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Evaluation of the Role of Inflammatory and Structural Ultrasound Abnormalities by Explaining the Perspective of Patients With Psoriatic Arthritis (EchoPRO)

Primary Purpose

Psoriatic Arthritis

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
General evaluation
Dermatological evaluation
Rheumatological evaluation
para clinical data
Patient reported outcomes (PROs)
Sponsored by
Assistance Publique - Hôpitaux de Paris
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Psoriatic Arthritis

Eligibility Criteria

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

Inclusion Criteria:

  • Patients of both genders above 18 years old
  • Capable of adhering to the protocol
  • Consent given
  • Present one of those disease:
  • RhPso (confirmed diagnosis) according to The Classification for Psoriatic arthritis criteria (CASPAR)
  • Rheumatoid arthritis according to ACR/EULAR criteria (American College of Rheumatology/ European League Against Rheumatism)
  • Digital osteoarthritis according to american college of rheumatology (ACR) criteria
  • Cutaneous psoriasis
  • Having signed a consent form
  • Affiliated to a regimen of health insurance

Exclusion Criteria:

  • Patient refusing the study
  • The association of two rheumatic diseases (for example: psoriatic arthritis and gout, rheumatoid arthritis and arthritis etc)
  • The association of another chronic pathology likely to lead to joint manifestations (systemic diseases, bowel chronic inflammatory diseases, overload diseases, ...)
  • Patient under trusteeship or protection of vulnerable adults
  • Pregnant or nursing women

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Other

    Other

    Other

    Other

    Arm Label

    Beginner psoriatic arthritis patients

    Confirmed psoriatic arthritis patients

    Rheumatoid arthritis or Digital osteoarthritis patients

    Skin psoriasis patients without any articular symptoms

    Arm Description

    Every patients consulting in dermatologic or rheumatologic department for a skin psoriasis with clinical symptoms which may lead to the suspicion of psoriatic arthritis

    Every patients with psoriatic arthritis followed in rheumatologic department

    Followed in rheumatologic department

    Outcomes

    Primary Outcome Measures

    Evaluation of patient global assessment (PGA) in patients with Psoriatic Arthritis
    The study of patient global assessment will permit to understand the impact of inflammation and external structural damage measured by ultrasound in patients with psoriatic arthritis (newly diagnosed or with confirmed diagnosis). At enrollment visit (only visit) of patient PGA will be assessed with a digital scale from 0 to 10

    Secondary Outcome Measures

    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: PGA joint damage activity and cutaneous damage will be measure with a digital scale
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Pain will be assessed with a digital scale
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Physical limitation/ disability will be assessed with the health assessment questionnaire (HAQ)
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Quality of life will be assessed with a short form-36 (SF-36) questionnaire
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Disease effect will be assessed with psoriatic arthritis impact of disease (PsAID) 12 questionnaire
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Fatigue will be assessed with a digital scale
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Compare the results( prevalence of ultrasound irregularity, PROs, and factor which explain PROs) to people who suffer from psoriatic, without damage, without sign of joints damages or rheumatoid arthritis (RA) or digital osteoarthritis. Ultrasound damages: Synovitis, tenosynovitis, enthesitis, dactylitis, erosions, periosteal appositions ( enthesophytes, osteophyte and bony cortical irregularity) will be defined according to established by outcome measures in rheumatology (OMERACT) definitions and rating according to scores established by OMERACT

    Full Information

    First Posted
    February 17, 2020
    Last Updated
    April 2, 2020
    Sponsor
    Assistance Publique - Hôpitaux de Paris
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04325724
    Brief Title
    Evaluation of the Role of Inflammatory and Structural Ultrasound Abnormalities by Explaining the Perspective of Patients With Psoriatic Arthritis
    Acronym
    EchoPRO
    Official Title
    Monocentric Cross-sectional Study Assessing the Role of Inflammatory and Structural Ultrasound Abnormalities by Explaining the Perspective of Patients With Psoriatic Arthritis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    April 2020 (Anticipated)
    Primary Completion Date
    April 2020 (Anticipated)
    Study Completion Date
    April 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Assistance Publique - Hôpitaux de Paris

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The perspective of the patient is defined by the patient reported outcomes (PROs). This is a main part of the care in psoriatic arthritis. However , PROs can be influenced by environmental parameters. Ultrasound represents an objective instrument in the context of psoriatic rheumatism (RhPso) care because it measures inflammatory activity and structural damage at joint and periarticular level. it is the first study to evaluate the role of inflammatory and structural ultrasound abnormalities as a cause of modification of the patient's perspective measured by PROs in patients with RhPso.
    Detailed Description
    It is an interventional study. Patients will be enrolled in the rheumatology department Of Ambroise Paré Hospital in collaboration with the dermatology departments of the hospital. All patients with psoriatic arthritis, beginner or established, or patients with psoriasis suspecting the beginning of rheumatism who will consult or are already followed in those departments and give their approval for the study will undergo a clinical rheumatologic assessment (number of painful or swollen joints, enthesitic pain, inflammatory spinal pain) an ultrasound assessment (peripheral joints, tendon and enthesitic structures and nails). Those assessment will be made the same day of their consult in one those departments. They will be asked to complete questionnaires (PROs) on the overall assessment of the disease, pain, quality of life, tiredness, physical limitation / disability and the impact of the disease.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Psoriatic Arthritis

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Masking Description
    ultrasound evaluation will be on masking from clinical evaluation
    Allocation
    Non-Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Beginner psoriatic arthritis patients
    Arm Type
    Other
    Arm Description
    Every patients consulting in dermatologic or rheumatologic department for a skin psoriasis with clinical symptoms which may lead to the suspicion of psoriatic arthritis
    Arm Title
    Confirmed psoriatic arthritis patients
    Arm Type
    Other
    Arm Description
    Every patients with psoriatic arthritis followed in rheumatologic department
    Arm Title
    Rheumatoid arthritis or Digital osteoarthritis patients
    Arm Type
    Other
    Arm Description
    Followed in rheumatologic department
    Arm Title
    Skin psoriasis patients without any articular symptoms
    Arm Type
    Other
    Intervention Type
    Other
    Intervention Name(s)
    General evaluation
    Intervention Description
    Demographic characteristic, psoriasis duration, disease duration, treatments
    Intervention Type
    Other
    Intervention Name(s)
    Dermatological evaluation
    Intervention Description
    treatment and evaluation
    Intervention Type
    Other
    Intervention Name(s)
    Rheumatological evaluation
    Intervention Description
    joints, enthesis, tendons, and other ultrasound abnormalities
    Intervention Type
    Other
    Intervention Name(s)
    para clinical data
    Intervention Description
    biological data, medical imaging data
    Intervention Type
    Other
    Intervention Name(s)
    Patient reported outcomes (PROs)
    Intervention Description
    Psoriatic arthritis impact of disease 12 (PsAID12), hospital anxiety and depression scale (HAD), SF 36
    Primary Outcome Measure Information:
    Title
    Evaluation of patient global assessment (PGA) in patients with Psoriatic Arthritis
    Description
    The study of patient global assessment will permit to understand the impact of inflammation and external structural damage measured by ultrasound in patients with psoriatic arthritis (newly diagnosed or with confirmed diagnosis). At enrollment visit (only visit) of patient PGA will be assessed with a digital scale from 0 to 10
    Time Frame
    1 day
    Secondary Outcome Measure Information:
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: PGA joint damage activity and cutaneous damage will be measure with a digital scale
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Pain will be assessed with a digital scale
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Physical limitation/ disability will be assessed with the health assessment questionnaire (HAQ)
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Quality of life will be assessed with a short form-36 (SF-36) questionnaire
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Disease effect will be assessed with psoriatic arthritis impact of disease (PsAID) 12 questionnaire
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Evaluate the impact of inflammation and external structural damage measured by ultrasound to explain the others PROs: Fatigue will be assessed with a digital scale
    Time Frame
    1 day
    Title
    Evaluation of the impact of inflammation and external structural damage measured by ultrasound
    Description
    Compare the results( prevalence of ultrasound irregularity, PROs, and factor which explain PROs) to people who suffer from psoriatic, without damage, without sign of joints damages or rheumatoid arthritis (RA) or digital osteoarthritis. Ultrasound damages: Synovitis, tenosynovitis, enthesitis, dactylitis, erosions, periosteal appositions ( enthesophytes, osteophyte and bony cortical irregularity) will be defined according to established by outcome measures in rheumatology (OMERACT) definitions and rating according to scores established by OMERACT
    Time Frame
    1 day

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients of both genders above 18 years old Capable of adhering to the protocol Consent given Present one of those disease: RhPso (confirmed diagnosis) according to The Classification for Psoriatic arthritis criteria (CASPAR) Rheumatoid arthritis according to ACR/EULAR criteria (American College of Rheumatology/ European League Against Rheumatism) Digital osteoarthritis according to american college of rheumatology (ACR) criteria Cutaneous psoriasis Having signed a consent form Affiliated to a regimen of health insurance Exclusion Criteria: Patient refusing the study The association of two rheumatic diseases (for example: psoriatic arthritis and gout, rheumatoid arthritis and arthritis etc) The association of another chronic pathology likely to lead to joint manifestations (systemic diseases, bowel chronic inflammatory diseases, overload diseases, ...) Patient under trusteeship or protection of vulnerable adults Pregnant or nursing women
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Maria-Antonietta D'AGOSTINO, PhD
    Phone
    +331 49 09 56 74
    Email
    maria-antonietta.dagostino@aphp.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Maria-Antonietta D'AGOSTINO, PhD
    Organizational Affiliation
    Rheumatology Department, Ambroise Paré Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Evaluation of the Role of Inflammatory and Structural Ultrasound Abnormalities by Explaining the Perspective of Patients With Psoriatic Arthritis

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