NCT03802188

Brief Summary

A Systemic lupus erythematosus, SLE is disease in which immune system is over-active causing inflammation in joints skin or any organ system. There are many areas where better approaches in SLE could improve outcomes. One example relates to hydroxychloroquine (HCQ) key drug which can reduce risk of serious disease flares. There are increasing concerns about eye damage main side effect with long-term use of HCQ. At present investigators cannot precisely predict which SLE patient is most likely to flare once HCQ is tapered. It is not clear what drives risk of eye damage. Investigators' study will fill these knowledge gaps. Investigators' hypothesis is that baseline demographic and clinical factors are associated with risk of SLE flare after HCQ taper/discontinuation and with risk of retinal toxicity in all HCQ exposed patients. Research will link and analyze data on 3700 SLE patients across Canada.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
3,700

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2018

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

May 9, 2018

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

December 6, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 14, 2019

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2025

Completed
Last Updated

January 14, 2019

Status Verified

January 1, 2019

Enrollment Period

5.9 years

First QC Date

December 6, 2018

Last Update Submit

January 10, 2019

Conditions

Keywords

Retinal toxicity

Outcome Measures

Primary Outcomes (1)

  • Proportion of SLE flares with decrease or discontinuation of HCQ

    In patients exposed to HCQ, presence or absence of SLE flare will be measure with SLEDAI-2K. The SLEDAI-2K is a reliable, validated, widely used global score index, consisting of 24 weighted clinical and laboratory variables of nine organ systems. The scores of descriptors range from 1 to 8, and the total score of the SLEDAI-2K is the sum of all 24 descriptor scores. An increase of 4 points or more has been validated as indicating a clinically significant increase in SLE disease activity.

    Through study completion, an average of 1 year

Secondary Outcomes (3)

  • Proportion of participants hospitalized with decrease or discontinuation of HCQ

    Through study completion, an average of 1 year

  • Proportion of SLE flares relative to augmented SLE therapy

    Through study completion, an average of 1 year

  • Correlation of retinal toxicity and exposure to HCQ and retinal toxicity

    Through study completion, an average of 1 year

Study Arms (2)

SLE Cohort

Investigators will use existing data collected on adult SLE patients enrolled into respective study cohorts from participating centers.

Qualitative group

For the interviews, patients with SLE who are currently or have taken Hydroxychloroquine will be recruited from rheumatology clinics in Calgary and Montreal to participate in an interview and/or participate in a brief survey.

Eligibility Criteria

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

Investigators will use existing data collected on adult SLE patients who have been consecutively enrolled into the respective study cohorts of the participating researchers in Montreal , Quebec City, Halifax, Winnipeg, Calgary, and Toronto. The total exceeds 3,300 SLE patients who have been exposed to HCQ.

You may qualify if:

  • Must be 18 years of age or over
  • Must be diagnosed with Systemic Lupus Erythematosus (SLE)
  • Must be exposed to hydroxychloroquine
  • Must be enrolled at participating sites

You may not qualify if:

  • Under 18 years of age
  • Not diagnosed with SLE
  • Not exposed to hydroxychloroquine
  • Not enrolled at participating sites

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Research Institute of the McGill University Health Centre

Montreal, Quebec, H3H 2R9, Canada

RECRUITING

Related Publications (53)

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Related Links

MeSH Terms

Conditions

Lupus Erythematosus, Systemic

Condition Hierarchy (Ancestors)

Connective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Sasha Bernatsky, MD/PhD

    Research Institute of the McGill University Health Centre

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

December 6, 2018

First Posted

January 14, 2019

Study Start

May 9, 2018

Primary Completion

March 31, 2024

Study Completion

March 31, 2025

Last Updated

January 14, 2019

Record last verified: 2019-01

Data Sharing

IPD Sharing
Will not share

Locations