Chronic Pain in Rheumatoid Arthritis
CPIRA-2
CNS Pain Mechanisms in Early Rheumatoid Arthritis: Implications for the Acute to Chronic Pain Transition
2 other identifiers
observational
125
1 country
5
Brief Summary
The objective is to identify modifiable clinical factors and neurobiological pathways that lead to the development of chronic pain in patients with early rheumatoid arthritis. Participants will undergo quantitative sensory testing, a type of testing that involves assessing response to well-defined, quantifiable painful stimuli, at 0, 3, and 12 months. A subset of participants will also undergo magnetic resonance imaging at 0 and 12 months to assess neuroimaging markers that have previously been shown to be involved in chronic pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Oct 2021
Longer than P75 for all trials
5 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
August 30, 2021
CompletedFirst Posted
Study publicly available on registry
September 9, 2021
CompletedStudy Start
First participant enrolled
October 12, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2026
CompletedApril 29, 2025
April 1, 2025
4.6 years
August 30, 2021
April 24, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Fibromyalgia Survey Criteria
Minimum value 0, maximum value 31; higher scores indicate worse outcomes
12 months
Study Arms (1)
Patients with early rheumatoid arthritis
Interventions
Eligibility Criteria
Patients with early RA recruited from academic medical centers
You may qualify if:
- Age ≥18 years
- Meet either the 1987 or 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria for RA
- Persistent joint symptoms ≤ 2 years
- Active inflammatory disease
- If taking opioids on an as needed (prn) basis, must be able to hold opioid for 12 hours before study procedures
- If taking NSAIDs, must be able to hold NSAIDS for 24 hours before study procedures
- If taking a central-acting pain medication, must be on a stable dose and able to stay on a stable dose throughout study
You may not qualify if:
- Routine, scheduled opioid use
- Routine, scheduled prednisone dose \>10 mg or its equivalent
- Peripheral neuropathy
- Peripheral vascular disease
- Raynaud's phenomenon requiring treatment, manifested by claudication or ischemic rest pain
- Uncontrolled blood pressure
- Age ≤ 80 years old
- Right-handed or ambidextrous
- Ability to lie on their back for the duration of the MRI scans
- Severe claustrophobia precluding MRI
- Unable to fit comfortably in the MRI scanner (usually only occurs if body mass index \>40 kg/m2)
- Pregnant
- Contraindications to MRI
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northwestern Universitylead
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)collaborator
- University of Michigancollaborator
- Hospital for Special Surgery, New Yorkcollaborator
- University of Colorado, Denvercollaborator
- Johns Hopkins Universitycollaborator
Study Sites (5)
University of Colorado
Denver, Colorado, 80045, United States
Northwestern University
Chicago, Illinois, 60611, United States
Johns Hopkins University
Baltimore, Maryland, 21224, United States
University of Michigan
Ann Arbor, Michigan, 48019, United States
Hospital for Special Surgery
New York, New York, 10021, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yvonne C Lee, MD, MMSc
Northwestern University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Medicine and Preventive Medicine
Study Record Dates
First Submitted
August 30, 2021
First Posted
September 9, 2021
Study Start
October 12, 2021
Primary Completion
April 30, 2026
Study Completion
April 30, 2026
Last Updated
April 29, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share