Can Cytokines be Used as an Activation Marker
1 other identifier
observational
60
1 country
1
Brief Summary
RA is a chronic, autoimmune, inflammatory disease that involves small joints in the form of symmetrical polyarthritis and progresses with exacerbations and remissions. Pain, swelling, tenderness and morning stiffness are typical of the joints involved. Although it is approached as a primary joint disease, a wide variety of extra-articular involvements may also occur. In this cross sectional study sedimentation rate (ESR), C- Reactive protein (CRP), Tumor necrosis factor (TNF)-α, soluble-TNF-α receptor (TNF-R), Interleukin (IL)-1B and IL-10 were measured in three groups which were healthy volunteers, patients with RA in active period, and patients with RA in remission. TNF-R can be the main pathophysiological factor and a marker showing activation. TNF-R can be very important in revealing the effect of TNF on the disease and the value of this effect in the treatment and ensuring the follow-up of the disease with CRP instead of ESR in activation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2017
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
April 5, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 15, 2018
CompletedFirst Submitted
Initial submission to the registry
July 13, 2020
CompletedFirst Posted
Study publicly available on registry
July 24, 2020
CompletedJuly 24, 2020
July 1, 2020
1.2 years
July 13, 2020
July 21, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
C Reactive Protein
Inflammatory biomarker
up to 24 months
Erythrocyte sedimentation rate
Inflammatory biomarker
up to 24 months
TNF alpha
Cytokine
up to 24 months
DAS 28
Disease activity scores
up to 24 months
IL 1beta
Cytokine
up to 24 months
IL 10
Cytokine
up to 24 months
Study Arms (3)
Healthy
Healthy individuals not smoking, not using Disease-Modifying Anti-Rheumatic Drugs (DMARD) and/or anti-inflammatory drugs other than cortisol and methotrexate, not receiving chemotherapy, not being hypothyroidic
Active Rheumatoid Arthritis
Active Rheumatoid Arthritis meeting American College of Rheumatology (ACR) RA remission criteria
Rheumatoid Arthritis in remission
Rheumatoid Arthritis in remission meeting American College of Rheumatology (ACR) RA remission criteria
Eligibility Criteria
This study included 20 healthy volunteers, 20 remission patients with RA and 20 active patients with RA. Patients who met the study criteria among patients with RA who applied to Maltepe University Medical Faculty Hospital Internal Medicine-Rheumatology Outpatient Clinic were included in the study
You may qualify if:
- Healthy individuals and Rheumatoid Arthritis patients meeting American College of Rheumatology (ACR) RA remission criteria.
You may not qualify if:
- Smoking, Using Disease-Modifying Anti-Rheumatic Drugs (DMARD) and/or anti-inflammatory drugs other than cortisol and methotrexate, Receiving chemotherapy, Being hypothyroid
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Selim Nalbant
Istanbul, Turkey (Türkiye)
Related Publications (3)
Malmstrom V, Catrina AI, Klareskog L. The immunopathogenesis of seropositive rheumatoid arthritis: from triggering to targeting. Nat Rev Immunol. 2017 Jan;17(1):60-75. doi: 10.1038/nri.2016.124. Epub 2016 Dec 5.
PMID: 27916980BACKGROUNDDeane KD, O'Donnell CI, Hueber W, Majka DS, Lazar AA, Derber LA, Gilliland WR, Edison JD, Norris JM, Robinson WH, Holers VM. The number of elevated cytokines and chemokines in preclinical seropositive rheumatoid arthritis predicts time to diagnosis in an age-dependent manner. Arthritis Rheum. 2010 Nov;62(11):3161-72. doi: 10.1002/art.27638.
PMID: 20597112BACKGROUNDPratt AG, Isaacs JD. Seronegative rheumatoid arthritis: pathogenetic and therapeutic aspects. Best Pract Res Clin Rheumatol. 2014 Aug;28(4):651-9. doi: 10.1016/j.berh.2014.10.016. Epub 2014 Nov 18.
PMID: 25481556BACKGROUND
Biospecimen
Serum
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Selim Nalbant, Prof
Maltepe University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof
Study Record Dates
First Submitted
July 13, 2020
First Posted
July 24, 2020
Study Start
April 5, 2017
Primary Completion
June 1, 2018
Study Completion
December 15, 2018
Last Updated
July 24, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share