Actively Recruiting

Age: 18Years - 65Years
All Genders
Healthy Volunteers
ID06778343

Biomarkers in Inflammatory Rheumatic Diseases Diagnosis Ankylosing Spondylitis, Rheumatoid Arthritis, and Systemic Lupus Erythematosus

Led by Universidade Nova de Lisboa · Updated on 2025-01-20

134

Participants Needed

1

Research Sites

125 weeks

Total Duration

On this page

Sponsors

U

Universidade Nova de Lisboa

Lead Sponsor

C

Centro Hospitalar Lisboa Ocidental

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating biomarkers to improve early diagnosis and patient classification among three inflammatory rheumatic diseases: Ankylosing Spondylitis (AS), Rheumatoid Arthritis (RA), and Systemic Lupus Erythematosus (SLE). Early diagnosis is challenging due to nonspecific symptoms and difficulty distinguishing these diseases from infections or cancer. The study aims to identify specific transcriptomic signatures to better stratify patients and support earlier diagnosis and treatment. The study involves analyzing peripheral blood samples from 34 patients with AS, 34 with RA, 34 with SLE, and 34 healthy controls matched by age and gender. Laboratory analysis uses transcriptomic approaches to identify disease-specific biomarkers. The goal is to develop a diagnostic chip for clinical use, with results confirmed by quantitative real-time protein chain reaction and validated in a new patient set. Participants will be assessed from enrollment through 12 weeks to identify transcriptomic signatures for patient stratification. The study includes medical history review, physical exams, laboratory tests, and imaging at screening. Researchers monitor biomarker levels and disease classification over the study period to optimize diagnosis. Safety and health status are evaluated to ensure participant well-being throughout the trial.

CONDITIONS

Official Title

Biomarkers in Inflammatory Rheumatic Diseases Diagnosis

Who Can Participate

Age: 18Years - 65Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of AS, RA, or SLE according to specified criteria
  • Ability to provide informed consent
  • Stable dose of NSAIDs, tramadol, combination of paracetamol and codeine, hydrocodone, or non-opioid analgesics for at least 14 days before screening
  • Stable dose of oral corticosteroids (prednisone ≤ 10 mg/day or equivalent) for at least 14 days before screening
  • Stable dose of MTX (≤ 25 mg/week), leflunomide (≤ 20 mg/day), SSZ (≤ 3 g/day), and/or hydroxychloroquine (≤ 400 mg/day) for at least 28 days before screening; up to two background csDMARDs allowed
  • Judged to be in good health by the Principal Investigator based on medical history, lab tests, physical exam, and x-Ray at screening
Not Eligible

You will not qualify if you...

  • Current pregnancy or breastfeeding
  • Prior exposure to any biologic therapy
  • Intra-articular joint or tendon sheath injections, spinal/paraspinal injections, or parenteral corticosteroids within 28 days before baseline; inhaled or topical corticosteroids allowed
  • Receipt of any live vaccine within 4 weeks before screening
  • History of significant drug or alcohol abuse in last 6 months
  • History of inflammatory arthritis other than AS, RA, or SLE, including PsA, mixed connective tissue disease, reactive arthritis, scleroderma, polymyositis, dermatomyositis, fibromyalgia, or arthritis starting before age 17
  • Any uncontrolled medical condition such as uncontrolled diabetes or unstable heart disease
  • History of any malignancy
  • Positive tests for hepatitis B, hepatitis C, or HIV
  • Infections requiring hospitalization or IV antibiotics within 30 days, or oral antibiotics within 14 days before enrollment
  • For healthy controls: exclusion if acute infections or injuries in last 6 months, uncontrolled chronic diseases, or family history of autoimmune diseases diagnosed by a rheumatologist

AI-Screening

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Trial Site Locations

Total: 1 location

1

ULS Lisboa Ocidental, Hospital de Egas Moniz

Lisbon, Portugal, 1349-019 Lisboa

Actively Recruiting

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Research Team

F

Fernando Pimentel-Santos, PhD Agg

I

Ian Lopes Teixeira, MSc

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

4

Frequently Asked Questions

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Published Research Related To This Trial

Whole blood transcriptional profiling in ankylosing spondylitis identifies novel candidate genes that might contribute to the inflammatory and tissue-destructive disease aspects.

Fernando M Pimentel-Santos, Dário Ligeiro, Mafalda Matos...

https://pubmed.ncbi.nlm.nih.gov/21470430

The influence of the 1997 updated classification criteria for systemic lupus erythematosus: epidemiology, disease presentation, and patient management.

Gro Østli Eilertsen, Andrea Becker-Merok, Johannes C Nossent

https://pubmed.ncbi.nlm.nih.gov/19208593

Classification of rheumatoid arthritis: comparison of the 1987 American College of Rheumatology criteria and the 2010 American College of Rheumatology/European League Against Rheumatism criteria.

M P M van der Linden, R Knevel, T W J Huizinga...

https://pubmed.ncbi.nlm.nih.gov/20967854

The risk of developing ankylosing spondylitis in HLA-B27 positive individuals. A comparison of relatives of spondylitis patients with the general population.

S M van der Linden, H A Valkenburg, B M de Jongh...

https://pubmed.ncbi.nlm.nih.gov/6608352