NCT06405152

Brief Summary

Assessment of Macrophage activation syndrome in STill's disease: retrospective chart analysis of patient History, Symptom resolution and Treatment characteristics

Trial Health

93
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2023

Shorter than P25 for all trials

Geographic Reach
7 countries

11 active sites

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

September 27, 2023

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

April 9, 2024

Completed
29 days until next milestone

First Posted

Study publicly available on registry

May 8, 2024

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 26, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 26, 2024

Completed
Last Updated

October 21, 2024

Status Verified

October 1, 2024

Enrollment Period

1 year

First QC Date

April 9, 2024

Last Update Submit

October 18, 2024

Conditions

Outcome Measures

Primary Outcomes (9)

  • Overall survival

    The proportion of patients alive after 1-year of follow-up

    1 year

  • Time to laboratory value normalization

    Time to normalization for the key laboratory values

    From Index date up to 26 weeks

  • Time to Macrophage Activation Syndrome (MAS) laboratory remission

    Time to normalization for all key laboratory values

    From Index date up to 26 weeks

  • Time to partial MAS laboratory remission

    Time to normalization for at least 3 key laboratory values

    From Index date up to 26 weeks

  • Time to tapering of Glucocorticoids (GCs)

    From index date to the last of 7 consecutive days receiving ≤1 mg/kg/day of prednisone (PDN).

    from index date to the last of 7 consecutive days

  • Number of recurrent MAS episodes

    Occurring any time after the end of the data collection period for the index MAS episode

    through study completion

  • Administration of organ support care

    Proportion of patients receiving hemodialysis, assisted ventilation, cardiac support, or inotropic drugs

    from the index date until either the end of hospitalization or 26 weeks, whichever occurs later

  • Characteristics of MAS treatment

    description of treatment patterns of MAS-related treatments for both index and recurrent MAS episodes.

    for MAS episodes occurring during the data collection period

  • Clinical signs

    No of MAS symptoms (Fever, Skin rash, Hemorrhagic manifestations, Evidence of CNS involvement) present

    At index date and 8 weeks after index date or at the earliest time this data becomes available between 8 and 12 weeks

Secondary Outcomes (3)

  • Time to hospital discharge

    Up to 26 weeks

  • Time to intensive care unit (ICU) discharge

    Up to 26 weeks

  • Duration of Clinical Response

    Until week 26

Interventions

Retrospective Chart Review

Eligibility Criteria

Age6 Months - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

The study population will include patients with Still's disease who were diagnosed with MAS that was refractory to GC treatment.

You may qualify if:

  • Age \>6 months and ≤80 years at the beginning of the index MAS episode.
  • Diagnosis of Still's disease (sJIA (systemic Juvenile Idiopathic Arthritis) or AOSD (Adult Onset Stills Disease) diagnosis).
  • Diagnosis of MAS according to treating physician in the medical record.
  • Patients who have received at least 3 consecutive days of GC after diagnosis of MAS and/or are judged by the Investigator to be refractory to GC due to clinical worsening of patient's condition .
  • The onset of the index MAS episode occurred between 01 January 2012 and 30 September 2022.

You may not qualify if:

  • A diagnosis of primary Hemophagocytic Lymphohistiocytosis (HLH) prior to the beginning of the index MAS episode.
  • Confirmed malignancy prior to the beginning of the index MAS episode.
  • Patient treated with any investigational product as a part of clinical trial during the index MAS episode.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Swedish Orphan Biovitrum Research Site

Los Angeles, California, 90095, United States

Location

Swedish Orphan Biovitrum Research Site

Atlanta, Georgia, 30329, United States

Location

Swedish Orphan Biovitrum Research Site

Cincinnati, Ohio, 45229, United States

Location

Swedish Orphan Biovitrum Research Site

Philadelphia, Pennsylvania, 19104, United States

Location

Swedish Orphan Biovitrum Research Site

Calgary, Canada

Location

Swedish Orphan Biovitrum Research Site

Paris, France

Location

Swedish Orphan Biovitrum Research Site

Heidelberg, Germany

Location

Swedish Orphan Biovitrum Research Site

Milan, Italy

Location

Swedish Orphan Biovitrum Research Site

Rome, Italy

Location

Swedish Orphan Biovitrum Research Site

Utrecht, Netherlands

Location

Swedish Orphan Biovitrum Research Site

Barcelona, Spain

Location

MeSH Terms

Conditions

Macrophage Activation SyndromeStill's Disease, Adult-OnsetArthritis, Juvenile

Condition Hierarchy (Ancestors)

Lymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesArthritis, RheumatoidArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune Diseases

Study Officials

  • Uwe Ullman, MD

    Swedish Orphan Biovitrum AG Riehenring 182, 4058 Basel, Switzerland

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
RETROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2024

First Posted

May 8, 2024

Study Start

September 27, 2023

Primary Completion

September 26, 2024

Study Completion

September 26, 2024

Last Updated

October 21, 2024

Record last verified: 2024-10

Locations