Actively Recruiting

Age: 18Years - 65Years
All Genders
ID03768271

French Cohort on the Becoming of Recent Articular Psoriatic Rheumatism (A Psoriatic Arthritis CoHort)

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2026-04-27

425

Participants Needed

3

Research Sites

261 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Psoriatic arthritis (PsA) is a chronic inflammatory disease that can cause progressive and irreversible joint damage, often linked to personal or family history of psoriasis. This research aims to follow patients with recent peripheral arthritis attributed to PsA to describe the severity of joint damage over 5 and 10 years and identify factors like genetic, environmental, clinical, and treatment-related influences that predict this damage. The study will create a unique long-term database to better understand the disease and guide new treatment targets and assessments. This is a prospective national study involving 425 patients across 30 centers, followed for 10 years after experiencing their first episode of peripheral arthritis within the past year. Standardized visits will collect clinical information, patient-reported outcomes, lab tests, and samples including plasma, serum, urine, RNA, and DNA. Imaging assessments such as X-rays, ultrasounds, and MRI will be performed at different times. No treatment decisions will be made during these visits as it is an observational study. Participants will attend regular scheduled visits over the 10-year period where various clinical and laboratory data will be gathered. Researchers will monitor joint damage through X-rays at 5 and 10 years, assessing erosions, joint space narrowing, and periostitic lesions. The study will also collect patient-reported outcomes and biological samples to support multiple research projects. Participation requires informed consent and affiliation to a social security system, with safety and language ability monitored throughout.

CONDITIONS

Brief Title

APACHE Cohort (A Psoriatic Arthritis CoHort)

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Women or men aged from 18 to 65 inclusive
  • First episode of peripheral arthritis in the last 12 months confirmed by a rheumatologist
  • Diagnosis or family history of psoriasis or psoriatic arthritis (first or second-degree relative)
  • Arthritis recognized as psoriatic arthritis by a rheumatologist with diagnostic confidence score ≥ 7 out of 10
  • Signed informed consent form
  • Affiliated to a social security system
Not Eligible

You will not qualify if you...

  • Diagnosis of inflammatory rheumatism other than psoriatic arthritis
  • Treatment or history of treatment with biologic medicines
  • Use of csDMARDS or apremilast for rheumatological symptoms within the past year
  • Use of oral steroids above 10 mg/day prednisone or modified dosage in last 4 weeks
  • Use of intravenous or intra-articular steroids in last 4 weeks
  • Contraindication to MRI
  • Cognitive, mental, or psychiatric disorders preventing study participation
  • Difficulty understanding French
  • Under tutorship or curatorship
  • Pregnancy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 10 years

Participants are followed for up to 10 years with standardized visits to collect clinical data, patient-reported outcomes, lab parameters, biological samples, and imaging assessments. This observational stage does not involve any therapeutic intervention.

Standardized visits throughout the 10 years follow-up

Trial Site Locations

Total: 3 locations

1

Henri-Mondor Hospital

Créteil, France, 94000

Actively Recruiting

2

Lapeyronie Hospital

Montpellier, France, 34090

Actively Recruiting

3

Saint Joseph Hospital

Paris, France, 75014

Actively Recruiting

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Research Team

P

Pascal CLAUDEPIERRE, PHD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Early peripheral psoriatic arthritis: Baseline features of the first 186 patients in the French Nationwide APACHE Cohort.

Pascal Claudepierre, Cecile Gaujoux-Viala, Arnaud Constantin...

https://pubmed.ncbi.nlm.nih.gov/40441347