Diagnostic Accuracy of Whole Body Magnetic Resonance Imaging in Inflammatory Myopathies
DARWIM
1 other identifier
interventional
139
1 country
1
Brief Summary
Idiopathic inflammatory myopathies (IIM) are a great concern in acquired muscle illnesses. An appropriate and rapid diagnosis is necessary, because morbidity and mortality are high and a specific treatment is needed. Currently the use of muscle MRI (magnetic resonance imaging) in departments managing IIM is common. In absence of recommendations fixing their place in the diagnostic phase, the practices observed are extremely heterogeneous. This practices diversity well reflects the lack of data in the literature, making it impossible to appreciate the real contribution of this test. The main aim of this interventional study is to evaluate the diagnostic accuracy of muscle MRI (in terms of sensitivity, specificity, predictive positive value and predictive negative value) for patients who are suspected to suffer from IIM.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 22, 2010
CompletedFirst Submitted
Initial submission to the registry
August 22, 2011
CompletedFirst Posted
Study publicly available on registry
September 13, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 11, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 26, 2016
CompletedMarch 31, 2026
March 1, 2026
5.1 years
August 22, 2011
March 26, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Evaluation of T1 and STIR (Short Tau Inversion Recovery) sequences of muscle MRI.
Description : diagnostic accuracy of muscle MRI (in terms of sensitivity, specificity, predictive positive value and predictive negative value) for the diagnostic of inflammatory myopathy.
between Day 0 and 24 months
Presence of IIM diagnosed by muscle biopsy
Presence of IIM according to ENMC histological criteria
between Day 0 and 24 months
Secondary Outcomes (2)
Evaluation of reproductibility intra- versus inter-observers for muscle biopsy interpretation
every 3 months (up to 24 months)
Evaluation of reproductibility intra- versus inter-observers for muscle MRI interpretation
every 3 months (up to 24 months)
Study Arms (1)
MRI-oriented muscle biopsy
OTHERMuscle sample will be done following the usual care.
Interventions
Orientation of muscle biopsy according to the MRI results
Eligibility Criteria
You may qualify if:
- Skin rash typical of dermatomyositis: "lilac" rash (+/- oedemata) of upper eyelids, periungual sign, erythematous-scaly eruption occurring over the MCP and IPP, elbow, knees (Gottron's signs ands papules), erythema of light-sensitive areas OR
- Muscle weakness which is proximal, bilateral and objectifiable by clinical examination ≤ 4/5, and CPK≥2N (N\<170).
- Increase CPK and presence of acquired myositis specific antibody
- AND
- Onset of troubles ≤3 years
You may not qualify if:
- Pregnant female
- Proximal motive neuropathy
- Refusing participation
- Patient under 18 years old
- Adult patient under legal protection
- Patient with contraindication for MRI, pacemaker
- For all other magnetic or ironic implanted equipments, metal workers, must contact PI to ensure their eligibility
- Ocular muscles weakness, isolated dysarthria,
- Patients suffering from toxic myopathy, amyloidosis, inherited muscular dystrophy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU Amiens Nord
Amiens, 80054, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yves ALLENBACH, MD, PhD
Assistance Publique Hopitaux de Paris
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 22, 2011
First Posted
September 13, 2011
Study Start
December 22, 2010
Primary Completion
February 11, 2016
Study Completion
November 26, 2016
Last Updated
March 31, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share