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Progression of Bone Erosions in Rheumatoid Arthritis Assessed by HR-pQCT and Conventional X-ray

Key facts

Where
Aarhus, DenmarkSee the site

Where in Denmark

  • Department of Rheumatology, Aarhus University HospitalAarhus, DenmarkNo longer taking part

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Trial details

Who runs it
Aarhus University Hospital
Trial code
NCT03429426
Record updated
13 January 2021
Original description
Today, regular X-ray examination is not sufficiently sensitive for detecting progression of bone destruction in rheumatoid arthritis, but a new type of high-resolution CT scanner, the High-Resolution peripheral Quantitative Computed Tomography (HR-pQCT) can detect very early and minor joint injuries.Read full original descriptionShow less

An Observational Study of Bone Erosion Determination and Progression in Rheumatoid Arthritis Assessed by HR-pQCT and Conventional X-ray

Today, regular X-ray examination is not sufficiently sensitive for detecting progression of bone destruction in rheumatoid arthritis, but a new type of high-resolution CT scanner, the High-Resolution peripheral Quantitative Computed Tomography (HR-pQCT) can detect very early and minor joint injuries.

The purpose of this study is to use HR-pQCT techniques to look at the damage and disease activity progression in the hand and wrist joints of patients with rheumatoid arthritis.

Exclusion: Patients who have previously suffered trauma in the form of fracture or luxation of the hand are excluded; Patients who have previously suffered trauma in the form of fracture or luxation of the hand are excluded; Patients who have previously suffered trauma in the form of fracture or luxation of the hand are excluded; Evidence of active malignant disease; Evidence of malignant disease; Evidence of malignant disease; Earlier or present rheumatological disease or bone metabolic disease; Impaired renal function (eGFR <35ml/min); Impaired renal function (eGFR <35ml/min); Age over 18 years; Age over 18 years; Hypo- or hyperthyroidism; Hypocalcaemia; Pregnancy. Pre-rheumatoid arthritis patients Inclusion criteria; Anti-CCP 3 times the upper limit of the reference interval; Arthralgia; Ability and willingness to give written informed consent and to meet the requirements of the trial protocol; Pregnancy; Swelling of joints. Verified by clinical ultrasound; Hypo- or hyperthyroidism; Hypocalcaemia. Healthy subjects Inclusion criteria; No joint complaints; Ability and willingness to give written informed consent and to meet the requirements of the trial protocol; Hypo- or hyperthyroidism; Hypocalcaemia; Positive anti-CCP; Pregnancy.

Rheumatoid arthritis patients Inclusion criteria; Patients (> 18 years) with rheumatoid arthritis ≥5 years according to the ACR/EULAR (2010) classification criteria or American Rheumatism Association 1987 revised criteria for the patients who were diagnosed before 2010; Patients who are receiving treatment on an outpatient basis; Ability and willingness to give written informed consent and to meet the requirements of the trial protocol.

ClinicalTrials.gov NCT03429426