Environmental Risk Factors for Myositis in Military Personnel
2 other identifiers
observational
37
1 country
7
Brief Summary
Background:
- Myositis is a rare disease in which the body s immune cells attack the muscle tissue. It can cause muscle weakness, swelling, and pain. It can develop in people with no history of muscle problems. Environmental exposures may determine who develops myositis. Genes may also affect development of the disease.
- Some people who serve in the military develop myositis. However, other military personnel do not. Researchers want to compare military personnel with and without myositis. They will look for common factors that might have led to the disease. Objectives: \- To study environmental risk factors for myositis in military personnel. Eligibility:
- Military personnel who developed myositis during their period of service.
- Healthy military personnel who do not have myositis or another autoimmune disease. Design:
- Participants will have a physical exam and medical history.
- Participants will fill out forms about environmental exposures, particularly while in the military. The questions will ask about past infections, vaccines and medications, and personal habits. They will also ask about participants occupations during military service and their deployments.
- Participants will also provide blood samples for study.
- No treatment will be provided as part of this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
7 active sites
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
First Submitted
Initial submission to the registry
November 22, 2012
CompletedFirst Posted
Study publicly available on registry
November 27, 2012
CompletedStudy Start
First participant enrolled
March 13, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2021
CompletedJune 5, 2026
March 3, 2026
7.6 years
November 22, 2012
June 4, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Military Myositis Questionnaire
Myositis and control subjects will complete the environmnetal exposure questionnaire, a connective tissue screening questionnaire and the Patient Reported Outcomes Measurement Information System (PROMIS) Quality of Life measure to assess health related quality of life
Assessed once per respondent
Study Arms (2)
Healthy Control Subjects
Military service members active duty or no longer in duty, military contractors, and civilians working for the military. Controls should be without a recognized autoimmune or chronic muscle disease.
Myositis Subjects
Diagnosis of myositis during military service or service as a military contractor or civilian working for the military with polymyositis, dermatomyositis, or inclusion body myositis.
Eligibility Criteria
Myositis patients include diagnosis of myositis during military service or service as a military contractor based on criteria for probable or definite PM or DM, or clinically or pathologically defined or possible IBM. Subjects may be active duty or no longer active duty personnel. Military contractors include those with at least 1 year of collective service on a military base or who actively deployed with military units after October 1998 and developed myositis will be eligible for this study. Control subjects include persons with military experience or having served as a military contractor attending the same clinic or hospital as the myositis subject to which they are matched, or if not available, volunteers from the general community (such as other participating military or VA hospitals, private HCPs, or the NIH healthy volunteer program), matched to the myositis subject.
You may qualify if:
- Diagnosis of PM, DM or IBM during military service. Subjects may be active duty or no longer active duty personnel. A matrix diagnosis of myositis will be based on ICD-9 codes, laboratory tests and medical records in an attempt to match criteria for probable or definite PM, DM or IBM
- The same gender, race, age within 10 years, and service in the military within 10 years as the myositis subject.
You may not qualify if:
- A matrix diagnosis of autoimmune or chronic muscle disease based on ICD-9 codes and medical records.
- For Aims 2 and 3 of the study:
- Diagnosis of myositis during military service or service as a military contractor or civilian working for the military, based on criteria for probable or definite PM or DM, or clinically or pathologically defined or possible IBM. Subjects may be active duty or no longer active duty personnel. Military contractors or civilians working for the military include those with at least 1 year of collective service on a military base or who actively deployed with military units after October 1998 and developed myositis will be eligible for this study.
- Able and willing to give informed consent, to complete the questionnaires and to donate blood samples.
- Persons with military experience or having served as a military contractor or civilian working for the military attending the same clinic or hospital as the myositis subject to which they are matched, or if not available, volunteers from the general community (such as other participating military or VA hospitals, private HCPs, or the NIH healthy volunteer program), gender- race- and age- (within 10 years) and military service period (within 10 years) matched to the myositis subject. Military contractors include those with at least 1 year of collective service on a military base or who actively deployed with military units after October 1998.
- Controls should be without a recognized autoimmune or chronic muscle disease, able and willing to give informed consent, to complete the questionnaires and to donate blood samples.
- Medical illness that in the judgment of the investigators does not allow safe blood draws or other clinical evaluations needed for study participation.
- Chronic muscle diseases other than idiopathic inflammatory myopathy (e.g., infectious, dystrophic, metabolic, toxic or drug-induced myopathies).
- Cognitive impairment.
- Not able or willing to give informed consent.
- Age \<18 years.
- Current incarceration
- There are no gender or ethnic restrictions to enrollment in the study.
- It has no impact on study procedures or tests.
- HIV may be one of the viral risk factors we are investigating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Miami VA Healthcare System
Miami, Florida, 33125, United States
Walter Reed National Medical Center
Bethesda, Maryland, 20301, United States
National Institutes of Health Clinical Center
Bethesda, Maryland, 20892, United States
NIEHS Clinical Research Unit (CRU)
Research Triangle Park, North Carolina, 27709, United States
VA Pittsburgh Healthcare Sys.
Pittsburgh, Pennsylvania, United States
Naval Medical Center, Portsmouth
Portsmouth, Virginia, 23708, United States
Madigan Army Medical Center
Tacoma, Washington, 98431, United States
Related Publications (3)
Bacarese-Hamilton T, Mezzasoma L, Ardizzoni A, Bistoni F, Crisanti A. Serodiagnosis of infectious diseases with antigen microarrays. J Appl Microbiol. 2004;96(1):10-7. doi: 10.1046/j.1365-2672.2003.02111.x.
PMID: 14678154BACKGROUNDAggarwal R, Lucas M, Fertig N, Oddis CV, Medsger TA Jr. Anti-U3 RNP autoantibodies in systemic sclerosis. Arthritis Rheum. 2009 Apr;60(4):1112-8. doi: 10.1002/art.24409.
PMID: 19333934BACKGROUNDBach JF. The effect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med. 2002 Sep 19;347(12):911-20. doi: 10.1056/NEJMra020100. No abstract available.
PMID: 12239261BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Adam I Schiffenbauer, M.D.
National Institute of Environmental Health Sciences (NIEHS)
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 22, 2012
First Posted
November 27, 2012
Study Start
March 13, 2014
Primary Completion
October 31, 2021
Last Updated
June 5, 2026
Record last verified: 2026-03-03