NCT03266822

Brief Summary

Data on the impact of biological therapies, especially of IL6-blocker treatment, on the T-cell phenotype in rheumatoid arthritis (RA) are limited, inconclusive, and mainly involve short-term follow-up. Here, the investigator prospectively measure the percentages of 15 circulating T-cell subtypes using flow cytometry. The investigators aim to obtained transversal and longitudinal data in 30 anti-TNF responders, 19 secondary anti-TNF-non-responders, 43 IL6R-antagonist-responders before, 8 weeks and, after, at least, 6 months of biological therapy. These are then compared with results obtained in early, untreated RA patients and gender-and-age matched healthy controls.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
122

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jan 2013

Typical duration for all trials

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 2, 2013

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2015

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2016

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

August 24, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 30, 2017

Completed
Last Updated

August 30, 2017

Status Verified

August 1, 2017

Enrollment Period

3 years

First QC Date

August 24, 2017

Last Update Submit

August 29, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Flow cytometry for the assessment of change in T cell subtypes

    The percentages of 15 circulating T-cell subtypes were measured using flow cytometry.

    Before, after 8 weeks and after at least 6 months of the initiation of biological therapy.

Study Arms (3)

Healthy control

Other: No intervention

RA patients on anti-TNF therapy

RA patients on anti-IL-6R therapy

Interventions

Observational study

Healthy control

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

In the cross-sectional analysis, 92 RA patients (who had been treated with biological therapy for more than six months) were evaluated. As a further control group (healthy controls), we enrolled 30 age- and gender-matched healthy volunteers.

You may qualify if:

  • Diagnosis of rheumatoid arthritis classified according to the 2010 ACR/EULAR classification criteria for RA
  • Biological treatment with anti-TNF therapy (adalimumab or certolizumab pegol or etanercept or infliximab or golimumab) or anti-IL-6R agent (tocilizumab)
  • negative history of RA symptoms
  • negative status upon detailed physical and laboratory examination including normal CRP and ESR values

You may not qualify if:

  • other autoimmune comorbidity
  • lack of informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Dulic S, Vasarhelyi Z, Sava F, Berta L, Szalay B, Toldi G, Kovacs L, Balog A. T-Cell Subsets in Rheumatoid Arthritis Patients on Long-Term Anti-TNF or IL-6 Receptor Blocker Therapy. Mediators Inflamm. 2017;2017:6894374. doi: 10.1155/2017/6894374. Epub 2017 Oct 25.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2017

First Posted

August 30, 2017

Study Start

January 2, 2013

Primary Completion

December 30, 2015

Study Completion

May 31, 2016

Last Updated

August 30, 2017

Record last verified: 2017-08