Chewing Gum Test for the Diagnosis of Giant Cell Arteritis (Horton's Disease) - ChewingHort
ChewingHort
Evaluation of Sensitivity, Specificity, Positive and Negative Predictive Values of the Chewing Gum Test for the Diagnosis of Giant Cell Arteritis (Horton's Disease) - ChewingHort
1 other identifier
interventional
66
1 country
6
Brief Summary
It is hypothesized that chewing-gums may be a useful test to unmask jaws intermittent claudication in order to enhance the diagnosis of Giant Cell Arteritis (GCA).
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 Oct 2019
Typical duration for not_applicable
6 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
June 27, 2019
CompletedFirst Posted
Study publicly available on registry
July 8, 2019
CompletedStudy Start
First participant enrolled
October 11, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 11, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
October 11, 2022
CompletedApril 23, 2026
April 1, 2025
2 years
June 27, 2019
April 20, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Evaluate the sensitivity and specificity of the chewing gum test in Horton's disease.
Determination of: True positive: Sick people correctly identified as sick False positive: Healthy people incorrectly identified as sick True negative: Healthy people correctly identified as healthy False negative: Sick people incorrectly identified as healthy Then wa calculate: the number true positives TP the number of false positives FP the number of true negatives TN the number of false negatives.FN Specificty= TN/(TN+FP) Sensitivity= : TP/(TP+FN) The test is performed twice an hour apart, to verify its reproducibility, before the introduction of corticosteroid therapy, with chewing gums without sugar.
Day 1
Secondary Outcomes (1)
Evaluate the positive predictive value, the negative predictive value, and the likelihood ratio of the chewing gum test in Horton's disease,
Day1
Study Arms (2)
Horton group
EXPERIMENTALThe test involves chewing a chewing gum for 4 minutes plus a standard Horton disease diagnostic
N Horton Group
ACTIVE COMPARATORThe test involves chewing a chewing gum for 4 minutes
Interventions
Eligibility Criteria
You may qualify if:
- Group 1
- Any patient suspected of having GCA, that is to say in practice patients in whom a doctor plans a Doppler ultrasound of temporal arteries or a temporal arteritis biopsy or an imagery (Angio-CT, Angio-MRI, PET- to scan
- Patient over 50 years old
- Patient able to chew a chewing gum for 4 minutes Group 2
- Patients free from GCA
- Age matched (± 3 years)
- Patient able to chew a chewing gum for 4 minutes
You may not qualify if:
- Group 1
- Patients known to have a temporomandibular joint pathology
- Patients who started corticosteroid therapy Group 2
- Patients known to have temporomandibular joint pathology
- Patients who started corticosteroid therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
CH Avignon
Avignon, France
CHU Limoges
Limoges, France
CHU de Nantes
Nantes, France
CH St Antoine
Paris, France
CHU Tours
Tours, France
CH Valenciennes
Valenciennes, France
Related Publications (1)
Ratti N, Dumonteil S, Parreau S, Magnant J, Liozon E, Palat S, Bezanahary H, Desvaux E, Aslanbekova N, Agard C, Quemeneur T, Mekinian A, Pestre V, Fauchais AL, Ly KH, Gondran G. Value of the chewing gum test for the diagnosis of giant cell arteritis: a multicentre pilot study. Scand J Rheumatol. 2026 Apr 17:1-4. doi: 10.1080/03009742.2026.2627071. Online ahead of print.
PMID: 41995029RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2019
First Posted
July 8, 2019
Study Start
October 11, 2019
Primary Completion
October 11, 2021
Study Completion
October 11, 2022
Last Updated
April 23, 2026
Record last verified: 2025-04