyp
Inskrivning (Faktisk)
Kontakter och platser
Studieorter
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Paris, Frankrike
- Swedish Orphan Biovitrum Research Site
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California
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Los Angeles, California, Förenta staterna, 90095
- Swedish Orphan Biovitrum Research Site
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Georgia
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Atlanta, Georgia, Förenta staterna, 30329
- Swedish Orphan Biovitrum Research Site
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Ohio
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Cincinnati, Ohio, Förenta staterna, 45229
- Swedish Orphan Biovitrum Research Site
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Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19104
- Swedish Orphan Biovitrum Research Site
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Milan, Italien
- Swedish Orphan Biovitrum Research Site
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Rome, Italien
- Swedish Orphan Biovitrum Research Site
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Calgary, Kanada
- Swedish Orphan Biovitrum Research Site
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Utrecht, Nederländerna
- Swedish Orphan Biovitrum Research Site
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Barcelona, Spanien
- Swedish Orphan Biovitrum Research Site
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Heidelberg, Tyskland
- Swedish Orphan Biovitrum Research Site
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
The study population will include patients with Still's disease who were diagnosed with MAS that was refractory to GC treatment.
Beskrivning
Inclusion Criteria:
- Age >6 months and ≤80 years at the beginning of the index MAS episode.
- Diagnosis of Still's disease (sJIA (systemic Juvenile Idiopathic Arthritis) or AOSD (Adult Onset Stills Disease) diagnosis).
- Diagnosis of MAS according to treating physician in the medical record.
- Patients who have received at least 3 consecutive days of GC after diagnosis of MAS and/or are judged by the Investigator to be refractory to GC due to clinical worsening of patient's condition .
- The onset of the index MAS episode occurred between 01 January 2012 and 30 September 2022.
Exclusion Criteria:
- A diagnosis of primary Hemophagocytic Lymphohistiocytosis (HLH) prior to the beginning of the index MAS episode.
- Confirmed malignancy prior to the beginning of the index MAS episode.
- Patient treated with any investigational product as a part of clinical trial during the index MAS episode.
Studieplan
Hur är studien utformad?
Designdetaljer
- Observationsmodeller: OTHER
- Tidsperspektiv: RETROSPECTIVE
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Overall survival
Tidsram: 1 year
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The proportion of patients alive after 1-year of follow-up |
1 year
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Time to laboratory value normalization
Tidsram: From Index date up to 26 weeks
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Time to normalization for the key laboratory values |
From Index date up to 26 weeks
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Time to Macrophage Activation Syndrome (MAS) laboratory remission
Tidsram: From Index date up to 26 weeks
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Time to normalization for all key laboratory values |
From Index date up to 26 weeks
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Time to partial MAS laboratory remission
Tidsram: From Index date up to 26 weeks
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Time to normalization for at least 3 key laboratory values |
From Index date up to 26 weeks
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Time to tapering of Glucocorticoids (GCs)
Tidsram: from index date to the last of 7 consecutive days
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From index date to the last of 7 consecutive days receiving ≤1 mg/kg/day of prednisone (PDN). |
from index date to the last of 7 consecutive days
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Number of recurrent MAS episodes
Tidsram: through study completion
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Occurring any time after the end of the data collection period for the index MAS episode |
through study completion
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Administration of organ support care
Tidsram: from the index date until either the end of hospitalization or 26 weeks, whichever occurs later
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Proportion of patients receiving hemodialysis, assisted ventilation, cardiac support, or inotropic drugs |
from the index date until either the end of hospitalization or 26 weeks, whichever occurs later
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Characteristics of MAS treatment
Tidsram: for MAS episodes occurring during the data collection period
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description of treatment patterns of MAS-related treatments for both index and recurrent MAS episodes. |
for MAS episodes occurring during the data collection period
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Clinical signs
Tidsram: At index date and 8 weeks after index date or at the earliest time this data becomes available between 8 and 12 weeks
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No of MAS symptoms (Fever, Skin rash, Hemorrhagic manifestations, Evidence of CNS involvement) present |
At index date and 8 weeks after index date or at the earliest time this data becomes available between 8 and 12 weeks
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Time to hospital discharge
Tidsram: Up to 26 weeks
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Defined as time from the index date to discharge from the hospital |
Up to 26 weeks
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Time to intensive care unit (ICU) discharge
Tidsram: Up to 26 weeks
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For patients who are admitted to the ICU during the index MAS episode, this is defined as time from index date or ICU admission (whichever comes later) to ICU discharge |
Up to 26 weeks
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Duration of Clinical Response
Tidsram: Until week 26
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defined as the time (in days) from the date of first documented MAS laboratory remission until the date of first documented occurrence of a new MAS episode as per investigator's assessment. |
Until week 26
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Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Uwe Ullman, MD, Swedish Orphan Biovitrum AG Riehenring 182, 4058 Basel, Switzerland
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Muskuloskeletala sjukdomar
- Artrit
- Ledsjukdomar
- Reumatiska sjukdomar
- Bindvävssjukdomar
- Autoimmuna sjukdomar
- Immunsystemets sjukdomar
- Lymfoproliferativa störningar
- Immunproliferativa störningar
- Artrit, reumatoid
- Hud- och bindvävssjukdomar
- Artrit, Juvenil
- Makrofagaktiveringssyndrom
- Stills sjukdom, vuxendebut
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