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Completed

NCT Number: NCT01209585

A Study to Evaluate BioMarkers in Blood Samples in Subjects With Rheumatoid Arthritis

The purpose of this study is to study the evaluation of blood samples and blood types to identify functional protein in the joints.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Research Site, Frederick, Maryland, United States

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About this study

Assessment of type I IFN signature in the peripheral blood and activation of type I IFN signaling pathway in synovial fluid (indicating expression of the functional IFN protein in the joints).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 through 75 years at time of screening.
  • Written informed consent and any locally required authorization (eg, HIPAA in the USA), obtained from the subject prior to performing any protocol-related procedures, including screening evaluations.
  • A diagnosis of: a) Adult onset RA as defined by the 1987 ACR classification criteria (see Appendix 1), with at least 4 tender and 4 swollen joints at screening (Day 1). Tender/swollen joints must be a part of the 28-joint count included in the Disease Assessment Score 28 (DAS28) assessment; b) Osteoarthritis (OA) of the knee or acute pseudogout attack of the knee.
  • Age ≥ 16 years at the time of onset of RA or onset of OA, pseudogout.
  • Subjects should either not receive oral corticosteroids, or if receiving oral corticosteroids, need to be on a stable dose of oral prednisone (or equivalent) ≤ 10 mg/day for at least 4 weeks prior to screening (Day 1).
  • Ability and willingness to complete the study until Day 120 as required by the protocol.

Exclusion criteria

  • History or current inflammatory joint disease other than RA, OA, or pseudogout (eg, gout, reactive arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme disease) or other autoimmune disorder (systemic lupus erythematosus, inflammatory bowel disease, scleroderma, inflammatory myopathy, or overlap syndrome).
  • Any neurological (congenital or acquired), psychiatric, vascular, or systemic disorder could also affect the evaluation of disease assessments; in particular, joint pain and swelling.
  • Treatment with IFN-α or IFN-β.
  • Intra-articular, IM, or IV corticosteroid injections within 28 days before screening (Day 1).
  • Known history of or positive test result for human immunodeficiency virus (HIV).
  • Serious infection (eg, pneumonia, septicemia) within the 2 months prior to Day 1 visit.
  • Active bacterial or viral infection (which includes ongoing and/or chronic infections such as hepatitis, tuberculosis, etc).
  • Concomitant use of systemic antiviral, antibiotic, or antifungals for the treatment of active infection within 28 days of Day 1.
  • History of malignancy or evidence of active or suspected malignancy (with the exception of adequately treated basal cell carcinoma of the skin or in situ carcinoma of the uterine cervix > 1 year before randomization into the study).
  • Vaccinations within 4 weeks of Day 1 visit.
  • Concurrent enrollment in another clinical study.
  • Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals.
  • Other unspecified reasons that, in the opinion of the Investigator or medical monitor, make the subject unsuitable for participation or confound the data.

Treatment and study plan

Blood Samples

Other

Subjects will have visits on Days 1, 30 and 120.

Synovial fluid aspiration

Other

Subjects will have visits on Days 1, 30, and 120.

Synovial tissue sample

Other

Subjects will have visits on Days 1, 30, and 120.

Primary outcomes

  1. Data Collection and Analyses

    Time frame: Study Day 120

    Data analyses on model devlopment to maximize measures of predictive diagnostic accuracy, etc.

Secondary outcomes

  1. RNA Assessment

    Time frame: Day 120

    Level of signature protein, messenger RNA or micro RNA in peripheral blood and diseased tissue will also be assessed.

Sponsors and collaborators

Lead sponsor

MedImmune LLC

Industry

Collaborators

  • AstraZeneca

Registry information

Official study title

Study to Evaluate Biomarkers in Blood and Synovial Fluid in Subjects With Rheumatoid Arthritis

Important dates

Study start
2011
Primary completion
2012
Study completion
2013
First posted
Sep 27, 2010
Registry last updated
Jul 25, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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