Hypertension Clinical Trial
Official title:
Effects of Biological Treatment on Blood Pressure and Endothelial Function in Patients With Rheumatoid Arthritis, Psoriatic Arthritis and Ankylosing Spondylitis
NCT number | NCT02132234 |
Other study ID # | UJ-KChWiMWsi-Reu |
Secondary ID | |
Status | Recruiting |
Phase | Phase 4 |
First received | April 28, 2014 |
Last updated | May 5, 2014 |
Start date | June 2013 |
Verified date | May 2014 |
Source | Jagiellonian University |
Contact | n/a |
Is FDA regulated | No |
Health authority | Poland: Ethics Committee |
Study type | Interventional |
The aim of this study is to evaluate the influence of anti tumor necrosis factor-alpha (TNF-α) treatment on blood pressure, endothelial function and immune cell phenotype in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | |
Est. primary completion date | July 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: For patients suffering from rheumatoid arthritis: - rheumatoid arthritis diagnosed based on The American Rheumatism Association Criteria from 1987 - ineffective treatment with 2 disease-modifying antirheumatic drugs (DMARDs) for 6 months each, including treatment with maximal doses of methotrexate for at least 3 months (or intolerance to treatment) - high disease activity - Disease Activity Score 28 (DAS 28) > 5,1 measured twice, with a 1-month interval - for patients with mainly lower limbs affected with DAS 28 > 3,7 For patients suffering from Ankylosing Spondylitis: - Ankylosing Spondylitis diagnosed based on Modified New York Criteria - ineffective treatment with 2 non-steroidal anti-inflammatory drugs (administered separately) in maximal recommended or maximal tolerated dose for 3 months - high disease activity -Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) > 4 measured twice, with a 12-week interval - spinal pain > 4cm on 10cm Visual Analogue Scale (VAS) measured twice, with a 12-week interval - general disease activity assessment > 5 (0-10 scale) performed after the 2nd VAS and BASDAI assessment For patients suffering from Psoriatic Arthritis: - Psoriatic arthritis diagnosed based on the Bennett or Classification Criteria for Psoriatic Arthritis (CASPAR Criteria) If peripheral joints are affected: active disease assessed twice, with a 4-week interval on stable treatment, after 2 DMARDs treatment for at least 4 months Criteria of active disease (all have to be met): - At least 5 out of 66 joints swollen - assessed twice, with a 4-week interval - At least 5 out of 68 joints tender - assessed twice, with a 4-week interval - general disease activity assessment of 4 or 5 in the Likert scale (0- 5 scale) performed by patient - general disease activity assessment of 4 or 5 in the Likert scale (0- 5 scale) performed by physician - general disease activity assessment > 5 (0-10 scale) performed after 2nd assessment of number of tender and swollen joints If axial joints are affected: - Sacroiliac joints affected according to the New York Criteria of Ankylosing Spondylitis - Active and severe disease assessed twice, with a 12-week interval, stable treatment, ineffective treatment with 2 nonsteroidal anti-inflammatory drugs (administered separately) in maximal recommended or maximal tolerated dose for 3 months each Criteria of active disease (all must be present): - BASDAI > 4 measured twice, with a 12-week interval - spinal pain > 4cm on 10 cm in the VAS measured twice, with a 12-week interval - general disease activity assessment > 5 (0-10 scale) Patients can take steroid in stable dose within one month - maximal dose 10mg/day of prednisone. Exclusion Criteria: - non-consenting patient - pregnancy - breast-feeding - allergy for the drug or any component - cardiac insufficiency (NYHA III or IV) - active infection - infection within the last 3 months: hepatitis, pneumonia, pyelonephritis - opportunistic infection within the last 2 months: active infection of cytomegalovirus, Pneumocystis carinii - joint infection within the last 12 months - endoprosthesis infection within the last 12 months or any time if the joint was not replaced - exacerbation of lung-, kidney-, liver- or heart insufficiency during treatment - demyelinating disease or its symptoms - pancytopenia or aplastic anemia - pre-cancer stage - neoplasm within the last 5 years including solid tumors and neoplasm of haematopoietic or lymphatic system with risk of recurrence or progression - active alcoholic disease - chronic liver disease |
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Poland | Katedra Chorób Wewnetrznych i Medycyny Wsi, Uniwersytet Jagiellonski | Krakow, Skarbowa 4 |
Lead Sponsor | Collaborator |
---|---|
Jagiellonian University | Departmet of Rheumatology, J Dietl Hospital, Krakow, Poland |
Poland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Changes in immune cell subset populations from baseline | determination of subsets, activation markers, intracellular cytokine production | prior to receiving anti-TNF-a treatment, 12 weeks | Yes |
Primary | Change from baseline in blood pressure | Ambulatory Blood Pressure Monitoring (ABPM) | prior to receiving anti-TNF-a treatment, 12 weeks | Yes |
Secondary | Change from baseline in endothelial function | Flow Mediated Dilatation / Endo Pat | prior to receiving anti-TNF-a treatment, 12 weeks | Yes |
Status | Clinical Trial | Phase | |
---|---|---|---|
Terminated |
NCT04591808 -
Efficacy and Safety of Atorvastatin + Perindopril Fixed-Dose Combination S05167 in Adult Patients With Arterial Hypertension and Dyslipidemia
|
Phase 3 | |
Recruiting |
NCT04515303 -
Digital Intervention Participation in DASH
|
||
Completed |
NCT05433233 -
Effects of Lifestyle Walking on Blood Pressure in Older Adults With Hypertension
|
N/A | |
Completed |
NCT05491642 -
A Study in Male and Female Participants (After Menopause) With Mild to Moderate High Blood Pressure to Learn How Safe the Study Treatment BAY3283142 is, How it Affects the Body and How it Moves Into, Through and Out of the Body After Taking Single and Multiple Doses
|
Phase 1 | |
Completed |
NCT03093532 -
A Hypertension Emergency Department Intervention Aimed at Decreasing Disparities
|
N/A | |
Completed |
NCT04507867 -
Effect of a NSS to Reduce Complications in Patients With Covid-19 and Comorbidities in Stage III
|
N/A | |
Completed |
NCT05529147 -
The Effects of Medication Induced Blood Pressure Reduction on Cerebral Hemodynamics in Hypertensive Frail Elderly
|
||
Recruiting |
NCT05976230 -
Special Drug Use Surveillance of Entresto Tablets (Hypertension)
|
||
Recruiting |
NCT06363097 -
Urinary Uromodulin, Dietary Sodium Intake and Ambulatory Blood Pressure in Patients With Chronic Kidney Disease
|
||
Completed |
NCT06008015 -
A Study to Evaluate the Pharmacokinetics and the Safety After Administration of "BR1015" and Co-administration of "BR1015-1" and "BR1015-2" Under Fed Conditions in Healthy Volunteers
|
Phase 1 | |
Completed |
NCT05387174 -
Nursing Intervention in Two Risk Factors of the Metabolic Syndrome and Quality of Life in the Climacteric Period
|
N/A | |
Completed |
NCT04082585 -
Total Health Improvement Program Research Project
|
||
Recruiting |
NCT05121337 -
Groceries for Black Residents of Boston to Stop Hypertension Among Adults Without Treated Hypertension
|
N/A | |
Withdrawn |
NCT04922424 -
Mechanisms and Interventions to Address Cardiovascular Risk of Gender-affirming Hormone Therapy in Trans Men
|
Phase 1 | |
Active, not recruiting |
NCT05062161 -
Sleep Duration and Blood Pressure During Sleep
|
N/A | |
Completed |
NCT05087290 -
LOnger-term Effects of COVID-19 INfection on Blood Vessels And Blood pRessure (LOCHINVAR)
|
||
Not yet recruiting |
NCT05038774 -
Educational Intervention for Hypertension Management
|
N/A | |
Completed |
NCT05621694 -
Exploring Oxytocin Response to Meditative Movement
|
N/A | |
Completed |
NCT05688917 -
Green Coffee Effect on Metabolic Syndrome
|
N/A | |
Recruiting |
NCT05575453 -
OPTIMA-BP: Empowering PaTients in MAnaging Blood Pressure
|
N/A |