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Enthesitis Assessment Before and After Anti-Tumor Necrosis Factor Treatment in Spondyloarthritis

Primary Purpose

Spondyloarthritis, Enthesitis, Anti-Tumor Necrosis Factor Drugs

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
TNF Inhibitor
Sponsored by
Gunay ER
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional screening trial for Spondyloarthritis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Spondyloarthritis patients were diagnosed according to 2009 Assessment of Spondyloarthritis International Society (ASAS) criteria

Exclusion Criteria:

  • Severe cardiovascular and respiratory diseases,
  • Severe liver and kidney failure,
  • Pregnancy and lactation,
  • Active infection,
  • Malignancy,
  • Demyelinating diseases,
  • Systemic lupus erythematosus,
  • History of knee, elbow, foot and ankle surgery,
  • Fluoroquinolone, retinoid and fluoride use,
  • Local corticosteroid injection at the examination sites within the six weeks before evaluation
  • Peripheral neuropathy

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Spondyloarthritis

    Arm Description

    Spondyloarthritis patients who was initiated TNF alfa blocker

    Outcomes

    Primary Outcome Measures

    change from ultrasonographic entesitis score at 3 months
    Madrid Sonographic Enthesitis Index was used to screen etheseal sites

    Secondary Outcome Measures

    Change from disease activity
    Bath Ankylosing Spondylitis Disease Activity Index was used
    Change from disease activity
    Ankylosing Spondylitis Disease Activity Score was used
    Change from quality of life
    Ankylosing Spondylitis Quality of Life was used
    Change from Functionality
    Bath Ankylosing Spondylitis Functionality Index was used

    Full Information

    First Posted
    June 22, 2021
    Last Updated
    July 2, 2021
    Sponsor
    Gunay ER
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04953871
    Brief Title
    Enthesitis Assessment Before and After Anti-Tumor Necrosis Factor Treatment in Spondyloarthritis
    Official Title
    Clinical and Ultrasonographic Enthesitis Assessment Before and After Anti-Tumor Necrosis Factor Treatment in Patients With Spondyloarthritis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2021
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2017 (Actual)
    Primary Completion Date
    September 2017 (Actual)
    Study Completion Date
    January 2018 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Gunay ER

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    Yes

    5. Study Description

    Brief Summary
    Biological therapies should be considered in patients with high disease activity despite nonsteroid antiinflammatory drug treatment. The first option among biological therapies is anti-Tumor Necrosis Factor (anti-TNF) drugs. In recent years, anti-TNF treatments have shown that clinical and ultrasonographic enthesitis may improve as well as disease activity, quality of life and acute phase reactants. In this prospective study, we aimed to evaluate the clinical and ultrasonographic evaluation of enthesitis and to determine its response to anti-TNF treatment in patients with SpA.In this prospective study, we aimed to evaluate the clinical and ultrasonographic evaluation of enthesitis and to determine its response to anti-TNF treatment in patients with SpA.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Spondyloarthritis, Enthesitis, Anti-Tumor Necrosis Factor Drugs

    7. Study Design

    Primary Purpose
    Screening
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Masking Description
    All patients were evaluated by the researcher who had a 10-year experience of musculoskeletal ultrasonography and is blind to clinical evaluation.
    Allocation
    N/A
    Enrollment
    31 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Spondyloarthritis
    Arm Type
    Experimental
    Arm Description
    Spondyloarthritis patients who was initiated TNF alfa blocker
    Intervention Type
    Drug
    Intervention Name(s)
    TNF Inhibitor
    Intervention Description
    TNF inhibitors are widely used in patients with spondyloarthritis
    Primary Outcome Measure Information:
    Title
    change from ultrasonographic entesitis score at 3 months
    Description
    Madrid Sonographic Enthesitis Index was used to screen etheseal sites
    Time Frame
    before and 3 months after anti-TNF treatment
    Secondary Outcome Measure Information:
    Title
    Change from disease activity
    Description
    Bath Ankylosing Spondylitis Disease Activity Index was used
    Time Frame
    before and 3 months after anti-TNF treatment
    Title
    Change from disease activity
    Description
    Ankylosing Spondylitis Disease Activity Score was used
    Time Frame
    before and 3 months after anti-TNF treatment
    Title
    Change from quality of life
    Description
    Ankylosing Spondylitis Quality of Life was used
    Time Frame
    before and 3 months after anti-TNF treatment
    Title
    Change from Functionality
    Description
    Bath Ankylosing Spondylitis Functionality Index was used
    Time Frame
    before and 3 months after anti-TNF treatment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Spondyloarthritis patients were diagnosed according to 2009 Assessment of Spondyloarthritis International Society (ASAS) criteria Exclusion Criteria: Severe cardiovascular and respiratory diseases, Severe liver and kidney failure, Pregnancy and lactation, Active infection, Malignancy, Demyelinating diseases, Systemic lupus erythematosus, History of knee, elbow, foot and ankle surgery, Fluoroquinolone, retinoid and fluoride use, Local corticosteroid injection at the examination sites within the six weeks before evaluation Peripheral neuropathy

    12. IPD Sharing Statement

    Learn more about this trial

    Enthesitis Assessment Before and After Anti-Tumor Necrosis Factor Treatment in Spondyloarthritis

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